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APRIL 2013 . ISSUE 06 SPRING EDITION

R E A C HN E W S L E T T E R

In this issue we look ahead to what promises to be an event filled and very busy 2013. We are kicking things off with our Annual General Meeting on April 27th. The OATA is pleased to be returning to the Kingbridge Conference Centre for a second consecutive year. Be sure not to miss this year’s AGM. There will be some important announcements this year that will affect our Association. After you have gone through REACH, be sure to register for the AGM before leaving the website.

2013 will see the Board focus on evidence-based practice, growing our research capacity and generating data on AT effectiveness for insurers.

After a strong turnout for last year’s Business and Marketing courses at our AGM, we were keen to begin a series of educational articles aimed to help you grow your AT business. In this issue of REACH, we begin with the most essential part of any business strategy; the Vision Statement.

All this and a lot more can be found within this issue of REACH.

The REACH newsletter will continue to provide the AT community with timely, frontline information on subjects that affect the profession most. REACH’s sister publication, SPRINT, will continue to provide members with quick significant headlines on a more regular basis. The Association’s success depends on how active you choose to be within the AT community. To ensure our success, stay engaged in the growth of the profession.

SEE INSIDE REA CHChair’s MessagePresident’s ReportLeadershipCongratulations!Acupuncture WarningRegulation Status ReportATs on the BallTaking Care of BusinessCertification Prep CourseUpdate on POCExpanding EHB CoverageMarketing ATsSports PsychologyConcussion NewsPassing of a Pioneer

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APRIL 2013 . ISSUE 06 SPRING EDITION 02

achieved and what remains to be tackled. We need you. We need more ATs stepping up and joining the Board and most importantly, joining sub-committees as well as participating in the Demonstration Project -- Data Collection to capture proof of our efficacy. We must own the future of the profession by investing today in the things that matter to insurers, policy makers, health care decision makers and to those needs we meet on the field and in clinics.

We are making a difference in the area of concussion management. We are making a difference to return to work, return to school and return to the playing field. We are making a difference to high performance athletes, both amateur and professional. But, we are also having an impact on those who work and play in boardrooms, on shop floors and, on construction sites, committing to health in motion best practices. So, work with us. Please, give OATA some of your time and experience.

Stef Moser

Athletic Therapy is at a crossroads. Regulation under the RHPA is within our grasp awaiting TCCKO approval of an AT specialization category. The OATA as an organization has established a sound governance structure and is moving towards greater financial sustainability seeking sponsorships and partnerships. The Board’s 2015 Vision is to have the AT profession distinguish itself among rehabilitation health care professionals by embracing evidence-based practice protocols and research skills. I have served my first year as your Chair and have been proud of the accomplishments the Board has made in such a brief time. We couldn’t have done this without investing in professional secretariat support and working with strategic government and communication consultants. You told us to reach and we reached. There were times I think we got out in front, reaching before the organization was ready, but on the whole we have moved united and in-sync with the profession’s goals, needs and your expectations.

If Athletic Therapy is to find its place in Ontario’s health care delivery system, we need evidence – hard data – and we need visibility and alliances. We are working on that too. The AGM to be held on April 27, will have us reporting to the membership on what activities have been underway, what successes have been

Own Our Future



I have a confession. I am a visual learner. By that, I mean that when I examine a complex situation, I map it out, visually, to “see” the challenges and opportunities and to identify the best way to approach the situation. This holds true to my approach to strategic planning. The OATA has become a far more sophisticated association. It has established a sound governance infrastructure to decision making and to strategic planning. I wanted, or perhaps I needed, to map out the OATA strategic plan to see how we could best implement it. The visualization of the plan emerged as a honeycomb structure which seems appropriate because we (the OATA) will need many worker bees to make it all happen.

I am sharing this with you now, and will be going into the Vision 2015 pillars at the AGM in more detail, because it is the reason I would like to run again for the position of President at the upcoming annual meeting. I have a job to do and some tasks to complete to be sure I leave the organization better than I found it initially. Make sense to you?

The mapping process exposed some very interesting elements to achieving

Vision 2015 goals. The OATA is committed to becoming an evidence-based profession and organization. The pursuit of regulation revealed some tenets of success already known to our regulated colleagues. Decision makers in government, in insurance companies, in unions and large companies demand proof of efficacy and performance by health care professionals. Where was our proof? Who was generating AT data? Were ATs benchmarking their performance in relation to other rehab professionals? The fact is we have to or we’ll be left behind.

