July 2, 2024 • 14 mins
Uncover the future of chiropractic care with Dr. Richard Brown, the Secretary General of the World Federation of Chiropractic (WFC), as he shares transformative insights on our latest episode recorded live at the Parker Seminar in Las Vegas. With 96 member countries, the WFC is on a mission to make evidence-based, interprofessional, and collaborative chiropractic care accessible to people of all ages globally. Dr. Brown provides an enlightening update on the WFC's initiatives and its integral role in promoting chiropractic integration within health systems worldwide.
Dive into the WFC's enduring partnership with the World Health Organization (WHO) that has been fostering global chiropractic advancements since 1997. Dr. Brown elaborates on the collaborative projects with various WHO units and the significant impact of their official relations. Plus, don't miss out on details about the upcoming educational conference in Kuala Lumpur, a first in the Asian region, which promises to be a landmark event for the chiropractic community. Join us for an episode filled with valuable perspectives and the latest developments that are shaping the future of chiropractic care.
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Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:04):
Hello, I'm Dr Arlon Swir, the chairman and
co-founder of Activator MethodsInternational.
Welcome to Activate yourPractice podcast, and today
we're coming to you from LasVegas, Nevada, and we're at the
Parker Seminar, so which gave usan opportunity to have people
on the podcast that we normallywould not get.
Today I have Dr Richard Brown,the Secretary General of the
(00:27):
World Federation of Chiropractic, and so welcome, Richard.
Speaker 2 (00:31):
Arlan, it's lovely to be here and thank you for
inviting me along.
Speaker 1 (00:34):
Well, I wanted to have you bring the profession up
to date on what's happening inthe World Federation today.
What's the big?
I guess the agenda.
Speaker 2 (00:45):
What's happening in the World Federation today?
What's the big, I guess, theagenda?
Well, there's always somethinghappening.
Alan, with the World Federationof Chiropractic, we were
established in 1988.
So we're now in our 36th yearof being established and I had
the privilege of taking over asSecretary General in 2015.
And it's been a real excitingperiod of time in our
(01:07):
development.
We now have 96 member countrieswho are members of the World
Federation of Chiropractic, andit's important, when I talk
about the WFC and we talk aboutmembers, that we're talking
about national associations ofchiropractors as opposed to
individual members.
(01:27):
We have individual supporters,we have partner organizations,
just like Activator, but ourmembers, our voting members, are
national associations ofchiropractors.
So we have a vision, we have amission, have a mission.
(01:47):
Our vision as the WFC is aworld where all people of all
ages, in all nations, haveaccess to evidence-based,
people-centered,interprofessional, collaborative
chiropractic, so thatpopulations can thrive and reach
their full potential.
And how do we do that?
Well, our mission is to advanceawareness, utilization and
integration of chiropracticinternationally utilization and
integration of chiropracticinternationally.
(02:08):
Basically, what we want is morepeople to know about
chiropractic, more people to usechiropractic and for
chiropractic to be incorporatedinto health systems, so it's a
really exciting time for us.
Speaker 1 (02:16):
I remember being in Switzerland and going to the
first World Health Organizationmeeting, which was quite a thing
, at least for me.
And so how is WFC working withWHO now?
Speaker 2 (02:30):
Well again, we've been in official relations with
WHO since 1997.
And it's not something we takelightly.
There are only 200organizations that are in
official relations with WHO, sowe are accountable.
We have to develop a plan withWHO every year that talks about
(02:50):
what we're going to be doing.
So we've been working with theunits of healthy aging, of
disability and rehabilitation ofthe traditional and
complementary and integrativemedicine, which is part of the
integrated services provision atWHO medicine, which is part of
the integrated servicesprovision at WHO.
We work with Molly MarieRobinson-Nickel, who is a
chiropractor actually, who wentand did a fellowship at WHO and
(03:12):
now she's the unit head forprocess efficiency at WHO.
So I go to Geneva usually acouple of times a year and we
participate at the meetings,particularly at the World Health
Assembly.
Speaker 1 (03:23):
I know education is something you're passionate
about.
You know we've Activator hassponsored the WFC educational
meeting for several years andlast year was held at Logan
University and I think it'sgoing to be in Kuala Lumpur.
