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Dynamic Chiropractic Canada – January 1, 2009, Vol. 02, Issue 01
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Defining Gold-Standard Spine Care

By Paul Bishop, DC, MD, PhD

Editor's note: This column space is reserved for Canadian DCs who would like to share information, observations and comments regarding the current and future state of the chiropractic profession.

The International Collaboration on Repair Discoveries (ICORD), located in Vancouver, is Canada's National Spine Institute and the world's largest multidisciplinary spine research centre. It is an 11,000 square-metre, $45 million spinal research and treatment facility funded by the government of Canada, the government of British Columbia, the University of British Columbia, the Rick Hansen Foundation and the Vancouver Coastal Health Authority. This new facility officially opened on Nov. 18, 2008, and houses 52 principal investigators who in total hold $11.7 million in research grants and more than $18.5 million in research endowments. ICORD has brought together researchers and clinicians from the basic sciences, social sciences, chiropractic, medicine, surgery, rehabilitation, biomechanics/engineering and kinesiology. The ICORD mandate is to foster and maintain an interdisciplinary, collaborative research and training environment.  

 - Copyright – Stock Photo / Register Mark In June 2008, I was awarded the ICORD research professorship in non-operative spine care and research. This academic appointment was supported by funding from the Ontario Chiropractic Association. Since that time, several multicentre, national-scale research initiatives have started with the overall goal being to develop a Canada-wide network of non-operative spine clinicians who will provide the highest standard of evidence-based care to their patients.Specifically, these research investigations will define the gold-standard, nonoperative treatments for patients with differing underlying lumbar and cervical spine acute injuries and chronic degenerative pathologies. As was the case in the recent CHIRO study, this will include chiropractors working as part of a team of spine clinicians in a hospital-based spine program state-of-the-art outpatient clinic as well as in basic science research involving the biomechanics and molecular biology of spine injury and pathology.

To submit your "Perspective on the Profession" for consideration, e-mail the submission along with a CV and high-resolution color photo to .


Dr. Paul Bishop is a clinical associate professor of orthopaedics in the Combined Neurosurgical and Orthopaedic Spine Program in the Faculty of Medicine at the University of British Columbia. He holds an academic appointment of the same rank in ICORD, Canada’s National Spine Institute, and is both director of the outpatient clinic and head of non-operative care in the Division of Spine, Department of Orthopaedics at the Vancouver General Hospital and Health Sciences Centre. Dr. Bishop is the deputy editor of The Spine Journal, a member of the editorial board of JMPT, and an external reviewer for three other scientific journals.


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