PRIMARY CONTACT Innovating for the Future - SPRING 2021 Volume 59 - Canadian Memorial Chiropractic College
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PRIMARY CONTACT
SPRING 2021 • Volume 59 • Issue No. 2
Innovating for the Future
A publication from the Canadian Memorial Chiropractic College www.cmcc.ca
for alumni, members and friends
WHAT’S NEW
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IN THIS
ISSUE
02 14
From the President Ensuring the growth of research
and academic strength
04
From the Chair 21
CMCC congratulates Dr. John
DeFinney
06
How did we pivot the second time?
22
The right pair of eyes can save the
07 day
Alumni News
CMCC News
24
CMCC Donor Update
08
CMCC celebrates together!
26
In Memoriam
10
CMCC expands its externship
program 27
Passages
12
Photos from Cooking with Chef 30
Carolyn Donations
13
Practice OpportUnity ‘21
Go green: You can reduce your carbon footprint and read Primary Contact
in a digital format (PDF) instead of receiving a paper copy. Email us at
communications@cmcc.ca and we’ll make the switch for you.
Primary Contact - Spring 2021
FROM
THE PRESIDENT
member of our extended CMCC Our students have been
community has been affected by understanding, flexible, resilient and
the COVID-19 pandemic. From dedicated to their studies. Despite
practices that were shuttered the pressures of the pandemic, not a
as restrictions were imposed, to single student failed to return after
losses of loved ones, cancellation the summer recess and resume their
of association meetings, inability to studies in August 2020. Similarly, the
visit friends and family members, new student class was completely
holiday plans scrapped, favourite full, and we had our usual wait
restaurants closed down, trying list of qualified applicants. This
to deliver telehealth services, speaks volumes to the appeal of the
parents and students learning how chiropractic profession and of the
to navigate through working and reputation of CMCC.
learning at home – and the list goes
on. When I wrote you six months Unfortunately, we also lost many
ago about how CMCC was forced opportunities to gather our friends
A YEAR OF to pivot to the virtual learning and alumni for special events.
REFLECTION environment in March of 2020, we Convocation in June 2020 became
Simply put, this last year will certainly did not think we would a virtual event instead of our usual
certainly never be forgotten. Every still be in that position in 2021. joyous celebration at Roy Thomson
2
www.cmcc.ca
Hall in Toronto. As I write this, it those needed improvements. We interest. The Ministry has additional
appears that this will also be the learned that some of the changes we requirements and interests. All of
case for the Class of 2021 because made in delivery of our curriculum this adds up to a huge undertaking
the city has cancelled all gatherings during the pandemic were actually by CMCC, but the underlying purpose
at least until July and there will likely better that our time-honoured and outcome is to have external
be restrictions on large gatherings methods of the past. We learned experts on education, accreditation,
everywhere in Ontario for many that we could provide much greater institutional operations, patient
months to come. We converted our flexibility to employee working hours care, research, student supports,
annual Backs In Motion fundraising and locations than we would have learning resources, the chiropractic
run/walk to a virtual event last year considered previously. We became profession and many other areas
and will have to do so again this more appreciative of the need to evaluate our performance, validate
year. Our 75th anniversary gala provide supports to help employees our self-studies, and make
and Homecoming event that was and students to cope with stress and recommendations for improvement.
to have been held last June at the mental health challenges.
Royal Ontario Museum was canceled Each of you, in your own way, has
and the replacement event for this This past year has also been spent contributed to the strength and
coming June will be a virtual event. on an intense time of reflection on success of CMCC. You provided
We can’t even predict if the August our institution and the Doctor of feedback to us when you were
2021 term will be able to be opened Chiropractic degree program over students and have since participated
on campus or if we will have to start the past decade. As I mentioned in alumni surveys. You have
in the virtual setting. to you last year, we submitted generously donated to CMCC,
an application to the CCE-US helping to keep our tuition level
Through all this, our employees, for becoming accredited by that among the lowest in North America
students and Board members have organization. Because we were and providing financial awards to
remained solidly supportive of also approaching renewal cycles our students. You’ve renewed your
CMCC and appreciative of all we for accreditation by CCE-Canada CMCC Membership and rejoined
have done to ensure the safety of (CCEC) and for our degree granting the Governors’ Club. By the way,
everyone on campus. Just think consent from the Ministry, we had since its inception in 1981, the
back about your time in the Leslie to juggle these three major reviews Governors’ Club has contributed over
or Bayview classrooms and lecture to build upon each other. We asked $2,250,000 to CMCC! You’ve attended
halls, and now imagine chiropractic the Ministry, and were approved, Homecomings and alumni events
technique tables spread out over to extend our approval period by over the years. You’ve met with
the gymnasium, the CCPA hall, two years so that we could use our me at gatherings across Canada.
and every available space. Think CCEC self-study in our application We’ve learned much from you and
about all lectures and small group materials. We asked CCEC, and were for this, as well as your continuing
sessions being delivered online approved, to advance our renewal philanthropic support, we are
and taking tests at home while a by one year for the same reason. We grateful.
faculty member provides remote will have site team visits by both the
proctoring via a video link. Imagine CCE-US and CCEC this year, and This will be a year to remember, but
the stories our students will be able the Ministry is coordinating with the I want the memories not to be about
to tell when they reminisce about latter to add a ministerial observer to the pandemic, but rather about
their experience at CMCC this past the CCEC team. By the time you read how great our institution is and
year. this, we will have submitted separate our determination to become even
self-study reports to the two CCE better.
Through all of this we have learned agencies, describing in detail how
many valuable lessons. The hallmark our program operates, how we
of a great institution is not its measure student learning outcomes
perception of being the best, but and clinical competencies, and areas
rather its willingness to reflect on we have identified for improvement.
its actions, identify weaknesses, The two accrediting agencies share
flaws and places to improve, and some of the same requirements, but
then implement changes to make each has its own areas of focus and David Wickes, DC, MA
3
Primary Contact - Spring 2021
FROM THE CHAIR
their success throughout these most party to celebrate CMCC’s 75th
challenging times. anniversary. I encourage you to
join us during this extraordinary
The year 2021 will be very busy at celebration of chiropractic and
CMCC even if most of the activities friendship. It is through the
will be virtual. The new ways of commitment of each member of
doing things require meticulous the CMCC family, of which you
work and great creativity on the are a part, that we can succeed in
part of CMCC employees. Their our mission: deliver world class
organizational success never chiropractic education, research
ceases to amaze us. Practice and patient care. Again thank you
OpportUnity on February 17 was very much for your unconditional
a most striking example with over and constant support.
