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by promoting excellence in chiropractic regulation.

CANADIAN FEDERATION OF CHIROPRACTIC REGULATORY BOARDS

LA FEDERATION CANADIENNE DES ORGANISMES
DE REGLEMENTATION DE LA CHIROPRATIQUE

I have had the privilege of serving as President since 1994 and from this vantage point I have seen enormous changes in our organization. The CFCRB has continued to evolve into a truly effective chiropractic organization dedicated to serving the needs of provincial regulatory boards.

At our Annual Meeting in 1995 we engaged in a planning process to review where the CFCRB had come from and where we needed to go. Our three top priorities were identified as information exchange, problem solving assistance and providing a forum to discuss regulatory functions and disciplinary actions. As a result we began to change the CFCRB. We have addressed each of the priority areas and we have made the structural changes necessary to respond effectively.

It has now been two years since our bylaws were overhauled to create a more flexible and dynamic structure and two years since we made the decision to retain outside administrative assistance. The results of these two changes are evident to everyone.

As a result of the bylaw changes, our Board has been expanded to increase participation and representation. Our Committees have been able to include participants from outside our Board which has, for the first time, allowed us to use the expertise of the profession at large and ensure we do not overwhelm Board members. The manner in which our AIT and Specialization Committees have worked would not have been possible under our old bylaws.

As a result of the decision to retain a part time Executive Director we have been able to dramatically increase the amount of communication we have had with our provincial members. I also believe we simply would not have been able to get the AIT job done without our Executive Director.

MISSION AND OBJECTIVES

Let us remind ourselves of what the Mission Statement of the CFCRB is:
"To assist in the governance of the practice of chiropractic in the public interest."

The specific objectives of the CFCRB are:

The Mission and Objectives have remained remarkably consistent over the last two decades and are the guide posts against which all activities should be judged. Every time we are faced with a request to act as a corporate body within chiropractic, we should look to the Mission and Objectives to ensure that we are truly serving our members interests.

I believe that we have been very effective in the past year in advancing the Mission and Objectives.

RECOGNITION

I would also like to salute those who have come before us and helped to build the CFCRB.

Let us recognize those who have served as President since the inception of the Federation:

Ronald Carter, DC - 1978-83
Fred Barnes, DC - 1983-85
Andre Audette, DC - 1985-91
Bob Tharp, DC - 1991-93
Jim Nykoliation, DC - 1993-94

Let us also acknowledge those who have been recognized for their contribution over the years by being named "Honourary Directors":

Douglas Alderson, DC
Andre Audette, DC
Fred Barnes, DC
Hal Beasely, DC
Ronald Carter, DC
David Peterson, DC
Bob Tharp, DC
Stephen West, DC

ADMINISTRATION

Mr. Peter Waite has now been serving as the CFCRB's Executive Director since May 1997. He came to the CFCRB as someone who was well known to the profession for his six years as Executive Director of the Ontario Chiropractic Association and his work on Canada's Chiropractic Centennial Convention and the national advertising campaign. Peter is a Certified Association Executive and has many years experience working in the non-profit organization sector. His consulting firm, Association Management International, provides services to not only the CFCRB, but also to the World Federation of Chiropractic and other associations.

Given the limited financial resources of the Federation, the option of retaining the services of a consultant whose office serves as our office, is ideal. Not only that, but in Peter, we have someone who knows chiropractic, knows our issues and knows our people. All those who have worked with him know of his strong commitment to our profession.

FINANCES

I would like to briefly review the financial history of the CFCRB. For many years the only significant income was an administration fee retained in order to collect and pass on the dues of the CCEC. Starting in 1996 the CCEC began collecting its own dues. Also in 1996, the CFCRB established its own dues at a level of $5.00 per chiropractor so that we could determine what an appropriate funding level would be. After two years at the $5.00 level, and facing increasing challenges from the AIT and requests from member provinces for more information and activity, the dues level was raised last year to $15.00.

This past year was the first time the CFCRB ever created a budget, and the first time that financial statements, other than the auditor's report, were ever prepared and reported to the Board. A great deal of effort on the part of the Treasurer and Executive Director have gone into the preparation of budgets and financial statements which have become very necessary given the new level of activity within the CFCRB.