Speaker 2 (03:40):
Is that correct?
This will be the first timethat the education conference
has taken place in our Asianregion, and the International
Medical University in KualaLumpur in Malaysia is really a
powerhouse and it's where we'veseen tremendous growth, so we're
delighted to be hosting ourmeeting in October in Malaysia
(04:04):
for the first time.
Speaker 1 (04:05):
Well, activator is sponsoring it, so we may be in
Kuala Lumpur, and I just thinkit puts the whole world together
and that's the job that you'vebeen doing, and that's a tough
job because there's a lot offactions.
Speaker 2 (04:21):
Well, we have to be the glue, arlan.
And what I say about the WFC iswe are for the many, not for
the few.
So we can't just be an eliteorganization for very few
members.
We have to listen, recognize,understand chiropractic in all
its forms around the world andlisten with respect and have
(04:41):
dialogue.
So it's really important thatwe understand that chiropractic
is very broad in its provision.
It's really important that weunderstand that chiropractic is
very broad in its provision.
It's broad in the way thatchiropractors individually
practice and it also depends onthe social determinants of
health in any given country,because we know that the
political landscape varies fromone country to another.
Speaker 1 (05:01):
I've read that the WFC is currently focused on
issues of patient safety.
Would you tell me a little bitabout that?
Speaker 2 (05:08):
Well, we're really excited about this initiative
and you know it's important tounderstand that when we focus on
issues of patient safety, thatdoes not inherently mean, oh, we
think we're a dangerousprofession, so we have to.
You know, we have to worryabout adverse events.
It's not that at all.
Every responsible healthcareprofession on the planet has to
be focused on issues of patientsafety, because that is what
(05:32):
being a responsible profession,a health professional, is all
about.
So we need to understand what'shappening.
We need to understand fromexperiences what's happening,
but we also need to be proactive, because if we understand
things that could happen, we canthen be proactive about ways in
which we can deliver the safest, most effective care for the
(05:53):
widest range of people protectsthe doctor, because we've got,
you know, different forces andstuff like that that our
(06:14):
biomechanical engineers havespent a lot of hours on making
sure that it's a correct forceand so forth.
Speaker 1 (06:17):
And I'm sure you're an attorney and you defended us
in a couple instances and I'msure you think the more data you
can have, the better.
Speaker 2 (06:24):
Well, everything really points to data.
If you don't bring the data,it's not worth turning up at the
table.
And so you know we reallyappreciate the work that
Activator has done over theyears to qualify and quantify
the work that it's done, becauseit's only by understanding the
forces involved, the directionforces involved, the vectors and
(06:44):
all the other factors that Iknow that you have very much
invested in over the years,arlan, it's really critical that
we have that data to be able totalk to issues if and when they
should occur.
Speaker 1 (06:57):
What do you think the biggest challenge is today for
chiropractic?
Speaker 2 (07:02):
Well, do you know, I think the biggest challenge that
we face is aroundunsubstantiated claims.
Unsubstantiated claims ofeffectiveness, wildly
exaggerated claims that reallyare difficult to quantify.
You talk about evidence.
If you go somewhere and youmake a claim, you have to be
sure that it's backed byappropriate evidence, that it's
(07:25):
backed by appropriate evidence.
And one of the things that Ithink damages our profession at
times is where unsubstantiatedclaims are made about the
effectiveness of treatment.
We know that miracles happen.
We've all seen them.
You've been in practice for somany years.
I was in practice for 25 years.
We all see the most amazingthings happen in practice, but
(07:46):
can we talk about those thingsas if they are something that we
can predict will happen everytime?
Of course not.
So we need to be cautious aboutwhat we say when we make claims
and make sure we're judiciousabout those claims.
Speaker 1 (08:01):
You know, every day we read the paper about the
expanding geriatric population.
I think it says that by 2030,over half the people in the
United States will be over 65.
And, being a geriatric patientmyself, I am attuned to that.
And so what can we do tocontribute to the decade of
(08:23):
healthy aging?
Speaker 2 (08:25):
Well, as you say, it's the decade of healthy aging
.