650 participants including students,
sponsors, associations, vendors On behalf of all of us at CMCC, I
and chiropractors from Canada, convey my deepest sympathies to all
the USA and the Caribbean. Some those who have suffered the heavy
members of the Board of Governors loss of a family member or friend
Hello dear colleagues and friends. It participated and witnessed this in this time where nothing is really
is with great pleasure and humility huge success while interacting with normal.
that I am able to connect with you students.
once again through this message. Stay safe and healthy
I hope that everything is going well 2021 will also be a pivotal one
for you and your precious ones for CMCC because self-study
and that life continues to bring you documents are required by our
moments of joy every day despite accreditation agencies, both
this pandemic which has changed chiropractic and governmental. Bonjour chers/ères collègues et
our daily lives for over a year now. Moreover, for the first time, CMCC is amis/es, c'est avec un énorme
seeking accreditation by the CCE- privilège que je profite de cette
Through health measures imposed US to expand practice prospects opportunité de communiquer à
by governments and to ensure for our students. Preparing for nouveau avec vous. Je souhaite que
a safe and healthy environment these self-studies requires a tout se passe très bien pour vous et
for our students and the entire tremendous amount of work and vos êtres précieux et que la vie vous
CMCC community, we have had I congratulate the entire team for apporte chaque jour des moments
to face significant challenges this truly remarkable commitment. de grands bonheurs à travers cette
both at the organizational and I also thank all members of the pandémie qui a bouleversé notre
financial levels. Every member of Board of Governors for providing quotidien depuis déjà plus d’un an.
our great institution, under the their invaluable feedback in the
leadership of our President Dr. development of these documents. Les mesures de santé et d’hygiène
Wickes, has worked tirelessly and imposées par les gouvernements
with exceptional commitment so Backs in Motion will be held virtually afin d'assurer un environnement
that our students, the future of in May. We are counting on your sécuritaire à nos étudiants et à
our profession, could continue to indispensable support again this l'ensemble de la communauté
receive an education of the highest year to make this event a huge du CMCC nous ont amené à faire
quality and pursue their journey success. The weekend of June 3-5 face à des défis très importants,
to success both academically and will be one of great celebration tant sur le plan organisationnel
professionally. I congratulate our as we virtually welcome you to an que financier. Chaque membre de
students who have demonstrated unforgettable Homecoming with notre grande institution sous le
remarkable resilience and high quality continuing education leadership de notre président Dr
unparalleled commitment to ensure sessions, all crowned with a huge Wickes a travaillé sans relâche et
4
www.cmcc.ca
“It’s your reaction to adversity, not adversity itself that
determines how your life’s story will develop.”
Uchtdorf
avec un engagement exceptionnel différentes agences d'accréditation des membres de la grande famille
afin que nos étudiants, l'avenir de autant chiropratiques que du CMCC, dont vous faites partie,
notre profession, puissent continuer gouvernementales. D'ailleurs, pour que nous pouvons réussir à remplir
à recevoir une éducation de la plus la première fois, une demande cette grande mission de procurer un
haute qualité et poursuivre leur d'accréditation sera faite au CCE- enseignement et un programme de
chemin vers la réussite tant sur le US afin d’élargir les perspectives recherche de renommée mondiale
plan académique que professionnel. de pratique pour nos étudiants. ainsi qu'un service et des soins
Je félicite tous nos étudiants qui ont La préparation de cet ouvrage exceptionnels à tous nos patients
fait su faire preuve d'une résilience nécessite une charge de travail qui nous accordent leur confiance.
exceptionnelle et d'un engagement gigantesque et je félicite toute Merci encore énormément de votre
sans égal. l'équipe du Dr Wickes pour ce support inconditionnel et constant
dévouement tout à fait remarquable. des plus précieux en cette période
L'année 2021 sera des plus occupée Je remercie également tous les remplie d’innombrables défis.
au CMCC et ce même si la plupart membres du «Board of Governors»
des activités prévues le seront de qui ont apporté leur contribution Pour terminer, je désire au nom de
façon virtuelle. Ces nouvelles façons inestimable à l'élaboration de ce tous les membres de la famille du
de faire exigent un travail minutieux document. CMCC, transmettre mes souhaits de
et une grande créativité de la part profondes sympathies à tous ceux
de tous les employés du CMCC. Les L'événement « Backs in Motion » et celles qui ont subi la lourde perte
succès obtenus à chaque événement se tiendra de façon virtuelle en mai. d'un membre de la famille ou d’un
ne cessent de nous émerveiller. Nous comptons sur votre support ami en cette période où rien n'est
L’activité « Practice OpportUnity » essentiel encore cette année afin de jamais vraiment normal.
qui a eu lieu le 17 février dernier en faire de cet événement un énorme
est un exemple des plus frappants succès. Une grande fête virtuelle
alors que plus de 650 participants sera présentée du 3 au 5 juin
y ont assisté provenant du Canada, alors que nous vous accueillerons
des États-Unis et des Caraïbes. Des lors d'un « Homecoming » des
membres du « Board of Governors plus inoubliables, de formations
» qui étaient présents lors de d'éducation continue de très haute
l'événement afin d’interagir avec les qualité le tout couronné d'une
participants ont pu être témoins de grande fête afin de célébrer le
cet énorme succès. 75ème anniversaire du CMCC. Je
vous invite donc à vous joindre à Richard Mercier, DC
2021 sera aussi une année nous pour cette extraordinaire
charnière pour notre CMCC, célébration chiropratique et To contact any member of the
car nous devrons présenter d'amitié. C'est à travers un Board, please email
un document imposant aux engagement exceptionnel de chacun board@cmcc.ca.
5
Primary Contact - Spring 2021
HOW DID WE PIVOT
THE SECOND TIME?