It should be clear to everyone that without an adequate level of financial support from our provincial members, the CFCRB cannot effectively fulfill its mandate. While the 1998 audit shows a surplus, we must remember that this includes a grant of $20,000 from the CCA towards the Specialties Committee, of which only $4,500 was spent by December 31, 1998.

We must take responsibility for funding the work of the CFCRB ourselves, and that means the Member provincial regulatory boards. The decisions we make on financial matters will be crucial to our ability to be an effective organization.

While the Federation's activities have clearly increased, we have been very conscious of our fiscal and human resources. Wherever possible, meetings of the board and committees were held concurrently in order to reduce expenses and the imposition on our volunteers.

COMMUNICATIONS

Over the past year we have continued our practice of regularly distributing information to not only our Board of Directors, but also to the Presidents, Executive Directors and Registrars of all Member provincial regulatory boards. This step has been taken to ensure that the broader CFCRB constituency is aware of our work.

Given the sensitive nature of many of the issues which we are handling, it is of great importance that Member provincial regulatory boards be kept informed. While we have definitely improved in this area, we need to explore additional methods for improving the communication between the CFCRB and our Member provincial regulatory boards.

FEDERATION OF CHIROPRACTIC LICENSING BOARDS

The CFCRB has long had cordial relations with the FCLB in the United States. The FCLB Conference provides an important occasion for Canadian's to become appraised of developments internationally and to network with colleagues from other jurisdictions. Canadian participants at last year's conference included representatives from Quebec, Ontario, Nova Scotia, CCEC, CCEB and our Executive Director.

At that meeting the Executive Director and I were asked to speak on the CFCRB's work in the areas of the Agreement on Internal Trade and on Specialties.

CANADIAN CHIROPRACTIC EXAMINING BOARD

Arising from the discussions of the AIT Committee, the CFCRB Executive was directed to negotiate with CCEB regarding their offering a National Clinical Competency Exam. These negotiations were carried on during the course of the year and were reported on extensively to the Member provincial regulatory boards throughout the process. While the development of a National Clinical Competency Exam continues to be a topic for discussion, other related CCEB issues have been concluded in a most satisfactory manner.

During the Board meeting held last March, there was considerable concern expressed over the governance of the CCEB. No one had a copy of the CCEB bylaws, no one knew who the CCEB members were, how the Board was elected, or had seen the financial statements.

It is important to remember that while the provinces had these concerns about CCEB, there was also a very high appreciation for the exams offered by the CCEB and the work of its volunteers and staff.

The issues identified by the provinces during the Board meeting last March were raised with the Chairman of the CCEB prior to, and during the course of, the negotiations for the National Clinical Competency Exam.

The CCEB approved bylaw amendments on October 17, 1998 changing the membership so that in future, the members of the CCEB will be the provincial regulatory boards. This change received Ministerial approval from Industry Canada on January 18, 1999.

These changes are consistent with what the CFCRB Executive requested in the Exam negotiations with the CCEB and we are hopeful that they will ensure that the provincial regulatory boards have appropriate control over the election of the CCEB's Board and access to the financial statements.

COUNCIL ON CHIROPRACTIC EDUCATION - CANADA

Last year the College of Chiropractors of Ontario wrote to the CFCRB requesting that we approach the CCEC asking for their budget and financial statements. I spoke to the CCEC's then President, Alex Guy, PhD on several occasions regarding this information but it was still not received by the time of our November 28 Board meeting. At that meeting the Board passed a resolution recommending that CCEC dues not be paid if the information was not received. We are grateful to the new President of the CCEC, Dr. Bert Brandon for providing the information and it has now been distributed to our Member provincial regulatory boards.

While this issue has been satisfactorily dealt with, there are two outstanding issues with the CCEC. First, Dr. Guy had requested that the CFCRB begin to collect CCEC dues again. In response, the CFCRB Board approved a motion in March 1998 offering to collect dues on behalf of CCEC. We have not yet heard from CCEC as to whether they would like us to collect their dues.

The second issue relates to the governance of the CCEC. The CFCRB, along with the CCA and CCEB, is a member of the CCEC. The CFCRB is asked to nominate individuals to serve on the CCEC. However, the CFCRB is no longer given notice of CCEC Annual Meetings and bylaw amendments no longer appear to require member approval. This issue was raised in correspondence with Dr. Guy however no response has been received yet.

