QWR2026D by World Federation of Chiropractic

Quarterly World Report OCTOBER 2026

WFC Appoints New Secretary-General

REBEKAH WILKS DC TO TAKE OFFICE NOVEM BER 17, 2026

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WFC News Education News Research News World News and more!

3 PRESIDENT'S M ESSAGE

St r on ger Toget h er : Advan cin g Ch ir opr act ic Th r ou gh Collabor at ion an d Global Par t n er sh ips the global community and advance our shared mission, not simply for the profession we represent today, but for the patients and future generations who will benefit from its continued evolution. The WFC is committed to continuing this work: advancing chiropractic while ensuring that our profession contributes meaningfully to patients, health systems and communities around the world. Our mission is grounded in improving access to quality chiropractic care for people of all ages and across all nations, while supporting the continued integration of chiropractic within healthcare systems.

Dr Ryan Coster, WFC President

Dear Colleagues, As I reflect on the current work of the World Federation of Chiropractic, I am increasingly convinced that our greatest opportunities lie in collaboration, connection and collective action. Our profession is strongest when we come together, when associations, educators, researchers, clinicians, students, regulators, industry partners and other stakeholders work together with a shared purpose. Across our global chiropractic community, there is tremendous diversity in perspectives, experiences and priorities. There will always be differences, but there is also tremendous strength in finding common ground and creating opportunities to move forward together. As President, I remain deeply committed to listening, building bridges, strengthening relationships and creating opportunities for collaboration across our profession. By bringing people and organizations together, we can join

This is where our global relationships become particularly important. WFC?s relationship with the World Health Organization (WHO) provides an important platform through which we can contribute to broader global health priorities and help ensure that the voice and expertise of chiropractic are represented in relevant international conversations. WFC is a Non-State Actor in Official Relations with WHO and is currently affiliated with the Traditional, Complementary and Integrative Medicine (TCIM) unit. Our engagement also extends across areas including the WHO workforce agenda, Healthy Ageing, Rehabilitation 2030 and the World Rehabilitation Alliance. These relationships create opportunities to demonstrate the depth and breadth of chiropractic

and to contribute where our profession can make a meaningful difference, including in musculoskeletal health, rehabilitation, functioning, prevention and integrated, people-centred care. They are not ends in themselves, but important mechanisms through which WFC can advance its mission and contribute to our vision for chiropractic as an accessible, evidence-based and integrated

4 PRESIDENT'S M ESSAGE cont'd

component of healthcare around the world. Finally, I would like to extend our sincere appreciation to Dr John Maltby for his dedicated service as Interim Secretary-General since the fall of 2025. Dr Maltby has provided steady leadership and valuable support during an important period of transition for the WFC, and we are grateful for his commitment to the organization and our global chiropractic community. At the same time, we are delighted to welcome Dr Rebekah Wilks as the WFC?s newly appointed Secretary-General, who will officially take office on November 17, 2026. We look forward with great enthusiasm to the energy, dedication and leadership Dr Wilks will bring to the role, and to

an exciting new chapter for the WFC. As we look ahead, our focus remains clear: to strengthen our relationships, expand our global partnerships, advance our mission and work collectively toward a stronger future for chiropractic worldwide. Sincerely,

Dr Ryan Coster, WFC President

WFC Global Edu cat ion Con f er en ce 2026: A Global Gat h er in g t o Sh ape t h e Fu t u r e of Ch ir opr act ic Edu cat ion -

John Maltby, DC, WFC Secretary-General, Interim Rebekah Wilks, DC, WFC Secretary-General, Designate Bart Green, DC, MSEd, PhD, Scientific Chair, Education Conference Claire Johnson, DC, MSEd, PhD, Chair, Education Conference Planning Committee

Chiropractic delegates from around the world will gather in Utrecht, the Netherlands, October 14?17, 2026, for the 13th World Federation of Chiropractic (WFC) Global Education Conference. With the theme Lifelong Learning: Advancing Chiropractic Education for the Future, the meeting will bring the profession together to exchange ideas, build connections, and help shape what comes next. Hosted by the WFC and the Netherlands Chiropractors Association at the Royal Jaarbeurs Convention Center, the conference will welcome educators, researchers, administrators, regulators, accrediting bodies, professional associations, industry partners, practicing chiropractors, and other stakeholders from across the international chiropractic community. A highlight of the 2026 conference will be the opportunity for delegates to participate directly in a consensus process to develop lifelong learning competencies for the chiropractic profession. These consensus recommendations will inform chiropractic education throughout the professional lifespan. By contributing to the discussion, attendees will have a meaningful voice in helping shape the future direction of chiropractic education and lifelong professional development. The program will feature plenary presentations, hands-on workshops, and education research

sessions. Topics include lifelong learning, reflective practice, professional resilience, mentorship, technological innovation, continuous improvement, and evidence-informed practice. The conference is designed to connect delegates with one another. The program includes a welcoming reception to greet attendees and reunite with friends. Networking breaks are skillfully placed throughout the program. Thursday evening?s social event at the historic 16th century national monument Leeuwenbergh will encourage networking, collaboration, and the exchange of ideas across countries and sectors. The conference promises to give delegates numerous opportunities to meet new people and build relationships that can continue well beyond the meeting. This WFC Global Education Conference provides a chance to learn with the international chiropractic community, contribute to a shared vision for lifelong learning, and chart the future of chiropractic education. We look forward to seeing you in Utrecht. Practicing chiropractors may earn up to 20 professional development hours.

For more information and registration details, visit www.wfc.org/ wfc-edconf-2026.

13 SECRETARIAT M ESSAGE

Bu ildin g Capacit y an d Su ppor t in g St r at egic Pr ior it ies The WFC Secretariat continues to advance key operational, governance, and strategic initiatives in support of the Federation?s mission and Board priorities. During the quarter, significant attention was directed toward preparations for the transition to the incoming Secretary-General, ensuring knowledge transfer, continuity of operations, and ongoing support to committees and member organizations. Work has continued to strengthen organizational systems, including enhancements to SharePoint resources, document management practices, reporting processes, and cybersecurity awareness initiatives. The Secretariat has also supported financial planning activities, including budget development and monitoring of major projects and events. Preparations for the WFC Congress 2027 in Vancouver and the Global Education Conference 2026 remain a significant focus, alongside communications planning for World Spine Day and member engagement activities. The Secretariat continues to provide governance support to the Board and committees, coordinate external stakeholder relations, and implement operational improvements designed to enhance efficiency, collaboration, and long-term organizational resilience. Thank you for your ongoing support as we work together to advance chiropractic worldwide. Ch r ist in a Davis, BA (Hon s), PM P, IOG Executive Operations Manager, WFC Editor?in?Chief, Quarterly World Report

OUR PEOPLE WFC BOARD OF DIRECTORS (2026-28)

Ryan Cost er (Pr esiden t ) North American Region Holly Tu ck er (Vice-Pr esiden t ) North American Region Yi Kai Won g (Secr et ar y-Tr easu r er ) Asian Region Car los Ayr es Latin American Region Cecilia Ber gst r om European Region David Cah ill Pacific Region Elga Dr ew s African Region Ju dy For r est er North American Region Jason Jaeger North American Region Rober t Jon es North American Region Br ad Kan e North American Region Baiju Kh an ch an dan i European Region Jak ob Lot h e European Region Ef st at h ios Papadopou los Eastern Mediterranean Region Hayden Th om as Pacific Region

15 NEWS FROM THE BOARDROOM

See You in Ku ch in g! WFC An n ou n ces Host Cit y f or t h e 20t h Bien n ial Con gr ess in 2029 On behalf of the World Federation of Chiropractic (WFC) Board of Directors, we are delighted to announce that Ku ch in g, Sar aw ak , M alaysia h as been select ed as t h e h ost cit y f or t h e 20t h WFC Bien n ial Con gr ess, t o be h eld in 2029. Following a highly competitive bidding process, the successful proposal was submitted by the Association of Chiropractic Malaysia (ACM). The Board was extremely impressed by the quality, vision, and professionalism demonstrated by all bidding associations, reflecting the strength, ambition, and commitment of the WFC's global membership. The Board extends its sincere gratitude to all Member National Associations that submitted bids and to the representatives who travelled to Tokyo, Japan, to present their proposals in person during the WFC Board's Q2 meeting in June 2026. The engagement, preparation, creativity, and dedication shown throughout the process were exceptional. We are honoured by the enthusiasm displayed by our members and deeply appreciative of the considerable time, effort, and resources invested by each association. Every bid demonstrated a genuine commitment to advancing the chiropractic profession and hosting

the global chiropractic community. Ultimately, Kuching was selected for its outstanding vision, modern convention facilities, welcoming multicultural environment, and unique blend of natural beauty and cultural heritage. Known as the "City of Unity," Kuching provides an inspiring setting for chiropractors, educators, researchers, students, and professional leaders from around the world to connect, learn, and collaborate. The WFC Biennial Congress remains the premier international gathering of the chiropractic profession, bringing together participants from the federation's seven world regions to share knowledge, strengthen relationships, and shape the future of chiropractic. We warmly congratulate the Associat ion of Ch ir opr act ic M alaysia and look forward to working together to deliver an unforgettable congress experience in 2029. Further details on congress dates, registration, accommodation, and program highlights will be announced in the years ahead. Stay connected through www.wfc.org and WFC social media channels for future updates.

16 NEWS FROM THE BOARDROOM

Welcom in g Dr Rebek ah Wilk s as WFC Secr et ar y-Gen er al On behalf of the World Federation of Chiropractic (WFC) Board of Directors, we are delighted to announce the appointment of Dr Rebek ah Wilk s as Secr et ar y-Gen er al, ef f ect ive 17 Novem ber 2026. Dr. Wilks brings extensive experience in organizational leadership, governance, policy development, international relations, government and professional advocacy, partnership building, public communication, education, and clinical care. Since joining the WFC as Director of Strategy and Policy, she has played a central role in advancing the federation?s strategic priorities, advising senior leadership, and helping to shape the WFC?s 2024-2029 Strategic Plan. Her work has included close collaboration with Member National Associations, regional leaders, and international partners across the WFC?s global network.

Dr Rebekah Wilks, WFC Secretary-General Designate

united voice. A respected chiropractor, and health policy leader, Dr Wilks has represented the WFC in its engagement with the World Health Organization, including delivering statements to Member States at the World Health Assembly. Throughout her career, she has demonstrated a commitment to evidence-based practice, interprofessional collaboration, and advancing people-centered healthcare systems that improve outcomes for patients and communities. As Secretary-General, Dr Wilks will work closely with the Board of Directors, Member National Associations, and partners around the world to champion the WFC?s mission of advancing the awareness, utilization, and integration of chiropractic internationally. She is committed to ensuring that the priorities and perspectives of Member National Associations remain at the heart of the federation?s work while strengthening collaboration across regions and building connections that help the profession speak with a

The Board also extends its sincere gratitude to Dr John Maltby for his dedicated service as Interim Secretary-General during a critical period for the organization. His leadership, commitment, and stewardship have provided important continuity and helped position the WFC for future growth and success. Please join the Board of Directors and the global WFC community in warmly welcoming Dr Wilks to her new role. Together, we look forward to continuing the work of advancing the WFC?s vision of a world where all people have access to evidence-based, people-centered chiropractic care. To learn more about Dr Wilks and her professional background, visit her WFC biography at: www.wfc.org/ rebekah-wilks.

17 NEWS FROM THE BOARDROOM

Pr epar in g f or a Def in in g Year Ah ead

OUR COM M ITTEES

The third quarter of 2026 was a productive and important period for the WFC Board of Directors as they focused on several strategic priorities that will help shape the Federation's future.

RESEARCH COM M ITTEE

A significant portion of the Board's discussions centred on preparations for the 2026 Assembly of Members to be held virtually Nov 24, 2026. Directors reviewed governance matters, approved revisions to the Member Resolution Procedure, and considered approaches to strengthen member engagement and participation in the Assembly. The Board also devoted considerable attention to the recruitment of the WFC's next Secretary-General. Following an extensive international search process, directors reviewed the Search Committee's work and advanced plans to ensure a seamless leadership transition. The Board was delighted to confirm the appointment of Dr . Rebek ah Wilk s as the WFC's next Secretary-General and looks forward to supporting her as she assumes this important role.

PUBLIC HEALTH COM M ITTEE

At the same time, the Board wishes to express its sincere gratitude to Dr . Joh n M alt by for his outstanding service as Interim Secretary-General. Throughout a period of significant organizational activity and change, Dr. Maltby provided steady leadership, thoughtful guidance, and unwavering commitment to the Federation's mission. His contributions have helped position the WFC for continued success, and the Board extends its heartfelt thanks for his dedication. The Board also welcomed opportunities to connect directly with members, stakeholders, and partners throughout the quarter. WFC representatives attended the Florida Chiropractic Association National Convention and Expo (FCA National).The event provided an excellent opportunity to meet with North American member associations, educational leaders, and corporate partners, while strengthening relationships across the profession. It also served as an important platform to promote the upcoming WFC Global Education Conference

Sidney Rubinstein DC, PhD (Chair) Netherlands Katie Pohlman DC, MS, PhD (Vice-Chair) USA

Claire Johnson DC, MSEd, PhD (Chair) USA

DISABILITY & REHABILITATION COM M ITTEE Katie de Luca MAppSc, PhD (Chair) Australia

COM M ITEE ON INTERNATIONAL RELATIONS Deborah Kopansky-Giles, BPHE, DC, FCCS, MSc (Chair) Canada Michelle Maiers DC, MPH, PhD (Vice-Chair) USA

GLOBAL PATIENT SAFETY INITIATIVE Katie Pohlman DC, MS, PhD (Chair) USA

INTERNATIONAL CHIROPRACTIC EDUCATION ALLIANCE Deborah Bushway, PhD (Co-Chair) USA Daniel Moore, DC, MSc (Co-Chair) UK

WORLD SPINE DAY COM M ITTEE Rebekah Wilks, DC (Co-Chair) Danielle Wiesner, DC (Co-Chair)

SECRETARIAT John Maltby DC (Interim Secretary-General) Rebekah Wilks BS, DC (Secretary-General Designate) Christina Davis (Executive Operations Manager) Khalid Salim (Finance & Administration Manager)

18 NEWS FROM THE BOARDROOM 2026 in the Netherlands and the WFC Congress 2027 in Vancouver, generating enthusiasm and engagement for both events. These face-to-face interactions continue to reinforce the value of collaboration and help ensure that the WFC remains responsive to the needs and priorities of its global membership.

CONTACTING THE WFC

A significant milestone during the quarter was the Board's selection of the host destination for the WFC Congress 2029. Following a comprehensive and highly competitive bid process involving exceptional proposals, the Board carefully evaluated the financial, logistical, and strategic merits of each submission before selecting Ku ch in g, Sar aw ak , M alaysia as t h e h ost cit y f or M ay 2029. The Board extends its sincere appreciation to all member associations and bidding teams whose efforts, professionalism, and commitment made the decision exceptionally difficult. We congratulate our colleagues in Malaysia and encourage members to watch for further details and the official save-the-date announcement featured in this issue.

Em ail u s:

As we look ahead to our final quarter of 2026, 2027 promises to be a defining year for the WFC. With new leadership, continued growth in our programs and events, and preparations for the 2026 Assembly of Members, we are entering an exciting new chapter for the Federation. The Board is committed to building on the strong foundations established by our volunteers, committees, member associations, partners, and Secretariat. Together, we look forward to continuing our work in support of our members and advancing the chiropractic profession worldwide. Thank you for your ongoing engagement, dedication, and belief in the WFC's mission. The future is bright, and we are excited for what we will achieve together.

Wr it e t o u s: World Federation of Chiropractic, 2 St. Clair Avenue West,Toronto, Ontario M4V 1L5, Canada Call u s: +1 647 255 8030

General inquiries

info@wfc.org

John Maltby

jmaltby@wfc.org

Christina Davis

cdavis@wfc.org

Khalid Salim

ksalim@wfc.org

Rebekah Wilks

rwilks@wfc.org

NEWS ITEM S The WFC welcomes news items, digital images and feature stories to include in the QWR. Send all submissions (in Word format) to QWR@wfc.org. Please note all submissions may be subject to editing.

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20 EDITOR-IN-CHIEF 'S M ESSAGE

A Pr of ession in M ot ion : Leader sh ip, Lear n in g, an d Global Oppor t u n it y Dear Colleagues, As I review the articles and updates featured in this edition of the Quarterly World Report, I am struck by a common theme that runs throughout these pages: momentum. This quarter has also marked a period of important transition for the World Federation of Chiropractic. The WFC Board of Directors announced the appointment of Dr Rebek ah Wilk s as the Federation's next Secretary-General. We extend our sincere appreciation to Dr Joh n M alt by for his dedicated service as Interim Secretary-General and for his steady leadership during a significant period of growth and change. Looking ahead, there is much to anticipate. In just days, colleagues from around the world will gather in Ut r ech t , t h e Net h er lan ds, f or t h e WFC Global Edu cat ion Con f er en ce 2026, where educators, researchers, students, regulators, and practitioners will help shape the future of lifelong learning in chiropractic. Planning also continues at full pace for the WFC Con gr ess 2027 in Van cou ver , while the Board has recently confirmed Ku ch in g, Sar aw ak , M alaysia as t h e h ost cit y f or t h e 20t h WFC Bien n ial Con gr ess in 2029, an exciting milestone for our global community. This edition is also one of our most broadly representative and widely supported issues of 2026. Within these pages, readers will find contributions from m or e t h an t w en t y cou n t r ies acr oss six con t in en t s, alongside reports from numerous chiropractic educational institutions, research groups, professional associations, committees, and partner organizations. The volume and diversity of submissions received for this issue reflects a profession that is increasingly con n ect ed, collabor at ive, an d en gaged at every level.

Christina Davis, WFC Executive Operations Manager and QWR Editor-in-Chief

One of the greatest privileges of producing the Qu ar t er ly Wor ld Repor t is seeing the breadth of activity taking place across our profession. When considered collectively, the contributions below offer a powerful snapshot of a profession that is connected and advancing on multiple fronts. Simply listing them together provides a powerful illustration of our collective accomplishments and the growing momentum of chiropractic worldwide. -

40+ f eat u r e ar t icles and reports across WFC News, Board News, Secretariat, World News, Education News, and Research News. Con t r ibu t ion s f r om appr oxim at ely 20 cou n t r ies and territories: Australia, Canada, Chile, Colombia, Denmark, France, Germany, Hong Kong, Ireland, Italy, Japan, Malaysia, Netherlands, Norway, Philippines, South Africa, Spain, Sweden, Switzerland, United Kingdom, United States, Zambia, Taiwan, and others. Cover age f r om at least 15 ch ir opr act ic edu cat ion al in st it u t ion s and universities, including CMCC, IMU University, University

21 EDITOR-IN-CHIEF 'S M ESSAGE

of Cyberjaya, University of Johannesburg, Health Sciences University (AECC), Logan University, Palmer College, Parker University, CUKC, IFEC, NIMM, UCEN Chile, and others. M or e t h an 10 r esear ch -f ocu sed f eat u r es, including Research Committee updates, GPSI activities, ECCRE grants, rehabilitation research, educational research, headache research, quality measurement initiatives, adolescent low back pain studies, and musculoskeletal epidemiology. Corporate partner and sponsor contributions from NCMIC, Foot Levelers, Standard Process, and other valued supporters 8 r epor t s f r om WFC com m it t ees including Research, GPSI, CIR, DRC, Public Health, ICEA, World Spine Day, and World Rehabilitation Alliance. A t ot al of 32 Corporate and Educational Partners formally recognized for their support of the WFC.

Thank you for what you give, your dedication in clinics and classrooms, in labs and legislatures, on committees and in communities.

Ch r ist in a Davis, BA (Hon s), PM P, IOG Executive Operations Manager, WFC Editor?in?Chief, Quarterly World Report

GET INVOLVED WITH THE WFC Becom e a M em ber : Join the WFC and connect with a global network dedicated to advancing the chiropractic profession. APPLY HERE Par t n er or Spon sor : Collaborate with the WFC to strengthen the profession worldwide through education, advocacy, and strategic partnerships. APPLY HERE

Becom e an In dividu al Su ppor t er : Join a global community dedicated to advancing evidence-based chiropractic care, promoting collaboration, and strengthening the profession worldwide as a proud WFC Individual Supporter. APPLY HERE

Becom e a St u den t Su ppor t er : Are you a chiropractic student passionate about advancing the profession? Join the WFC as a Student Supporter and connect with global initiatives, resources, and your future peers. APPLY HERE

At t en d Ou r Even t s: From regional summits to the WFC Biennial Congress, engage with global leaders shaping the future of chiropractic. VIEW UPCOM ING EVENTS

Explor e Ou r Af f iliat es: Discover the organizations that partner with the WFC to advance chiropractic worldwide. VIEW AFFILIATED ORGANIZATIONS

24 WFC NEWS

St r en gt h en in g Resear ch an d Pat ien t Saf et y Wor ldw ide

Sidney Rubinstein, Chair, Research Committee

The Research Committee Chair (Sidney Rubinstein (SMR)) and Vice-Chair (Katie Pohlman (KP)) meet regularly with the Secretary General, the Executive Operations Manager, and board representative (Cecilia Bergstrom) to discuss planning and strategy. Br ief over view of Resear ch Com m it t ee (RC) com posit ion an d r ecen t developm en t s: The RC met in July and welcomed new participants, including the WFC Board Liaison (Cecilia Bergstrom). Major agenda items included updates on preparations for the 2026 Global Edu cat ion Con f er en ce in Ut r ech t an d plan n in g f or t h e 2027 WFC Con gr ess in Van cou ver . Discussion focused on the Congress abstract submission and two-stage review process, RC responsibilities related to abstract review and the IBCE poster competition, and potential innovations, such as research engagement sessions. The committee also noted Board approval of dedicated patient safety sessions on the Chiropractic & Manual Therapies thematic series. Planning for the 2027 Congress and ongoing research initiatives will continue in future meetings. Updates were provided on the transition of GPSI to a standalone WFC Committee, progress of the Chiropractic & Manual Therapies Patient Safety Thematic Series, and committee operations.