DEALING WITH ONTARIO’S SECOND WAVE
Following a successful pivot that of ‘92), Acting Director, Experiential social bubbles with which they
allowed CMCC students to stay Learning, was responsible for started the year.
on course through the year-long engineering the quick response. “I
restriction on class sizes beginning had been thinking of three potential Before moving into the December
in March 2020, and which saw us scenarios, the ugliest of which holidays, Giuliano created
pivot to an almost completely virtual was dropping the numbers to just contingency plans for several
program, CMCC administration 9 students and a tutor.” We only scenarios, including the possibility
received a surprise email at 5:30 have 12 technique rooms, so this of a complete pause in in-person
p.m. on Sunday, November 22, required a double up on sessions labs. Not knowing if in-person
further reducing the acceptable and pulling tutors in from other exams would be possible, he and
group size per instructional space to areas. With this notice, we had to Dr. Dave Starmer (Director, Year
10, beginning on Monday, November move even more quickly and even III) ran trials of virtual testing
23, 2020. extend our recruiting of tutors environments. Should it be
externally. That first week, we were necessary, Starmer had already
Through foresight and preparation, still recruiting but by the following shown the student groups where
CMCC was able to quickly pivot week (30th) we were set with our they would be writing so there would
again. Dr. Dominic Giuliano (Class groups of 10, everyone still in the be no surprises come exam time.
6
Alumni
www.cmcc.ca
News
THE CLASS OF 2020 LEGACY AWARD The generous donation will fund an efforts in art, science and business
The extraordinary events of the past award in perpetuity. or for working for Danish interests.
year made it impossible for the Class
of 2020 to celebrate their graduation Jan Hartvigsen is one of the world’s
or enjoy the traditional trip used to leading researchers in pain and
celebrate their accomplishments and JAN HARTVIGSEN, ADJUNCT disease in muscles and joints with a
solidify their bond as a cohort of new PROFESSOR CMCC, WAS focus on the spine and was a leading
chiropractors. RECENTLY APPOINTED KNIGHT OF researcher behind a landmark
DANNEBROG BY HER MAJESTY report on back pain, which was
After managing the disruption to QUEEN MARGRETHE II OF published in the prestigious journal
their final weeks at CMCC, class DENMARK The Lancet.
members reflected on the challenges
they experienced and decided to From the European Chiropractors European Chiropractors Union
use their graduation fund to honour Union: (December 21, 2020) ECU
future students who have in turn, The Knight’s Cross can be awarded to Congratulates Jan Hartvigsen
overcome personal challenges through Danes and foreigners for meritorious https://www.chiropractic-ecu.org/
perseverance. civil or military service, for special ecu-congratulates-jan-hartvigsen/
CMCC NEWS
NEW STUDENT INFORMATION Services and Accounting division Thank you to the Student Services,
SYSTEM staff for the daily management of Finance and most importantly,
In December 2020, CMCC began the all admissions and registration Information Technology staff for
phased implementation of a new information for students. In the their dedication to this project and
Student Information System (SIS), coming months, CNS will be congratulations on a successful
CampusNexus Student (CNS). The further expanded to staff in other implementation.
need for better functionality and areas including Undergraduate
integration, along with Blackbaud’s Education and Graduate Studies.
announcement that they would A student portal, where students
end support for Education Edge, can update their records, access EQUITY, DIVERSITY AND
the system used for the last 10 their registration, billing and INCLUSION
years. The IT and Student Services grades information, make records CMCC announced the formation of
divisions entertained Requests requests and online payments will an Equity, Diversity and Inclusion
for Proposals from SIS vendors. also be implemented in the coming (EDI) Committee in September 2019.
After a comprehensive search, months. The committee, represented by
CampusNexus Student by Anthology co-chairs Jacquelyn Wingrove and
was selected for its modular, web- The new system will allow for Sharanya Varatharajan will serve as
based platform and integration more comprehensive admissions- a forum to support the community
with other campus systems lead management, a shift to at CMCC where students, staff,
including Canvas, CMCC's Learning digital record keeping, improved and faculty feel acknowledged,
Management System. collaboration between departments respected and a sense of belonging.
and better access to information for The committee’s role includes the
After a year-long configuration students. PowerBI integration will development of recommendations
and data conversion process, provide new opportunities for data to ensure CMCC maintains an
CampusNexus Student was rolled collection and analysis. environment free of discrimination
out in December 2020 to Student and intolerance.
7
Primary Contact - Spring 2021 CMCC CELEBRATES TOGETHER! June 3-5, 2021 Homecoming is going virtual…help us make this a truly global event! Time to set aside the challenges of the past year and come together for a celebration like no other! Traditionally, Homecoming represents a unique opportunity to schedule some personal time and meet with classmates, alumni and other chiropractors. This year, we are celebrating our anniversary classes and so much more as we are combining Homecoming 2020 and 2021 with a celebration of CMCC’s milestone 75th anniversary. Participate in the annual Anniversary Awards by nominating and recognizing your peers for their contributions to the profession and their local communities. The categories are Alumnus/a of the Year, Community Service Award and Pioneer Award. More details to come. For more information including a list of anniversary classes, please visit our event page at www.cmcc.ca/cmcc75 or contact events@ cmcc.ca or 647 265 4186 8
www.cmcc.ca
There are so many other great reasons to attend and you don’t
have to be a CMCC grad to participate!
• Reunite with your classmates from around the world in the comfort of your home
or office…our virtual platform will allow you to see and engage with each other
• Join us at our amazing Gala for exciting awards presentations, anniversary class
recognition, musical entertainment and so much more
• Need a break from CE or meeting with classmates? …look no further than a
variety of fun, family friendly activities
• Our online auction will have several great items on display which can be shipped
to you regardless of where you live
Three days and three streams of Continuing Education! Pain
Management, Rehabilitation and Interprofessional Communications
• Over 25 leading chiropractic experts.
• Come hear Dr. Michael Schneider on The Future of Chronic Low Back Pain
Research and Clinical Management and Dr. Jason Busse on Acute and Chronic Pain:
Opioids and Cannabis vs. Alternatives.