The OATA “hive” has six domain clusters: Administration, Communication, Professional Development, Promotion & Advancement of the profession, Stakeholders Relations and Evidence-Based Practice. The priorities have been set for the Committees and Sub-Committees for 2013 through to 2015 to accomplish the goals that have been charted. Now, we need to create the buzz to attract OATA members to take on the priority tasks with us.

Drew Laskoski

Vision 2015



What it takes to Reach!

with no prior commitment. Her selfless actions continue to reaffirm our belief in our membership.

Karen thought that attending the booth at the EATA conference to be a worthwhile experience. She found that it was a very rewarding experience, to be able to assist our American counterparts with gaining knowledge about the OATA, the CATA and life in Canada in general. Karen made the trip to Buffalo planning only to attend the free concussion seminar. Being able to experience a greater scope of the conference turned out to be even more rewarding and Karen enjoyed her time there immensely. Karen is currently employed in a multidisciplinary clinic that offers physiotherapy, chiropractic, chiropody and massage therapy. Although she finds her opportunities to work in the field to be limited as of late (mostly due to her busy work schedule and family commitments), Karen has been fortunate to work with the Ontario Women’s Soccer League for the past four years.

In 2008, Karen left Canmore, Alberta and moved to Midland, Ontario where she lives with her husband and three year old daughter. They like to get out and enjoy the beautiful natural surroundings provided by Georgian Bay whenever they can.

Attention members! We need volunteers. We need you to help your OATA reach new heights. Volunteering for your professional association isn’t charity; it is an investment in your skills set and your career. The committee work is actually fun and can expose you to the latest thinking and techniques in social media, planning, event management and relationship building.

This is your Association and you need to step up and be leaders. Read what Karen did for the OATA. Look how she stepped up to champion the OATA cause. To encourage more of you to do the same, and thanks to the inspiration received from Karen, we have decided to take a feature off the injured reserve and put it back into REACH’s starting rotation. Beginning this issue with Karen and going forward, REACH will contain a section devoted to highlighting stories of our members who have gone above and beyond the norm as an AT. You can submit your story, or the name of someone you know who you believe deserves mention. We will be picking the best of the best to highlight in a section of REACH we have dubbed the “AT-Mark of Excellence”.

The OATA Board of Directors would especially like to thank Karen Shatford for stepping into populate the OATA booth at the EATA exhibitor’s session

Karen ShatfordAT-Mark of Excellence



Nadine Smith

From April 2nd to 9th, Nadine Smith will be working as the Chief Therapist for the Women’s World Hockey Championships in Ottawa. Team Canada, the defending champions, opened their tournament on April 2nd against the always challenging United States at Scotiabank Place.Go for Gold!

Paul Papoutsakis

This April, Paul Papoutsakis will be on tour with the National Ballet of Canada as they perform Alexei Ratmansky’s new production of Romeo and Juliet in London, England at Sadler’s Wells Theatre. Keep them on their toes Paul!

Board Members Home and Abroad

London

Ottawa

Karen KainArtistic Director



Needles Down!

categories, or risk being charged with unauthorized practice:

Category I: Be a member of the TCM College or one of the other “exempted” professions authorized to perform acupuncture; and have whatever competencies your College requires for the performance of acupuncture.

Category 2: Have a “delegation” to perform acupuncture. Any regulated professional may delegate his/her authorized acts to another regulated, or to an unregulated, practitioner, as long as the delegating practitioner’s college allows such delegations (some colleges don’t) and the delegation is done pursuant to that college’s regulations. Delegations can be general or patient-specific. A lawful delegation requires the delegating practitioner to satisfy the criteria of Category 1 and also requires you to have obtained the necessary competencies to perform acupuncture safely and effectively.

Click to view the Frequently Asked Questions (And Answers)

When the Regulated Health Professions Act (RHPA) came into force and effect, performing procedures below the dermis became a controlled act that could be performed only by members of professions regulated under the RHPA and only by those professions that had been authorized to perform the controlled act by their profession act. Acupuncture is a procedure below the dermis, but coincident with the RHPA becoming law a regulation was passed that exempted acupuncture from the controlled act provisions. This allowed anyone to perform acupuncture as a “public domain” activity. This exemption was primarily to allow practitioners of traditional Chinese medicine to continue to perform acupuncture.