Katie Pohlman, Vice-Chair, Research Committee

Br ief over view of Global Pat ien t Saf et y In it iat ive (GPSI) com m it t ee act ivit ies an d r ecen t developm en t s: In the third quarter, the GPSI focused on reorganization to be a standalone committee with the development of Terms of References (ToRs). The Chiropractic & Manual Therapies special theme on patient safety, guest-edited by Rubinstein, Salsbury, and Coleman, continues to advance, with approximately 26 submissions and ongoing editorial processing. The plan is to hold a final hybrid end-of-the-theme session at the WFC Congress in Vancouver. The WFC Patient Safety Leadership Survey is in data analysis but is currently on hold to appropriately manage regulatory items. Results are hoped to be shared at the WFC Congress in Vancouver. Respectfully submitted by: Sidney Rubinstein, Chair Katie Pohlman, Vice-Chair

25 WFC NEWS

Keepin g Ch ir opr act ic at t h e Table: Updat es f r om t h e Wor ld Reh abilit at ion Allian ce Dr.Danielle Wiesner WRA Advocacy and Communications Taskforce

Th e Wor ld Reh abilit at ion Allian ce (WRA) continues to strengthen its global advocacy and policy engagement to advance the integration of rehabilitation and functioning within global health and development agendas. WFC participation within the WRA ensures chiropractic remains visible within the global rehabilitation space and allows the WFC to monitor the global policy environment as it pertains to rehabilitation for Member National Association guidance so that we further facilitate the organizational mission advance awareness, utilization, and integration of chiropractic internationally.

The recently published Un iver sal Healt h Cover age (UHC) Policy Br ief is being utilized to engage with permanent missions in New York as well as ministries to support the message of the importance of rehabilitation in UHC ahead of the UN High-Level Meeting on UHC in 2027. The WRA also recently published a policy brief regarding rehabilitation and the Su st ain able Developm en t Goals (SDGs). The brief has been shared with members of the scientific commission contributing to the 2027 Global Su st ain able Developm en t Repor t , with the aim of strengthening recognition of rehabilitation and functioning as critical to achieving the SDGs. Furthermore the WRA published a guest article with the SDG Knowledge Hub highlighting the importance of this message. Work is underway through the Primary Health Care Workstream to support the inclusion of rehabilitation and functioning within the revision of the Pack age of Essen t ial Non com m u n icable Disease In t er ven t ion s (PEN), as well as within PEN-Plus. The Workforce Workstream is examining the representation of rehabilitation professionals within international workforce classification and data systems. Current global systems do not

Dr.Rebekah Wilks WRA Workforce Workstream Chair

adequately capture the rehabilitation workforce, creating an important gap for countries in their workforce planning and monitoring. The workstream is developing an awareness-focused brief regarding the classification of professions within the rehabilitation workforce. The Research Workstream is undertaking an initial analysis of how rehabilitation appears across the WHO policy architecture. A future analysis is planned for 2030 to observe the change that advocacy work has created. The methodology is being refined, with further consultation and member input planned. The Workstream is also developing a GAP analysis of research within the rehabilitation literature. Looking ahead, preparations for Wor ld Reh abilit at ion Day (WRD) 2027, scheduled for February 24, 2027, are progressing with a members webinar on WRD taking place September 15th to outline the details of the campaign and support members in their advocacy. The Ch am pion s Pr ogr am m e is also being developed to collect lived-experience perspectives, which will contribute to the forthcoming global status report on rehabilitation and provide policy-relevant evidence regarding access barriers, financial burden and service availability. The WRA has shifted its immediate focus from a Leaders Summit towards a series of targeted policy dialogues. The first dialogue, taking place at the World Health Summit in October 2026 involves the Emergencies Workstream, and will focus on rehabilitation in humanitarian emergencies and will seek to strengthen engagement among key stakeholders regarding the rehabilitation gap in conflict and emergency settings. If you ar e in con t act w it h a ch ir opr act or w h o is in volved in em er gen cy set t in gs, please h ave t h em em ail rwilks@wfc.org.

26 WFC NEWS

WFC Com m it t ee on In t er n at ion al Relat ion s (CIR) The World Federation of Chiropractic has been in official relations with the World Health Organization (WHO) as a non-state actor (NSA) since 1997. WFC maintains an active program of work with WHO, which includes support for WHO policies and programs, advice on matters relative to the chiropractic profession, and attendance at annual and other meetings.

The CIR?s work over the summer has primarily focused on following up on the success of WFC?s attendance at the WHO World Health Assembly in Geneva in May earlier this year (as well as catching our breath...). As reported earlier, we had successful meetings with several WHO departments and program areas with collaborative work continuing and new opportunities arising. At WHO, WFC?s reporting focal point is within the Tr adit ion al, Com plem en t ar y an d In t egr at ive M edicin e pr ogr am (TCIM ). WFC actively contributes to the work outputs of this WHO program and it is through TCIM that WFC submits its annual and triennial reports on activities to the WHO. WHO TCIM has had a very busy and productive year in 2025-2026. One of the highlights was the publication of the WHO Global Tr adit ion al M edicin e St r at egy 2025-2034. As an official Non-State Actor (part of civil society) of the WHO, WFC was invited to participate in the development of this strategy, to provide feedback on the draft strategy and to declare commitments to WHO TCIM program to help support broad dissemination of its work. In addition, over the past year, the WHO TCIM program moved from Geneva to Jamnagar, India, with the formal establishment of the WHO Global Traditional Medicine Centre (GTMC). This has been established as a world-wide knowledge hub on traditional medicine with oversight of the 2025-2034 strategy planning and outcomes. WHO has formally recognized the increasingly important role that traditional and complementary medicine plays worldwide and the need for traditional medicine to be integrated into national health systems. The global st r at egy

Deborah Kopansky-Giles, Chair, CIR Committee

was crafted by WHO with input through extensive consultations with Member States, stakeholders, experts, civil society (WFC for example) and people with lived experience. The strategy was adopted by the World Health Assembly in 2025 and now actions around the strategy are being mobilized. The strategy sets out guiding principles and four objectives for country health systems: -

Strengthen the evidence for traditional medicine Ensure safe and effective TCIM through appropriate regulation Integrate safe and effective TCIM into health systems Optimize its cross-sectoral value and empower communities

The WHO Global traditional medicine strategy 2025-2034 can be accessed here. Over the coming months, WFC?s CIR will be coordinating activities with other WFC committees such as the Research Committee and the Global Patient Safety Initiative to help support this WHO TCIM work. WFC member associations are encouraged to familiarize themselves with this Global Strategy and to open conversations with local ministries of health on how chiropractic can contribute to advancing the integration of safe and effective TCIM into their health systems.

27 WFC NEWS (CIR cont'd) WHO Global TM St r at egy at a Glan ce

Submitted on behalf of the WFC Com m it t ee on In t er n at ion al Relat ion s: Deborah Kopansky-Giles, Chair Michele Maiers, Vice-Chair Faye Deane Raul Carrillo Martin Camara Neerasha Ramsamy Rebekah Wilks John Maltby Baiju Khanchandani, WFC Board Liaison Prepared by Committee Chair, Deborah Kopansky-Giles (DKopanskygiles@wfc.org)

Michele Maiers, Vice-Chair, CIR Committee

28 WFC NEWS

WFC Disabilit y & Reh abilit at ion Com m it t ee Advan ces Resear ch , Edu cat ion , an d Global In it iat ives The Disability and Rehabilitation Committee (DRC) continues to make significant progress across its education, research, and health systems portfolios during 2026. The committee remains focused on advancing evidence-informed rehabilitation education, practice and strengthening the role of chiropractic within contemporary rehabilitation systems worldwide. A major milestone has been the continued development of a global review of rehabilitation content within chiropractic curricula by CMCC faculty Brett Guist. Initial findings suggest encouraging integration of rehabilitation concepts, including use of the International Classification of Functioning, Disability and Health (ICF), across participating institutions will be important going forward. This work is expected to inform future educational standards and support enhanced competency-based rehabilitation training for chiropractic graduates globally. Come along and do not miss the DRC workshop at the upcoming WFC Education Conference in Utrecht!! Led by Jean-Luc Gauthier from UQTR, we will explore and educate attendees on rehabilitation competency assessments. Here, we will translate each WHO rehabilitation competency into observable behaviors, key Performance indicators, examples of clinical manifestations and criteria that distinguish levels of competency (rubrics). Have fun with our World Café! And get involved in our research to then form future OSCE assessment rubrics based on WHO rehabilitation competencies. Our study examining barriers and facilitators to chiropractic rehabilitation integration has been published (1). We would like to thank Rebekah

Dr Katie de Luca, Chair, Disability and Rehabilitation Committee

Wilks, Director of Strategy and Policy who attended our September meeting to discuss and inspire the DRC for project ideas and initiatives going forward into 2027. A truly meaningful conversation was had about how we can make deliverables the profession can use, align our committee activities to the WFC Strategic plan and better support world regions for the practical delivery of a stronger chiropractic workforce and representation of a collegial and evidence-based profession. The DRC continues to support global rehabilitation advocacy through engagement with the World Rehabilitation Alliance and ongoing health systems initiatives aimed at strengthening rehabilitation integration across health systems. Important WRA initiative updates include: -

World Rehabilitation Day on 24 February 2027. The 2028 Global Rehabilitation Survey. Current Rehabilitation Gap Map Analysis WHO Case Studies

For more information about the WFC Disability and Rehabilitation Committee, please contact Associate Professor Katie de Luca., k.deluca@cqu.edu.au . 1. Gliedt JA, Adjei-Kwayisi A, Bakaa N, Gauthier JL, Guist B, de Luca K. Barriers and facilitators to the delivery of rehabilitation in health systems by chiropractors: a SWOT analysis of perspectives from a world federation of chiropractic congress workshop. Chiropr Man Therap. 2026.

30 WFC NEWS

Wor ld Spin e Day 2026 is Oct ober 16t h : Spin e Healt h f or Lif e

Get In volved in Wor ld Spin e Day 2026 The World Spine Day Toolkit provides resources to support participation across diverse settings and regions. Materials include promotional graphics, social media content, event-planning guidance, key messages, and communications resources that can be adapted to local contexts while maintaining a consistent global campaign message.

Left: Dr Rebekah Wilks, DC, WFC Project Lead & Co-Chair. Right: Dr Danielle Wiesner, DC, Co-Chair with the "World Spine Day Global Executive Committee" consisting of Dr Rebecca Bauer, Dr Florian Allix, Dr Lykke Hoffbeck, and Dr Dinesh Palipana.

Wor ld Spin e Day 2026 w ill t ak e place on Oct ober 16 under the theme ?Spin e Healt h f or Lif e.? The campaign highlights spinal health as an important component of population health across the life course, with a focus on evidence-informed approaches that support mobility, physical function, participation, and quality of life. Spinal pain represents a substantial global health burden. Low back pain affected an estimated 619 million people worldwide in 2020 and remains the leading cause of years lived with disability globally. With population growth and aging, the number of people living with low back pain is projected to reach 843 million by 2050. These trends underscore the importance of effective prevention and management strategies, alongside health-system approaches that support spinal health in ageing populations. Importantly, spinal health is about more than the absence of pain. The ability to move, work, learn, and participate fully in daily life is essential to healthy aging and well-being. Physical activity, healthy behaviours, and timely access to appropriately trained healthcare professionals, including chiropractors, all contribute to maintaining spinal health throughout life. World Spine Day provides an opportunity to promote this message and encourage a shared commitment to lifelong spinal health and function.

French and Spanish versions of the official World Spine Day logos have also been developed. These resources are available on the World Spine Day website under the official resources section and may be used by French- and Spanish-speaking stakeholders to support local campaign activities. Sh ar e You r Wor ld Spin e Day Act ivit ies We encourage participating organizations, healthcare professionals, educational institutions, community groups, and individuals to document their activities through high-resolution photographs and video. Lear n abou t t h e WFC Wor ld Spin e Day com pet it ion , gen er ou sly spon sor ed by Foot Leveler s, and offering cash prizes with a QWR feature! Please tag World Spine Day so we can follow and, where possible, amplify your initiatives. Be sure to include the #SpineHealthForLife and #WorldSpineDay hashtags as well. Join the global movement - Follow, Like, Share, and Tag:Facebook: @World Spine Day Instagram: @worldspineday X: @World_Spine_Day LinkedIn: @World Spine Day

Through collective action, we can help make spinal health a more visible component of public health and support people in maintaining movement, function, and participation throughout the life course. ?Spin e Healt h f or Lif e? is an invitation to recognize that spinal health is relevant at every stage of life and that evidence-informed strategies can help create the conditions for people to remain active and engaged as they age.

32 WFC NEWS

Posit ion in g Ch ir opr act ic f or Pu blic Healt h Im pact : A PHC Updat e The WFC Public Health Committee has contributed to WFC position statements to advance chiropractic and public health. The committee strategically selected and developed each topic. The WFC Board then reviewed and approved the resulting position statements. These position statements support the chiropractic profession?s public health efforts, the WFC Mission, and align with World Health Organization principles. Public health and health promotion are integral to chiropractic practice, reflecting a shared commitment to improving health, function, and quality of life. By engaging in public health, the chiropractic profession continues to demonstrate its relevance within modern healthcare systems and its contribution to community and population well-being. Integrating public health and health promotion principles is a natural extension of chiropractic?s commitment to improving health, function, and quality of life for all. The PHC is dedicated to advancing public health matters relevant to chiropractic practice. The PHC thanks Drs. John Maltby and Rebekah Wilks for their input and guidance on the position statements and processes. Summaries of the recent statements are below. For complete copies of the approved position statements, they may be found here. Ch ir opr act ic is a h ealt h car e pr of ession : The World Federation of Chiropractic declares that chiropractic is a profession. As a healthcare profession, chiropractic plays an important role within healthcare systems and is responsible for upholding the highest standards of education, practice, research, ethics, and service to the public. Ch ir opr act or s su ppor t an d pr om ot e ph ysical f u n ct ion : The World Federation of Chiropractic endorses physical function as an essential component of health and further recognizes that

Claire Johnson, DC, MSEd, PhD. Chair, WFC Public Health Committee

chiropractors contribute meaningfully to public health by supporting health outcomes and improving physical function. This position clarifies that chiropractic is a healthcare profession centered on optimizing health and function through the evaluation, management, and care of the neurological and musculoskeletal systems. Ch ir opr act ic car e in clu sion in n on -com m u n icable disease st r at egies: The World Federation of Chiropractic affirms the role of chiropractic care in addressing the global burden of non-communicable diseases. Chiropractic services should be included within national and international non-communicable disease prevention and management strategies consistent with guidance from the World Health Organization. This position clarifies how chiropractic care contributes to non-communicable disease strategies. Ch ir opr act ic pr in ciples an d pr act ices in clu de pat ien t -cen t er ed, per son -cen t er ed, an d people-cen t er ed car e: The World Federation of Chiropractic affirms that patient-centered, person-centered, and people-centered care are fundamental components within the principles and practices of the chiropractic profession. This position explains the concepts within a chiropractic context and emphasizes that the

33 WFC NEWS (PHC cont'd) chiropractic profession is founded upon holistic, conservative care principles and practices that inherently recognize biopsychosocial factors, including the intersection of physical health, lifestyle, and the patient's environment, and prioritize the needs of individuals and communities. Ch ir opr act ic car e in clu des qu at er n ar y pr even t ion : The World Federation of Chiropractic affirms that quaternary prevention is an integral component of chiropractors?ethical and professional responsibilities. Quaternary prevention avoids iatrogenic harm arising from unnecessary, excessive, or inappropriate healthcare, in which the risk, adverse effects, complications, or financial costs of an intervention outweigh the desirable benefits of care. Quaternary prevention also includes the avoidance of overdiagnosis, overtreatment, and low-value care that does not confer meaningful benefit to

patients and may expose them to unnecessary risk, burden, or cost, and at the same time, avoiding undertreatment or unreasonably limiting access to care that would prevent patients from receiving necessary, quality, and effective care. Ch ir opr act or s su ppor t an d pr om ot e t h e h ealt h of m ar gin alized an d u n der ser ved people: The World Federation of Chiropractic affirms that the chiropractic profession has an ethical responsibility to reduce health disparities and that chiropractors are committed to advancing equitable, person-centered healthcare by supporting and promoting the health of marginalized and underserved populations. This position clarifies that chiropractors help reduce health disparities by providing accessible, conservative, evidence-informed care, fostering inclusive, respectful clinical environments, and recognizing the social determinants of health that influence patient access, outcomes, and equity.

34 WFC NEWS

Sh apin g t h e Fu t u r e of Ch ir opr act ic Edu cat ion The International Chiropractic Education Alliance (ICEA) was established to address a longstanding gap within the global chiropractic community: the absence of a unified international forum dedicated to supporting, connecting and advancing chiropractic education. Hosted by the World Federation of Chiropractic (WFC), the ICEA brings together educational institutions and key stakeholders with a shared interest in the future of chiropractic education worldwide. The purpose of the ICEA is practical as well as strategic. It provides a space for educational leaders to build relationships, share knowledge and consider the common opportunities and challenges facing chiropractic education. Although institutions operate within different national, regulatory and educational contexts, many of the questions we face are shared. The ICEA gives us a mechanism through which those questions can be considered collectively rather than in isolation. As co-chairs, we are looking forward to the forthcoming WFC Edu cat ion Con f er en ce in Ut r ech t du r in g Oct ober . The conference will provide an important opportunity for ICEA members to meet in person, and have an open discussion about what the alliance should become next. Our focus will be on ensuring that the ICEA has a clear purpose, an effective structure and objectives that translate into meaningful educational collaboration. Alongside our own meeting, we are pleased to be collaborating with the In t er n at ion al Ch ir opr act ic Regu lat or y Societ y (ICRS). This is an important connection. Education and regulation have distinct roles, but they are closely related in supporting quality, public confidence and the continuing development of the profession. Bringing educational and regulatory perspectives into the same conversation gives us an opportunity to understand where our priorities align, where

Deborah Bushway (USA), Co-Chair International Chiropractic Education Alliance (ICEA)

Daniel Moore (UK), Co-Chair International Chiropractic Education Alliance (ICEA)

greater dialogue is needed. The discussions in Utrecht will therefore be forward-looking. We will consider the structure required to support effective international educational collaboration, clarify the objectives around which members can work together and identify areas where collective activity can make a genuine difference. This includes how we strengthen communication across institutions,

35 WFC NEWS (ICEA con't) support knowledge sharing, encourage educational research and innovation, and ensure that a wide range of global perspectives inform the future direction of our work.

profession's ability to respond confidently to change. For that reason, education cannot sit at the margins of conversations about the future of chiropractic. It must be central to them.

We also want to be realistic about what international collaboration should deliver. The value of the ICEA will not be defined simply by the existence of another group or meeting. It will be defined by whether it helps institutions and stakeholders to connect more effectively, learn from one another and respond collectively to issues that are difficult to address alone.

Our ambition is that the conversations in Utrecht will help define a positive future for the WFC, the ICEA and the wider profession as it pertains to education. That future should be collaborative, internationally informed and focused on the areas where working together can achieve more than institutions or organisations can achieve separately.

Education is a critical pillar of the chiropractic profession. It shapes the knowledge, skills, judgement and professional identity of future chiropractors. It also influences the ongoing development of the existing workforce, the strength of our research culture and the

We look forward to engaging with ICEA members, colleagues from the ICRS and the wider educational community in Utrecht, and to sharing the outcomes of these discussions following the conference.

36 WORLD NEWS AFRICA

Gr ou n ded an d Gr ow in g: ACF Con f er en ce Celebr at es Ch ir opr act ic Acr oss Af r ica Lu sak a, Zam bia The African Chiropractic Federation (ACF) hosted its 2026 Annual General Meeting and Conference in Lusaka, Zambia, from 11-13 June, bringing together chiropractors from across Africa and around the world under the theme Gr ou n ded an d Gr ow in g. The conference highlighted the profession?s continued development across the continent, with a strong clinical focus on care throughout the life course. The scientific program explored chiropractic care from pregnancy and pediatrics through adolescence, adulthood, and geriatric care. Delegates also participated in discussions on the future of chiropractic education in Africa. A keynote presentation by Dr . In ger Villadsen introduced attendees to Dynamic Neuromuscular Stabilization through both theory and practical application. The ACF Executive reaffirmed its commitment to hosting future conferences in different African cities, recognizing the importance of strengthening chiropractic visibility and advocacy in countries where the profession is still emerging. These

Paediatric Powerhouse

chiropractic?s contribution to healthcare. Hosted by the Zambian Association of Chiropractors, led by Dr . Pier s Reeve-Tu ck er an d Dr . Dayn a Lom bar d, the conference welcomed delegates from Africa, Australia, Canada, and the United Kingdom. Alongside the scientific program, attendees enjoyed Zambian culture, hospitality, and a memorable cultural evening. The next ACF Conference will be held in Gaborone, Botswana, in 2028, hosted by the Botswana Association of Chiropractors.

37 WORLD NEWS AUSTRALIA

ACA Reach es Hist or ic M em ber sh ip M ilest on e an d Host s Recor d-Br eak in g Con f er en ce members are better connected, informed, and represented.