• Also featured in the program are practical workshops including:
- Evidence-Based Approach to Chiropractic Care for the Pregnant and
Postpartum Patient:
Drs. Carol Ann Weis and Crystal Draper
- Extremity and Spinal Adjusting of the Hip, Shoulder and Lumbar Spine:
Dr. Mohsen Kazemi
- Exercises for Hip and Knee Osteoarthritis from the GLA:D Initiative:
Dr. Craig Jacobs
- Biopsychosocial Strategies in Clinical Case Management:
Dr. Matthew Barrigar
9Primary Contact - Spring 2021
CMCC EXPANDS ITS
EXTERNSHIP PROGRAM
Left to right: Dr. Kevin Roberge, Interns Lauren Boilard and Brad McGarr and Dr. Michelle Laframboise
Every year, CMCC sends a program has opened up space welcomed to Roberge’s practice for
number of interns into the field to within the CMCC clinic system an early externship.
work under the supervision of a for the remaining interns to take
chiropractor in private practice. In on additional patients within “The interpersonal fit between
doing so, students are able to work our community clinics as well the extern or an associate and
in their home province or try an as providing new opportunities the clinician is one of the most
opportunity elsewhere. Typically, a for students and practicing important things. Everything else
handful of interns take advantage of chiropractors. is teachable or will come with
the opportunity towards the end of experience. She gelled with the rest
their graduating year. Lauren Boilard at Cranbrook of the clinic staff as well, so it was
Chiropractic with Dr. Kevin an easy decision to have her come
Beginning in 2020, as the pandemic Roberge in five months early in November as
enforced limits on in-person Dr. Kevin Roberge (Class of ‘00), opposed to March,” says Roberge.
clinical experiences at one of practices in Cranbrook, BC. In
CMCC’s community clinics, we November, 2020, he welcomed He knew the practice was busy
took the opportunity to expand Lauren Boilard as an extern in enough to provide her with the
our externship program. Reaching his clinic, Cranbrook Chiropractic experience she needed. An
out into our community of alumni & Wellness Centre. Boilard had additional consideration during the
and through student-initiated shadowed Roberge before entering pandemic was space, so Roberge
opportunities, we launched the CMCC and returned during cleared another office area, and was
program earlier in the year, allowing summers, becoming familiar with ready when she arrived home to
interns who have demonstrated the practice. In her final year, as Cranbrook.
their proficiency to undertake COVID began to change CMCC’s
more of these experiences. The clinical program, Boilard was “Lauren has been learning our
10www.cmcc.ca
office systems over the
summers, so it has been
an easy transition for
us,” says Roberge. “In
"It’s a very progressive CMCC program
addition, she also has
a clinician at CMCC for and puts interns in the right position”
support and guidance. For
me, learning to articulate Dr. Michelle Laframboise
what has become second
nature, like the nuances
of an adjustment has been
rewarding.”
It has worked out so well
that Boilard has been
asked to stay on at the
practice following graduation. Roberge, Laframboise had a history taking patients to the gym and doing
with McGarr, he having shown an active care and rehabilitation. Within
Boilard explained that she interest in her clinic early on, and this internship, I am able to treat in
connected with several having shadowed her for the past this way.”
chiropractors, starting as early two years.
as first year, seeking shadowing In terms of advice for anyone
experiences. Roberge’s practice “He is a huge asset to the clinic, with considering an externship, McGarr
style, personality and the clinic amazing skills,” says Laframboise, says “get out of the bubble and
environment were a natural fit from a Fellow with the Royal College shadow as soon as possible,"
the beginning. of Chiropractic Sports Sciences adding that he has learned so much
(Canada). As a strengthening and through this experience.
“Get out as early as you can,” is her conditioning coach in Toronto,
advice to students. “I was one of the McGarr’s interests and experience “He was prepared well and was
first ones in my class shadowing so were a great match for the clinic. ready,” says Laframboise. "If
early. It gave me an early start to anyone is considering offering an
my externship. It may mean giving As a sports resident at CMCC, externship, it’s a great learning
up time spent with family to cold Laframboise already had experience experience for the entire clinic. If
call, visit practices, but it will pay as a clinician at CMCC and had you are open minded as a clinician,
off in the end. I am so grateful for hosted a successful externship at you can learn a lot from these
this opportunity with Dr. Roberge her practice in 2020. “It’s a very amazing interns. It can be such a
and that it has turned out even progressive CMCC program and good partnership, with learning
better than I could’ve imagined; the puts interns in the right position,” on both sides. He has learning
staff have also been so warm and says Laframboise. objectives from CMCC which he
welcoming as well.” shares with the entire clinic. Next
McGarr approached Laframboise week, for example, he is presenting
For Boilard, it meant a busy in 2018, honing in on a clinical on Shockwave. It’s really a terrific
externship in which she is getting experience that would support his experience.” Laframboise adds that
a lot of varied patient experiences. interests in sports chiropractic. having an extern like McGarr has
“It definitely grows your His cousin Mike McGarr, also a increased the energy in the clinic
independence.” chiropractor, told him about the through his zest for treating patients
rehabilitation-focussed clinic. and the questions he asks. “You can
Brad McGarr with Dr. Michelle actually forget about the pandemic
Laframboise at Orillia Sports “Its amazing,” says McGarr. “It’s once in a while!”
Medicine everything I want – a 12,000 sq ft
In Ontario, Brad McGarr has performance centre with an active For additional information on
been an extern with Dr. Michelle rehabilitation focus. It reflects the how you can get involved in this
Laframboise at Orillia Sports way I want to treat. I‘ve been a important and advantageous
Medicine, a multidisciplinary strength and conditioning coach for program, please email Jacquelyn
rehabilitation-focussed facility. Like four to five years now. I really enjoy Wingrove at jawingrove@cmcc.ca.
11Primary Contact - Spring 2021
NOVEMBER 4, CMCC
HOSTED A VIRTUAL
COOKING CLASS WITH
CHEF CAROLYN
Thank you to everyone who registered
for CMCC’s 90-minute virtual
gourmet cooking class sponsored
by Penmore Financial. We were so
excited to be cooking along with Chef
Carolyn, owner of Delicious Dish, on
Wednesday, November 4!
The menu:
• Jeweled cauliflower couscous
with quinoa and pomegranate
• Boneless turkey breast with
tomato, white wine and garlic
• Rustic apple and pear galette
• Apple cider.
All those who registered received:
the menu, recipes, grocery list,
recommended cooking tools,
preparation instructions, Zoom
link, and the recording of the class.