When the legislation to regulate Traditional Chinese Medicine and Acupuncture was prepared in 2006, it returned acupuncture to the controlled act provisions of the RHPA, but exempted medicine, dentistry, chiropractic, chiropody, podiatry, physiotherapy, nursing and massage therapy, thereby allowing appropriately qualified members of those professions to provide, or continue to provide, acupuncture. That legislation took legal force and effect on April 1, 2013. Anyone performing acupuncture on or after that date must fall into one of the following


http://www.ontarioathletictherapists.org/Resources/Documents/Acupuncture/Acupuncture%20FAQ.pdf


AT Specialization

We have reported previously that the Transitional Council for the College of Kinesiologists of Ontario (TCCKO) amended its Professional Misconduct Regulation to authorize the College of Kinesiologists to recognize specialties within the profession. The OATA Board took this as a very strong and clear indication that the TCCKO was amenable to the creation of a specialization for Athletic Therapists. For the OATA Board, the creation of a specialization for ATs and ultimately a class of members, is absolutely necessary in order to protect the identity of the profession and to maintain the CATA certification process in order to ensure the highest possible standards of care. At its meeting on March 28, the Transitional Council (after considerable debate and by a very close vote) took a different tack. It decided not to create any specializations, at least for the time being. Instead, it put in place a process and criteria for the recognition of professional designations, qualifications and certifications. ATs satisfy all the criteria for use of the professional title “Athletic Therapist” and their CAT (C) designations, EXCEPT ONE: “Applicants must complete a prescribed course of study at the provincial or national level that is separate and additional to the member’s kinesiology degree or equivalent”.

The criteria go on to state that:“The prescribed course of study must not be courses which are included in a Kinesiology degree or a member’s academic equivalent. A member is not allowed to use the same entrance education requirements for registration with the College in order to earn more than one title or designation. The member must prove that the qualification was earned in addition to the Kinesiology degree or equivalent.” Since the CAT (C) designation does not require clinical or didactic courses in addition to one’s Athletic Therapy or Kiniesiology degree/diploma, Athletic Therapists are excluded from using their title and certification under the criteria. This change in tack came as a shock to the OATA Board and to our advisors. We are currently evaluating the situation and examining options for next steps. We aim to provide a complete report to members at the AGM. In the meantime, we continue to urge our members NOT to apply for registration with the College of Kinesiologists.



The OATA is excited to return to the Kingbridge Conference Centre & Institute for the 2013 AGM. Mark your calendars for Saturday April 27th. This is the annual event when your Association reports back to you to share the highlights and challenges of this past year.

The theme for this year’s AGM is “AT’s on the Ball”. Why? The OATA needs champions to keep the profession alert and current with one eye on the ball and the other on health care policy in Ontario. We want to encourage you to consider stepping forward to participate on the Board or on a Committee. Admission is free. To ensure Athletic Therapy is not sidelined within the regulated health care professional arena, we need as many of you as possible to get involved and make a difference. Have you or someone you know responded to the Nomination Call? Click here for the Nomination rules and application. Is there someone you plan to

vote for to take a place on the Board? Health care isn’t a spectator sport. Now is the time to demonstrate that we as ATs are on the ball. Head to the OATA website and sign up now for our 2013 AGM! It is important to sign up in advance so we can organize refreshments and the right sized room.

Agenda2:30 PM | Pre-AGM Registration

3:00 PM | Presentation & Reception

4:00 PM | Annual General Meeting

6:30 PM | Cash Bar Networking


http://www.ontarioathletictherapists.org/Default.aspx?pageId=1539100


BY-LAW #1 Amendments: Professional Liability

AMENDED CLAUSE 3.3Clause 3.3 Certified Membership: Canadian citizens or Landed Immigrants who are Ontario residents, have met and maintained the certification requirements of the CATA and are personally insured against professional liability under a professional liability insurance policy that has been approved by the OATA Board or complies with the requirements specified by the OATA Board are eligible for Certified Membership in the Corporation. Each Certified Member shall enjoy all the rights and privileges of the Corporation and shall be entitled to one vote.

(Approved by Board of Directors (11/28/13)

EXPLANATION: The wording in the requirement replicates subsections 13.1 (1) & (2) of the Regulated Health Professions Act, 1991, pursuant to which all practitioners regulated under the RHPA must have professional liability insurance (PLI) in place that complies with the requirements of their respective Colleges. The proposed amendment, therefore, puts ATs on the same footing as RHPA-regulated practitioners and facilitates the transition of OATA members to regulation.