Th e Au st r alian Ch ir opr act or s Associat ion (ACA) has experienced significant growth over the past year, surpassing 3,000 members for the first time in its history. Together with approximately 1,100 student members, the ACA now supports and represents a substantial portion of Australia?s chiropractic profession. This milestone reflects a strong and united professional community that values connection, collaboration, and collective advocacy. Building on this momentum, the ACA continues to strengthen its member services, support for new graduates, and advocacy efforts, ensuring

A highlight of the year was the inaugural ACA Big Ten t Con f er en ce, h eld in Adelaide in Au gu st . The event brought together the ACA?s four special interest groups, sports and exercise, paediatrics, lifestyle medicine, and neurorehabilitation, under one roof for the first time. More than 700 delegates attended the three-day event, making it the largest conference in the Association?s history. ACA Pr esiden t Dr . Billy Ch ow opened the conference by emphasizing the value of professional unity and collaboration. Delegates also heard from an impressive lineup of international speakers, including Dr . M on iqu e An dr ew s, Dr . Clau dia An r ig, Dr . Br ian Bu dgell, an d Dr . David Cah ill, who delivered presentations on clinical practice, pregnancy care, authorship, and chiropractic philosophy. The ACA looks forward to building on this success and continuing to strengthen the future of chiropractic in Australia.

Dr. Ryan Coster, WFC President, Dr. Ayla Azad, CEO of the CCA, Dr. Russ Baron, CCA President.

39 WORLD NEWS CANADA

Collabor at ion in Act ion : Can adian Ch ir opr act ic Associat ion Set t o Host ?Un f or get t able?2027 WFC Con gr ess in Van cou ver The Canadian Chiropractic Association (CCA) is ramping up preparations as host of the 19th Biennial WFC Congress on Canada?s west coast next year. The CCA is working closely with the WFC team, notably (Canadian) President Dr. Ryan Coster, to make this a most memorable Congress at the Vancouver Convention Centre (East Building).

said Dr . Cr yst al Dr aper , Dir ect or of Pr of ession al Pr act ice at t h e CCA. ?Trust is the focus of the first day? laying the foundation for collaboration on day two, and impact will take centre stage on the final day. You need trust to collaborate, and collaboration is key to advancing the impact of our profession.? From inspiring plenary sessions to hands-on clinical learning, the program will provide attendees with practical insights that they can immediately apply in practice. ?The 2027 WFC Congress provides the perfect opportunity to celebrate innovation, scientific excellence, and the delivery of high-quality patient care,?said Dr . Ayla Azad, CEO of t h e CCA. ?This event will truly be enlightening and unforgettable for all who attend.?

Vancouver Convention Centre ? East Building (pictured right)

?The CCA is excited to host a WFC Congress that you?ll remember long after you leave Vancouver,?said Sar ah Sm it h Cou lt er , Dir ect or of M em ber Exper ien ce at t h e CCA. ?From May 5-8, we look forward to you experiencing the very best of Canadian hospitality while connecting, learning, and exchanging ideas with colleagues from across the global chiropractic community.?

?The global chiropractic community coming together, collaborating, and sharing knowledge at WFC Congress is crucial for the evolution and advancement of our profession,?said Dr . Jaipau l Par m ar , Boar d Ch air of t h e CCA. ?Canada can?t wait to welcome you in 2027, and Vancouver? my hometown, where the ocean meets the mountains? is sure to inspire you.?

As momentum continues to build with each passing month, the theme of the upcoming WFC Congress:?Collabor at ion : Th e Key t o a Healt h y Fu t u r e?remains at the heart of every decision made, including the program. ?The program for the 19th Biennial WFC Congress has been designed to showcase collaboration in action,?

CCA & WFC Teams visit Stanley Park

41 WORLD NEWS CANADA

Can adian Clin ician -Resear ch er Aw ar ded M it acs Acceler at e In t er n sh ip Dr . Pet er Em ar y, a chiropractor from Cambridge, Ontario, Canada, has been awarded $180,000 through a three-year M it acs Acceler at e Post doct or al In t er n sh ip w it h t h e M ich ael G. DeGr oot e Nat ion al Pain Cen t r e at M cM ast er Un iver sit y. Supervised by Pr of essor Jason W. Bu sse, DC, Ph D, in the Department of Anesthesia, Dr. Emary's project will examine the Impact of Chiropractic Care on Opioid Use and Other Patient-Important Outcomes for Non-Cancer Spinal Pain through a systematic review and pilot cluster randomized controlled trial. The internship aims to strengthen the evidence base regarding chiropractic care and its potential role in improving outcomes for individuals experiencing spinal pain. Partner organizations supporting the initiative include the Br it ish Colu m bia Ch ir opr act ic Associat ion , Can adian Ch ir opr act ic Associat ion , Ch ir opr act ic Associat ion of Alber t a, an d t h e On t ar io Ch ir opr act ic Associat ion . This important

Dr. Peter Emary, Cambridge, Ontario, Canada

collaboration highlights the growing contribution of chiropractic researchers to interdisciplinary pain management and health services research in Canada.

44 WORLD NEWS HONG KONG

Advan cin g Ch ir opr act ic in Hon g Kon g: A Qu ar t er of St r at egic Advocacy, Healt h car e In t egr at ion an d Com m u n it y Im pact Over the past quarter, the Hon g Kon g Ch ir opr act or s Associat ion (HKCA) engaged in government advocacy, inter-professional collaboration, professional regulation, and public education. Key highlights include networking with senior government officials to advance our inclusion in the Primary Care Directory, productive engagements with the insurance sector to broaden chiropractic coverage, and active participation in shaping Hong Kong?s macro healthcare blueprint. 1. In t er n at ion al Repr esen t at ion & Global Leader sh ip WFC Asia Summit 2026 (June 12?14, 2026 | Tokyo, Japan) Pan el Par t icipat ion : HKCA President Dr . Leon ar d Won g had the honor of speaking on a panel titled "Integrating Chiropractic into Primary Health Care Systems in Asia." Keyn ot e Topic: The presentation focused on "Policy and regulatory pathways within developing and evolving healthcare systems in Asia," drawing upon HKCA?s long history of fighting for legislation and the dedication of our predecessors in securing legal status for the profession in Hong Kong.

Panelist: Dr Leonard Wong (HK), Dr Ryan Coster (WFC), Dr Junko Usuda (Japan), Dr Yi Kai Wong (Malaysia), Dr Baiju Khanchandani (WFC)

2. Gover n m en t Relat ion s & Healt h car e Policy Advocacy High-Level Networking & Primary Care Directory Advocacy (September 2026) People?s Repu blic of Ch in a 77t h An n iver sar y M edical & Healt h Sect or Recept ion : HKCA representatives attended this flagship event at the Hong Kong Academy of Medicine, hosted alongside distinguished guests including Chief Secretary for Administration Mr. Chan Kwok-ki, GBS, IDSM, JP and Secretary for Health Prof. Lo Chung-mau.

Pan el Discu ssion s: Addressed critical questions regarding key policy milestones for professional recognition, common mistakes emerging jurisdictions should avoid, effective engagement with policymakers, and the understanding that regulation alone is insufficient without additional elements to achieve meaningful healthcare integration. Dr. Leonard Wong, President and Dr. Claudia Ng, Chairperson of Chiropractors Council of Hong Kong attending the People?s Republic of China 77th Anniversary Medical & Health Sector Reception

45 WORLD NEWS HONG KONG cont'd

Pr im ar y Healt h car e En gagem en t : HKCA took the opportunity to reconnect with Dr. Pang Fei Chau, Commissioner for Primary Healthcare, and his team. We reiterated our strong eagerness for the inclusion of chiropractors in the Primary Care Directory, following up on our initial milestone proposal during a meeting last December.

aggressive advertising by cross-border healthcare groups. LegCo Representative Dr . David Lam also provided a valuable update on the ongoing cross-professional efforts to include Chiropractors

Inter-Professional Collaboration: Insurance & Dental Sectors In su r an ce Sect or Dialogu e (Au gu st 6, 2026): Facilitated by LegCo member (Medical & Health Services) Dr . Hon David Lam , HKCA met with representatives from the Medical Insurance Association under The Hong Kong Federation of Insurers and LegCo member (Insurance) M r . Hon Ch an Pu i-Leu n g. We educated stakeholders on our regulatory framework and increased service utilization, while strongly advocating for direct access to chiropractic services. This includes removing the requirement for a medical practitioner ?s referral for insurance claims and achieving statutory recognition of sickness certificates issued by chiropractors.

HKCA meeting with Representatives of the Medical Insurance Association along with Dr. Hon David Lam and Mr. Hon Chan Pui-Leung

and Optometrists in the Primary Care Directory. Legislative & Systemic Challenges (Summer 2026) M eet in g w it h Hon Dr David Lam : HKCA leadership held a productive dinner meeting with Dr Hon David Lam , Legislat ive Cou n cil m em ber (M edical & Healt h Ser vices) to discuss systemic challenges, including statutory recognition of sickness certificates issued by chiropractors, the implementation of mandatory CPD, and the effects of the upcoming Private Healthcare Facilities Ordinance (PHFO) Cap 633 on our profession. We pressed Dr. Lam on the inclusion of Chiropractors within the Primary Care Directory. While inclusion is not an issue in principle, defining our scope of practice requires consensus among all stakeholders. 3. Pr of ession al Regu lat ion & Con t in u in g Pr of ession al Developm en t (CPD)

HKCA meeting with Representatives of the Medical Insurance Association along with Dr. Hon David Lam and Mr. Hon Chan Pui-Leung

Den t al Gala En gagem en t (Sept em ber 2026): HKCA representatives attended the 15t h Hon g Kon g In t er n at ion al Den t al Expo an d Sym posiu m HKIDEAS Gala Dinner at the invitation of the Hon g Kon g Den t al Associat ion . This provided an excellent platform to exchange insights on shared healthcare challenges, such as labor market difficulties for allied health professionals and

Mandatory CPD Implementation Consultation (August 28, 2026) Depar t m en t of Healt h M eet in g: HKCA attended a virtual meeting with the Department of Health regarding the transition from the Voluntary to the Mandatory CPD Scheme. While no specific timeline has been mandated by the Chiropractors Council yet, preparations are actively underway. All registered chiropractors are encouraged to continue participating in and reporting points under the current Voluntary Scheme to uphold professional standards while awaiting the Council's final

46 WORLD NEWS HONG KONG cont'd

regulations. 4. Pu blic Edu cat ion & Com m u n it y Ou t r each Tiger Fam ily Spin al Healt h Wor k sh op (Ju ly 28, 2026) Com m u n it y Even t : In collaboration with Tiger Fam ily, a community workshop was held dedicated to promoting spinal health and good posture among children. Fou r HKCA ch ir opr act or s attended the event to educate parents and children on selecting appropriate school bags, led interactive spine-protecting exercises, and conducted individual spinal assessments for the children. The event successfully reinforced the core message of building healthy lifestyle habits from a young age. The high engagement from parents and children underscored the community's strong interest in proactive spinal care and preventive health.

Dr Derek Wong, Dr Winkie Chan, Dr Fabien Leong

48 WORLD NEWS IRELAND

WHO is Ret h in k in g t h e Healt h Wor k f or ce. Wh er e Does Ch ir opr act ic Fit ? From 14 chiropractic responses to WHO?s Global Call to 14 abstracts submitted for the 2027 Global Expo in Du blin , a new opportunity is emerging for the profession to engage with the people designing tomorrow?s health systems. Health systems are under pressure. Workforce shortages, difficulties recruiting and retaining health professionals, ageing populations, changing patient needs and increasing demands on services mean that simply doing more of the same is no longer enough. WHO/Europe describes a health workforce crisis. Its Framework for Action on the Health and Care Workforce in the WHO European Region 2023?2030, adopted by all 53 Member States in the Region, sets out five interconnected pillars: Ret ain an d Recr u it ; Bu ild Su pply; Opt im ize Per f or m an ce; Plan ; an d In vest . Of particular relevance to chiropractic is Opt im ize Per f or m an ce: making better use of limited health-workforce capacity through measures including reconfiguring services and redefining teams and skill mix. Look in g f or solu t ion s The Framework is part of a wider effort to find practical solutions to mounting health-workforce challenges. In 2025, WHO launched a Global Call f or Expr ession s of In t er est : Healt h an d Car e Wor k f or ce Opt im izat ion Case St u dies, seeking real-world examples of workforce and service innovation.

Th e ch ir opr act ic pr of ession r espon ded. Beginning in September and October 2025, the Associat ion of It alian Ch ir opr act or s (AIC) an d Wor ld Feder at ion of Ch ir opr act ic (WFC) collaborated to alert and encourage chiropractic stakeholders to participate, coordinated by Baiju Khanchandani for AIC and Rebekah Wilks for WFC. WHO received 153 responses to the Global Call. Chiropractic stakeholders submitted 14 case studies, illustrating different aspects of the chiropractic ecosystem and its potential contribution to workforce solutions. The cases ranged from education, regulation and workforce development to specialist areas including paediatrics, neurology and sports chiropractic; workplace health; digital transformation; and clinical pathways addressing low-back pain, reduction in opioid use and surgery. The objective was not simply to tell WHO what chiropractors do. It was to demonstrate how existing chiropractic people, institutions, competencies and models of care might contribute to problems health systems are trying to solve. Next st op: Du blin The next stage is the Global Expo 2027: Tr an sf or m in g Healt h an d Social Car e t h r ou gh Wor k f or ce Opt im izat ion , Digit al In n ovat ion , Assist ive Tech n ology an d Disabilit y In clu sion , taking place at the Con ven t ion Cen t r e Du blin , Ir elan d, on 24?25 Febr u ar y 2027.

49 WORLD NEWS IRELAND cont'd

Co-organized by WHO/Europe and the Government of Ireland, in partnership with HealthTech Ireland, the event combines two interconnected components: a scien t if ic con f er en ce an d a dedicat ed in du st r y exh ibit ion . Once again, chiropractic stakeholders have responded. Fou r t een ch ir opr act ic abst r act s ar e con f ir m ed as h avin g been su bm it t ed, adapted to the Expo?s published themes. One chiropractic educational institution, for example, is now awaiting the decision on whether its abstract will be selected for oral presentation. But submitting an abstract is only one way for the profession to participate. The industry exhibition will showcase innovations, technologies, products and services supporting future health and care systems. This creates another oppor t u n it y f or ch ir opr act ic edu cat ion al in st it u t ion s, pr of ession al or gan isat ion s, bu sin ess developer s an d r elevan t su pplier s of equ ipm en t , t ech n ology an d ser vices to consider participating and exhibiting. Be in t h e r oom Dublin is not simply another conference. For chiropractors in the field and leaders of professional associations, it provides an opportunity to meet counterparts from other professions ? but, crucially, also the policym ak er s, h ealt h -w or k f or ce plan n er s an d h ealt h -syst em design er s considering how tomorrow?s health services will be organised.

For chiropractic schools and their leadership, it offers an opportunity to demonstrate education and workforce capacity, build international relationships and explore where chiropractic may contribute to future workforce needs. For professional organisations, entrepreneurs, business developers and suppliers, the industry exhibition provides another route into the conversation. Most importantly, participation gives the profession an opportunity to listen as well as speak: to understand the problems health systems are trying to solve, demonstrate where chiropractic can contribute, develop alliances and build relationships with those shaping future health-workforce policy. The 14 responses to the 2025 Global Call demonstrated that chiropractic has ideas, capacity and practical experience to offer. The 14 abst r act s n ow su bm it t ed f or Du blin take that engagement another step forward. The opportunity, however, is much bigger than 14 abstracts. Health systems need solutions. Chiropractic has capacity to offer. But to influence the future, the profession has to be in the room. Fu r t h er in f or m at ion WHO Region al Of f ice f or Eu r ope. Framework for Action on the Health and Care Workforce in the WHO European Region 2023?2030. EUR/RC73/8.

50 WORLD NEWS ITALY

Associat ion of It alian Ch ir opr act or s, Recogn it ion Was t h e Fir st St ep. Regu lat ion Rem ain s t h e Goal Italy recognised chiropractic in law in 2007, yet nearly two decades later the profession is still awaiting the regulatory structures needed to translate recognition into practice. For the Associat ion of It alian Ch ir opr act or s (AIC), this reflects a journey spanning more than 50 years and reinforces an important lesson: legislation, regulation, and healthcare integration are distinct milestones. While legislative recognition established chiropractic's legal status, meaningful regulation requires educational pathways, professional oversight, and administrative frameworks. Only then can full integration into a healthcare system occur. Italy has achieved the first step but continues to work toward the second. History shows this is not uncommon. In both Norway and the United Kingdom, approximately 70 years passed between the establishment of national chiropractic associations and legislative recognition. In each case, additional years were required to develop effective regulatory frameworks and advance integration within healthcare systems. Spain faces a similar challenge today. Like Italy, the Asociación Españ ola de Qu ir opr áct ica (AEQ) represents an established chiropractic community that continues to advocate for an appropriate national legislative framework. Recognising these shared challenges, AIC and AEQ have strengthened collaboration, exchanging legal precedents, Supreme Court decisions, regulatory strategies, and decades of advocacy experience. Both organisations continue to emphasise that chiropractic is not simply a technique or modality, but an independent healthcare profession with its

own educational standards, competencies, clinical responsibilities, and ethical obligations. AIC also remains committed to professional development while pursuing regulation. In March 2027, Pr of essor Ted Car r ick , DC, Ph D, M S-HPEd, will return to Florence to deliver an advanced programme on contemporary developments in neurology. The association also supports scientific advancement through the work of Dr Joseph Can n illo, BS, M S, DC, Ph D, including research interests in functional nutrition, cell biology, microtubules, and mechanotransduction. After more than 50 years of advocacy, AIC's objective remains clear: to complete the journey from recognition to regulation. Working alongside AEQ, the Wor ld Feder at ion of Ch ir opr act ic (WFC), and colleagues across the international profession, AIC continues to advocate for the educational and regulatory framework needed to secure the profession's future in Italy. Recogn it ion w as an ach ievem en t . Regu lat ion r em ain s t h e u n f in ish ed bu sin ess.

Ben it o Oliva, D.C. Pr esiden t e Associazion e It alian a Ch ir opr at ici

51 WORLD NEWS

52 WORLD NEWS JAPAN

Hon ou r in g 110 Year s of Ch ir opr act ic in Japan : Tok yo Host s WFC Cou n cil M eet in g, Asia Su m m it an d Scien t if ic Con f er en ce The year 2026 marks the 110th anniversary of chiropractic's introduction to Japan by Pau l Sabu r o Kaw agu ch i, who returned to Japan after graduating from Palmer School in 1916. To commemorate this historic year, the Japan ese Associat ion of Ch ir opr act or s (JAC) hosted the Wor ld Feder at ion of Ch ir opr act ic (WFC) Council Meeting at the Shinagawa Prince Hotel from June 10 to 12, followed by the WFC Asia Summit at Vision Center Shinagawa Annex from June 12 to 14 in Tokyo. The meetings also included a welcome reception. In total, 90 delegates from 20 countries attended these events. The WFC Council Meeting was generously sponsored by the Tokyo Convention & Visitors Bureau, which has supported JAC?s international events for many years. The 17t h An n u al Con f er en ce of t h e Japan ese Societ y of Ch ir opr act ic Scien ce (JSCS) was held on June 13 and 14 under the theme ?The Science Behind Chiropractic Care.? The conference was chaired by Dr . Ju n k o Usu da, Vice President of JAC and Director of Healthy Life Central. The keynote hands-on lecture, ?Exploring Effects, Risks and Mechanisms of the Adjustment: Improving Techniques to Meet the Needs of Patients,? was presented by Dr . Sim on Wan g, Associate Professor at the Canadian Memorial Chiropractic College. Dr. Wang presented the latest evidence on the

effects of spinal manipulative therapy (SMT) on physiological function, pain, and clinical outcomes. During the workshop, participants engaged in demonstrations and hands-on practice focusing on the practical application of chiropractic adjustments and manual techniques designed to improve patient comfort, communication, and treatment outcomes.

Dr. Simon Wang presented the latest evidence on the effects of spinal manipulative therapy (SMT)

Other keynote presentations included: ?Why Do People Struggle with Health Information? Health Literacy for Making Decisions Based on Trustworthy Information? Pr of . Kazu h ir o Nak ayam a, PhD, Nursing Informatics, St. Luke?s International University ?The Autonomic Nervous System Connecting the Brain and Body: The Foundations of Its Collaboration with the Somatic Nervous System? Dr . Har u m i Hot t a, PhD, Team Leader, Research Team for Aging Neuroscience, Tokyo Metropolitan Institute for Geriatrics and Gerontology

53 WORLD NEWS JAPAN cont'd

?The Current State and Challenges of Integrative Medicine: Toward Appropriate Utilization Through Health Literacy?

M r . At su sh i Kim u r a, Medical Professions Division, Health Policy Bureau, Ministry of Health, Labour and Welfare

Pr of . Sat osh i Oh n o, MD, PhD, Clinical Research Center, Shimane University

Looking ahead to 2027, the theme of next year ?s conference will be: ?How Will AI Tr an sf or m Healt h car e? Th e Fu t u r e of Ch ir opr act ic?

?Overview of Medical Regulations and the Health Japan 21 Action Support System ? Health Promotion Support Network?

