Latin American Council of Chiropractic Education
Establishing, promoting, and evaluating quality standards for chiropractic education in Latin America, with international recognition through CCEI.

Regulations


History
History of CLAEQ / CCE-LA

The Latin American Council of Chiropractic Education (CLAEQ / CCE-LA) traces its origins to 2009, as part of the initial efforts within the Latin American Federation of Chiropractic (FLAQ) to establish a regional system that would promote the quality and standardization of chiropractic education in Latin America.
During this founding stage, professionals committed to the development of education in the region participated, including Dr. Sira Borges (Brazil), Dr. Ricardo Fujikawa (Brazil), Dr. Juan Sánchez (Puerto Rico), Dr. Carolina Kohlberg (Brazil), and Dr. Brent McNabb. Although these early attempts did not fully come together, they laid the conceptual groundwork for the future development of CLAEQ.
Later, between 2015 and 2016, collaborative efforts were resumed with the participation of Dr. Ana Faccinato (Brazil), Dr. Mayda Serrano (Puerto Rico), and Dr. Patricia Tavares (Canada/Portugal), together with Dr. Sira Borges, advancing the vision of a regional accrediting body.
It was not until 2019 that a committed group of leaders in the profession began the continuous and structured development of the bylaws, educational standards, and institutional standards. That same year, this group carried out the formal incorporation of CLAEQ in San Sebastián, Puerto Rico, as a nonprofit, autonomous, and independent organization (non-profit corporation), thereby establishing its legal and operational foundation.
This group was made up of Dr. Sira Borges (Brazil), Dr. Joseph Busch (Panama), Dr. Noé Velázquez (Mexico), Dr. Daniel Facchini (Brazil), Dr. Percy Montaño (Chile), and Dr. Mayda Serrano (Puerto Rico), to whom Dr. Gabriela Flores (Guatemala) was later added, contributing to the completion of the foundational documents and the consolidation of the organization.
As a result of this process, at the annual meeting in November 2025 the current Board of Directors was formed, composed of Dr. Joseph Busch (President), Dr. Noé Velázquez (Vice President), Dr. Gabriela Flores (Secretary), and Dr. Mayda Serrano (Treasurer), along with the addition of new members: Dr. Erica Ventura (Puerto Rico), Dr. Francisco Montaño (Mexico), and Dr. Alfredo Duhl (Chile).
The evolution of CLAEQ reflects a sustained, collaborative, and strategic effort to establish a strong accreditation system, aligned with international standards and aimed at strengthening chiropractic education, its global recognition, and patient protection in Latin America.
Who We Are
Our Mission and Institutional Purpose
To establish standards of academic competence in chiropractic education in Latin America, in the interest of public safety, promoting evidence-based professionals aligned with international standards.

Institutional Purpose
1
Assessment and Accreditation
Evaluate and accredit educational programs in chiropractic, promoting academic and clinical quality standards.
2
Continuous Improvement
Support continuous improvement processes in educational institutions and contribute to professional development in the region.
3
Global Standards
Strengthen chiropractic education in alignment with global standards, in coordination with CCEI and following WHO guidelines.
CCEI Member
As a member of the Councils on Chiropractic Education International (CCEI), CLAEQ ensures that its standards are comparable to those of other regions of the world, strengthening the international recognition and academic and professional portability of its graduates.
CLAEQ is a non-profit organization dedicated to educational excellence, patient safety, and international recognition.
Strategic Focus

Pillars of Our Work
CLAEQ directs its work around fundamental principles that ensure the quality, safety, and international projection of chiropractic education in Latin America.

1
Evidence-Based Education
We promote training grounded in scientific research and updated best clinical practices.
Supervised Clinical Training
We ensure that programs include the supervised clinical experience required as an essential component of professional training.
Patient Protection
Patient safety is the central axis of all educational standards and institutional evaluation processes.
International Alignment
Our standards are aligned with the WHO and international frameworks, facilitating the professional portability of graduates.

CLAEQ carries out institutional evaluation of educational programs — not individual certification — in favor of systemic quality and public trust in the chiropractic profession.

Board of Directors
CLAEQ is led by a Board of Directors committed to advancing chiropractic education in Latin America, with representation from countries such as Panama, Mexico, Guatemala, Puerto Rico, and Chile.