Chef Carolyn also made recipe
substitutions for those who were
gluten free and for those who didn’t
have all the tools needed for some of
the recipes – making the class a piece
of cake!
Overall we had 56 people register,
28 attend the live event and we
raised $750! All proceeds raised go
to supporting CMCC’s operational
expenses, such as Personal Protective
Equipment (PPE) costs for clinics and
hands-on labs!
12www.cmcc.ca
PRACTICE OPPORTUNITY ‘21 In association with the Ontario Chiropractic Association
On Wednesday, February 17, All together, we had 12 vendors, eight conference and appreciated the
2021, CMCC hosted our first associations and six sponsors. easy access to other vendors and
virtual Practice OpportUnity Day. participants, particularly those they
We were astounded to welcome Our title sponsor, the Ontario would not have been able to connect
663 participants, including 500 Chiropractic Association (OCA), with, had travel been necessary.
attendees! brought us the Practice Realities There was an additional benefit
Panel, moderated by Dr. Moez Rajwani to the virtual environment in that
Each year, we bring together in which established chiropractors registrants are able to revisit the
CMCC students, faculty, Drs. Nardine Bekhit, Angelica conference until early May.
chiropractors and industry Mazzella and Patrick Welsh described
vendors for this popular event. their experiences starting out. Thank you to each of our sponsors,
This year, we were able to bring vendors, chiropractors, and
the conference to an even wider Following the OCA webinar was our attendees for your patience and
audience as we went virtual! We Keynote Address webinar sponsored support as we adapted to the new
searched far and wide for an by the Canadian Chiropractic virtual event platform.
event platform that would live Association and presented by Dr.
up to the expectations of this Steven Passmore and Dr. Gerald Special thank you to our sponsors
signature event and chose vFairs, Olin – who brought everyone on an who stuck with us this year and the
a widely-accessible, versatile event excellent adventure through their new ones who joined us:
platform. chiropractic careers!
Title Sponsor: Ontario Chiropractic
We were very pleased with the At the conclusion of the webinars, Association
successful turnout and number of job our two virtual halls opened: Exhibit
applications that were facilitated – Hall, which hosted the sponsors, Keynote Sponsor: Canadian
178 jobs were applied for via the vendors, and associations, and our Chiropractic Association
online “apply now” function at the Chiropractic Hall, which offered
virtual booths. upcoming opportunities for our Silver Sponsors: Divine Spine,
students. Massage Addict, MyRemoteClinic
We welcomed 54 chiropractors from
across Canada and two international Multiple vendors told us that they Bronze Sponsor: Alberta College
attendees from the US and Carribean. enjoyed the convenience of the and Association of Chiropractors
13Primary Contact - Spring 2021
ENSURING THE
GROWTH OF
RESEARCH AND
ACADEMIC STRENGTH:
CMCC’S JOURNEY INTO RESEARCH AND THE
DEVELOPMENT OF THE CLINICAL SCIENCES
RESIDENCY PROGRAM
eye, while medicine had moved opportunity for inclusion in provincial
forward from its own vitalistic medicare systems.
days towards modern bioscientific
research-based treatments. In order to develop the science of
chiropractic, Drs. Ron Gitelman
In the early-mid 60s, Drs. Lyman (Class of ’61), the Head of CMCC’s
Johnston (Class of ’60) and David Orthopaedics Department, Adrian
Drum (Class of ’67), wrote papers Grice, the Head of the Chiropractic
on posture for the Journal of the Science Department, and Robert J
Canadian Chiropractic Association Johnston (Class of ‘60), the Head of
(JCCA), which was, at that time, not the Clinical Science Department,
yet the important, peer-reviewed began to conceive of a way to
journal it evolved to be. In 1970, Dr. encourage scholarship and leadership
Adrian Grice (Class of ’59) wrote on within chiropractic.
the biomechanics and kinesiology of
posture. These were amongst the few Together, Gitelman, Grice and Drum
papers in the journal that attempted built lectures from the growing body
scientific analysis. of literature from which Gitelman was
Dr. Adrian Grice (Circa 1980)
also developing archives. Johnston
The question of chiropractic’s role reviewed the models for medical
In the early 70s, chiropractic was a bit in the health care landscape began fellowships and from that, designed
of an island - isolated professionally - to take shape as it was becoming the format and curriculum for what
while internally, it remained divided clear that demonstrating the science would become the Fellowship of
between mixers and purists who behind chiropractic was essential Chiropractic Clinical Science. Drum,
adhered to spinal-pelvic manipulative to moving forward. There were an artist, was also enlisted by CMCC
therapy, often following systems pressures that were to come from to draw anatomical representations
practitioners (see page19). Research the Ontario medical profession, as he did for medical texts. (An
was still a twinkle in chiropractic’s a governmental inquiry, and the accomplished artist, some of his work
14www.cmcc.ca
can be seen in the halls, offices and
Haldeman recalls that there was library at CMCC).
a filing cabinet that was literally
overflowing with research articles, 1974 - 6: The launch of the
some of which they hadn’t Fellowship, the NINDS Conference
yet studied. A group of CMCC and the first CMCC Residents
faculty began to meet weekly In 1974, the core group of
and discuss this literature. The researchers, with the support of
members of this group had very CMCC Associate Dean Tom Maxwell
different backgrounds and ideas (Class of ’55), Dean Herb Vear (Class
representing all chiropractic of ’49) and CMCC Board Chair Dr.
perspectives. They included David Churchill (Class of ’52), saw
chiropractors who felt strongly their vision fulfilled with the founding
about traditional chiropractic of the College of Chiropractic
philosophy, purists with different Sciences (CCS), the purpose of which
practice methods, faculty with a was to ensure continued research
strong scientific bent and others and academic leadership within the
whose interest was developing profession. Together, CMCC and the
Dr. Scott Haldeman (Palmer, new clinical instruments or CCS established a two-year full-time
Class of ’64), and a current CMCC treatment techniques. “It was post-graduate residency program in
Board of Governors Member, a marvelous intellectual group. clinical sciences to prepare graduates
recalls that particular time in Fantastic,” says Haldeman. It of the chiropractic program for the
CMCC’s history in 1970 when he was from this collected work Fellowship examination and entrance
was briefly on faculty teaching that Gitelman and his colleagues into the CCS. The first resident was
neurophysiology while writing his developed what was later to be Dr. Michel Moscatelli (Class of ’74)
Canadian licensure examinations known as the archives (see: The followed by Dr. Don Henderson (Class
and was asked to investigate Archives, see page 16). of ’75).
a device called the Synchro-
Therme. This fascinating device In those early days, there was Vear, Maxwell and Churchill provided
was said to “provide valid insight major conflict between medicine much needed endorsement,
into the function of the autonomic and chiropractic and it was securing support from the provincial
regulation of spinal blood flow and considered unethical for a medical associations as well as the Canadian
was purported to determine the practitioner to refer or receive Chiropractic Association and CMCC’s
location of spinal subluxations.” referrals from a chiropractor or Board of Governors. Their support
consider cooperation in research.