90 Delegates attend the JAC events in Tokyo

https://www.chiropractic.or.jp/english/

54 WORLD NEWS

55 WORLD NEWS

FLAQ 2026 Assem bly an d Sym posiu m -Bogot á, Colom bia Th e Feder ación Lat in oam er ican a de Qu ir opr áct ica (FLAQ) held its 2026 Assembly and Symposium on August 21?22 at the Cosmos 100 Hotel in Bogotá, Colombia. The event united chiropractors, students, educators, and organizational leaders committed to advancing the profession throughout Latin America. On August 21, FLAQ held its first roundtable with Colombian chiropractors. Participants exchanged ideas and discussed opportunities to strengthen chiropractic leadership, education, professional organization, and regulation in Colombia. FLAQ was inspired by the leadership demonstrated within the Colombian group and reaffirmed its commitment to supporting their future efforts. The General Assembly also addressed regional associations regulatory, and organizational priorities. Another important milestone was the inaugural gathering of Women Chiropractors Latin America, led by Dr . Ar an t xa Or t ega. This initiative will promote leadership, mentorship, clinical education, and collaborative research among women chiropractors. FLAQ also recognized two distinguished leaders. Dr . Rael Rosa received the FLAQ Chiropractor of the Year Award, while Dr . Joseph Bu sch received the FLAQ Baluarte Award for his enduring contributions to chiropractic in Latin America. On August 22, Dr . Aleish a E. Ser r an o, Dr . Vir gilio Pan iagu a, an d Dr . Rodr igo Aven dañ o delivered an eight-hour professional development course in sports chiropractic titled ?Comprehensive Functional Evaluation of the Athlete and Management Protocol.? The evidence-informed

program combined clinical instruction with practical applications in athlete assessment, injury management, performance, and recovery. That evening, FLAQ and the Cou n cil on Ch ir opr act ic Edu cat ion ?Lat in Am er ica (CCE-LA) held a virtual meeting with representatives from recognized chiropractic schools in Mexico and Chile. The meeting provided an opportunity to review the programs?current status, identify areas in which regional support may be beneficial, and discuss accreditation processes and related educational priorities. The Bogotá gathering reflected the growing leadership capacity of Latin American chiropractors and FLAQ?s continuing commitment to professional collaboration and regional development. Coming Next Year: FLAQ Sym posiu m 2027BRAZIL! FLAQ?s next Assembly and Symposium will be held in Brazil in October 2027. The event will continue the momentum established in Bogotá through professional development, regional dialogue, and strategic collaboration. Additional details will be announced as planning progresses.

56 WORLD NEWS NORWAY

Ch ir opr act ic Car e Join s Nor w ay ?s Elit e Alpin e Sk i Team Lim br a, a nationwide clinic chain specializing in musculoskeletal treatment and injury prevention, has entered a strategic partnership with the Nor w egian Sk i Feder at ion?s Alpin e Team ? one of the strongest alpine skiing nations in the world. Under the agreement, Limbra therapists ? including chiropractors ? will join the team?s medical support staff at training camps and competitions, both in Norway and internationally, providing treatment, injury prevention, and rehabilitation for the athletes. This marks a significant milestone for the Chiropractors Eilif Harloff chiropractic profession: chiropractors are now formally integrated into the medical support system of a top-tier World Cup alpine ski team, working alongside physiotherapists and medical doctors to help athletes perform and stay healthy through a long, demanding season, where margins between winning and losing are measured in hundredths of a second.

Chiropractors Eilif Harloff and Sindre Busk Witzøe

season, and welcomed the expertise Limbra?s therapists bring to the team?s support system. For chiropractic as a profession, this partnership signals growing recognition at the highest level of sport ? reinforcing the role manual therapy and musculoskeletal expertise can play in elite athletic performance.

Clau s Joh an Ryst e, Sporting Director for Alpine at the Norwegian Ski Federation, noted that alpine skiing places heavy demands on athletes?physical capacity, recovery, and consistency throughout the The Norwegian team in New Zealand

57 WORLD NEWS PHILIPPINES

Han ds f or Vit alit y 2026 Br in gs Ch ir opr act ic Car e t o Th ou san ds Acr oss Filipin o Com m u n it ies Thousands of Filipinos received chiropractic care during the Han ds f or Vit alit y Com m u n it y M ission 2026, which brought together chiropractic students from the Philippines, Australia, and Malaysia to expand access to care in underserved communities. Throughout the mission, which ran from 10 to 21 August 2026, chiropractic students from the Cam ar a In st it u t e f or Ch ir opr act ic Scien ces (CICS) in the Philippines, Au st r alian Ch ir opr act ic College (ACC), and IM U Un iver sit y in M alaysia travelled between communities as part of the outreach. Persistent rain followed the teams through much of the two weeks, but it did little to slow their work as they continued providing care across each stop. The community mission is a recurring initiative aimed at bringing chiropractic care closer to Filipino communities while giving students opportunities for hands-on learning and service. This year, teams visited eight communities, treated 2,552 patients, and addressed 6,023 musculoskeletal conditions. The 2026 mission also reflected the growing collaboration between CICS, ACC, and IMU, giving students the opportunity to work alongside peers from different countries while gaining first-hand experience in Filipino communities. During the mission?s visit to Antipolo, the team saw more than 500 patients, including some who had travelled from distant mountain communities to receive care. For one CICS student, the experience deepened his appreciation of the communities they were serving.

?It also deepened my sense of compassion ? what we call malasakit,?the student said. ?It made me appreciate the little things, especially Volunteer chiropractor (left) with an ACC student chiropractor (right) and a patient during the Hands when they simply said, for Vitality Community Mission 2026 ?Thank you.?? An ACC student reflected on how the experience broadened their perspective: ?Despite the difficulties some patients face, they were always friendly and grateful to see us, and I felt honored to be able to help them. It opened my eyes to different sides of the world, and I think I?ll carry that experience with me for the rest of my life.? For an IMU student, the impact was captured in the patients?reactions: ?Seeing them leave with a big smile on their face made me happy, too.? With another community mission completed, Han ds f or Vit alit y continues to connect chiropractic education with community service, supported by partnerships that expand learning opportunities for future chiropractors while bringing care closer to Filipino communities.

58 WORLD NEWS SOUTH AFRICA

SOUTH AFRICA

Dr Elga Dr ew s Hon ou r ed w it h A Lif et im e of Ser vice: Celebr at in g Dr Br idget Br om f ield ACF Pr esiden t ial Aw ar d Th e Ch ir opr act ic Associat ion of Sou t h Af r ica (CASA) is proud to celebrate Dr Br idget Br om f ield, whose remarkable contribution to chiropractic has recently been recognised through two significant honours. Earlier this year, Dr Bromfield received an award at the Af r ican Ch ir opr act ic Feder at ion (ACF) Congress in Zambia for her contribution to chiropractic across Africa. She was also awarded Hon or ar y Lif e M em ber sh ip of CASA, recognising her decades of dedicated service to the Association and the profession. Dr Bromfield's involvement with CASA spans almost three decades. She served as Secretary of CASA's KwaZulu-Natal branch (1998-2003), joined the CASA Council in 1999, was CASA President from 2003-2005, and has served as Secretary-General since 2016. Her leadership has extended to the National Internship Programme, the Professional Board for Chiropractic and Osteopathy, the Allied Health Professions Council of South Africa, and, since 2021, as Secretary of the ACF. As CASA noted, her career reflects ?service, integrity, leadership and an enduring commitment to chiropractic.? CASA congratulates Dr Bridget Bromfield, whose dedication has helped shape South African and African chiropractic for generations.

Dr Neerasha Ramsamy and Dr Bridget Bromfield

Th e Ch ir opr act ic Associat ion of Sou t h Af r ica (CASA) proudly congratulates Dr Elga Dr ew s, CASA member and World Federation of Chiropractic African Regional Representative, on receiving the Af r ican Ch ir opr act ic Feder at ion (ACF) Pr esiden t ial Aw ar d in recognition of her outstanding contribution to chiropractic across Africa.

Dr Elga Drews

A graduate of Technikon Natal (now Durban University of Technology), Dr Drews established her practice in Namibia and later qualified as a Certified Chiropractic Sports Physician through FICS. She served as President of the Namibian Chiropractic Association from 2006 to 2025 and as the founding President of the ACF from 2016 to 2021, continuing thereafter as an adviser. Dr Drews currently serves as Vice President of the Allied Health Professions Board of Namibia and contributes to the WFC Public Health Committee. She has also led chiropractic outreach initiatives in underserved Namibian communities. CASA celebrates this well-deserved recognition of Dr Drews' exceptional leadership, service and dedication to advancing chiropractic in Namibia, South Africa and across the African continent.

59 WORLD NEWS SOUTH AFRICA

CASA Lau n ch pad Su ppor t s t h e Next Gen er at ion of Ch ir opr act or s The Chiropractic Association of South Africa (CASA) recently launched CASA Launchpad, a new initiative designed to help chiropractic students transition from university to professional practice. Held at the University of Johannesburg on 17 July 2026 and in Durban on 18 July 2026, the programme brought together students, practitioners and professional leaders for practical learning and networking. Launchpad was created to engage students early in their careers, providing guidance on topics often not covered in depth during formal education. Sessions covered the value of CASA membership, malpractice and professional indemnity insurance, ICD-10 coding, and hands-on spinal and extremity adjusting techniques. Students also benefited

from hearing alumni share their experiences of entering practice and navigating the challenges and opportunities of professional life. By fostering connection, mentorship and professional awareness, CASA Launchpad aims to strengthen student engagement with the profession and support the development of confident, well-prepared chiropractors. The success of the inaugural programme highlights the value of investing in the future of chiropractic.

60 WORLD NEWS SOUTH AFRICA

Th e Ripple Ef f ect : CASA Ch ir opr act ic Con gr ess 2026 On e Adju st m en t , In f in it e Im pact Th e Ch ir opr act ic Associat ion of Sou t h Af r ica (CASA) Con gr ess 2026 brought chiropractors from across South Africa and abroad together in Johannesburg under the theme " Th e Ripple Ef f ect : On e Adju st m en t , In f in it e Im pact ." The congress explored how a single action, conversation or clinical decision can create far-reaching effects for patients, communities and the profession. Keynote speaker Dr Tim Ber t elsm an inspired delegates with practical presentations on rotator cuff conditions, low back pain and neurodynamics, emphasizing how small improvements in clinical reasoning can significantly enhance patient outcomes. His sessions encouraged practitioners to continually refine their assessment and management approaches. The programme also featured an outstanding lineup of South African speakers who explored chiropractic care across diverse patient populations, including paediatric, pregnancy, geriatric and sports populations, as well as concussion management. These presentations highlighted the breadth of chiropractic practice and its growing contribution to healthcare in South Africa.

A notable highlight was the participation of the Regist r ar of Sou t h Af r ica's r egu lat or y au t h or it y, reinforcing the importance of collaboration between the profession and its regulator in advancing professional standards, education and patient care. The congress also welcomed speakers from other healthcare disciplines, who demonstrated the value of multidisciplinary care and explored chiropractic's role within the broader healthcare system. A panel discussion further examined the profession's identity and future direction in South Africa. CASA also showcased its advocacy and outreach efforts, including work related to medical reimbursement, healthcare integration and community initiatives such as World Spine Care Africa. Beyond the educational programme, networking events provided opportunities for connection, collaboration and professional fellowship. As delegates look ahead to the 2027 CASA Con gr ess in Kw aZu lu -Nat al, t he message was clear: one conversation, one idea and one adjustment can create a ripple that extends far beyond its starting point.

61 WORLD NEWS SOUTH AFRICA

CASA Cou n cil: A New Ch apt er , A Sh ar ed Vision As CASA looks ahead to another year of service and progress, the Association is pleased to welcome Dr Tagar i an d Dr Dh an ji t o t h e CASA Cou n cil. Their appointment brings fresh perspectives and new ideas while reinforcing CASA's commitment to supporting members and advancing chiropractic in South Africa. Providing continuity in leadership, the CASA Executive Committee remains unchanged, with Dr Dan ella Lu bbe con t in u in g as Pr esiden t , Dr Ju st in Adam s as Vice-Pr esiden t , an d Dr Br idget Br om f ield as Secr et ar y-Gen er al. Their ongoing leadership ensures stability and enables CASA to build on existing initiatives, strengthen key relationships and continue pursuing its strategic priorities. CASA also extends its sincere appreciation to Dr Cleo Pr in ce as she concludes her term on Council.

Her dedication, time and service have made a valuable contribution to the Association and the profession, and CASA thanks her for her commitment over the years. The year ahead presents exciting opportunities for advocacy, stakeholder engagement, education and member support. CASA remains focused on strengthening chiropractic's role within the broader South African healthcare landscape while creating new opportunities for growth and collaboration. With experienced leadership, new voices around the Council table and a shared vision for the future, CASA is well positioned to build on its momentum and continue advancing the profession. Together, the Council looks forward to working on behalf of members and helping shape a strong future for chiropractic in South Africa.

62 WORLD NEWS SOUTH AFRICA

Fr om Bu r n ou t t o Balan ce: Su ppor t in g t h e People Beh in d t h e Pr of ession Students are included through resources addressing exam stress and mental wellbeing. Awareness campaigns such as #Socks4Docs and Lace Up for Mental Health have further encouraged connection and conversation.

In August 2025, the Ch ir opr act ic Associat ion of Sou t h Af r ica (CASA) launched its Mental Health Initiative and Burnout to Balance WhatsApp group, creating a supportive space where chiropractors could connect, share experiences and prioritize their wellbeing. Since then, the initiative has grown into an ongoing conversation around the realities of healthcare practice. Through practical resources, webinars, reflection activities and even the occasional "Friday Funnies", members are encouraged to explore topics such as burnout, emotional resilience, decision fatigue, empathy fatigue and work-life balance. CASA has hosted webinars including From Burnout to Balance: Tools for Thriving in Practice, Decision Fatigue in Clinical Practice and You Don't Need to Be Better, You Need to Be Supported. The association also shares expert resources, self-reflection tools and information on support services, including those offered by the South African Depression and Anxiety Group and the Healthcare Workers Care Network.

What began as a WhatsApp group has become a community dedicated to reminding chiropractors that seeking support is a strength and that their wellbeing matters too.

63 WORLD NEWS SOUTH AFRICA

Region al M u lt idisciplin ar y Collabor at ion in Spin e Car e: CASA M pu m alan ga Day Con f er en ce The CASA M pu m alan ga Day Con f er en ce brought together chiropractors and other healthcare professionals from across the region to strengthen collaboration in the management of musculoskeletal conditions. With practitioners spread across more than 550 kilometres, the event provided an important opportunity to build professional connections, improve referral pathways and support integrated patient care. Supported by the Biok in et ics Associat ion of Sou t h Af r ica an d t h e Sou t h Af r ican Societ y of Ph ysiot h er apy, the conference focused on Degenerative Disc Disease, a condition relevant across multiple healthcare disciplines. Presentations explored the condition from different professional perspectives, including chiropractic, physiotherapy, biokinetics and neurosurgery. Speakers discussed clinical assessment, treatment approaches, referral indicators and opportunities for interprofessional cooperation. The programme concluded with an interactive panel discussion and networking session, encouraging further

collaboration among attendees. The event also served as a fundraiser for World Spine Care Africa, supporting initiatives that provide accessible, evidence-based musculoskeletal care in rural and underserved communities. By bringing healthcare professionals together around a shared clinical challenge, the conference demonstrated the value of multidisciplinary learning and strengthened regional relationships that will ultimately benefit patients and communities across South Africa.

64 WORLD NEWS SOUTH AFRICA

Bir t h in Balan ce 2026: A Decade of Gr ow t h f or Per in at al Ch ir opr act ic in Af r ica July 2026 marked a significant milestone for Paediat r ic Ch ir opr act ic Af r ica (PCA) as it celebrated its 10th anniversary with Birth in Balance 2026, the largest symposium in the organization's history. A total of 137 chiropractors from South Africa, Namibia, Mauritius and Botswana gathered to advance knowledge and collaboration in perinatal chiropractic care. Presented in partnership with the In t er n at ion al Ch ir opr act ic Pediat r ic Associat ion (ICPA), the three-day programme featured Webst er Tech n iqu e Cer t if icat ion w it h Dr Jen San t os, Adju st in g f or Bir t h w it h Dr Kr ist en Hosak a, and practical hands-on training focused on supporting women throughout pregnancy and birth. Dr Jen Santos presenting at the PCA Symposium

The event also fostered interdisciplinary

collaboration. Prior to the symposium, Dr Hosak a led a Dynamic Birth Workshop attended by chiropractors, midwives and doulas, helping strengthen relationships across the birthing community and promoting integrated perinatal healthcare. Celebrations included a special 10th anniversary event, where Dr Jacqu i Dr Jacqui Bunge, PCA Bu n ge was recognized as member of the year 2026 PCA M em ber of t h e Year 2026. Delegates were also joined by Ju st in Oh m , h ead of t h e ICPA, further strengthening international partnerships. From a small vision a decade ago to a gathering of professionals from four African nations, Bir t h in Balan ce 2026 showcased the growth, collaboration and exciting future of perinatal and paediatric chiropractic in Africa.

65 WORLD NEWS SOUTH AFRICA

Sou t h Af r ican Ch ir opr act ic Edu cat or Pr of essor Ch r ist oph er Yelver t on Aw ar ded Fellow sh ip of t h e Edu cat ion Facu lt y During his tenure as Head of the Department of Chiropractic from 2005 to 2022, he played a pivotal role in strengthening chiropractic education, academic leadership and research capacity in South Africa. His influence extends well beyond South Africa. As President of the Eu r opean Cou n cil on Ch ir opr act ic Edu cat ion (ECCE), Professor Yelverton contributes to maintaining and advancing international educational standards. He is also actively involved with the Wor ld Feder at ion of Ch ir opr act ic and the Ch ir opr act ic Edu cat or s Resear ch For u m , supporting collaboration and academic excellence across the global profession. A prolific researcher, reviewer and international speaker, Pr of essor Yelver t on has made significant contributions to chiropractic scholarship and education. His leadership has also included service as Chairperson of CASA's Gauteng Branch and Chairperson of the Allied Healt h Pr of ession s Cou n cil of Sou t h Af r ica. Th e Ch ir opr act ic Associat ion of Sou t h Af r ica (CASA) proudly congratulates Pr of essor Ch r ist oph er Yelver t on on being awarded Fellow sh ip of t h e Edu cat ion Facu lt y (FEd) by t h e Royal College of Ch ir opr act or s, a prestigious recognition of his outstanding contributions to chiropractic education, research and professional development. A respected academic and leader, Pr of essor Yelver t on serves as Associate Professor in the Department of Chiropractic within the Faculty of Health Sciences at the Un iver sit y of Joh an n esbu r g (UJ) and currently holds the role of Vice Dean for Research and Global Engagement.

In recognition of his exceptional service, CASA awarded him Honorary Life Membership in 2022. This latest honour highlights the important contributions South African educators continue to make to international chiropractic education and leadership. CASA extends its sincere congratulations to Professor Yelverton on this distinguished achievement and his ongoing commitment to advancing chiropractic education worldwide.

66 WORLD NEWS SWITZERLAND

A Sw iss m ilest on e f or ch ir opr act ic an d m u scu loskelet al h ealt h r esear ch : An In t er view w it h Pr of essor Cesar Hin capié In July 2026, the Un iver sit y of Zu r ich appointed Cesar Hin capié DC Ph D, a chiropractor and epidemiologist, as Tit u lar Pr of essor (Titularprofessor). He leads the Musculoskeletal Epidemiology Research Group at the Epidemiology, Biostatistics and Prevention Institute of the University of Zurich. Wh at does t h e appoin t m en t m ean t o you ? It is both an honour and a responsibility. It recognises years of collaborative work by our team, trainees, patients, clinicians, and partners. Professionally, it gives our programme greater academic visibility and a stronger platform from which to build. I am especially grateful for the sustained funding and trust of the Fou n dat ion f or t h e Edu cat ion of Ch ir opr act or s in Switzerland, which have helped make this development possible. How w ou ld you explain m u scu losk elet al epidem iology? It examines who develops musculoskeletal pain conditions, why outcomes differ, which interventions help or harm, and how care can improve. It connects individual clinical questions with population data so that patients and clinicians can make more trustworthy decisions.

and work toward a Swiss musculoskeletal health learning network. Wh y is t h is sign if ican t f or ch ir opr act ic in Sw it zer lan d? It shows that chiropractic can contribute rigorous, internationally relevant science from within a leading medical faculty. The appointment also opens the way to the right to confer and supervise doctorates. Once finalised, this will strengthen a pathway through which young chiropractors and other clinicians can develop as independent researchers and future academic leaders. How can Ch ir oSu isse an d it s m em ber s h elp? By participating in research networks, inviting eligible patients to studies, helping define meaningful questions, supporting consistent outcome measurement, and advocating for long-term research infrastructure. Everyday practice can become a powerful source of shared learning.

Wh at ar e you r cu r r en t pr ior it ies?

Wh at w ou ld you lik e t o ach ieve w it h in f ive year s?

We work across a connected programme: identifying patient-led priorities, learning from routine practice and health data, testing interventions in pragmatic trials, and translating evidence into better care. Current examples include the SALu BRITY t r ial, Switzerland?s first chiropractic randomised trial funded by the Sw iss Nat ion al Scien ce Fou n dat ion an d t h e Eu r opean Cen t r e f or Ch ir opr act ic Resear ch Excellen ce,

I would like to see a sustainable Swiss programme that connects patients, practices, researchers, and health-system partners; a stronger pipeline of musculoskeletal health clinician-scientists; completed landmark trials; and progress toward a fully funded academic position in musculoskeletal epidemiology and chiropractic-relevant health research. The goal is an institution that will outlast any single project or person.

67 WORLD NEWS TAIWAN

20 Year s of Love Wit h ou t Lim it s: We Car e, We Tr eat , We Teach in Cam bodia ?WE CARE, WE TREAT, WE TEACH.? From 14?19 August 2026, an international humanitarian mission in Cambodia continued a 20-year tradition of service, with the Taiw an Ch ir opr act ic Doct or s? Societ y (TCDS) serving as the organizing body from Taiwan. More than 110 volunteers participated, including healthcare professionals, local Taiwanese business-community volunteers, interpreters, medical students, and international-school students (Hope), with participants from Taiwan, Australia, Hong Kong, Poland, China, and the Netherlands. The medical mission was led by Dr . Hu n g-Ch u n Hu an g (Jack ie) of TCDS as overall coordinator, with Dr . Ju dy Hsu leading the chiropractic team and Dr . Po-War Won g coordinating health education. The multidisciplinary healthcare team included medical doctors, traditional Chinese medicine practitioners, dentists, a physiotherapist, and a 13-member chiropractic team from Taiwan, Hong Kong, and Australia, including experienced chiropractors and interns from the Australian Chiropractic College. WE CARE. Beyond providing healthcare, TCDS raised and donated US$1,200 to Restore One and helped provide essential supplies for local communities, extending the spirit of the mission beyond clinical services. WE TREAT. Over three clinical days, the multidisciplinary team provided care to more than 2,800 local residents. Healthcare professionals worked side by side, demonstrating how different professions can communicate, collaborate, and

respect one another ?s expertise while working toward the same goal, better care for the people they serve. WE TEACH. Throughout three clinical days, interactive health education was delivered continuously through direct engagement and practical demonstrations, covering oral health, head-lice prevention and hair care, chiropractic health education, and appropriate use of reading glasses. Chiropractic interns experienced multidisciplinary teamwork firsthand. Local medical students and international-school students were also deeply inspired by the experience, with some even expressing an interest in studying chiropractic in the future. Perhaps the most moving moment was seeing villagers who had just learned something new begin teaching it to other villagers. It was a simple but powerful reminder that meaningful humanitarian work is not only about the care provided while we are there, but also about the knowledge and capacity that remain after we leave. ?Love Wit h ou t Lim it s? became more than a slogan? it became something the community could carry forward.