Joseph Busch, DC
Panama
President

Joseph Busch, DC, CCSP is a Doctor of Chiropractic and Certified Chiropractic Sports Physician (CCSP), with more than 15 years of clinical experience in Panama. He earned his bachelor’s degree in Chemistry from Indiana University and his Doctor of Chiropractic degree from the National University of Health Sciences in Lombard, Illinois. He holds full licensure to practice chiropractic in the state of Florida and throughout the Republic of Panama, where he directs Panama Chiropractic Health Center in Panama City.
Since 2006, Dr. Busch has served as Editorial Director and Managing Director of The American Chiropractor, the world’s highest-circulation chiropractic magazine. In 2023, he received the prestigious Boghosian Award for Vision, in recognition of nearly two decades of editorial leadership and his dedicated work to advance the chiropractic profession in Latin America.
As President of the Latin American Chiropractic Education Council (CLAEQ), Dr. Busch leads the regional body responsible for accrediting chiropractic education programs in Latin America. Under his direction, CLAEQ applies accreditation standards aligned with the World Health Organization’s Guidelines on Basic Training and Safety in Chiropractic (WHO, 2005) and with the International Framework established by the Councils on Chiropractic Education International (CCEI), the global benchmark recognized by the WHO and the World Federation of Chiropractic, ensuring that Latin American graduates achieve the same rigorous standards as accredited programs in North America, Europe, Asia, and Australasia.
Noé Velázquez, BS, ICSC
Mexico
Vice President
Noé Velázquez, BS, ICSC, is a chiropractor, graduated in 2008 from the Universidad Estatal del Valle de Ecatepec, Mexico. Since the beginning of his career, he has developed a clinical practice focused on family care, building a career committed to comprehensive patient attention.
He has played a key role in the academic development of chiropractic in Mexico, serving as founding professor of the Chiropractic programs at the Universidad Estatal del Valle de Toluca and the Universidad Veracruzana, contributing significantly to the training of new generations of professionals.
Dr. Velázquez actively participates in organizations related to chiropractic policy and professional development in his country, contributing to the evolution and strengthening of the profession at the national level.
He holds the Internationally Certified Chiropractic Sports Practitioner (ICSC) certification and is currently pursuing a Master of Science in Pediatric Chiropractic at Logan University, reflecting his ongoing commitment to advanced education and clinical excellence.
Gabriela Flores, MChiro
Guatemala
Secretary
Gabriela Flores, MChiro, studied for a B.S. in Sports Medicine at Ithaca College, Ithaca, New York, where she also had the opportunity to play on the university’s softball team. After completing her sports medicine training and graduating Magna Cum Laude from Ithaca College, she decided to continue her studies at the Madrid College of Chiropractic, San Lorenzo El Escorial, Madrid.
Gabriela is the first female chiropractor from Guatemala, and in 2013 she returned to her hometown, where she established her clinic and practices as a chiropractor. Originally from Guatemala City, she played sports and was a member of Guatemala’s national softball team, representing her country in different international championships. Her passion for sports led her to work in what she does today: her clinic, where she practices as a Doctor of Chiropractic with a focus on rehabilitation through exercise.
Since 2013, Gabriela has been a member of the Latin American Chiropractic Federation, where she has held the positions of treasurer, first secretary, vice president, and president. Since 2019, she has also been president of the Scientific Chiropractic Association of Guatemala and the representative of her country in the World Federation of Chiropractic. She is currently a member of the Board of Directors of the Latin American Chiropractic Education Council, as secretary.

