In international competitions, the national teams of six countries (the Big Six) predominate: Canada, Czech Republic, Finland, Russia, Sweden and the United States. Of the 69 medals awarded all-time in men's competition at the Olympics, only seven medals were not awarded to one of those countries (or two of their precursors, the Soviet Union for Russia, and Czechoslovakia for the Czech Republic). In the annual Ice Hockey World Championships, 177 of 201 medals have been awarded to the six nations. Teams outside the Big Six have won only five medals in either competition since 1953. The World Cup of Hockey is organized by the National Hockey League and the National Hockey League Players' Association (NHLPA), unlike the annual World Championships and quadrennial Olympic tournament, both run by the International Ice Hockey Federation. World Cup games are played under NHL rules and not those of the IIHF, and the tournament occurs prior to the NHL pre-season, allowing for all NHL players to be available, unlike the World Championships, which overlaps with the NHL's Stanley Cup playoffs. Furthermore, all 12 Women's Olympic and 36 IIHF World Women's Championship medals were awarded to one of the Big Six. The Canadian national team or the United States national team have between them won every gold medal of either series.