68 WORLD NEWS UNITED KINGDOM

Advocacy f or Ch ir opr act ic: Wh y it m at t er s Advocacy is often one of the least visible aspects of membership work, yet it plays a crucial role in shaping the future of healthcare professions. Through engagement with policymakers, healthcare leaders and practitioners, advocacy helps demonstrate the contribution chiropractic can make to improving health outcomes. This work has never been more important. Musculoskeletal (MSK) conditions remain a leading cause of pain, disability and lost productivity, while healthcare systems continue to face increasing demand, workforce pressures and a growing emphasis on community-based care. Together, these challenges create an opportunity for the profession to showcase its value within the wider healthcare workforce. Th e Br it ish Ch ir opr act ic Associat ion (BCA) continues to engage with policymakers and healthcare stakeholders across the UK to raise awareness of the role chiropractors can play in su ppor t in g pat ien t s w it h M SK con dit ion s. Most recently, we wrote the UK Secretary of State for Health and Social Care seeking greater clarity around Allied Healt h Pr of ession (AHP) r ecogn it ion f or ch ir opr act ic and highlighting

Callum Anderson MP clinic visit

how the regulated chiropractic workforce could help support NHS musculoskeletal services. The aim was not only to better understand the pathway to AHP recognition, but also to demonstrate the profession's potential contribution to healthcare delivery. With long waiting lists and significant demand for MSK services in the UK, the BCA believes all available regulated workforce capacity should be considered when exploring solutions that improve patient access and outcomes.[GU1.1] Advocacy is not achieved through a single campaign or conversation. It is a long-term process built on credible evidence, constructive relationships and consistent engagement. As this work develops, chiropractors also have an important role to play through sharing evidence, engaging local stakeholders and continuing to deliver high-quality, patient-centred care. Together, these efforts help ensure chiropractic expertise is recognised in both local and national healthcare discussions. You can stay up to date with the lat est advocacy w or k of t h e BCA via ou r w ebsit e.

Sir Ed Davey MP and Leader of Liberal Democrats clinic visit

69 WORLD NEWS UNITED KINGDOM

Ch ir oLive 2027: A New Vision f or Pr of ession al Lear n in g an d Con n ect ion As professional learning continues to evolve, so too must the events that bring healthcare professionals together. In June 2027, t h e Br it ish Ch ir opr act ic Associat ion (BCA) will welcome chiropractors, students, educators, researchers and industry partners to Ch ir oLive 2027 in Bou r n em ou t h , En glan d. Our annual conference has transformed ? it is now bigger and better than ever. More than a traditional conference, Ch ir olive 2027 is being shaped as a profession-wide gathering that places equal value on learning, connection and wellbeing. At a time where healthcare professionals face increasing demand on their time, the event aims to create meaningful opportunities for delegates to build relationships, engage in useful conversations and take some time away from clinics and day-to-day routines. This year, we are looking at the future of the profession. Following BCA100 last year, celebrating the people and achievements that have brought the profession this far, this year 's programme turns its attention to the opportunities and insights facing the profession in the next 100 years.

conditions. As chiropractic continues to grow, develop and become part of the mainstream health landscape, learning from one another has never been more important. Networking opportunities will support chiropractic students and new graduates to build relationships with future employers and colleagues, helping to strengthen pathways into practice while fostering a stronger sense of professional community. But some of the most valuable conference experiences happen outside the lecture theatre. Set along the Bournemouth coastline, Ch ir oLive 2027 is designed to provide space for those interactions, creating an environment where delegates can connect not only as professionals but as people. At its heart, Ch ir oLive 2027 reflects a simple belief: a stronger profession is built through shared learning, friendships and a commitment to supporting others. Ch ir oLive w ill t ak e place in Bou r n em ou t h , En glan d, f r om 11-12 Ju n e 2027. Tickets are available on the BCA website and we?d love to see you there!

Highlights of our programme include a keynote session from researcher Dr Sh aw n Th ist le, exploring the evidence behind migraine care and contemporary approaches to managing one of the world's most common neurological

Bournemouth coastline (ChiroLive 2027 destination)

70 WORLD NEWS UNITED KINGDOM

Ch ir opr act or Con t r ibu t es t o Com m u n it y Regen er at ion an d Well-Bein g in Wales Leon Yan dle, a chiropractor and educator in the United Kingdom, has been appointed to the Healt h an d Wellbein g Boar d of t h e Pr ide in Place Neigh bou r h ood Boar d in Tr edegar , Wales. The Board brings together community representatives, local government officials, and political leaders to help shape initiatives that support community regeneration, economic development, and improved health and well-being for local residents.

chiropractic profession can contribute their expertise to initiatives that strengthen communities, promote well-being, and support long-term positive health outcomes for citizens.

For m or e in f or m at ion : Learn more about the r egen er at ion pr ogr am m e through the Blaenau Gwent County Borough Council an n ou n cem en t .

Through this appointment, Dr . Yan dle is contributing to discussions and projects focused on creating healthier and more sustainable communities. Working alongside stakeholders from a range of sectors has provided him with valuable insight into the broader factors that influence health, including housing, employment, education, social connectedness, and the built environment. His involvement reinforces the importance of integrating health perspectives into community planning and local decision-making processes. Dr . Yan dle's work also demonstrates how chiropractors can contribute beyond traditional clinical settings. As healthcare professionals with a strong focus on health promotion and patient well-being, chiropractors are well positioned to participate in multidisciplinary efforts that address the wider determinants of health. By engaging with community leaders and policymakers, they can help ensure that health considerations are incorporated into strategies that affect populations at a local level. His appointment reflects the growing recognition of the role healthcare professionals can play in civic leadership and community development. It serves as an example of how members of the

Photo: Pride in Place Neighbourhood Board, Tredegar, Wales

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Advan cin g Global Un der st an din g of Ch ir opr act ic Car e Modern daily routines, such as long hours at a desk, constant screen time, and everyday physical strain, take a real toll on how we feel and function. Instead of waiting for discomfort to build up, more people are taking a proactive approach to their health. At the Foundation for Chiropractic Progress (F4CP), our mission is helping individuals and communities everywhere understand chiropractic care through research, practical education, and clear public communication. Central to this mission is our strategic collaboration with the World Federation of Chiropractic (WFC) and its member organizations. By joining forces, we work together to share the positive impact of chiropractic care; empowering people to thrive, enhancing daily health, and fostering vibrant, active lives around the world. Driving this effort is the F4CP?s Forbes-published bestseller, Adjusted Reality: Supercharge Your Whole-Being for Optimal Living and Longevity. Praised by Publishers Weekly, its "Foundational Seven Pillars" provide a practical, welcoming roadmap for everyday wellness. Recent F4CP Harris Poll data highlights why this message matters now more than ever: -

54% of adults experience physical discomfort from routine daily activities. 88% of gamers report strain during play. Posture-related tension and chronic pain are common challenges for people everywhere.

Adjusted Reality offers the "why" to visit a chiropractor, while chiropractors around the world provide the "how" to align lifestyle choices for optimal results. To help WFC member organizations share this message, F4CP directly empowers WFC affiliates with:

M em ber sh ip su ppor t an d m ar k et in g ben ef it s: Professionally developed public education resources, marketing campaigns, research-based materials, and communication tools to help your association expand awareness and highlight the value of chiropractic care. Even t par t icipat ion : We are honored to attend your conferences or community gatherings at no cost to your organization, helping demonstrate how our collaboration strengthens your local and regional efforts. A sh ar ed global m essage: Consumer communication centered on three clear contributions: 1. preventing, by encouraging informed and proactive choices, 2. optimization, by supporting movement and function, and 3. alleviation, by sharing evidence about chiropractic care for musculoskeletal pain and related limitations.

Together, F4CP an d t h e WFC can help people around the world understand what chiropractic care is, what the research shows, and how it can be part of people-centered care.

Visit f4cp.org/adjusted-reality to learn more.

72 WORLD NEWS UNITED STATES OF AM ERICA

Pr ot ect in g Wh at M ak es Ch ir opr act ic Dist in ct One of the questions leaders at the In t er n at ion al Ch ir opr act or s Associat ion (ICA) are asked most often is where we see the chiropractic profession going. Our answer increasingly returns to a fundamental issue: chiropractic must clearly define, defend, and communicate what makes it a separate and distinct healthcare profession. Chiropractors provide valuable services, including rehabilitation, exercise, nutrition, soft-tissue techniques, and physiotherapeutic procedures. These may enhance patient care, but they do not distinguish chiropractic from other health professions that provide the same services. At the ICA, we believe chiropractic?s identity is centered on the spine, vertebral subluxation, the nervous system, and the chiropractic adjustment. The profession?s historical and clinical purpose rests in assessing spinal alignment and function and applying the adjustment to correct subluxation. Diversity in practice can be a strength, but only if it exists within a coherent professional identity. Dentistry, optometry, and podiatry are associated with defined areas of expertise. Chiropractic requires comparable clarity to achieve durable recognition and growth internationally. That identity shapes how chiropractic is understood by patients, policymakers, regulators, insurers, universities, researchers, and other healthcare professions. It should also guide the profession?s scientific priorities. Although a substantial portion of chiropractic research has examined back and neck pain, future inquiry should more rigorously investigate whole-person health outcomes potentially associated with spinal alignment and function, neurophysiological change, and subluxation correction. Expanding research capacity and resources is essential to

address evidence gaps and move important questions from clinical observation and biological plausibility toward reproducible scientific validation. If chiropractic does not define itself, others will define it through frameworks such as physiotherapy, bone setting, Traditional Chinese Medicine, or massage therapy. That is not a sustainable path for an independent profession. Our responsibility is to preserve a profession that is scientifically engaged, clinically relevant, and unmistakably chiropractic. The ICA stands firm that the correction of subluxation through the chiropractic adjustment must remain central to that identity.

Dr. Joseph Betz, ICA President

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Hist or ic ACA-ICA Collabor at ion Tak es Cen t er St age on NCM IC?s Chiropractical Clive, Iow a ? (September 30, 2026) ? In a historic conversation for the chiropractic profession, Am er ican Ch ir opr act ic Associat ion (ACA) Pr esiden t Dr . Kr is An der son and In t er n at ion al Ch ir opr act or s Associat ion (ICA) Pr esiden t Dr . Joe Bet z joined Chiropractical host Jon Kec to discuss the organizations?unprecedented collaboration and their shared legislative priority: modernizing Medicare coverage for chiropractic care. The episode,ACA and ICA Unite for Chiropractic's Future, marks a rare joint appearance by the leaders of the profession?s two major national associations. After decades of differing approaches to advocacy, the ACA and ICA have spent more than a year working together toward a common legislative strategy. At the center of that effort are H.R. 539 and S. 106, which seek to modernize Medicare coverage for chiropractic services. Under current Medicare rules, coverage for chiropractic care is limited to spinal manipulation, even though chiropractors may need to perform other services, such as examinations and X-rays, to evaluate patients and establish a care plan. The proposed legislation would expand Medicare coverage to services within a chiropractor ?s state-defined scope of practice, according to the organizations supporting the effort. ?We agree on the most important thing, and it?s that more people need to see their chiropractor and more people need to see a chiropractor first,?said Anderson. ?We need to do everything we can as leaders in the profession to make sure that can happen.? The collaboration was formally strengthened in July 2026 through a Memorandum of Understanding between the ACA and ICA,

establishing a unified strategy around Medicare modernization. The effort has also brought together organizations through the Chiropractic Summit and other broader healthcare initiatives. For Bet z, the collaboration demonstrates what is possible when the profession focuses on common ground. ?We?re not asking the government or anybody else to force people to go to chiropractors,?said Betz. ?We just want to break down the barriers that exist between the patient and us.? The episode comes as Congress approaches key legislative deadlines, giving the chiropractic profession an opportunity to hear directly from both association presidents about the legislation, the significance of their collaboration and what the future could hold for chiropractic advocacy. ?This conversation is bigger than one bill,?said Kec. ?It?s about what can happen when leaders with different histories and perspectives find common ground and work together on behalf of the profession.? NCM IC has supported the Medicare modernization effort and continues to support initiatives that strengthen and advance the chiropractic profession. ?Chiropractic is much stronger and more productive as a result of these collaborative efforts,?said NCM IC Pr esiden t Wayn e Wolf son , DC. ?NCMIC is proud to play an instrumental role in the process.?

Chiropractical?s ?ACA and ICA Unite for Chiropractic?s Future." Listen at ncmic.com or watch on YouTube

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Un it y Wit h ou t Un if or m it y: Wh y Ch ir opr act ic?s Fu t u r e Depen ds on Collabor at ion Chiropractic is a remarkably diverse global profession. Across countries, institutions and organizations, we differ in terminology, philosophy, educational models, regulatory structures, scopes of practice and approaches to clinical care. These differences are real, and we should not pretend otherwise. But difference does not have to mean division. After nearly three decades in chiropractic, I have had the opportunity to view our profession through several very different lenses, including founder and CEO of a multidisciplined multistate healthcare group, while currently serving as a North American Director of the World Federation of Chiropractic, Secretary of the International Chiropractors Association, and Vice President of the National Board of Chiropractic Examiners. I have continued to serve in chiropractic regulation in Nevada including as President and Chair, and currently as Secretary-Treasurer of through the Nevada Chiropractic Physicians?Board. My professional journey has also remained closely connected to both education and research. I serve on the nonprofit Chiropractic BioPhysics (CBP) research board and have authored or co-authored 13 papers published in the peer-reviewed literature, with more publications in review. I am presently exploring the next step in that academic journey through doctoral study and pursuit of a PhD. These experiences? clinical practice, regulation, testing and competency, research, association leadership and international governance? have reinforced one lesson above all others: Ch ir opr act ic does n ot n eed u n if or m it y t o ach ieve u n it y.

Our profession will probably never agree on every question. Nor should agreement on every question be the prerequisite for working together. What we can do is identify the issues on which our interests are inseparable. Patients everywhere deserve access to high-quality chiropractic care. Our educational institutions must remain capable of attracting and educating the next generation of chiropractors. Our regulatory systems must protect the public while allowing the profession to evolve alongside science and contemporary healthcare. Our researchers must continue expanding the evidence base supporting what we do. And our professional organizations must advocate effectively for the chiropractors and patients they represent. These should not be ideological objectives. They are professional imperatives. In the United States, I have been encouraged by increasing cooperation among organizations that historically have not always viewed the profession through the same lens. The American Chiropractic Association and International Chiropractors Association maintain distinct identities, histories and policy perspectives. Yet when the interests of patients and the future of the profession intersect, collaboration is both possible and necessary. There is a lesson here that extends well beyond the United States. Un it y sh ou ld n ot r equ ir e an y or gan izat ion , in st it u t ion or in dividu al t o su r r en der it s iden t it y. Instead, mature professional collaboration requires us to recognize where our differences matter? and where they do not. The WFC provides an extraordinary forum for exactly this kind of engagement. Chiropractic

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exists within vastly different healthcare systems and cultures around the world, but many of the challenges confronting us transcend borders: patient access, professional recognition, educational sustainability, research, regulation and workforce development. We should vigorously debate ideas. We should challenge one another scientifically and professionally. We should continue improving our educational, regulatory and clinical standards. But we should also recognize that the future of chiropractic is larger than any individual organization, philosophy, institution or country.

Our diversity can remain one of our defining characteristics without becoming our defining weakness. We do n ot h ave t o t h in k alik e t o m ove f or w ar d t oget h er . If chiropractic can embrace unity without demanding uniformity, we can preserve the richness of our different traditions while building a stronger, more collaborative and more sustainable profession for the generations that follow us. By Jason O. Jaeger, DC, fCBP, FICA WFC Director ? North America

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New Leader sh ip at ICRS the recent Annual General Meeting of the In t er n at ion al Ch ir opr act ic Regu lat or y Societ y, new leadership was elected to a two-year term. The ICRS bid a fond farewell to retiring Chair, Dr Wayn e M in t er , who has represented the Chiropractic Board of Australia since 2017 and served as ICRS Chair since 2020. In his closing remarks, Dr M in t er reinforced the Dr Wayne Minter importance of the work of the ICRS. ?These are key times for discussions and opportunities for growing the collective work of chiropractic regulation in many areas, including current topics of international qualifications recognition. Governments around the world are focused on these issues and we can contribute effectively to this conversation in all jurisdictions.? He noted that regulators and educators are essential components of improving professional expertise, competency and practice, benefitting both the public and the profession. He urged the ICRS to bring additional regulators and other partners into the organization to continue to add to its value. Newly elected ICRS Chair Dr Dar r ell Wade chairs the Regu lat or y Cou n cil of t h e Feder at ion of Can adian Ch ir opr act ic. He also serves as Regist r ar f or t h e New f ou n dlan d an d Labr ador Ch ir opr act ic Boar d. Dr Wade thanked Dr M in t er for his legacy of

contributions to ICRS. He also paid tribute to recently retired FCC representative Dr Lisa Rich ar d, who held top offices in the ICRS during its initial organization. Dr Wade echoed the importance of connection and conversation related to areas of mutual relevance, while focused on public protection. ?ICRS is here to serve as a beacon for confidence in regulatory frameworks and international mobility of professionals across different countries,?he said.

?I am eager to work with Dr Darrell Wade both the Regulators and the Partner and Associate members to further the good work of those who have come before us. We h ave so many opportunities to learn from one another as well as to improve and assist with our common processes.? Pen n y Ban ce will undertake the role of ICRS Vice Chair in addition to her regular duties as Director of Development for the United Kingdom?s General Chiropractic Council. Glen ys Sh ar m an will serve as

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Secretary/Treasurer while continuing as Chief Executive/Registrar of the New Zealand Chiropractic Board. The new leadership team will engage in strategic planning in Utrecht, the Netherlands, at the Wor ld Feder at ion of Ch ir opr act ic?s Global Edu cat ion 2026 Con f er en ce on Lif elon g Lear n in g, Oct ober 14 ? 17. In addition to cohosting a preconference afternoon Forum with the

In t er n at ion al Ch ir opr act ic Edu cat ion Allian ce, the ICRS will also moderate a breakout session entitled, ? Regulation Matters: A Discussion About the Myths and Facts of Regulation.? Both programs are open to those who are registered for the overall WFC conference. CONTACT: Don n a M Coh en , Execu t ive Dir ect or ; icr s@ch ir or egu lat ion .or g w w w.ch ir or egu lat ion .or g

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FICS: Advan cin g Spor t s Ch ir opr act ic on t h e Wor ld St age The past quarter has demonstrated FICS?growing ability to support athletes internationally, build relationships with sports federations and strengthen the global sports chiropractic workforce. A particular highlight was our first event in partnership with Wor ld Squ ash : t h e 2026 Wor ld M ast er s Squ ash Ch am pion sh ips, h eld in Per t h , Au st r alia, f r om 30 Au gu st t o 6 Sept em ber . The championships brought together 952 athletes from around the world, competing across age groups from 35+ to 85+. Matches took place across 22 courts at the Mirrabooka and Belmont squash centres, alongside a purpose-built glass show court at Karrinyup Shopping Centre. Our sports chiropractic delegation included Pat r ick M ar u gan , r epr esen t in g It aly an d M au r it iu s, Adam Row n ey, Ben Davidson , Bian ca Pet it e an d Br ian Nook f r om Au st r alia. Together, the team delivered almost 600 treatments during the championships, helping athletes remain active, manage injuries and continue competing throughout a demanding week of squash. Working with masters athletes across such a broad age range provided a powerful demonstration of the contribution sports chiropractors can make throughout an athlete?s lifetime. It also gave FICS an important opportunity to establish its relationship with World Squash as the sport prepares for its Olympic debut at Los Angeles 2028. We hope this successful first collaboration will provide the foundation for further

opportunities to support the international squash community. Education has remained another central focus. In September, FICS delivered a successful ICSC Upper Extremity Seminar in Hong Kong in partnership with the Hon g Kon g Catherine Perry, Ch ir opr act ic College Chief Operating Officer Fou n dat ion . The seminar combined evidence-informed education with practical, hands-on learning, helping participants develop the skills and professional standards required to work confidently within international sport. The event also marked a significant milestone for Robbie M oor e, who completed his training to become a FICS Master Instructor. Robbie was presented with his certificate by fellow Master Instructor Nat Sh ar p, recognising both his expertise and his commitment to developing the next generation of sports chiropractors. Alongside these activities, FICS has continued preparations for its 2026 vir t u al sym posiu m , Adjusting Perspectives: Chiropractic in ParaSport. The programme will bring together athletes, clinicians, academics and international sports leaders to improve understanding of disability, inclusion and athlete-centred care. From education to international competition, FICS remains focused on building capable practitioners, developing trusted sporting partnerships and expanding access to high-quality sports chiropractic care worldwide.