Mayda Serrano, DC, MAEd
Puerto Rico
Treasurer
Mayda Serrano, DC, MAEd, is a Doctor of Chiropractic who graduated from Parker University in Dallas, TX in 2009, with more than 16 years of experience in clinical practice, education, and institutional leadership. She currently serves as Executive Director of the Latin American Chiropractic Federation (FLAQ), where she leads strategic initiatives aimed at strengthening the profession, regional integration, and the advancement of chiropractic regulation and education in Latin America. A past president and secretary of the Puerto Rico Chiropractic Association (AQPR), she also previously led the Education Committee and currently directs the Health Committee, maintaining interprofessional relations with private health agencies and government agencies and branches in defense of the legal framework and the profession’s development on the island.
Dr. Serrano has held key academic roles, including Director of Clinical and Research Affairs at the School of Chiropractic of the University of Central del Caribe, as well as Director of Health Centers at Logan University, Missouri, along with teaching positions at Logan University and UCC.
Her commitment to public health is reflected in her participation as the Latin American representative on the Public Health Committee of the World Federation of Chiropractic (WFC), secretary of FACA (Faculty American Chiropractic Association), and contributions to the American Public Health Association - Chiropractic Section, promoting the integration of chiropractic into patient-centered care models and social determinants of health.
Erica Ventura, DC, MSc
Puerto Rico
Member
Board of Directors
Erica Ventura, DC, MSc, is a Doctor of Chiropractic who graduated from the University of Central del Caribe in Puerto Rico in 2022, committed to excellence in chiropractic and the strengthening of education in Latin America. She serves as a professor at the University of Central del Caribe, where she contributes to the training of future Doctors of Chiropractic with an ethical, clinical, and evidence-based approach.
She holds a bachelor’s degree in Biology with a minor in French, a master’s degree in Molecular Biotechnology, and a doctorate in Chiropractic. Throughout her career, Erica has demonstrated a strong commitment to academic and professional development in chiropractic. She actively participates in preparing questions for the chiropractic licensure examination in the United States with the National Board of Chiropractic Examiners (NBCE), contributing to the quality and rigor of the evaluation processes for new professionals. Likewise, she has been involved in educational and community initiatives that promote knowledge and the importance of chiropractic care.
As a member of the Board of Directors of the Latin American Chiropractic Education Council (CCE-LA), Erica continues to promote high educational standards, strengthen the profession, and contribute to the development of a new generation of highly trained chiropractors committed to service.
Francisco Montaño, BS
Mexico
Member
Board of Directors
Francisco Montaño Isita, BS is a chiropractic graduate of the Universidad Estatal del Valle de Ecatepec (UNEVE, 2007), the first university chiropractic institution in Mexico, founded by his great-uncle, Dr. Enrique Benet Canut. He is the fourth generation of a family dedicated to the profession since his great-grandfather, Dr. Francisco Montaño Luna, established the first permanent chiropractic clinic in Mexico in 1922, operating continuously to this day, and worked tirelessly for the legal recognition of the profession until obtaining the first professional chiropractic license granted in the country in 1955.
He currently practices alongside his father, Dr. Francisco Montaño Benet, at Clínica Quiropráctica Montaño in Querétaro, a direct continuation of that centennial legacy. He completed his social service at the Center for Integral Rehabilitation of Querétaro (CRIQ, 2008), co-organized the World Congress of Chiropractic Students – Mexico Chapter (2007) and the commemorative congress for the 100th anniversary of chiropractic in the country. He has served on the board of directors of the Mexican Federation of Sports Chiropractic and is co-author of the article “The First Wave… ‘The Pioneers’,” a historical study that identified the first 14 chiropractors to practice in Mexico between 1920 and 1933.
For Francisco, chiropractic is more than a profession: it is the axis around which his life and that of several generations of his family have been built. He has experienced firsthand what this philosophy, science, and art can contribute to people’s well-being, and his commitment to CCE-LA stems from that conviction — that chiropractic should grow, consolidate, and reach more people in Mexico and throughout Latin America.
Alfredo Dutilh, PT., Chiropractor, MTMO, MDUCS
Chile
Member
Board of Directors
Alfredo Dutilh Daniel PT, Chiropractor, MTMO, MDUCS, is a licensed chiropractor graduated from Universidad Central de Chile, with an outstanding career in the clinical and academic fields in the musculoskeletal area. With 20 years of experience, he has built a profile that integrates advanced clinical practice with the training of professionals at the national and international levels.
In the clinical field, he has developed a strong career in musculoskeletal rehabilitation and sports medicine, serving as the first chiropractor at the sports medicine center of the Hospital del Trabajador de Santiago. He also actively participated in high-performance sports teams, highlighting his time with the Athletics Team of the Pontifical Catholic University of Chile. He currently serves as Clinical Director of Clínica Raquis, where he leads a care model that integrates people with different musculoskeletal health conditions, both athletes and the general population, under an evidence-based and person-centered approach.
In the academic field, he has developed a strong career as a professor in undergraduate and graduate programs in Chile and other Latin American countries, with an outstanding trajectory in the biomechanical and musculoskeletal areas and with special emphasis on clinical reasoning, contributing to the development of advanced clinical competencies and the integration of theory and practice. He has held leadership roles in academic management and curriculum design, participating in the creation, implementation, and direction of undergraduate and graduate training programs, such as diplomas, master’s degrees, and specializations in the musculoskeletal area. His training includes a Master’s in Orthopedic Manual Therapy, a Master’s in University Teaching in Health Sciences, along with international certifications such as clinical neurodynamics, vertebral and extremity diagnosis and manipulation by Motion Palpation Institute (USA), certification in the Mulligan Concept (MCTA), among others.