Of his time at CMCC, Haldeman Haldeman recalls being warned,
says, “Many of the experienced as he pursued his medical degree
chiropractors in Canada were following his licensure as a
graduates of US colleges, chiropractor, that he should not
especially Palmer College and speak to chiropractors.
National College of Chiropractic.
These colleges represented two After completing his national
markedly different schools of board examination and his work
thought. Some were so-called on the Syncro-Therme, Haldeman
‘straights,’ whose practices were left for UBC where he pursued
limited to cervical adjustments his PhD in Neurophysiology and
only or full-spine practitioners his MD degree. He would later
who offered no services other publish Principles and Practice of
than manipulation. Others were Chiropractic, the first chiropractic
so-called ‘mixers,’ who thought textbook from a medical publishing
chiropractic could be extended house with contributions by
beyond the spine to treat Gitelman and Grice based on their
peripheral joint, even visceral and lectures from the Clinical Sciences
non-spinal disorders. Department. Dr. Robert J. Johnston (Circa 1975)
15Primary Contact - Spring 2021
was vital at this time, while members
among those groups were still
invested in the vitalistic principles of
chiropractic.
Adding to the momentum of the
previous year, 1975 saw the first
conference of the National Institute
of Neurological Disorders and Stroke
(NINDS), devoted to the mechanisms
of spinal manipulation. Haldeman
was a Workshop Planning Committee
member and invited Gitelman and
Drum to accompany him, presenting
on behalf of chiropractic. With
an audience of medical doctors,
researchers and neurologists, the
three were able to demonstrate the Left to right: Drs. Silvano Mior and Howard Vernon (1993)
sophistication of nascent chiropractic
research, of which many of the had opened doors for chiropractic develop the opportunity, and they
conference attendees were unaware. and facilitated the next stage of the chose new graduate Dr. David
residency program. He and Grice Cassidy (Class of ’75) who agreed to
In 1976, the CMCC graduate program began the development of a project at move to Saskatoon for six months
accepted five Residents: Dr. Mike Saskatoon’s Royal University Hospital as a resident of the new program to
Wiles, (Class of ‘76), presently Dean at where an orthopaedic surgeon, Dr. learn from and work with KW in the
Keiser University in West Palm Beach, Kirkaldy-Willis, aka KW), had been hospital‘s busy outpatient orthopaedic
Florida, was among the first CMCC working with CMCC graduate Dr. Gord clinic. Grice and Churchill convinced
residents. “In 1976 they accepted five Potter (Class of ’58). the CMCC Board to support the
residents into the program – myself, initiative and provide a $12,000
and Drs. Lu Barbuto, John Bare, Toffy KW had trained in Cambridge and stipend for Cassidy. It was perhaps the
Kobrossi, and John DeGruchy (all London, England, and had practiced first time the CMCC Board financially
Class of ’76),” says Wiles. Initially, the in Kenya, where he encountered lay supported research and requested
program relied on guided independent practitioners of manipulation. When monthly reports by Grice to justify the
learning. From that year on, until the Potter’s own practice became too expense.
2000’s, two residents were chosen busy, KW spoke to CMCC about the
annually. possibility of bringing someone else to At the end of the six months, Cassidy
Saskatoon to work with him. elected to stay on. “The opportunity
An opportunity in Saskatoon, SK was excellent,” says Cassidy. “You saw
Gitelman’s presentation at NINDS Vear asked Gitelman and Grice to conditions you would rarely see in a
The Archives
Gitelman, responding to the need for a more systematic search process for the chiropractic literature they were
amassing, set about to organize the first collection of scientific articles supporting chiropractic in 1974. Published
originally as “The Archives,” the collection would later – for better or worse – be known as CRAC (Chiropractic
Research Archives Collection). In 1979, new Dean Dr. Alan Adams joined CMCC and hired librarian Claire
Callaghan to assist with the project and develop the library. CRAC was published in four volumes and served the
profession until the advent of internet-based databases and search engines such as PubMed. Callaghan was
credited for building the CMCC library into one of the best chiropractic libraries in North America.
Dr. Howard Vernon (Class of ’77), later to become a Fellow of the Clinical Sciences Residency program, was a
student when CRAC was first published: “The very idea that there was supportive literature that went beyond the
pronouncements of our teachers was thrilling.” (Vernon, 2013)
16www.cmcc.ca
chiropractic clinic and could easily see has been instrumental in CMCC’s
20 patients in the hospital and another establishment of key research
20 in the outpatient clinic afterwards.” and educational partnerships. He
Cassidy remained in Saskatoon, and is also Senior Scientist with the
by 1980 the idea of a clinical rotation Centre for Disability Prevention and
in Saskatoon for everyone in the Research, and the Coordinator of the
residency program had taken shape. Clinical Sciences graduate program.