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85 EDUCATION NEWS CANADA

Can adian M em or ial Ch ir opr act ic College An n ou n ces t h e Appoin t m en t of Dr . David St ar m er as VP, Academ ic (October 9, 2026) Toronto, ON ? Th e Can adian M em or ial Ch ir opr act ic College (CM CC) is pleased to announce the appointment of Dr . David St ar m er , DC, M HS, t o t h e posit ion of VP, Academ ic, ef f ect ive Jan u ar y 4, 2027. He succeeds Dr. Dominic Giuliano, who served as Interim VP, Academic during the recruitment process. Dr . St ar m er brings almost two decades of experience at CMCC, spanning teaching, academic administration, research, governance, regulation, and institutional leadership. Throughout his career, he has advanced curriculum renewal, innovative approaches to competency-based education and assessment, accreditation, faculty development, simulation, and educational technology. His excellence in teaching and commitment to students have been recognized through numerous teaching awards, reflecting his dedication to student success. His governance and regulatory service, including a leadership role with the College of Ch ir opr act or s of On t ar io and service as Faculty Council Chair, has further strengthened his expertise in policy, procedural fairness, risk management, and evidence-informed decision-making. ?Dr. Starmer is a skilled leader who embodies CMCC?s CARING Values,?says Dr. Christine Bradaric-Baus, President, CMCC. ?He has a natural ability to connect with people through his passion for CMCC. This passion, coupled with his extensive institutional knowledge and strong external relationships, positions him well to guide CMCC?s academic portfolio and help shape its next chapter.?

?The future of healthcare will require greater collaboration and innovation. CMCC?s community of learners, educators, clinicians, researchers, staff, alumni, and partners shares a strong commitment to advancing excellence in education, research, and patient care. Together, we are exceptionally well positioned to meet the opportunities ahead, and I am excited about what we will achieve as we continue to build on CMCC?s strengths,?says Starmer. Dr. Starmer will assume the role on January 4, 2027, helping to guide CMCC's academic priorities as the institution continues to advance its mission and strategic goals. Please find a link to the an n ou n cem en t on our website https:/ / www.cmcc.ca/ media/ Abou t CM CC The Canadian Memorial Chiropractic College is an academic institution recognized for creating leaders in spinal health. With graduates practicing in 45 countries and faculty who are leaders in their fields, CMCC delivers world-class chiropractic education, research, and patient care. CMCC offers a four-year undergraduate program leading to a Doctor of Chiropractic Degree. This program is offered under the written consent of the Ministry of Colleges, Universities, Research Excellence and Security until May 2030. The institution also offers post graduate studies and a continuing education program. The institution also offers post graduate studies and a continuing education program.

86 EDUCATION NEWS CHILE

UCEN Ch ile Advan ces Healt h Equ it y Th r ou gh Ch ir opr act ic In it iat ive in Vu ln er able Com m u n it y The Chiropractic program at the Cen t r al Un iver sit y of Ch ile has launched a pioneering "Comprehensive Health and Community Wellbeing" program in Pu ch u n caví, a Chilean territory historically affected by profound socio-environmental vulnerabilities and gaps in healthcare access. Currently, the chiropractic profession is unregulated in Chile and excluded from the public healthcare system (FONASA). Consequently, chiropractic care is restricted solely to the private market. This reality creates a deep inequity in Chile and in Puchuncaví, where around 90% of the population belongs to the public health system.

Methodologically, this study connects social determinants of health with clinical chiropractic experience. It integrates an internationally validated questionnaire (KIDSCREEN-27) to measure subjective wellbeing and social support dynamics within the sports club, alongside a comprehensive Chiropractic Clinical Evaluation Battery based on Functional Neurology. This clinical screening evaluates static and dynamic posture, muscle flexibility, basic anthropometrics, laterality, proprioception, and vestibular and visual function.

To break this barrier, UCEN offers free care to 10-12-year-old athletes from the Puchuncaví Basketball Club. Led by chiropractic professor Nicolas Qu er o Gu er r a, this project establishes a unique alliance with the entire local community. This work targets young athletes in formative categories, serving as a strategic framework to evaluate and improve their quality of life, postural self-care, and neuro-musculoskeletal health. Youth athletes from Puchuncaví participating in the Comprehensive Health and Community Wellbeing Program developed by the Central University of Chile.

Professor Nicolas Quero Guerra and UCEN Chiropractic students performing a functional neurology and vestibular screening for a young athlete from the Puchuncaví Basketball Club (Valparaíso Region, Chile).

"This project represents the continuity of sustained work done mainly in the metropolitan region, which has been fundamental for Chilean chiropractic education," states Professor Quero Guerra. "We are addressing historical territorial segmentations by embedding our students into high-impact community practices. This initiative demonstrates how chiropractic care serves as a powerful tool for social justice, preventative health, and community resilience."

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IFEC Par is Welcom es It s Fir st Bilin gu al Pr ogr am m e Coh or t September 2026 marks a new milestone for the In st it u t Fr an co-Eu r opéen de Ch ir opr axie (IFEC), as the Paris campus welcomes the first cohort of students joining its new bilingual chiropractic programme. Six students from six different nationalities have started their studies in chiropractic this year, bringing a truly international dimension to the IFEC Paris community. Designed for international students wishing to study chiropractic in France, the five-year programme combines English-language teaching, progressive French language learning and extensive clinical training. During the first two years, courses are taught in English. In the third year, courses are taught in either English or French, with course materials provided in English. Alongside their academic studies, students attend French language classes to develop the skills needed for the French-taught modules in the fourth and fifth years, as well as for their clinical training. The programme includes a 15-month clinical placement at the IFEC teaching clinic, giving

students extensive hands-on experience and preparing them to work in a professional, French-speaking environment. Following graduation, students may choose to practice in France or abroad, subject to the applicable local regulations. With annual tuition fees of ?10,500, the programme is also one of the most affordable chiropractic programmes internationally, offering students the opportunity to access high-quality chiropractic education in Europe at a comparatively accessible cost. The launch of this first cohort is an important step in the development of IFEC?s international offering. The school aims to welcome 20 international students next year, further strengthening the multicultural community at the Paris campus. More information visit h er e.

Students from the first cohort of IFEC?s bilingual programme in Paris

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A Lan dm ar k Sept em ber f or Ch ir opr act ic Edu cat ion in Ger m an y September 2026 marks a major milestone for chiropractic education and professional development in Germany. On July 14th, initial accreditation of the new Chiropractic (M.Sc.) programme at Health Campus (HC) in Braunschweig was approved after an intensive joint process involving the Hoch sch u le Fr esen iu s (HSF) and the Ger m an Ch ir opr act or s? Associat ion (GCA), represented by Joh an n a Tiet je, Dr Alexan der Ru h e, Josef Hein em eier an d Tim o Sch m idt . The only condition is the establishment of a student clinic, already planned for clinical teaching from September 2027. Pr of essor Dr Alexan der Ru h e, a chiropractor who has taught in the programme and supported its development for several years, has now formally taken over its academic leadership and associated professorship. On September 9th, 25 students from the first cohort received their Bachelor of Science in Fundamentals of Chiropractic. Following remarks by M at t h ias Obin ger of Hoch sch u le Fr esen iu s, Jesper Lem ch e of t h e GCA an d M ar k u s Ber gn er of Healt h Cam pu s Br au n sch w eig, the graduates

Back row middle: Prof. Dr. Alexander Ruhe (HSF, GCA) right side, left to right: Markus Bergner (HC), Timo Schmidt (GCA) Katharina Karn (GCA), Jesper Lemche (GCA) Prof. Dr. Matthias Obinger (HSF)

celebrated with faculty and colleagues. Their first Master ?s lecture followed just three days later. The same day, the 2026 cohort began its studies with 34 new students, maintaining enrollment at the level of previous years. Around two thirds said they would not have considered studying abroad? strong evidence that domestic chiropractic education is removing a longstanding barrier to growth of the profession in Germany. A significant legal development adds further momentum. On July 9th, Germany?s Federal Administrative Court held that chiropractic is a distinct and sufficiently differentiated field of healthcare practice. Crucially, the Court explicitly relied on the WHO Guidelines on Basic Training and Safety in Chiropractic to define its scope. Germany still lacks a dedicated chiropractic profession law, but the ruling provides an important foundation for future recognition.

(Left to Right) Prof. Dr. Matthias Obinger (HSF), Prof. Dr. Alexander Ruhe (HSF, GCA), Niklas Bergner (student), Jesper Lemche (GCA), Markus Bergner (HC)

89 EDUCATION NEWS IRELAND

Ch ir opr act or Appoin t ed Assist an t Pr of essor in M at er n al Healt h at Tr in it y College Du blin After working in research both within academic settings and as an independent research consultant, while also juggling the joys and challenges of becoming a mum of three, I am delighted to embark on the next chapter of my career as a full-time academic. I have recently been appointed Assist an t Pr of essor in M at er n al Healt h at Tr in it y College Du blin , t h e Un iver sit y of Du blin (TCD). This is a unique post and the first of its kind within the Sch ool of Nu r sin g & M idw if er y at TCD, reflecting the School?s commitment to multidisciplinarity in maternal health. The position was open to health professionals from any discipline, recognising the importance of bringing diverse perspectives together to improve maternal and women?s health, and I am the first chiropractor to be appointed to the academic team. This new role brings together my experience as a researcher, chiropractor, teacher and mother, and my passion for improving the health and wellbeing of women during pregnancy, birth and beyond.

My research interests sit at the intersection of musculoskeletal (MSK) health, occupational health and maternal/women?s health, alongside evidence synthesis. I am particularly Francesca Wuytack interested in developing research that can translate high-quality evidence into better care, healthier workplaces and improved outcomes for women. I would love to hear from colleagues within the chiropractic and wider health research communities who are interested in collaborating in maternal or women?s health research or developing research projects. I am also keen to hear from individuals considering an M Sc by Resear ch or Ph D at Tr in it y College Du blin , particularly where their interests align with MSK health, occupational health, maternal health or evidence synthesis. I would be very happy to discuss potential research ideas, supervision and possible funding opportunities. I would love to hear from you: f w u yt ack @t cd.ie Francesca Wuytack, PhD, DC, PGDip (Ed)

Trinity College Dublin Campus

90 EDUCATION NEWS M ALAYSIA

Advan cin g Ch ir opr act ic Edu cat ion in M alaysia t h r ou gh In t er pr of ession al Lear n in g Malaysia?s chiropractic education landscape continues to develop with the launch of the Un iver sit y of Cyber jaya?s Bach elor of Ch ir opr act ic (Hon ou r s) programme under its newly established School of Rehabilitation Sciences on 5 September 2026.

before progressing into increasingly applied and supervised clinical learning. Clinical reasoning, ethical judgement, communication, informed consent, recognition of professional limits and appropriate referral form important elements of this preparation.

The programme, housed within the Faculty of Health, reflects a broader approach to preparing future chiropractors for changing healthcare needs. Alongside clinical knowledge and practical skills, graduates will increasingly need strong professional judgement, evidence-informed decision-making, effective communication and the ability to work collaboratively with other healthcare professionals.

Evidence-informed practice is another key priority. Students should be equipped to critically evaluate information, question assumptions and explain the reasoning behind their clinical decisions. These habits can help support responsible practice and lifelong professional development.

Building on more than 15 years of chiropractic education in Malaysia, the introduction of a new programme at the Un iver sit y of Cyber jaya expands opportunities for students to pursue chiropractic education locally. Its placement within a School of Rehabilitation Sciences also provides opportunities for chiropractic students to learn alongside other health disciplines, including physiotherapy. Interprofessional learning is an important part of contemporary healthcare education. By understanding the expertise, responsibilities and professional boundaries of other disciplines, students can develop greater confidence in collaboration, referral and coordinated patient care. The wider University of Cyberjaya environment, which includes medicine, pharmacy, psychology, nursing, physiotherapy and dietetics, offers further opportunities for interaction across healthcare fields. The programme aims to provide students with a strong foundation in basic medical sciences

The launch also featured an industry forum, ?The Future of Chiropractic in Malaysia: Education, Regulation, Industry Growth and Public Health Impact.? Representatives from the Associat ion of Ch ir opr act ic M alaysia, t h e M in ist r y of Healt h , academia and industry contributed perspectives on workforce preparedness, professional standards, evidence-informed practice and collaboration. Such dialogue is important as chiropractic education and the profession continue to develop in Malaysia. Strong relationships between universities, professional

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bodies, regulators, clinicians and communities can help ensure that educational development remains connected to patient needs and professional expectations. Looking ahead, the University of Cyberjaya aims to strengthen partnerships in clinical education, community engagement and locally relevant research. Its long-term contribution will ultimately be measured by the quality of graduates it prepares, including their ability to practise thoughtfully, collaborate effectively and place patients at the centre of care.

Ch ir opr act ic St u den t s Tak e Th eir Oat h as Fir st Five-Year Pr ogr am m e Coh or t En t er s Clin ical Tr ain in g IM U Un iver sit y recently celebrated a significant milestone as students from the CH123 cohort participated in the Chiropractic Oath-Taking and Clinical Attire Presentation Ceremony, marking their transition into clinical training. Notably, the cohort is the first group from IMU's five-year Chiropractic programme to enter this phase of education. Ch ow Kit Yee, Ch ir opr act ic Pr ogr am m e Dir ect or , described the occasion as "a particularly meaningful milestone," encouraging students to approach patient care with "compassion, professionalism, curiosity and respect." By taking the Chiropractic Oath, students formally committed to the ethical and professional responsibilities expected of future healthcare practitioners, including patient-centred care, professionalism, confidentiality and evidence-informed practice. Nash er een a Kau r Dh illon , who leads clinical training, noted: "Clinical training is where students

begin to understand what it truly means to care for a patient." As they begin caring for patients under supervision, the CH123 cohort embarks on the next stage of their journey, helping advance IM U Un iver sit y 's commitment to patient care, professionalism, ethical practice and clinical competence.

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Han ds f or Vit alit y 2026: Lear n in g Th r ou gh Ser vice in t h e Ph ilippin es From 9-22 August 2026, chiropractic students from IM U Un iver sit y (IM U) par t icipat ed in Han ds f or Vit alit y: Kamay para sa Kasiglahan in the Philippines. Working alongside supervising chiropractors, volunteers, community partners and local government units, the programme reached eight communities and provided care to 2,552 patients. Beyond the numbers, the experience gave students valuable opportunities to develop clinical reasoning, communication skills, cultural awareness and professionalism. Reflecting on the experience, Tey An n Ni n ot ed, ?Confidence does not always come before taking action. Sometimes, confidence develops because we are willing to step forward, practise, receive guidance, reflect on our mistakes and try again.? According to Won g Yi Kai, Sen ior Lect u r er an d IM U Pr oject Lead, ?The real learning happens when they have to listen to a patient, recognise what they know and what they do not know, communicate

across cultural and language differences, and make appropriate decisions under supervision.? The programme was delivered through a partnership between IM U, t h e Cam ar a In st it u t e f or Ch ir opr act ic Scien ces (CICS) and local communities. Dr M ar t in Cam ar a emphasized that ?Hands for Vitality is built on partnership,? highlighting the collaboration that made the initiative possible while creating meaningful learning experiences for future healthcare professionals.

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Celebr at in g a Hist or ic M ilest on e in Sou t h Af r ican Ch ir opr act ic The Chiropractic Association of South Africa is exceptionally proud to congratulate?Prof Fatima Ismail?on her promotion to?Associate Professor at the University of Johannesburg?, becoming the? first South African woman to attain the academic rank of Associate Professor in Chiropractic?. This is an extraordinary personal achievement, but it is also a significant milestone for chiropractic education and the profession in South Africa. As?Head of the Department of Chiropractic within the Faculty of Health Sciences at the University of Johannesburg?, Prof Ismail provides strategic academic leadership while overseeing clinical operations, advancing research and strengthening postgraduate education. Her work has played an important role in developing an academic environment that is rigorous, progressive and responsive to the healthcare needs of South Africa. Holding a?PhD in Health Sciences (Chiropractic),

Prof Ismail is an accomplished researcher, educator and clinician. She has authored numerous peer-reviewed publications and has supervised more than?46 Master 's students to completion, an achievement that speaks not only to her academic contribution, but to the remarkable investment she continues to make in developing future researchers, academics and leaders within our profession. Her research encompasses interprofessional education, musculoskeletal health, cultural and linguistic competence, and patient-centred care within African contexts. Through this work, she has helped ensure that locally generated knowledge and African perspectives have a meaningful place within the broader international healthcare and chiropractic discourse. Her influence also extends beyond the University. Prof Ismail contributes to national and international professional and educational organisations, strengthening relationships between chiropractic education in South Africa and the wider global community. Perhaps most importantly, however, her impact can be seen in the people she has taught, mentored, supervised and inspired. Being the?first?carries particular significance. It represents a door opened, a barrier crossed and a new benchmark established for those who will follow. For CASA, it is an immense privilege to celebrate this achievement by one of our own members. Prof Ismail's dedication to education, research,

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leadership and the advancement of chiropractic reflects the very best of our profession.

and the chiropractic profession across South Africa.

Prof Ismail, we are incredibly proud of you.

Here?s to the many more doors you will open for those who follow.

Congratulations on this historic and thoroughly well-deserved achievement. Your success is an inspiration to our students, academics, colleagues

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A Year of Fir st s f or Ch ir opr act ic Edu cat ion in Sou t h Af r ica The University of Johannesburg (UJ) Department of Chiropractic is celebrating two significant academic milestones achieved by Professor Fatima Ismail, Head of the Department of Chiropractic, reflecting the continued growth of chiropractic education, research and academic leadership in South Africa.

This milestone was followed by another significant achievement when she was promoted to Associate Professor at the University of Johannesburg, becoming the first South African woman to attain the academic rank of Associate Professor in Chiropractic.

On 16 July 2026, she graduated with a Doctor of Philosophy (PhD) in Chiropractic, becoming the first graduate to obtain a PhD in Chiropractic through the University of Johannesburg Chiropractic programme.

Together, these achievements represent more than individual career milestones. They reflect the increasing academic and research capacity of chiropractic within South Africa and the African region, while demonstrating the growing contribution of chiropractic educators to health professions education, interprofessional collaboration and research.

Her doctoral research, An Interprofessional Education Intervention to Develop Interprofessional Patient-Centred Collaborative Skills between Chiropractic, Podiatry and Biokinetic Students at the University of Johannesburg, explored how interprofessional education can strengthen collaboration between musculoskeletal-focused healthcare professions and better prepare students for patient-centred collaborative practice. The work has already contributed to two peer-reviewed publications, with a third manuscript accepted, and has informed national and international faculty development workshops aimed at building capacity for interprofessional education within the health professions.

Professor Fatima Ismail, Head of the Department of Chiropractic at the University of Johannesburg, South Africa, who in 2026 became the first PhD graduate in Chiropractic produced by the UJ Chiropractic programme and the first South African woman to attain the academic rank of Associate Professor in Chiropractic.k

The UJDepartment of Chiropractic celebrates these milestones as part of its continued commitment to advancing chiropractic education, scholarship and leadership in Africa.

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UJ Depar t m en t of Ch ir opr act ic: Af r ica's Leadin g Resear ch Ou t pu t in Ch ir opr act ic Scien ce Th e Depar t m en t of Ch ir opr act ic at t h e Un iver sit y of Joh an n esbu r g (UJ) has recorded the highest chiropractic research output on the African continent for 2025?2026, reinforcing its position as the continent's leading centre for chiropractic scholarship. Across this period, the department generated output from 21 active research units, producing 33 peer-reviewed journal articles and book chapters, 8 international and 4 national conference presentations, and 2 research excellence awards ? a volume unmatched by any other chiropractic programme in Africa, and one that places UJfirmly among the world's most

curricular conversations. Clinical and osteological studies drew on South African populations and practice settings ? from musculoskeletal injury and clinical scope of practice to detailed cervical spine anatomy ? generating original, regionally grounded evidence that had not previously existed at this scale anywhere on the continent. This output was achieved through six active international research collaborations spanning Spain, Chile, Sri Lanka, Malaysia, Australia and the United States, demonstrating that African-led chiropractic research can compete and partner on equal footing with established global centres. Strong student co-authorship further reflects a deliberate strategy to build sustainable, home-grown research capacity across the continent. As UJmarks 21 years of sustained research impact since 2005, this period confirms the department's standing as Africa's foremost hub for chiropractic research ? a benchmark for what continental leadership in the profession can look like, and a growing contributor to the global evidence base the WFC represents.

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M cTim on ey College Celebr at es Fir st M adr id Ch ir opr act ic Gr adu at es over the past four years. Above all, however, this is about celebrating the achievement of our Madrid students and welcoming them into the profession.? Lucas, one of the Madrid graduates said: "I?m extremely proud to be part of the first Madrid cohort. Over the past four years, we?ve worked hard, supported each other and shared a lot of experiences along the way. I leave the program feeling very ready and excited to take the next step and begin practising as a chiropractor.? The McTimoney College of Chiropractic is celebrating a major milestone as the first cohort from its Madrid campus completes the program and enters the profession. The cohort holds a particularly significant place in the history of the College as the first group of students to complete their entire chiropractic education at one of McTimoney?s international campuses. For the College, the milestone represents an important step in its international development and demonstrates the successful delivery of chiropractic education outside the UK while maintaining the standards expected of a UK degree and recognised through professional accreditation. Ch r ist in a Cu n lif f e, Principal of the McTimoney College of Chiropractic, said: ?The completion of our first Madrid cohort marks an important stage in the international development of the College. For the first time, students have completed a McTimoney College chiropractic degree entirely outside the UK, while meeting the academic, clinical and professional standards expected across our provision. It is a significant achievement for the College and a testament to the commitment of our students and the faculty who have supported them

The milestone is also significant for the wider chiropractic community in Spain. Building strong relationships with the profession has been an important part of the program?s development and of supporting students as they transition from education into professional practice. The College warmly congratulates every member of its inaugural Madrid cohort on completing four years of study and reaching this significant professional milestone. As they move from students to colleagues within the chiropractic profession, we look forward to celebrating with them again in April and to seeing the contribution they make to chiropractic in Spain, across Europe and internationally. The Madrid cohort will formally celebrate their achievement at the M cTim on ey College of Ch ir opr act ic gr adu at ion cer em on y in Apr il 2027.