We're right in it now, Arlan,and you will know from some of
the global burden of diseasestudies that have been published
year on year that consistently,every single time, low back
pain is the biggest single causeof years live with disability
on the planet.
We also know that lifespan isnot the same as healthspan.
(08:48):
We know that people are livinglonger In almost every country
in the 196 UN countries.
People are living longer.
Because of technology, becauseof innovation, because of public
health measures.
People are living longer, butwe know that they're not
necessarily living healthier andlow back pain is one of the
biggest causes of disability inthe older population.
(09:08):
And as chiropractors, we havean amazing opportunity to be
able to help older people livehealthier, happier and more
active lives.
Speaker 1 (09:18):
And I think the other word is mobility for people to
get around on their own two feet.
You know, my wife had a hipsurgery here.
She tore a ligament in the hip.
She's been on a walker now forover four months and it really
brought something to me abouttaking care of yourself as you
age so you can be mobile.
Speaker 2 (09:38):
You're absolutely right and you know when I talk
to students and I talk to groupsabout why it's so important
that chiropractors engage in thetreatment of the aging
population, it's because the onething that older people fear
more than anything else isisolation and loneliness, and
these two factors kill.
(10:00):
They kill people, because theimpact that isolation and
loneliness has people, becausethe impact that isolation and
loneliness has the inability toget out and socialize with
friends, meet family, meet theirgrandchildren, be with their
grandchildren, interact, notbeing able to do that has such a
profound psychological effecton older people.
This is why it's so, soimportant that I think we maybe
(10:23):
shift our focus as chiropractorsand look at the aging
population and look at the agingpopulation and look at the
profound effect that we can have, Because if we're getting
people moving, if we're gettingpeople functioning because we've
got to face it the older peoplecare less about having a few
aches and pains than they doabout being able to function.
It's all about functioning andthat's what the chiropractic
profession has focused on forover 125 years.
(10:47):
We just haven't told the story.
We haven't told the story.
We need to get the word outthere.
We need to make sure that weget involved at all levels of
healthcare, and this is what Imean about integrated.
We want chiropractors to becomemembers of every person's
healthcare team.
Are we the whole solution toeverything?
No, of course we're not.
But we can be a really criticalpart in helping mobility, and
(11:11):
if we can get people mobile, itmeans they can return to work,
they can return to plays, theycan do things around the house,
they can interact and they cansocialize so critical.
Speaker 1 (11:19):
Finally, what does the hashtag be?
Epic mean.
Speaker 2 (11:24):
Well, I touched on epic right at the very outset
when I talked about our vision,and people who are familiar with
the WFC will have seen the beepic hashtag.
Why do we focus on be epic?
Well, the letters of epic,e-p-i-c stand for evidence-based
, people-centered,interprofessional and
(11:45):
collaborative.
People-centered,interprofessional and
collaborative, and we think thatthose pillars are fundamental
to chiropractic globally.
We feel that it's not somethingthat is driven by chiropractic
philosophy or training orteaching.
We feel that here we are in2024, every single chiropractor
on the planet can be epic byunderstanding the three pillars
(12:11):
of evidence-based practice,which is science and clinical
expertise and patient needs.
People-centered, becausepatients have to be at the heart
of everything we do.
Interprofessional, becausewe're part of a team, we're not
just on our own, we can't beisolated.
And collaborative, because weneed to collaborate with
patients, families, carers andthe community.
Speaker 1 (12:32):
As I look around at the seminar here, there's a
whole new type of practicestarting and it's an
interdisciplinary practice wherethere's an MD, a DC and a PT.
And you know that 89% of peopledo not go to chiropractors.
So look at what we have outthere for a patient load and
(12:53):
they don't go because they don'twant their neck cracked.
That's the number one thing.
That's why we think Activatoris so positioned for this new
geriatric movement that we'regoing to see.
Speaker 2 (13:07):
Well, I talked about the P of EPIC, which is
patient-centered care.
I also talked aboutevidence-based care, which is
about listening to the patientsthat we serve, their needs,
their expectations, theirpreferences.
Shared decision-making is aboutdeciding on a program of care
by discussing needs andpreferences with patients and
(13:28):
understanding where they'recoming from and addressing
things that they're worriedabout and adapting our treatment
to what they expect and whatthey want.