Cassidy, remaining in Saskatoon, Concurrent with work at CMCC, he
coordinated the program, freeing was also seconded to the Ontario
Grice to concentrate on leading the Ministry of Health and Long Term
Division of Chiropractic Sciences Care as a Senior Clinical Advisor.
through CMCC’s continuing evolution
under Dean Alan Adams. After Mior, Dr. Marion MacGregor
(Class of ‘80) graduated from the
“We came to realize how valuable it residency program in 1984, after
was for the residents to practice in which she earned her Masters in
a hospital where there was access Medical Epidemiology at McMaster
to neurology, spine and general and her PhD in Public Policy and
orthopaedics, the pain clinic, Political Economy at the University of Dr. David Cassidy
rheumatology, etc.,” says Cassidy. Texas garnering numerous honours
“The whole program came together for her work. After teaching and doing
and allowed the graduate students research at National Chiropractic Bussières (Class of ’91), an educator
to learn in the same way that most College, the Texas Back Institute at McGill and UQTR, who led the
medical residents would. As it was and Texas Chiropractic College, Canadian Chiropractic Guideline
a university hospital, there were MacGregor returned to CMCC as Initiative from 2012-2018.
many serious cases and it was really a researcher, and Director of Year
good training.” Another positive II and also held the role of Dean of At Cassidy’s estimation, approximately
was that chiropractic treatment was Research. 40 chiropractic residents went
covered by provincial health care in through the program. “Word spread
Saskatchewan. The opportunities Vernon received his Fellowship in about the quality of the program
more than offset the Saskatoon 1981, becoming a highly lauded and graduates from LACC, Western
winters and as Cassidy recalls, “We researcher, editor and spokesperson States, even National were accepted
kept an extra parka at the hospital.” for chiropractic. Vernon is known for into the program. Some stayed
creating The Neck Disability Index beyond six months. Dr. Jeff Quon
“It was very avant-garde at the (NDI) with Mior. Their 1991 article (Class of ‘86), who subsequently
time,” says Cassidy. The program in the Journal of Manipulative and earned a PhD, spent a year there.
worked well. In the hospital the Physiologic Therapeutics (JMPT) has Côté finished his residency and went
CMCC residents were treated like the been recognized as one of the most on to earn a Master’s in Surgery at
medical residents, and performed influential publications for cervical the University of Saskatoon, before
initial examinations of patients and spine research. His PhD thesis returning to Ontario and earning a
then reported their findings to the investigated the manual therapy for PhD in Epidemiology at the University
consultant. It gave them confidence headaches of spinal origin and he of Toronto. It was an exciting time;
and experience in a collaborative edited two text books on the upper a lot of material was published in
health care setting.” cervical spine (1988 & 2003). chiropractic and other journals,
which was a focus of the program.
Notable success The Clinical Sciences program has The Chiropractic Association of
Dr. Silvano Mior (Class of ’80) followed been highly successful in creating Saskatchewan engendered a good
Cassidy into the Clinical Sciences a foundation from which scholars, relation with the provincial medical
program and has since held a number researchers and specialists would doctors. The outpatient chiropractic
of executive roles at CMCC. Currently flourish. Others who completed the clinic was entirely medical referral.”
Director, Research Partnerships program include Dr. Pierre Côté
and Health Policy, he received a (Class of ’89), a professor at Ontario Cassidy went on to complete his
PhD from the Department of Health Tech University and Canada Research Master’s and his PhD at the University
Policy Management and Evaluation, Chair in Disability Prevention of Saskatoon, and his DrMedSc
Faculty of Medicine, U of T, and and Rehabilitation, and Dr. André in epidemiology at the Karolinska
17Primary Contact - Spring 2021
in a leadership position within
Having the ability to problem-solve chiropractic research and the
allows you to use the evidence, but academic preparation of its faculty
also to extrapolate and balance it when it began, and continues to
with the situation at hand, to continue provide unique experiential training
to respond to it. “There are three to chiropractors, enabling them
pillars to evidence-based practice,” to continue to pursue challenging
he explained. “The research of questions pertaining to why and how
course, but also the experience of chiropractic works and operates
the clinician, and the preference of within a larger context.
the patient. These last two pillars
are often forgotten.” Steiman CMCC’s Residency programs today
cited an example of someone In August 2020, CMCC welcomed
who followed a study to the letter, its most recent cohort of graduate
discharging a patient before he had students into its three programs –
received adequate treatment, simply Clinical Sciences, Sports Sciences
Dr. Igor Steiman because the study had included and Diagnostic Imaging - offering
only six treatments. “Judgement is them opportunities for specialized,
Institute in Sweden. He has held paramount,” he says. “Research is hands-on experience in hospitals,
several senior positions in Canadian not the reality – it approximates it; clinics, sports and industry along
universities and at the University of practice is reality. To manage a case with research opportunities and
Southern Denmark. using research alone is like the tail individualized study programs. The
wagging the dog.” director of the program, Dr. Paula
Drs. Cassidy and Kirkaldy Willis ran Stern (Class of ‘91), says that the
the program until KW’s retirement Residents had access to exciting mix of practica and individually-
in 1990, after which CMCC residents research. Mior recalls having the tailored studies enabled students
remained in Ontario for their opportunity to participate in advanced to move online during COVID-19
residency training. gait research, working with the concerns and continue their studies
anatomist at Saskatoon’s Royal largely unhindered, offering recent
Residency opportunities have University Hospital. “The research I graduates the opportunity to learn
greatly expanded, thanks in part to was involved in was led by Dr. Bruce in multidisciplinary settings and to
the program that has provided the Brandell, an anatomy researcher at contribute to meaningful research.
exceptional training to its Fellows, and University of Saskatchewan in 1981. Each of the three programs has
who have, in turn, held the doors open He was investigating the sequential continued throughout the year,
for others. muscle activation during walking. In pivoting to online studies as needed.
understanding the sequential activation
Reflections on the program and relaxation pattern of muscles in Dr. Stephanie Alexopulos (Class
Dr. Igor Steiman became a Fellow the lower limb, one can use computer of ’19) is in her second year of the
in ’86 and was Director of Graduate programing to activate external muscle Clinical Sciences residency program.
Studies and Coordinator of the stimulators to mimic the pattern and Inspired by her interactions with
Clinical Sciences Residency from simulate walking. If successful, this residents during her undergraduate
’94 to ‘99. Today, he is a professor could be used in paraplegic patients years, she looked further into
of clinical education at CMCC and to enable them to walk with external the program and realized the
holds a position as a senior clinician muscle stimulation.” combination of teaching and learning
in the Department of Family and was right for her.