BY-LAW #1 Amendments: Inactive Membership

NEW CLAUSE 3.7Addition of New Clause 3.7 “Inactive Membership: Certified members who have successfully applied to the Board of Directors may be granted Inactive Membership for a period greater than 6 (six) months in less than 12 (twelve) months. Inactive Members may not use the title “Athletic Therapist:, nor abbreviations thereof, nor the equivalent in another language, in the course of providing or offering to provide health care in Ontario, nor are they entitled to vote.”

(Approved by Board of Directors (02/27/13)

EXPLANATIONA member who paid her membership fee for 2013 requested that she be granted a “ leave of absence” from the Association and be reimbursed her certified membership fees for 2013 pro rata.

ron ,os gniod rof swaL-yB s’ATAO eht ni noisivorp on si erehTany provision that recognizes such status or arrangements. The amendment establishes a new class of members called “inactive” to accommodate such situations.




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The OATA will be holding its Candidate Certification Program for Certified Candidates on May 11th and 12th, 2013 at Humber College’s North Campus. Participants enrolled for the Prep Session Clinic Station, Field Station and Mock-up Exam Bundle will meet on Saturday May 11th and Sunday May 12th at 7:45 am. We will be meeting in room A127 “Therapy Clinic” in the Athletic Building. Participants enrolled for the Prep Session Field Station Package will meet on Saturday May 11th at 1:00 pm in the same room. Be sure to wear comfortable clothing, and bring your fanny packs and emergency care supplies. Click here to view the variety of packages offered this year. If you have any questions please contact the OATA Humber College representative; Melanie Evens by or phone at 416-675-6622.

Proudly Sponsored by:

Humber College’s North Campus

Assessment, Therapeutic Modalities and Rehabilitation

Emergency Care Skills Exam

The Agenda on Saturday, May 11, 2012

8:00 am Clinic Station review of the key points of Assessment, Therapeutic Modalities and Rehabilitation Review, discussion and practice session12:00 noon Lunch Break1:00 pm Field Station review of the various components of Emergency Care Skills Review, Discussion and practice session

The Agenda on Sunday, May 12, 2012

8:00 am Clinic and Field Station overview and Mock-up Exam practice session

1:00 pm Field Station review of the various components of Emergency Care Skills Review, Discussion and practice session

If you experience any difficulties attending the sessions to contact:Gus Kandilas at (905) 464-4662 or by e-mail [email protected]

http://www.ontarioathletictherapists.org/Default.aspx?pageId=1157952&eventId=544564&EventViewMode=EventDetails

http://www.ontarioathletictherapists.org/Default.aspx?pageId=1157952&eventId=544564&EventViewMode=EventDetails

mailto:[email protected]



Be Part of Best Practices

participation in this project. People who are already signed up should look for an email in the coming month with updated information to clarify any confusion.

Click here to view Demonstration Project –Data Collection “Six Easy Steps”.Webinars have now been uploaded to YouTube and re-uploaded to the OATA site for easier viewing.

The POC is now called the “Demonstration Project -- Data Collection” and is under way but we still need more submissions from everyone to make the project a success.

• If you are already a participant in the data collection and you haven’t yet submitted cases don’t worry, there is still time to get started.• It’s easy to get started - you can find the patient surveys and discharge reports online.• The “cheat sheet” lets people know which cases qualify without having to read through all the documentation or watch the webinars.• Our committee will be contacting participants directly in the coming month to see how we can help you get your cases into us.

The Third Party Insurance Committee is counting on this data to feed champions in the insurance industry to secure AT coverage. Credible data to support our claims that ATs are awesome (and can save companies money because of how efficiently we treat common injuries) is critical. We are counting on your


http://www.ontarioathletictherapists.org/Resources/Documents/Cheat%20sheet.pdf





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Coverage for AT Services

OATA Members have made it clear that their priority is to achieve regulation for our profession under the Regulated Health Professions Act (RHPA). As a profession, however, we can’t lose sight of the need to continually promote the profession to extended health benefits insurers in order to get maximum coverage for our patients. RHPA regulation will automatically extend our billing rights and will make it easier to obtain private insurance coverage, but that will cover only a small fraction of our patients.