If we listen to patients, theywill help to drive our success
in the future.
Speaker 1 (13:42):
I can't thank you enough because you get around
the world, and so this podcastis very valuable for people that
don't get around the world tosee what's happening, and so, dr
Richard Brown, the SecretaryGeneral of the World Health
Federation, of World Federationof Chiropractic, thank you for
being on the podcast.
It was just a really great time.
Speaker 2 (14:04):
Thank you for having me on and thank you for all you
do in your untiring service tothe profession.
Thank you.
Hello, I'm Dr Arlon Swir, the chairman and
co-founder of Activator MethodsInternational.
Welcome to Activate yourPractice podcast, and today
we're coming to you from LasVegas, Nevada, and we're at the
Parker Seminar, so which gave usan opportunity to have people
on the podcast that we normallywould not get.
Today I have Dr Richard Brown,the Secretary General of the
(00:27):
World Federation of Chiropractic, and so welcome, Richard.
Speaker 2 (00:31):
Arlan, it's lovely to be here and thank you for
inviting me along.
Speaker 1 (00:34):
Well, I wanted to have you bring the profession up
to date on what's happening inthe World Federation today.
What's the big?
I guess the agenda.
Speaker 2 (00:45):
What's happening in the World Federation today?
What's the big, I guess, theagenda?
Well, there's always somethinghappening.
Alan, with the World Federationof Chiropractic, we were
established in 1988.
So we're now in our 36th yearof being established and I had
the privilege of taking over asSecretary General in 2015.
And it's been a real excitingperiod of time in our
(01:07):
development.
We now have 96 member countrieswho are members of the World
Federation of Chiropractic, andit's important, when I talk
about the WFC and we talk aboutmembers, that we're talking
about national associations ofchiropractors as opposed to
individual members.
(01:27):
We have individual supporters,we have partner organizations,
just like Activator, but ourmembers, our voting members, are
national associations ofchiropractors.
So we have a vision, we have amission, have a mission.
(01:47):
Our vision as the WFC is aworld where all people of all
ages, in all nations, haveaccess to evidence-based,
people-centered,interprofessional, collaborative
chiropractic, so thatpopulations can thrive and reach
their full potential.
And how do we do that?
Well, our mission is to advanceawareness, utilization and
integration of chiropracticinternationally utilization and
integration of chiropracticinternationally.
(02:08):
Basically, what we want is morepeople to know about
chiropractic, more people to usechiropractic and for
chiropractic to be incorporatedinto health systems, so it's a
really exciting time for us.
Speaker 1 (02:16):
I remember being in Switzerland and going to the
first World Health Organizationmeeting, which was quite a thing
, at least for me.
And so how is WFC working withWHO now?
Speaker 2 (02:30):
Well again, we've been in official relations with
WHO since 1997.
And it's not something we takelightly.
There are only 200organizations that are in
official relations with WHO, sowe are accountable.
We have to develop a plan withWHO every year that talks about
(02:50):
what we're going to be doing.
So we've been working with theunits of healthy aging, of
disability and rehabilitation ofthe traditional and
complementary and integrativemedicine, which is part of the
integrated services provision atWHO medicine, which is part of
the integrated servicesprovision at WHO.
We work with Molly MarieRobinson-Nickel, who is a
chiropractor actually, who wentand did a fellowship at WHO and
(03:12):
now she's the unit head forprocess efficiency at WHO.
So I go to Geneva usually acouple of times a year and we
participate at the meetings,particularly at the World Health
Assembly.
Speaker 1 (03:23):
I know education is something you're passionate
about.
You know we've Activator hassponsored the WFC educational
meeting for several years andlast year was held at Logan
University and I think it'sgoing to be in Kuala Lumpur.
Speaker 2 (03:40):
Is that correct?
This will be the first timethat the education conference
has taken place in our Asianregion, and the International
Medical University in KualaLumpur in Malaysia is really a
powerhouse and it's where we'veseen tremendous growth, so we're
delighted to be hosting ourmeeting in October in Malaysia
(04:04):
for the first time.
Speaker 1 (04:05):
Well, activator is sponsoring it, so we may be in
Kuala Lumpur, and I just thinkit puts the whole world together
and that's the job that you'vebeen doing, and that's a tough
job because there's a lot offactions.
