Melnixa Ruiz Viera, DC

Description: Completed a 9-month postgraduate chiropractic residency emphasizing advanced clinical reasoning, interdisciplinary collaboration, and medical-legal documentation. The program integrated real-world practice management with exposure to regenerative medicine, personal injury case documentation, and AI-assisted EHR systems. Core Competencies and Training Highlights: Led patient management for complex spine and extremity cases under direct supervision. Advanced proficiency in spinal decompression, focused shockwave, PEMF, Class IV 40W laser, and therapeutic exercise protocols. Trained in writing medical-legal narratives, impairment ratings (AMA Guides 6th Edition), and causation reports. Participated in interdisciplinary case coordination with neurologists, orthopedic surgeons, and physical therapists. Involved in Horizon TBI & Brain Center training, including qEEG analysis, neurofeedback setup, and TBI clinical correlation. Applied AI technology for clinical documentation, ensuring accuracy, efficiency, and compliance with HIPAA standards. Developed clinical leadership skills, including supervision of interns, patient communication, and case management. Exposure to regenerative medicine protocols (NeoGenX) involving PRP, MSCs, Wharton's Jelly, and exosomes, and integration with physical rehabilitation.

Completed a structured 9-month clinical internship under the direction of Andrew Hope, DC, FPSC, CCSP, focusing on foundational clinical skills, diagnostic competency, and therapeutic modality proficiency in a multidisciplinary healthcare environment. Comprehensive instruction in patient triage, history taking, vital signs assessment, and recognition of red-flag indicators. Performed full orthopedic, neurological, and musculoskeletal examinations including extremity evaluation. Developed competency in interpreting X-rays and identifying AOMSI and other radiographic pathologies. Gained hands-on experience with therapeutic modalities: focused shockwave, ultrasound, PEMF, and Class IV 40W laser. Trained in documentation standards for SOAP notes, initial reports, and treatment plans within a HIPAA-compliant EHR system. Observed and assisted in spinal decompression therapy (VAX-D, Manuthera, and Cox Flexion-Decompression systems). Completed required modality certification courses in Focused Shockwave. Completed required modality certification courses in the Intelect 40 W Class IV Laser. Completed required modality certification courses in Pulsed Electromagnetic Field Therapy. Completed required clinical competency checklists. Exposure to patient education, communication, and case presentation techniques.