Community Medicine at St. Michael’s “Along with David Cassidy, KW
Hospital. Steiman says the program was very influential in developing During her first year in residency,
was important to his current position my interest in collaborative health she shadowed at Hamilton General
with the hospital – a Fellowship was a care and the role of conservative Hospital fracture clinic and was
prerequisite -- and that it taught him care in managing complex spine able to follow patients from pre- to
to be comfortable with the uncertainty cases,” says Mior. “He was one post-surgery care, an experience
that can arise with complex cases and of my mentors and advanced my she called “amazing.” She was able
how to problem-solve. “No one likes knowledge and commitment to to complete that rotation before
uncertainty, particularly in health clinical research.” Mior says that continuing at St. Michael’s Hospital
care, but it is always there.” the graduate program put CMCC when COVID-19 struck. At that time,
18www.cmcc.ca
she says, her placement went virtual as well as completing the residency
and she participated in wellness program and writing her Clinical
check-ins that were instated by Dr. Sciences Fellowship exam. The
Deborah Kopansky-Giles (Class Master’s degree will open the door
of ’82), her supervisor at the for a potential PhD down the road,
hospital. They identified over 2,000 so she sees multiple advantages to
patients and contacted each one the program.
to ensure they were able to access
medication and the necessities of In terms of research, Alexopulos
life as the city closed down during is excited to be working with
the pandemic. Alexopulos treated the University of Denmark, with
an older population and found the which CMCC has a Memorandum
initiative was very helpful in keeping of Understanding. She has been
them supported and well during studying the GLA:D for Back
this stressful time. (As of the time of program to determine whether
writing, the residents have returned there is an association between
to their placements.) completion of the program and Dr. Stephanie Alexopulos
increased functionality of patients
A new advantage suffering from back pain. chiropractic programs around the
Aside from the ‘first-offs’ Alexopulos world.
experienced in the program and CMCC's graduate programs have
during the change due to COVID-19, produced over 110 graduates since
she is the first resident to undertake 1975 who have become recognised References
a bridge program between CMCC leaders in academia, research, Vernon, H. (2013) The life and
and Institute of Health Policy health administration and politics. contribution of Dr. Ronald Gitelman:
Management and Evaluation Alumni can be found as members a pioneer of modern chiropractic
(IHPME), University of Toronto (U of of national and international elite science (J Can Chiropr Assoc). 57(1):
T) that will allow her to complete sports teams, executives, clinicians 10–17. PMCID: PMC3580999 PMID:
her Master’s degree through U of T and scientists within university and 23482630
DAVID DRUM: THE FIRST subluxation: 1) hypermobility which
3D MODELS OF THE SPINE, needed to be stabilized, 2) fixated or
DEFINING SUBLUXATION immobilized joints that needed to be
Through their research and mobilized and 3) compressed spinal
study, early researchers at cord or nerves which would need to
CMCC concluded early on that be decompressed. In this way, says
bioengineering concepts could Drum, the therapeutic goals were
be applied to human locomotion. simple and clear cut.
They began working with Lyman
Johnston, who combined his Drum began to invite specialists
engineering skills with his from his network to lecture
chiropractic skills to develop 3D at CMCC, introducing the first
models of the spine. Together, they multidisciplinary lectures to
felt they could put a framework students and recalls bumping
together for chiropractic and against the old guard, those who
develop a scope of practice. were still firmly entrenched in the
Striving to keep it simple, the vitalism from which both medicine
group described three types of and chiropractic grew.
19Primary Contact - Spring 2021
"’Mixers’, says Drum, "were of these techniques were offered charging. Colwill, says Drum,
disparaged as compromising the at post graduate seminars. There had been a Vietnam war trauma
‘hands only’ manipulative art of were copious notes provided and surgeon and was both dedicated and
the founders with the addition of ongoing personal instruction. generous with his time.
physiotherapy, massage, electro- None of this was peer reviewed
mechanical devices and even but I certainly enjoyed meeting Meanwhile, Drum was also working
nutritional advice associated with these very charismatic pioneers at Wellesley Hospital, joining rounds
naturopathy. Purists adhered of manipulative systems who were with Dr. Charles Godfrey, head of
to spinal-pelvic manipulative doing their best to fill a vacuum at physical medicine, while teaching
therapy and many of them were the time. Most of them were highly manipulation. Initially, Drum says
systems practitioners that followed skilled practitioners and enjoyed an he met with resistance from the
chiropractors who had evolved their intuitive diagnostic facility. I learned hospital physiotherapists, but
own systems of spinal analysis and a great deal from them. dealt with it by providing them with
therapy. None of these systems lessons in manipulative therapy.
were based on much research or He credits Dr. John Colwill, from the Drum’s work with the Wellesley
clinical trials. They were supported Orthopaedic and Arthritic Hospital Hospital laid the foundation for
by the charisma of their founders for lecturing at his undergraduate more opportunities for CMCC down
and anecdotal case histories. Most and postgraduate courses without the road.
of others, and applied it to their institutions. CMCC research
patients.” As time went on, the desire faculty broke many barriers in the
for research and for the application research world which contributed to
of scientific methodologies grew, chiropractic’s evolving relationship
along with increased exposure and with allopathic medicine. She was
collaboration with medicine. also instrumental in establishing
the McMorland Family Research
Moss acknowledges that at the Chair in Mechanobiology, held by Dr.
time, there was tremendous Samuel Howarth, making CMCC the
antipathy towards chiropractic only chiropractic institution to have
from medicine. In fact, medical a Chair in chiropractic.
doctors were not supposed to
refer or receive referrals from The evolving relationship with
chiropractors. However, privately, allopathic medicine was assisted
chiropractors could create better by other strategies such as
working relationships. Moss and improved student education,
Dr. David Drum, practiced together ongoing community outreach
and they established several strong and the successful integration
Dr. Jean Moss (Class of ’70, CMCC relationships with local MDs and of CMCC chiropractic clinics
President Emerita), was a CMCC specialists. into Toronto teaching hospitals,
student when the emphasis on beginning with Wellesley Central
research began to grow. She recalls Moss believed strongly that an Hospital in the 1990s. When the
that CMCC attracted inquisitive educational institution should have Wellesley Central Hospital closed
minds. “Very early on, faculty a robust research department and in 2004, the program moved to St.
looked at the research, which during her presidency, CMCC’s Michael’s Hospital which led to a
was very limited at the time, their research division grew to one of the series of stronger interprofessional
own anecdotal results and those most productive among chiropractic relationships and collaborations.
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