SASKATCHEWAN INQUEST

I would like to congratulate the CCA, CCPA and CAS for their responsible and effective work in dealing with this tragedy. It will be a focus of our discussions during the 1999 Annual Conference, so that we can learn from this situation and ensure that we are even better prepared for the future.

AGREEMENT ON INTERNAL TRADE

Over the past year the AIT committee held four face to face meetings and one via conference call. The final meeting was held on November 27 and the Agreement was approved by the CFCRB Board on November 28. It was then submitted to our Member provincial regulatory boards for approval. No one will doubt the size of this undertaking, or that the CFCRB effectively rose to meet it.

This has been the biggest challenge that the CFCRB has had to face in its twenty years. It demonstrated the necessary role that the CFCRB plays for the profession in Canada.

I want to thank all those who contributed to this effort, the representatives of the provinces, of the CCEB and the CCA. I want to thank the CCA and Human Resources Development Canada for their financial assistance. I especially want to thank Dr. Jim Nykoliation, who took on this thankless task before he had any idea how much work would be involved.

SPECIALTIES

Just as we are winding down the AIT effort, we have been getting the Specialties Transition Committee into high gear. This Committee held its first meeting last November and will meet again in March. There is participation from all of the five existing specialty colleges and the expectations for what this can mean for chiropractic is very high.

Specialties can only effectively exist when recognized by a provincial regulatory board. Research into how medicine, dentistry and veterinary medicine handle specialties has been conducted and the Chair of the Committee, Dr. Danis has concluded that chiropractic is lagging behind. The Committee will come up with a model that will meet the needs of chiropractic and gain recognition for our specialties by the community. It is our hope that the provincial regulatory boards will embrace this new model so that there is a consistent definition of Specialties across Canada.

CONFERENCE '99

I would like to congratulate Dr. MacPhee for pulling together the 1999 Annual Conference. We know that one of our key objectives is to present timely and relevant information to regulatory boards. We also know from experience that the personal networking that goes on at these conferences is absolutely vital to our ability to do our jobs effectively for our respective Board's. The 1999 Conference is designed to ensure both of these objectives are met in spades. There will be a very positive focus at this Conference on Saskatchewan. Our job is to understand what happened and how we can all learn and improve as a result.

I also want to recognize the CCPA and the College of Chiropractors of Ontario for their support of the Conference.

EXECUTIVE COMMITTEE

Your Executive has held numerous conference calls since the last AGM. Many of the discussions revolved around the National Clinical Competency Exam, but a full range of financial and administrative issues were also addressed. I would like to thank on your behalf the Vice President, Dr. Wanda Lee MacPhee; the Secretary-Treasurer, Dr. Renae Rogers; and the Immediate Past President and Chair of the Board, Dr. Jim Nykoliation for their outstanding efforts over the past year.

BOARD OF DIRECTORS

For the first time in the 21 year history of the Federation, the Board of Directors met face to face on more than one occasion in the year. In addition, there was a third meeting held via conference call. This was in addition to the numerous meetings of the AIT Committee which many Board members participated in.

It used to be that you showed up to the CFCRB Annual Conference and ended up acting as a Director for the duration of the meeting. Not any longer. Now, a Board appointment is for twelve months. It comes with responsibilities and an ongoing obligation to always remember that while Board members have duties to their provincial board, they must also think about how the CFCRB can help their board.

The future success of the CFCRB will largely depend on how effectively Board members embrace their role. The Board of Directors are the eyes and ears of the Federation to our members. It is only if they report to their province on what the CFCRB is and does, and report to the CFCRB on what their province wants the CFCRB to be doing, that we can be effective.

I want to take this opportunity to thank everyone who put in time and effort this year to give the Federation the ability to grow. It takes time, energy and dedication to accomplish what has been done in the last few years.

Finally, let me say that the past year has been the busiest since the Federation was established in 1978. It is very clear that if the CFCRB did not exist, the provincial regulatory Boards would have to create it.

Respectfully submitted,

Daniel Saint-Germain, DC
President
March 5, 1999


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