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Sw eden con solidat es ch ir opr act ic edu cat ion as NIM M 's pr ogr am keeps gr ow in g Andreas Eklund, DC, PhD, Program Director, Chiropractic Program, Nordic Institute of Manual Medicine (NIMM)

It has been a landmark year for chiropractic education in Sweden. Th e Ch ir opr act ic Pr ogr am at t h e Nor dic In st it u t e of M an u al M edicin e (NIM M ) in St ock h olm has continued to grow, and Sweden's two chiropractic institutions have agreed to bring all chiropractic education in the country under one roof. As of August 2026, NIMM's Chiropractic Program had 60 students enrolled across its four years: 14 in Year 1, 21 in Year 2, 15 in Year 3 and 10 in Year 4. In May 2026, NIM M an d t h e Scan din avian College of Ch ir opr act ic (SKHS) jointly announced that, from the autumn 2026 semester, NIMM will become the sole provider of chiropractic education in Sweden. SKHS students are being offered validated transfer and course credit so they can complete their studies at NIMM with continuity, no extended study time and no added cost. Joint working groups have been set up to manage curricula, validation, clinical placements and administration. ?Our ambition is to create a robust educational environment where naprapathy, chiropractic and osteopathy can develop side by side, with respect for each profession's identity and expertise,?said NIMM leadership on the announcement. The consolidation coincides with NIMM welcoming its first cohort of osteopathy students in August 2026, alongside its established naprapathy and chiropractic programs ? giving chiropractic students in Sweden an interprofessional learning environment shared

with peers from partner professions including physiotherapy, pharmacy and medicine. NIMM has also strengthened its research base this year, appointing Associat e Pr of essor Iben Axén , DC, Ph D, as Head of Resear ch . In the role, she chairs NIMM's Research Board and supports chiropractic students in engaging with ongoing research projects alongside their clinical training. In hands-on learning news, a group of NIMM chiropractic students travelled to the University of Turku in Finland this spring for a two-day cadaver dissection course, deepening their understanding of anatomy and biomechanics through direct observation. With enrollment climbing and national consolidation underway, chiropractic education in Sweden enters the new academic year with real momentum.

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A Sw iss m ilest on e f or ch ir opr act ic an d m u scu losk elet al h ealt h r esear ch IIn July 2026, the Un iver sit y of Zu r ich appointed Cesar Hin capié DC Ph D, a chiropractor and epidemiologist, as Tit u lar Pr of essor (Titularprofessor). He leads the Musculoskeletal Epidemiology Research Group at the Epidemiology, Biostatistics and Prevention Institute of the University of Zurich. Wh at does t h e appoin t m en t m ean t o you ? It is both an honour and a responsibility. It recognises years of collaborative work by our team, trainees, patients, clinicians, and partners. Professionally, it gives our programme greater academic visibility and a stronger platform from which to build. I am especially grateful for the sustained funding and trust of the Fou n dat ion f or t h e Edu cat ion of Ch ir opr act or s in Switzerland, which have helped make this development possible. How w ou ld you explain m u scu losk elet al epidem iology? It examines who develops musculoskeletal pain conditions, why outcomes differ, which interventions help or harm, and how care can improve. It connects individual clinical questions with population data so that patients and clinicians can make more trustworthy decisions. Wh at ar e you r cu r r en t pr ior it ies? We work across a connected programme: identifying patient-led priorities, learning from routine practice and health data, testing interventions in pragmatic trials, and translating evidence into better care. Current examples include the SALu BRITY t r ial, Switzerland?s first chiropractic randomised trial funded by the Sw iss Nat ion al Scien ce Fou n dat ion an d t h e Eu r opean Cen t r e f or Ch ir opr act ic Resear ch Excellen ce, and work toward a Swiss musculoskeletal health learning network.

Wh y is t h is sign if ican t f or ch ir opr act ic in Sw it zer lan d? It shows that chiropractic can contribute rigorous, internationally relevant science from within a leading medical faculty. The appointment also opens the way to the right to confer and supervise doctorates. Once finalised, this will strengthen a pathway through which young chiropractors and other clinicians can develop as independent researchers and future academic leaders. How can Ch ir oSu isse an d it s m em ber s h elp? By participating in research networks, inviting eligible patients to studies, helping define meaningful questions, supporting consistent outcome measurement, and advocating for long-term research infrastructure. Everyday practice can become a powerful source of shared learning. Wh at w ou ld you lik e t o ach ieve w it h in f ive year s? I would like to see a sustainable Swiss programme that connects patients, practices, researchers, and health-system partners; a stronger pipeline of musculoskeletal health clinician-scientists; completed landmark trials; and progress toward a fully funded academic position in musculoskeletal epidemiology and chiropractic-relevant health research. The goal is an institution that will outlast any single project or person.

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Fr om Specialist Placem en t s t o Pr of ession al Pat h w ays: Reim agin in g Ch ir opr act ic Edu cat ion at HSU Hazel Jensen, Glenn Winslade and Daniel Moore Healt h Scien ces Un iver sit y ?s AECC Sch ool of Ch ir opr act ic is taking a deliberate approach to preparing the next generation of chiropractors by aligning education with the populations graduates will serve, the environments in which they will practice and the expectations of modern healthcare. A key part of this approach is the development of dedicated Sports and Paediatric placements, providing final-year students with immersive clinical experiences focused on specific patient groups. Under the guidance of placement leads and supervising clinicians, students develop clinical reasoning, communication, safety-netting and professional skills while exploring areas of personal interest. The School?s recently redesigned and revalidated Master of Chiropractic (MChiro) curriculum builds on this foundation. Alongside a strong core chiropractic education, students can pursue

optional pathways in areas such as paediatrics and pregnancy, sports, rehabilitation and chronic pain, allowing them to tailor their learning while maintaining broad clinical competence. The School is also exploring ways to better connect postgraduate education with clinical placements and emerging areas of practice. By creating a more integrated pathway from early exposure to supervised practice and continuing professional development, AECC aims to support lifelong learning and career development. The goal is not simply to graduate chiropractors who are ready to enter practice, but practitioners who are confident in their foundations, curious about future opportunities and equipped to make meaningful contributions to the communities they serve. With a long history of evolving alongside the profession, the AECC Sch ool of Ch ir opr act ic continues to engage with alumni, practitioners and professional partners to strengthen educational pathways and support the future growth of chiropractic practice. As healthcare continues to evolve, collaboration between universities, graduates and the broader profession will remain essential in developing new opportunities for future chiropractors.

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Royal College of Ch ir opr act or s: A n ew Qu alit y St an dar d on Axial Spon dyloar t h r it is (AxSpA) Th e Royal College of Ch ir opr act or s (RCC) has published a new Chiropractic Quality Standard addressing the recognition, assessment and referral of patients with suspected axial spondyloarthritis (AxSpA), together with the supportive management of patients with an established diagnosis. AxSpA is a chronic inflammatory disease, with back pain being the predominant symptom. It effects similar numbers of men and women and includes both radiographic AxSpA, historically known as ankylosing spondylitis, as well as the less recognised, but equally important, non-radiographic AxSpA. Extra-spinal manifestations are common and include peripheral joint arthritis, enthesitis, psoriasis, uveitis, dactylitis, and inflammatory bowel disease. Relevan ce t o ch ir opr act ic pr act ice Recognising AxSpA can be clinically challenging. Many of its presenting features are non-specific and commonly encountered in chiropractic practice, and no single clinical sign or test confirms the condition.?Back pain associated with

AxSpA commonly begins in younger adults. An estimated 15% of people under 45 with chronic low back pain have AxSpA, yet the average time to diagnosis can be more than 8 years. During this time, patients often consult a range of healthcare professionals, including chiropractors, providing an important opportunity to help reduce that delay. At the launch, St u ar t Sm ellie, RCC Pr esiden t , said, ?We know that patients with undiagnosed axial spondyloarthritis do present to chiropractors with persistent back pain. To best help these patients, we need to be able to recognise key features of the condition as early as possible, and ensure that they get the support they need to have better long-term outcomes.? Su ppor t in g h igh -qu alit y ch ir opr act ic car e Reducing diagnostic delay in AxSpA is an international priority. The new Quality Standard provides evidence-based markers of high-quality care, accompanied by referenced guidance on

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their practical application, covering appropriate assessment and investigation, referral, clinical decision-making and communication with other healthcare professionals. It draws on established international guidelines and incorporates recognized AxSpA screening and referral tools to support chiropractors in identifying patients who may warrant further investigation or specialist assessment. A practical clinical pathway flowchart further supports chiropractors in everyday practice. For patients with established AxSpA, the Standard supports individualised, conservative care within a multidisciplinary approach, including considerations for safe manual therapy. It complements the RCC?s existing Quality Standards and provides a practical framework for safe, effective and high-quality chiropractic care.

104 EDUCATION NEWS UNITED STATES OF AMERICA

CUKC St u den t s Can Begin An im al Ch ir opr act ic Edu cat ion Bef or e Gr adu at ion Clevelan d Un iver sit y-Kan sas Cit y (CUKC) is providing Doctor of Chiropractic students with a unique opportunity to begin training in animal chiropractic before graduation through a partnership with Options for Animals, the world's first and most established animal chiropractic college. Located just 30 minutes from the CUKC campus in Overland Park, Kansas, Options for Animals has trained more than 3,500 chiropractic and veterinary professionals since its founding in 1987, with graduates practicing in 28 countries across six continents. Through the partnership, CUKC students within approximately six months of earning their chiropractic degree can enroll in the Essentials in Animal Chiropractic course while completing their studies, allowing them to begin specialized training before graduation. Upon completing the programme and earning their Doctor of Chiropractic degree, graduates become eligible to pursue certification through the American Veterinary Chiropractic Association (AVCA) or the International Veterinary Chiropractic Association (IVCA). Dr Heidi Bock h old, owner and head instructor at Options for Animals, emphasized the value of the collaboration, noting that it brings together the best of both worlds by allowing students to develop expertise in caring for both people and animals while remaining grounded in chiropractic philosophy and principles. Dr Car l S. Clevelan d III, Pr esiden t of CUKC, said the initiative reflects the university's commitment to expanding opportunities for students and

supporting diverse career pathways within the profession. He described animal chiropractic as a natural extension of the principles taught at CUKC and highlighted the advantage of having one of the world's premier educational centres for animal chiropractic located nearby. Animal chiropractic continues to gain interest among practitioners seeking to expand their scope of practice and serve a wider range of patients, from companion animals to performance and equine athletes. By providing early exposure to this specialty area, the partnership helps students develop additional clinical competencies and a broader understanding of musculoskeletal health across species. The collaboration also reflects a growing recognition of interdisciplinary approaches to animal care, where veterinarians and chiropractic professionals work together to support animal health, mobility and quality of life. The partnership also provides students with opportunities to engage through the CUKC Animal Chiropractic Club, which regularly visits the Options for Animals campus. Together, the institutions are helping prepare future chiropractors to explore a growing specialty while broadening their clinical skills and professional opportunities.

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Fou r CUKC Alu m n i Nom in at ed f or KCA Doct or of t h e Year Clevelan d Un iver sit y-Kan sas Cit y (CUKC) is celebrating the nomination of four alumni from its College of Chiropractic for the Kansas Chiropractic Association (KCA) 2026 Doctor of the Year Award, a prestigious honour recognising exceptional commitment to patient care, professional leadership and service to the chiropractic profession. The four nominees are Dr Br ian Asbu r y (Class of 2015), Dr Kat ie Ben son (2017), Dr Ju st in Fu lk (2005), an d Dr Br adley Pyle (2010). Together, they represent decades of service to their patients, communities and state association. Congratulating the nominees, Dr Car l S. Clevelan d III, Pr esiden t of CUKC, remarked: ?Seeing four of our graduates nominated for the same prestigious award in the same year is a remarkable achievement. Each of these doctors exemplifies what it means to serve patients, lead the profession, and give back to their communities.? Dr Asbury is recognised for his clinical practice in Wichita and extensive service within the KCA and American Chiropractic Association. Dr Benson has distinguished herself through clinical expertise, advocacy efforts and leadership in government affairs. Dr Fulk, a fourth-generation chiropractor, has served in numerous KCA leadership roles, including President, while Dr Pyle has been a longstanding advocate for chiropractic patients and the profession through state and national engagement. The recognition of four alumni in a single year highlights the strength of CUKC's educational foundation and its ongoing contribution to the chiropractic profession. Through their varied achievements in clinical practice, leadership,

advocacy and association service, the nominees exemplify the diverse ways chiropractors can positively influence both patient care and the advancement of the profession. Their collective accomplishments demonstrate the value of professional engagement beyond the clinical setting and underscore the important role chiropractors play in shaping healthcare policy and public awareness. The nominations also reflect the strong connection many CUKC graduates maintain with organized chiropractic and professional service throughout their careers. By participating in state and national associations, mentoring future practitioners and advocating for patients, these alumni help strengthen the profession for future generations. The nominations reflect not only individual achievement but also the enduring impact of CUKC graduates in advancing chiropractic care and professional advocacy throughout Kansas. The recipient of the 2026 KCA Doctor of the Year Award will be announced during the KCA Fall Convention in Wichita on 26 September 2026. Founded in 1922, CUKC continues to prepare future healthcare professionals through a strong emphasis on clinical excellence, leadership and service, values clearly demonstrated by this year 's distinguished nominees.

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NWHSU'S Hu m an Per f or m an ce Cen t er Of f er s Oppor t u n it ies t o Su ppor t Elit e At h let es At Nor t h w est er n Healt h Scien ces Un iver sit y, hands-on opportunities are preparing chiropractors for the increasingly multidisciplinary world of athletic performance. Since 2014, Nor t h w est er n Healt h Scien ces Un iver sit y 's (NWHSU) Hu m an Per f or m an ce Cen t er (HPC) Ch ir opr act ic Spor t s Residen cy has launched many dynamic careers in sports practice. Residents have gone on to support Olympic athletes, work in the VA system and at Harvard Medical School, and practice in successful athlete-focused clinics. Residents and student interns gain experience working with professional and high-level athletes: not only honing their chiropractic and rehab skills but learning how to collaborate in multidisciplinary environments. Volu n t eer Clevelan d Br ow n s Rot at ion This summer, current resident Mikaela Lengwin, DC, CCSP, EMT completed a volunteer rotation with the Cleveland Browns during NFL training camp. She worked alongside athletic trainers, physical therapists, and other performance professionals, gaining firsthand insight into the many dimensions of supporting elite athletes: from assessment to recovery.

This opportunity came as a direct result of the HPC's reputation, and the connections of HPC Director Jen n Wat t er s, DC, DAcCHM , CSCS. ?I was right at the center of elite performance and care," shared Dr. Lengwin. " I left with an even greater appreciation for the level of collaboration, variety of expertise, and care that goes into supporting the team." Pr e-Even t Car e at Nit r o Cir cu s HPC residents and students also supported the Nitro Circus 2.0 North American Tour, providing pre-event chiropractic care and working alongside medical personnel during high-risk BMX and freestyle motocross performances. "I couldn't be more thankful for the opportunity to work alongside my mentors and this caliber of athlete," reflected Giordan Willians, current chiropractic student. "I would never have been given an opportunity to experience this anywhere else, and it truly opened my eyes to the level of unflappable professionalism it takes to work a job such as this."

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Br idgin g Con t in en t s Th r ou gh Scien ce: Logan Un iver sit y ?s Expan din g Edu cat ion al Foot pr in t in Uzbek ist an When representatives from Alf r agan u s Un iver sit y in Tash k en t , Uzbek ist an , stepped onto Logan Un iver sit y ?s campus earlier this year, the visit marked more than a diplomatic exchange. It signaled a growing partnership and a shared vision for strengthening health sciences education and workforce development through international collaboration. Over the past year, Logan Un iver sit y has been exploring opportunities to bring its Bachelor of Science in Human Biology program to students in Uzbekistan as part of a broader effort to expand access to high-quality health sciences education. At the center of these discussions is a proposed dual-degree program between Logan?s College of Healt h Scien ces an d Alf r agan u s Un iver sit y. The program would allow students enrolled in General Medicine studies at Alfraganus to complete Logan?s Human Biology coursework online and earn a U.S. degree while remaining in their home country. The initiative grew from discussions between leaders of both institutions who recognized how Logan?s curriculum, faculty expertise and digital learning resources could complement Alfraganus University?s existing medical education programs. Together, they identified a shared goal of preparing the next generation of healthcare professionals to meet evolving community needs. ?This proposed program reflects Logan?s mission to improve health and transform lives by expanding access to high-quality health sciences education,? said H. Garrett Thompson, DC, PhD, president of Logan University. ?By connecting students in Uzbekistan with Logan?s academic strengths, we can help prepare more health care professionals to meet

the needs of the communities they serve.? The relationship has expanded beyond the proposed dual-degree program through connections with the Republican Scientific and Methodological Center for the Development of Education, a state agency that supports workforce development and educational advancement throughout Uzbekistan. Logan and the Center have signed a memorandum of understanding to explore future collaboration in education, research, professional development and workforce training. Logan?s emerging partnerships in Uzbekistan reflect a thoughtful approach to global engagement focused on collaboration, local needs and long-term impact. ?Logan remains focused on serving learners where they are,?Dr . Th om pson said. ?Whether through a dual degree program, professional development initiatives, or future collaborations yet to be imagined, the University is charting a path that extends its educational reach while strengthening the health and well-being of communities around the world.?

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How Can We Kn ow an d Im pr ove t h e Qu alit y of Ch ir opr act ic Car e? Researchers at Palm er College of Ch ir opr act ic are leading an important initiative to develop evidence-based measures that can help evaluate and improve the quality of chiropractic care. Just as other healthcare professions use standardized quality measures to assess safety, effectiveness and patient-centred care, chiropractic is working to establish similar tools to support continuous improvement and accountability. The project, led by Dr . Rober t Vin in g, Associat e Dean of Clin ical Resear ch at t h e Palm er Cen t er f or Ch ir opr act ic Resear ch , began with a comprehensive review of clinical guidelines, best practices and standards of care. This process resulted in a preliminary set of 70 quality measures designed to evaluate various aspects of chiropractic practice. To refine these measures, researchers conducted a Modified Delphi Consensus Process, bringing together 46 clinical administrators from accredited chiropractic institutions and integrated healthcare settings. Through multiple rounds of expert review, the list was narrowed to 64 candidate quality measures. The research team then surveyed chiropractors across the United States to assess the importance and practicality of implementing these measures. Despite differences in practice settings, respondents showed strong agreement in their evaluations. Notably, the highest-ranked measures focused on patient safety, including red-flag screening, monitoring patient response to care and appropriate referral for conditions such as osteoporotic fractures. The findings highlight a shared recognition that safe care forms the foundation of quality healthcare.

The study also identified broad support for quality measures related to documentation, informed consent, care planning, communication and coordination with other healthcare providers. Establishing standardized measures in these areas may help practices benchmark performance, identify opportunities for improvement and demonstrate their commitment to delivering high-quality patient care. The researchers noted that practical, clinician-informed quality assessment tools can play an important role in strengthening confidence among patients, healthcare partners and policymakers. Importantly, the project represents one of the most comprehensive efforts to date to define quality measures specifically for chiropractic practice. As healthcare systems increasingly emphasize accountability, outcomes and value-based care, the development of profession-specific metrics will help ensure chiropractic providers can effectively demonstrate the quality and safety of the services they deliver. These measures may also support future research initiatives and contribute to greater consistency in clinical practice. Researchers are now encouraging organizations that provide chiropractic services to begin piloting these measures and integrating quality assessment into their clinical systems. Future work will focus on developing patient experience measures, helping the profession better understand care from the patient's perspective.

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Th e Royal College of Ch ir opr act or s Welcom es a New Pr esiden t At the Royal College of Chiropractors?annual Winter Conference, held on 4 February at the Royal College of Physicians in London,St u ar t Sm ellie formally began his term as Pr esiden t of t h e RCC, following a year serving as President?Elect. Mr Smellie brings m or e t h an t h r ee decades of clinical experience, alongside a longstanding commitment to postgraduate education, professional standards, and leadership within the profession. He has contributed to the academic and professional development of the Royal College for many years, having served as a trustee since 2010 and spent 15 years as Dir ect or of Academ ic Af f air s. During this time, he was the lead author of the RCC?s Qu alit y St an dar ds pr ogr am m e, supporting chiropractors in delivering high?quality, evidence?informed care across a wide range of practice areas. The conference was a great success, attracting more than 300 ch ir opr act or s an d gu est s. With a strong programme of speakers, it offered opportunities for learning, professional dialogue, and reconnection in the impressive setting on the edge of London?s Regent?s Park. Speaking about taking on the new role, Mr Smellie said: ?It is a great honour to serve as President of the Royal College, and I am looking forward to working with colleagues across the profession to continue to support chiropractors in delivering the highest standards of care for our patients.? He also paid tribute to the ou t goin g Pr esiden t , M ar k Gu r den , thanking him for six years of committed leadership, including guiding the College through the unprecedented challenges of

the COVID?19 pandemic. The RCC supports the profession through a broad range of activities, including the development of clinical standards, delivery of post?registration education and training, support for specialist faculties, promotion of research, leadership in patient safety initiatives, and collaboration with universities, professional associations, and the General Chiropractic Council. Mr Smellie took the opportunity to recognise and thank the many chiropractors who contribute their time, expertise, and commitment to these activities.. As part of this ongoing work, Mr Smellie launched a pu blic con su lt at ion on a n ew RCC Qu alit y St an dar d f or Axial Spon dyloar t h r it is (AxSpA). The proposed standard aims to support improved recognition and earlier diagnosis of this condition, which is known to be associated with significant delays in diagnosis and management. The consultation reflects the RCC?s commitment to continuous improvement in clinical care and invites input from the profession to help shape guidance that supports timely, patient?centred, and effective management.