Speaker 2 (04:21):
Well, we have to be the glue, arlan.
And what I say about the WFC iswe are for the many, not for
the few.
So we can't just be an eliteorganization for very few
members.
We have to listen, recognize,understand chiropractic in all
its forms around the world andlisten with respect and have
(04:41):
dialogue.
So it's really important thatwe understand that chiropractic
is very broad in its provision.
It's really important that weunderstand that chiropractic is
very broad in its provision.
It's broad in the way thatchiropractors individually
practice and it also depends onthe social determinants of
health in any given country,because we know that the
political landscape varies fromone country to another.
Speaker 1 (05:01):
I've read that the WFC is currently focused on
issues of patient safety.
Would you tell me a little bitabout that?
Speaker 2 (05:08):
Well, we're really excited about this initiative
and you know it's important tounderstand that when we focus on
issues of patient safety, thatdoes not inherently mean, oh, we
think we're a dangerousprofession, so we have to.
You know, we have to worryabout adverse events.
It's not that at all.
Every responsible healthcareprofession on the planet has to
be focused on issues of patientsafety, because that is what
(05:32):
being a responsible profession,a health professional, is all
about.
So we need to understand what'shappening.
We need to understand fromexperiences what's happening,
but we also need to be proactive, because if we understand
things that could happen, we canthen be proactive about ways in
which we can deliver the safest, most effective care for the
(05:53):
widest range of people protectsthe doctor, because we've got,
you know, different forces andstuff like that that our
(06:14):
biomechanical engineers havespent a lot of hours on making
sure that it's a correct forceand so forth.
Speaker 1 (06:17):
And I'm sure you're an attorney and you defended us
in a couple instances and I'msure you think the more data you
can have, the better.
Speaker 2 (06:24):
Well, everything really points to data.
If you don't bring the data,it's not worth turning up at the
table.
And so you know we reallyappreciate the work that
Activator has done over theyears to qualify and quantify
the work that it's done, becauseit's only by understanding the
forces involved, the directionforces involved, the vectors and
(06:44):
all the other factors that Iknow that you have very much
invested in over the years,arlan, it's really critical that
we have that data to be able totalk to issues if and when they
should occur.
Speaker 1 (06:57):
What do you think the biggest challenge is today for
chiropractic?
Speaker 2 (07:02):
Well, do you know, I think the biggest challenge that
we face is aroundunsubstantiated claims.
Unsubstantiated claims ofeffectiveness, wildly
exaggerated claims that reallyare difficult to quantify.
You talk about evidence.
If you go somewhere and youmake a claim, you have to be
sure that it's backed byappropriate evidence, that it's
(07:25):
backed by appropriate evidence.
And one of the things that Ithink damages our profession at
times is where unsubstantiatedclaims are made about the
effectiveness of treatment.
We know that miracles happen.
We've all seen them.
You've been in practice for somany years.
I was in practice for 25 years.
We all see the most amazingthings happen in practice, but
(07:46):
can we talk about those thingsas if they are something that we
can predict will happen everytime?
Of course not.
So we need to be cautious aboutwhat we say when we make claims
and make sure we're judiciousabout those claims.
Speaker 1 (08:01):
You know, every day we read the paper about the
expanding geriatric population.
I think it says that by 2030,over half the people in the
United States will be over 65.
And, being a geriatric patientmyself, I am attuned to that.
And so what can we do tocontribute to the decade of
(08:23):
healthy aging?
Speaker 2 (08:25):
Well, as you say, it's the decade of healthy aging
.
We're right in it now, Arlan,and you will know from some of
the global burden of diseasestudies that have been published
year on year that consistently,every single time, low back
pain is the biggest single causeof years live with disability
on the planet.
We also know that lifespan isnot the same as healthspan.
(08:48):
We know that people are livinglonger In almost every country
in the 196 UN countries.
People are living longer.
Because of technology, becauseof innovation, because of public
health measures.
People are living longer, butwe know that they're not
necessarily living healthier andlow back pain is one of the
biggest causes of disability inthe older population.
(09:08):
And as chiropractors, we havean amazing opportunity to be
able to help older people livehealthier, happier and more
active lives.