To convince extended health benefits insurers to cover our services, we have to be able to demonstrate that ATs can deliver a range of services at the same or lower cost and with the same or better outcomes as other professions such as physiotherapy and chiropractic. To be convincing, we need up to date and reliable DATA, because health care decisions are increasingly based on evidence and best practices.

To generate the data we need, the OATA Board has been operating a demonstration project pertaining to acute low back injuries, mild traumatic brain injuries, upper and lower extremity injuries. To those OATA members who have not volunteered to participate in this project, we urge you to do so ---- and without further delay. The higher the participation rate, the better the data!

If you are still having trouble getting started on the project please contact:

Sarah RabinovitchE-mail: [email protected]: (416) 898-4582.




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Step One

right now, but in time period you have identified by asking when. Finally, asking “how much” triggers stipulation of the amount of revenue (if relevant) you plan to be making in that time period in which you asked when.

Let’s look at a sample Vision Statement that incorporates all five important questions you need to ask yourself when outlining a successful future for your business. Let’s use OATA branded educational concussion brochures as an example.

In two years’ time [when], the OATA plans to freely [how much] distribute our educational concussion brochures [what] to all teachers and coaching staff in high schools across the province of Ontario [who and where] in the hopes of limiting concussions in youth athletics while also promoting the work being done by the OATO to spread concussion awareness.

There you have it. A simple example of how you can easily lay out a Vision Statement. This is useful for new ATs looking at starting their own practice, or established practices looking to re-focus their business strategy.

At last year’s OATA AGM at Kingsbridge, one of our most successful and highly touted courses was the Business Boot Camp. Those who participated realized how crucial the marketing aspect of business is to the success of an AT’s career path. Many asked our Board why such basic business principles were never requisite courses of their AT degree. This feedback has proven to the OATA that we need to revisit this important aspect of the AT career. Over the next five issues of REACH, we will be looking at the most important business principles that will assist you in growing your practice.

In this issue of REACH, we are looking at composing a well-crafted Vision Statement. The first step in creating a business plan is to generate a vision of the future of your practice. When constructing a vision statement you have to ask yourself five simple questions: when, what, where, who and how much? Asking “when” forces you to plan for a given time frame (e.g. by when, do you mean 2 years or 4? Be specific.). Asking “what” leads you to clearly outline the services or products you will be providing. Asking yourself “where” ensures you are planning on accessing a distinct section of the marketplace. Where could mean locally (in your own town) or provincially. Asking “who” requires you to identify your


Frances Flint at the EATA

In January, OATA Director Frances Flint made a presentation at the EATA Meeting and Clinical Symposium in Buffalo, New York. Her presentation was on Sports Psychology and its Impact on Athletics and Injury Care. She addressed the impact of psychology on the athlete, and then illuminated how and when to integrate psychological strategies in rehabilitation and patient care. Frances asked the question: How often do you hear the phrase “But I have to play”?

As AT’s well know, athletes often want to return to play immediately after an injury occurs, or as soon as they start to feel better. Players often believe they are letting teammates, coaches and even fans down when they are removed from play because of an injury. Head injuries present ATs with a new challenge.

Frances believes that “[w]e concentrate on the physical rehabilitation, but with few adjustments, we could include both psychological and spot factors in our rehabilitation”. Typically, Athletic Therapists shy away from using psychological strategies due to perceived time restraints and fear of causing harm, both of which become non-factors when simple to use techniques and approaches to

psychological interventions are used. Psychological strategies to treatment should always be implemented because athletes often have psychological reactions to injuries. Some reactions can be more subtle than others, but they are always present if we look close enough.

For example:• Recognize what is normal for athletes when they are uninjured• Recognize how an injury changes what is normal • See the person who has the injury – not just the injury• Athletes are individuals and reactions to injury vary according to the athlete’s situation (e.g. level of skill, investment in the sport) and the environment (e.g. game, practice or championship).

ATs must be open to communicating about feelings related to the injury and rehabilitation. Listen to the athlete. Recognize the pressures to compete. Help the athlete gain a sense of control over the situation. Frances identifies these essential keys to successfully implementing this idea of Integrated Rehabilitation. Click on the link to Frances’ entire presentation and the EATA website information.

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Physical

Psychological Sport


http://www.ontarioathletictherapists.org/Resources/Documents/Research%20Evidence%20-%20Based%20Practices/EATA%20Presentation%20for%20the%20OATA%20Flint.pdf

http://www.goeata.org/


Heads Up on Technology

The Riddell 360The official NFL helmet partner since 1989, Riddell launched the 360 in 2011. It has extra padding around the front and sides of the head, and the company’s signature Concussion Reducing Technology, which adds even more padding. Most experts say it does little to address rotational forces, the primary cause of concussions.