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Par ker Sem in ar s Celebr at es 75 Year s w it h Recor d-Set t in g Dallas Hom ecom in g Par k er Sem in ar s marked a significant milestone in healthcare education as its 75th Anniversary Dallas Homecoming Event welcomed more than 1,600 chiropractors, healthcare professionals, researchers, students and alumni to Parker University in Dallas, Texas, from 2-4 October 2026. The event commemorated 75 years since Dr. James W. Parker established Parker Seminars in 1951, helping to build what has become one of the longest-running continuing education programs in healthcare. Over three days, attendees participated in a diverse programme featuring more than 25 presenters across 13 educational tracks, covering clinical care, rehabilitation, human performance, nutrition, business leadership and emerging technologies. Featured keynote speakers included Lou isa Nicola, a clin ical n eu r oph ysiologist an d f ou n der of Neu r o At h let ics; Gr eg Rose, co-f ou n der of t h e Tit leist Per f or m an ce In st it u t e; Dr . Br ad Glow ak i, a n at ion ally r ecogn ized ch ir opr act ic t ech n iqu e edu cat or ; an d Dr . Rich ar d Har r is, a ph ysician an d h ealt h car e leader f ocu sed on t h e f u t u r e of m edicin e. Beyond education, the Homecoming celebration honored the history and legacy of Parker Seminars through a variety of special events. Attendees participated in the Century Club brick-laying ceremony, alumni reunions and a Friday evening celebration featuring live music and food trucks, providing opportunities for networking and reconnecting with colleagues and classmates. The event also reflected the continued evolution

of Par k er Un iver sit y, whose educational reach now extends beyond its flagship Doctor of Chiropractic programme to a broad range of healthcare disciplines. Through its emphasis on evidence-informed practice, innovation and interdisciplinary collaboration, the institution continues to prepare healthcare professionals to meet the changing needs of patients and communities. For many attendees, the anniversary gathering served as both a celebration of the profession's accomplishments and an opportunity to explore future directions in healthcare education and patient care. The strong turnout underscored the enduring influence of Parker Seminars as a forum for professional development, leadership and the exchange of ideas within the global healthcare community. As Parker Seminars celebrates its 75th anniversary, the success of the Dallas Homecoming event highlights its enduring role in advancing professional education, fostering collaboration and supporting lifelong learning across the healthcare professions. Th e n ext Dallas even t is sch edu led f or 1-3 Oct ober 2027, f ollow in g Par k er Sem in ar s Las Vegas in Febr u ar y 2027. For more information and to view the full press release, visit here:

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Wh y Resear ch an d Sch olar sh ip in Ch ir opr act ic Edu cat ion M at t er Bar t Gr een , DC, M SEd, Ph D, Edit or -in -Ch ief , Jou r n al of Ch ir opr act ic Edu cat ion Clinical practice involves the skilled application of best evidence, clinician experience and expertise, and respect for patient needs and values. Chiropractic education has similar components. The practice of providing a quality educational experience, and what Bart Green, DC, MSEd, PhD, Editor-in-Chief, Journal of learners want, involves Chiropractic Education the latest information, contemporary delivery and administration, consideration of the student experience, all delivered with artful experience. Thus, research and scholarship are essential to informing chiropractic education now and in the future. High-quality scholarly activity helps institutions evaluate teaching methods, strengthen curricula and assessment, improve clinical education, support faculty development, and respond to changes in healthcare, technology, regulation, and the needs of patients and communities. It also creates a body of knowledge that can be examined, challenged, replicated, and adapted across countries and educational systems. The Journal of Chiropractic Education (JCE) is an international, peer-reviewed journal that showcases this kind of research. The JCE is devoted to advancing chiropractic education through research, innovation, and scholarly dialogue. Now in its 40th volume, the journal provides a dedicated forum for educators, researchers, clinicians, administrators, and academic leaders to demonstrate how chiropractors are educated and how that education can continue to improve. The international scope of chiropractic education makes this work especially important. Programs

operate within different healthcare systems, cultures, regulatory environments, and academic structures. However, many educational questions are shared, and chiropractic training programs worldwide grapple with similar issues. The JCE serves the profession by providing an important platform for research output and discussion. Research published in JCE in 2026 has addressed education standards in the United Kingdom, faculty well-being and research culture in Malaysia, student learning in South Africa, patient-centered communication across Canadian and American programs, psychometrics in New Zealand, assessment of student performance in Denmark, and many other topics germane to the chiropractic training world. These studies demonstrate how local research can contribute to global learning. Also exciting is the growing international collaboration among chiropractic educators who publish. A strong culture of scholarship does more than produce publications. It promotes curiosity, critical thinking, collaboration, mentorship, and continuous improvement. When educators study their teaching, share their findings, and learn from colleagues internationally, they strengthen their institutions and build the evidence base for chiropractic education. That evidence can inform accreditation, curriculum design, faculty development, lifelong learning, and the preparation of future professionals. Ultimately, stronger educational research supports better-prepared graduates, stronger academic institutions, and higher-quality, person-centered care? helping chiropractic education and the profession continue to advance worldwide. Take an inspiring tour around the world of chiropractic education research at h t t ps:/ / jce.k glm er idian .com /

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Pier r e Cot é an d Cesar Hin capie visit ed t h e Un iver sit y of Sou t h er n Den m ar k an d t h e Ch ir opr act ic Kn ow ledge Hu b In the third week of September 2026, Pr of essor Pier r e Cot é, Ontario Tech University Research Excellence Chair in Musculoskeletal Rehabilitation Director, Institute for Disability and Rehabilitation Research Faculty of Health Sciences and head of WHO Collaborating Centre on Rehabilitation and Musculoskeletal Health, and Cesar Hin capié, Senior Scientist and Head of the Musculoskeletal Epidemiology Research Group at the Epidemiology, Biostatistics and Prevention Institute (EBPI) of the University of Zurich, visited the University of Southern Denmark and the Chiropractic Knowledge Hub. During their stay, Pier r e Cot é an d Cesar Hin capié conducted an informal lunch meeting with researchers from the University of Southern Denmark and the Chiropractic Knowledge Hub, and Professor Coté held a talk titled ?The Future of Health Depends on Rehabilitation´ at the Danish Institute for Advanced Study (DIAS)at the university.

How can ch ir opr act or s h elp pat ien t s w it h h eadach es? In an article in the Danish Headache Association?s member magazine, Kr ist in a Boe Dissin g, Ph D, ch ir opr act or an d sen ior r esear ch er at t h e Ch ir opr act ic Kn ow ledge Hu b, examines how chiropractors can contribute to headache management through non-pharmacological approaches. The article emphasizes that headache disorders are complex and rarely have a single cause. Effective treatment therefore depends on thorough assessment, accurate differentiation between headache types, and clear, individualized treatment goals. According to Dissing, chiropractic care can benefit selected patients when treatment is tailored to the individual and integrated into a broader management strategy. While not all headache

patients are suitable candidates, chiropractic treatment may serve as a valuable supplement or alternative to medical care for some. An assessment process can help determine relevance for individual patients. The article also highlights that neck problems often coexist with headaches without necessarily causing them. As a result, evaluation should be holistic rather than based on the assumption that neck dysfunction alone explains symptoms. Chiropractic treatment may be particularly relevant for cervicogenic headache, tension-type headache, and, in some cases, migraine. Expected outcomes are typically reduced frequency and duration of headache episodes, along with improved function and quality of life, rather than complete symptom relief. A key conclusion is that chiropractic care is most effective when delivered as part of an individualized, preferably multidisciplinary treatment plan, with clear agreement on diagnosis, goals, expected outcomes, and timeframes. Finally, Dissing notes that research evidence is not unequivocal. Study quality varies, and many patients experience overlapping headache diagnoses, making research findings difficult to apply directly. Therefore, clinical judgment, individualized care, and realistic patient expectations remain essential components of effective treatment. Back an d Neck Pain Also Af f ect t h e Fam ily Research from the Spine Centre of Southern Denmark

and the University of Southern Denmark shows that back and neck pain place a significant burden not only on patients but also on their relatives. As back pain becomes increasingly common worldwide, understanding the role and experiences of family members is becoming more important. The study, involving nearly 300 relatives of people with

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long-term back pain, found that the burden is primarily emotional. Worry was the most common challenge, affecting 93% of relatives, with Kristina Boe Dissing more than half reporting a high degree of impact. Frustration and sadness were also widespread, while practical issues such as finances and diet played a much smaller role. The findings highlight that chronic pain is not only a physical condition but also a psychosocial challenge for the entire family. Partners were the most affected group, particularly younger partners and those reporting poorer health. The burden increased when patients had long-lasting pain, greater disability, and a higher overall symptom burden. This suggests that relatives in complex, long-term cases may need particular attention and support. -

The study supports a more family-centred approach to pain management. For chiropractors this means:

recognising relatives as part of the treatment context addressing emotional challenges systematically providing education and guidance to both patients and partners

The study reinforces that back pain is a family issue as well as an individual health condition, highlighting the need for broader and more holistic care approaches. Casper Nim, Pernille Platz Skrubbeltrang, Peter Måhr, Henrik Hein Lauridsen. The impact of spinal pain on family members?burden: a cross-sectional study. Scandinavian Journal of Pain 2026.

ECCRE Aw ar ds Fu n din g t o Tw o Resear ch Pr oject s in 2026 In 2026, t h e Eu r opean Cen t r e f or Ch ir opr act ic Resear ch Excellen ce (ECCRE) received funding applications from eight research projects representing three ECU countries. Following review by the Academic Advisory Committee (AAC), the ECCRE Board decided to fund two projects. The Board awarded grants to ?Th e Clin ical Cou r se of Degen er at ive Cer vical M yelopat h y ?led by M ich elle Fr eder ik sen (EUR 40,489) an d?Pr opr iocept ive Weigh t in g as a Pr edict or of Spin al M an ipu lat ion Ou t com es in Ch r on ic Low Back Pain?led by M ich ael M eier (EUR 106,700). The project ?The Clinical Course of Degenerative Cervical Myelopathy?aims to improve the early identification of Degenerative Cervical Myelopathy (DCM), a condition that can be difficult to recognize

in its early stages. The project ?Proprioceptive Weighting as a Predictor of Spinal Manipulation Outcomes in Chronic Low Back Pain?focuses onchronic low back pain (LBP)and explores whether proprioceptive function can predict treatment outcomes following spinal manipulative therapy (SMT). All applications were assessed using ECCRE?s evaluation criteria, including originality, scientific quality, significance, feasibility, applicant experience, available facilities, and budget justification. Together , applicants requested

EUR 630,150 in funding. Click on the link to read more about the t w o r esear ch pr oject s.

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Advan cin g Reh abilit at ion in Ch ir opr act ic: Global In sigh t s f r om t h e WFC Disabilit y & Reh abilit at ion Com m it t ee A recent publication in Ch ir opr act ic & M an u al Th er apies highlights work of the WFC Disabilit y & Reh abilit at ion Com m it t ee and advances the understanding of barriers and facilitators to chiropractic delivery of rehabilitation in health systems across the globe. In May of 2025 members of the WFC Disability & Rehabilitation Committee engaged in a collaborative workshop held during the 18th World Federation of Chiropractic Biennial Congress in Copenhagen, Denmark. Workshop participants explored how chiropractors can contribute to the growing global need for rehabilitation services through the identification of local, regional, and global barriers and facilitators to chiropractic delivery of rehabilitation services in health systems. The study used a Strengths, Weaknesses, Opportunities, and Threats (SWOT) framework to analyze and categorize participant responses. A total of 89 responses were categorized as strengths; 103 responses were categorized as weaknesses; 84 responses were categorized as opportunities; and 93 responses were categorized as threats. Strengths were most reported as being related to chiropractic education, clinical

expertise, and leadership and policy engagement within the chiropractic profession. Common weaknesses reported among participants were related to facilities and logistics, financial considerations, education, and leadership and policy factors. Participants identified opportunities related to improvements in facilities and logistics, leadership and policy development, and education. Lastly, participants identified threats as most often associated with leadership and policy challenges, cultural factors, and political influences (see figure). Findings from this study provide valuable insight into how chiropractors can potentially advance integration into health systems to improve rehabilitation workforce capacity and ultimately the delivery of rehabilitation services for all people in need throughout the world.

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Fr om Seed Gr an t s t o Feder al Am bit ion : Th e COURSE St u dy 's Pat h For w ar d

Adolescent low back pain is remarkably common and understudied. Despite affecting roughly a third to a half of teenagers at some point, there is still minimal published prognostic data to tell a young patient, a worried parent, or a treating clinician who is likely to recover quickly and who is at risk of pain that persists. Th e COURSE St u dy exists to close that gap and its path from small feasibility grants to an active federal pursuit tells its own story about how a profession can build toward field-defining work.

Pictured left to right: Michael Swain, Jeff King, and Katherine A Pohlman

The project began in Sydney, Australia, as The Clinical Course of Spinal Pain in Adolescents: A Feasibility Study, funded by the Macquarie Chiropractic Alumni Research Fund (MtCaRF) under Principal Investigator Michael Swain. Running from late 2020 through 2022, this first study asked a deceptively simple question: could a cohort of adolescents with moderate-to-severe spinal pain be reliably recruited, retained, and

followed over time using electronic, high-frequency data collection? As described in Montogomery et al., the logistical foundation was quite feasible and it made everything that followed possible. With feasibility established in one country, the team expanded the model internationally, running parallel feasibility studies in the United States, Canada, and the United Kingdom. This phase was funded entirely through professional and philanthropic channels close to chiropractic practice: the Royal College of Chiropractors (UK), the Canadian Chiropractic Research Foundation (CCRF), and the American Chiropractic Association?s Council on Chiropractic Pediatrics (ACA-CCP). Each of these organizations is modest in size relative to federal funders, but together they saw that this data-collection approach could travel across health systems and borders. That evidence then unlocked COURSE_Wisconsin with Jeff King, Director of Chiropractic at Medical College of Wisconsin. The NCM IC Fou n dat ion funded the first phase (June 2025?August 2025), embedding the study within the Spine Center at Children's Wisconsin, pediatric-dedicated interdisciplinary spine program, to test feasibility in a specialty-care setting. Building directly on that momentum, an Advancing a Healthier Wisconsin (AHW) grant (July 2026?ongoing) is now extending recruitment and follow-up at the same site, moving the work from feasibility toward genuine prognostic description. Each of these grants was, by federal standards, small. But that is precisely the point. In a field with almost no dedicated funding infrastructure, profession-funded seed grants are what make it possible to generate the pilot data, demonstrate the recruitment feasibility, and build the

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specialty-clinic partnerships that a federal reviewer will eventually demand as proof of readiness. Without this sequence, there would be no credible pathway to a National Institutes of Health submission, which is now the team's next target. This progression also reflects who has stayed at the table. M ich ael Sw ain (M acqu ar ie Un iver sit y) an d Kat h er in e A. Poh lm an (In depen den t Sch olar ) have carried this work across three continents and more than five years, accumulating exactly the sustained, cross-institutional experience that reviewers look for in a team

proposing to lead a field with no existing evidence base. That commitment was on full display the week of September 5?12, when the team met in person to work through data analysis, strengthen team alignment, and sharpen research strategy, deliberately laying the groundwork for the federal application ahead. Small grants built the foundation; this team is now positioned to build on it.

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Com m u n it y Par t n er sh ips Pr epar e Fu t u r e Ch ir opr act or s f or In clu sive Car e At Logan Un iver sit y, students are learning that healthcare extends beyond the classroom and clinic walls. Through the Logan University Health Center at the Stephen A. Orthwein Center at Paraquad, students gain hands-on experience serving individuals with disabilities while developing the skills needed to deliver inclusive, patient-centered care. Students work with individuals living with spinal cord injuries, stroke, Parkinson's disease, multiple sclerosis, cerebral palsy, and other neurologic and mobility-related conditions, providing them with exposure to a wide range of rehabilitation needs. Under faculty supervision, they gain experience in chiropractic assessment and, when appropriate, chiropractic manipulation, while also learning how rehabilitation strategies such as therapeutic exercise, acupuncture, laser therapy, and vibration plate therapy can support patient function, mobility, and quality of life. The partnership provides a unique educational environment where future chiropractors learn to address mobility, accessibility, and wellness needs through compassionate, individualized care. Under the mentorship of faculty clinicians, students strengthen their clinical reasoning, communication, and adaptability while working with a diverse patient population. These experiences reinforce the importance of accessibility, dignity, and patient-centered healthcare.(1) The educational experience extends beyond the clinic and into the community. On September 6, 2026, Logan University students participated in Trailnet's Giro Della Lou cycling event, where they provided manual soft tissue therapy and recovery support to riders. Working directly with athletes gave students hands-on experience assessing

musculoskeletal complaints, communicating with participants, and applying manual therapy skills in a dynamic community setting. Recent recommendations from the Wor ld Feder at ion of Ch ir opr act ic Disabilit y an d Reh abilit at ion Com m it t ee(2) emphasize the importance of strengthening rehabilitation education and preparing future healthcare professionals to serve individuals with diverse functional, mobility, and accessibility needs. This aligns with the rehabilitation literature highlights the importance of preparing healthcare professionals to deliver accessible, inclusive care for individuals with disabilities.(1) Through experiences at Par aqu ad an d com m u n it y ou t r each even t s su ch as Gir o Della Lou , Logan Un iver sit y students gain firsthand experience delivering inclusive, patient-centered care in diverse community settings.

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Together, the Paraquad partnership and community outreach opportunities help students connect clinical knowledge with real-world service. By engaging with diverse populations both in the clinic and at community events, Logan University is preparing future chiropractors to become skilled clinicians, advocates, and leaders in inclusive healthcare. Health Center Clinician, Logan Assistant Professor and WFC Disability & Rehabilitation Committee member Patricia Estrada said, "For years, Paraquad and Trailnet have been exceptional partners in education and service. These collaborations have strengthened our students' learning and created lasting benefits for the communities we serve." Featured in photos for the Giro Della Lou Trailnet race photos: Tiar a Cr osslan d (Logan University PSR-patient service representative, Logan University students: Qu in n Pet er s an d Ch er r elle Wr igh t , and Logan Faculty and DRC member Pat r icia Est r ada. Other photos feature with

permission: Logan student Tr en it y Hill w it h pat ien t - Kat h y, Ch er elle Wr igh t w it h pat ien t San dr a, an d 95 yo pat ien t M ar vel. Ref er en ces: 1.Alexander M. Enabling Health Equity for persons with disability due to spinal cord injury. Spinal Cord Ser Cases. 2020;6(1):100. 2.de Luca K, Adjei-Kwayisi A, Bakaa N, Borsheim CA, Bowzaylo A, Brown R, et al. Chiropractic's role in strengthening rehabilitation in health systems. Chiropr Man Therap. 2026;34(1).

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THANK YOU TO OUR CORPORATE AND EDUCATIONAL PARTNERS FOR THEIR GENEROSITY AND SUPPORT

PLATINUM CORPORATE PARTNERS

The Royal College of Chiropractors ? UK

Activator Methods International ? USA

University of Bridgeport - College of Chiropractic ? USA

Cleveland University Kansas City - USA

University of Western States ? USA

Dynamic Chiropractic Magazine ? USA

BRONZE CORPORATE PARTNERS

Ergotherapy ? South Africa Human Touch ? USA International Board of Chiropractic Examiners ? USA

Asociación de Quiroprácticos de Puerto Rico A.Q.P.R. College of Chiropractic Sciences ? Canada

NCMIC - USA

Dreambed Company Ltd. - Japan

Palmer College of Chiropractic ? USA

Elite Chiropractic Tables ? Canada Federation of Canadian Chiropractic ? Canada

DIAM OND CORPORATE PARTNERS

Four Star Industries Pte Ltd ? Singapore

Canadian Chiropractic Protective Assn ?

Japanese Association of Chiropractors ? Japan

Canada Canadian Memorial Chiropractic College ? Canada Foot Levelers - USA

Fujitega Research Foundation ? Spain

KCS Association ? Japan The Chiropractic Knowledge Hub (Kiropraktorernes Videnscenter) ? Denmark National University of Health Sciences ? USA

National Board of Chiropractic Examiners ? USA

Sommeil Terre Pte Ltd ? Singapore

The American Chiropractor ? USA

Southern California University of Health Sciences ? USA

GOLD CORPORATE PARTNERS Northwestern Health Sciences University ? USA Parker University - USA Serola Biomechanics, Inc. ? USA

SILVER CORPORATE PARTNERS Chiropractic Diplomatic Corps ? Philippines Northeast College of Health Sciences ? USA New Zealand Chiropractic Board- New Zealand

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THANK YOU TO OUR INDIVIDUAL SUPPORTERS FOR THEIR GENEROSITY AND SUPPORT

PLATINUM INDIVIDUAL SUPPORTERS (US$2000)

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SILVER INDIVIDUAL SUPPORTERS (US$500)

Errington Timothy, DC ? Singapore

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Ling Kok Keng, DC ? Singapore McNabb Brent, DC ? USA Moss Jean, DC, MBA ? Canada

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THANK YOU TO OUR INDIVIDUAL SUPPORTERS FOR THEIR GENEROSITY AND SUPPORT Sleiman Rabie, DC - Vietnam Sosna Janet Ruth, DC ? Singapore Sportelli Louis, DC - USA Stewart Gregory, DC ? Canada Takeyachi Kei, DC ? Japan Tao Cliff, DC, DACBR ? USA Truuvaart Gerly, DC ? Estonia Whitman Larry, DC - Australia Wiles Michael, DC ? USA Williams John, DC ? Italy Wolfson Wayne, DC - USA

WANTTOMAKEADIFFERENCETOYOUR PROFESSION?CONSIDERBECOMINGAN INDIVIDUALSUPPORTEROFTHEWFC TODAY! FORINFORMATION,CONTACTUSAT INFO@ WFC.ORG

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