Standards

Educational Standards Framework
CLAEQ standards ensure that chiropractic programs meet rigorous academic, clinical, and ethical quality criteria, aligned with international frameworks.
Evaluated Educational Standards
Clinical Assessment
A graduate of a chiropractic program will apply appropriate clinical skills for patient treatment and provide counseling and resources for healthy lifestyles and wellness as part of the various aspects of chiropractic practice.
Management Plan
A graduate of the chiropractic program is capable of developing a list of differential diagnoses based on the patient's complaint, considering abnormal findings. Likewise, they involve the patient in decision-making, providing evidence-based care and establishing an appropriate management plan for the patient's diagnosis and health status.
Implementation, Monitoring, and Evaluation of Care
A graduate of the chiropractic program is capable of evaluating and developing a safe and effective management plan with prognoses and objectives aligned with the patient's diagnosis. Likewise, they are capable of providing timely and appropriate treatment, monitoring the patient's clinical process and condition, and modifying diagnoses and the care plan as new clinical information becomes available.
Professional Practice
A graduate of a chiropractic program applies ethical values and behaviors when interacting with patients, clinic staff, colleagues, healthcare providers, and others. They comply with the ethical and legal dimensions of clinical practice and apply safe, effective, evidence-based chiropractic practices.
Communication, Collaboration, and Leadership
A graduate of a chiropractic program maintains appropriate verbal and nonverbal communication in a timely manner with diverse audiences, providing clear, accurate, empathetic, and relevant information.
Research
A graduate of a chiropractic program uses relevant scientific literature to inform the patient about their care.

International Focus
Thanks to its integration into CCEI, CLAEQ standards are designed to have global reach and recognition.
International Comparability
The standards are equivalent to those applied in other CCEI member regions worldwide.
Professional Portability
Graduates of accredited programs benefit from greater recognition and international professional mobility.
Accreditation
Accreditation Process
Application
Formal submission of the application
Self-Study
Institutional internal evaluation
Self-Study Review
Review of evidence and documents
On-Site Visit
In-person inspection by the evaluation team
Visit Evaluation
Detailed analysis of the evaluation team report
Institutional Decision
Final resolution by the accreditation committee
Accreditation
If the program meets all educational and clinical requirements, accreditation recognition is officially granted.
If the program needs to review some aspects, additional time is provided to make changes and review them before a decision is made.

Programs accredited by CLAEQ demonstrate compliance with internationally comparable standards, generating trust among educational institutions, regulators, and patients throughout the region.

Bylaws
Institutional Governance Structure
The CLAEQ bylaws establish the organizational structure, governance processes, and decision-making mechanisms that guide the institution's operations.
1
Board Structure and Membership
Defines institutional membership criteria, rights, and obligations within the Board.
2
Board of Directors and Executive Committee
Regulates the composition, election, and functions of the Board of Directors and its Executive Committee.
3
Standing Committees
Establishes the Accreditation, Finance, and Appeals committees, with their respective functions and procedures.
4
Financial and Amendment Rules
Defines administrative procedures, financial audit standards, and processes for amending the bylaws.
The complete bylaws document is available for download on the CLAEQ institutional portal.
8
Officers
President, Vice President, Secretary, and Treasurer make up the executive leadership
3
Committees
Accreditation, Finance, and Appeals as standing committees
1
Global Network
Active member of CCEI with international recognition

Regional Impact of CLAEQ
CLAEQ works to transform the landscape of chiropractic education in Latin America, raising training quality, strengthening regulatory systems, and protecting public health through standards of excellence.

1
Educational Quality
We raise the standards of chiropractic programs throughout the Latin American region through rigorous evaluation.
2
Professional Regulation
We strengthen national regulatory processes, supporting institutions and governments in the normative development of the profession.
3
Patient Safety
We protect the public by ensuring that graduates meet verified clinical and ethical competencies.
4
Institutional Trust
We generate credibility and recognition for Latin American chiropractic within regional and international health systems.