Speaker 1 (09:18):
And I think the other word is mobility for people to
get around on their own two feet.
You know, my wife had a hipsurgery here.
She tore a ligament in the hip.
She's been on a walker now forover four months and it really
brought something to me abouttaking care of yourself as you
age so you can be mobile.
Speaker 2 (09:38):
You're absolutely right and you know when I talk
to students and I talk to groupsabout why it's so important
that chiropractors engage in thetreatment of the aging
population, it's because the onething that older people fear
more than anything else isisolation and loneliness, and
these two factors kill.
(10:00):
They kill people, because theimpact that isolation and
loneliness has people, becausethe impact that isolation and
loneliness has the inability toget out and socialize with
friends, meet family, meet theirgrandchildren, be with their
grandchildren, interact, notbeing able to do that has such a
profound psychological effecton older people.
This is why it's so, soimportant that I think we maybe
(10:23):
shift our focus as chiropractorsand look at the aging
population and look at the agingpopulation and look at the
profound effect that we can have, Because if we're getting
people moving, if we're gettingpeople functioning because we've
got to face it the older peoplecare less about having a few
aches and pains than they doabout being able to function.
It's all about functioning andthat's what the chiropractic
profession has focused on forover 125 years.
(10:47):
We just haven't told the story.
We haven't told the story.
We need to get the word outthere.
We need to make sure that weget involved at all levels of
healthcare, and this is what Imean about integrated.
We want chiropractors to becomemembers of every person's
healthcare team.
Are we the whole solution toeverything?
No, of course we're not.
But we can be a really criticalpart in helping mobility, and
(11:11):
if we can get people mobile, itmeans they can return to work,
they can return to plays, theycan do things around the house,
they can interact and they cansocialize so critical.
Speaker 1 (11:19):
Finally, what does the hashtag be?
Epic mean.
Speaker 2 (11:24):
Well, I touched on epic right at the very outset
when I talked about our vision,and people who are familiar with
the WFC will have seen the beepic hashtag.
Why do we focus on be epic?
Well, the letters of epic,e-p-i-c stand for evidence-based
, people-centered,interprofessional and
(11:45):
collaborative.
People-centered,interprofessional and
collaborative, and we think thatthose pillars are fundamental
to chiropractic globally.
We feel that it's not somethingthat is driven by chiropractic
philosophy or training orteaching.
We feel that here we are in2024, every single chiropractor
on the planet can be epic byunderstanding the three pillars
(12:11):
of evidence-based practice,which is science and clinical
expertise and patient needs.
People-centered, becausepatients have to be at the heart
of everything we do.
Interprofessional, becausewe're part of a team, we're not
just on our own, we can't beisolated.
And collaborative, because weneed to collaborate with
patients, families, carers andthe community.
Speaker 1 (12:32):
As I look around at the seminar here, there's a
whole new type of practicestarting and it's an
interdisciplinary practice wherethere's an MD, a DC and a PT.
And you know that 89% of peopledo not go to chiropractors.
So look at what we have outthere for a patient load and
(12:53):
they don't go because they don'twant their neck cracked.
That's the number one thing.
That's why we think Activatoris so positioned for this new
geriatric movement that we'regoing to see.
Speaker 2 (13:07):
Well, I talked about the P of EPIC, which is
patient-centered care.
I also talked aboutevidence-based care, which is
about listening to the patientsthat we serve, their needs,
their expectations, theirpreferences.
Shared decision-making is aboutdeciding on a program of care
by discussing needs andpreferences with patients and
(13:28):
understanding where they'recoming from and addressing
things that they're worriedabout and adapting our treatment
to what they expect and whatthey want.
If we listen to patients, theywill help to drive our success
in the future.
Speaker 1 (13:42):
I can't thank you enough because you get around
the world, and so this podcastis very valuable for people that
don't get around the world tosee what's happening, and so, dr
Richard Brown, the SecretaryGeneral of the World Health
Federation, of World Federationof Chiropractic, thank you for
being on the podcast.
It was just a really great time.
Speaker 2 (14:04):
Thank you for having me on and thank you for all you
do in your untiring service tothe profession.
Thank you.
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