The Xenith X2Made by the nine-year-old helmet company Xenith, the X2 replaces foam padding with an array of air-filled cylinders that compress upon impact by releasing air through tiny holes. Such adaptive cushioning can protect against both lower-level and higher-level forces, but still does little to address rotation.

Research into concussion prevention and treatment continues to be huge, but is still nowhere near full proof. Much of that research comes with unsubstantiated claims. Every product on the market claims to have solved the concussion problem, or at least claims to minimize concussion likelihood.

The fight against concussions goes on! Earlier this year, the NFL announced a partnership with General Electric (GE) to develop better technology for detecting concussions and protecting the brain. This four-year initiative began in March 2013. With $50 million in total funding, $30 million will be put towards improving imaging equipment in the hopes of better detection of head trauma, and the remaining $20 million will go towards new safety equipment.

For equipment manufacturers, the demand for protective headgear has never been greater. Companies have responded by developing a number of new helmet designs, each claiming to offer unprecedented safety. The trouble is that behind all of them, lays conflicting research. For players or coaches or the concerned parents of young athletes, it’s hard to know whom to believe. Despite all the research and development, injuries continue to occur. Below are two different helmets from two different companies, each claiming their model is the better protector against concussions.

The Xenith X2The Riddell 360



Heads Up on Treatment Tools

A large part of the frustration from concussion treatment is that there is nothing that completely eliminates symptoms. Currently the best way to manage concussions is to ensure every possible precaution has been followed before an athlete is allowed to return to play.

Click here to view the full OATA Branded Concussion Card

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http://www.ontarioathletictherapists.org/Resources/Documents/3_Concussion%20tool%20Final%20DRAFT%20January%206%202013%20to%20RA%20Working%20Group.pdf


DAVID L. MACINTOSH, Toronto Orthopedic Surgeon(June 6, 1914 - January 12, 2013)

David was born in Nova Scotia and was educated at Dalhousie University. He came to Toronto in 1939 to extend his medical studies. During WW2, he was seconded by the British navy to work with the famous Haldane on underwater diving physiology, and then as a medical officer on the convoy escort ship Philante from 1941 to 1944.

After marrying Elaine, in Annapolis Royal, they returned to Toronto and David began a 50 year career as a pioneer in the new specialty of orthopaedic surgery. He developed several landmark procedures that helped thousands of people with arthritis and injuries to bones and tendons. “Dr. Mac” began to work with young athletes in the 50’s at the University of Toronto Hart House, becoming physician for the varsity football and hockey teams for 25 years.

From 1951 to 1958, he provided medical services at Hart House and gained worldwide recognition for his discoveries related to torn anterior cruciate ligaments (ACL). He was the first in the world to describe the ‘pivot shift’ manoeuvre, which remains the gold standard test for ACL injury diagnosis. In the late 1950s, Dr. MacIntosh performed and published the first successful ACL reconstruction, a procedure that had been eluding doctors since the 1870s.

In 1980, he was honoured with the Thomas R. Loudon Award, presented by the University of Toronto for outstanding service in the advancement of athletics. As a teaching professor he deeply influenced three generations of medical students and surgical trainees. Dr. MacIntosh retired from active practice in 1984. His Hart House clinic has evolved into the Athletic Centre’s David L. MacIntosh Sport Medicine Clinic, and it is thought to be the oldest dedicated sport medicine facility in the world.

The OATA was deeply saddened to learn of his passing. We would like to express our gratitude for the astounding and often ground breaking work Dr. MacIntosh accomplished throughout his life. He was a pioneer for the athletic therapy profession and AT’s are forever in his debt. It is up to AT’s everywhere to carry on his torch and continue to push ourselves to do our very best for our patients.

David passed away peacefully on Saturday January 26th in his Toronto home, surrounded by family. He is predeceased by Elaine, his wife of 62 years and will be greatly missed by his children Doug (Judy), Ian (Jane), Ann (Bawn); his grandchildren Davin (Alexis), Brendan (Amanda), Timothy (Shelley), Alex, Kayleigh, Jason, Shaun; his great grandchildren Ursula, Owen, Kieran, Micayla, Reid, Jude; and by his sister Marjorie Cushing.
