Patrick DelSalto, DC

•Risk Management Strategies to Prevent Malpractice Claims •Components of a Malpractice Claim •Duties of the D.C. Imposed by State Law •Overview of Medical Errors •Documentation Methodologies to Enhance Third Party Reimbursement •Medicare / C.P.T. Billing Code Analysis •Record Keeping and Report Writing Skill Development

This course provides an integrated education for the Doctor of Chiropractic in the science and art of pediatric disorders and adjusting. Normal developmental anatomy of the infant through childhood will be detailed. Examination methods and findings that the Chiropractor needs to know for proper assessment of vertebral subluxation and abnormal development for the pediatric patient will be reviewed. The Chiropractor will learn normal and abnormal evolution of the pediatric sagittal plane spinal curvatures and subluxation conditions. Postural and spinal evaluation of the newborn is a primary focus of this conference. The details of case management using CBP instrument, drop table and other structural rehabilitation methods will be covered using a variety of case studies for a comprehensive picture of clinical application of this course material. A survey of research material will be reviewed supporting the utilization and efficacy of CBP technique structural rehabilitation treatment methods.

This course provides an integrated education for the Doctor of Chiropractic in the science and art of full spine disorders. Detailed literature reviews covering the sagittal plane of the spine during pediatric development through age related change occurring in senior populations will be presented. Statistical correlations between each spinal region will be detailed so the Chiropractor understands how alterations in one region of the spine can influence regions above or below. A primary objective is to introduce the attendee to the anatomic variable of pelvic morphology (geometric alignment of the sacrum inside the ilia) and how variations and anomalies of pelvic morphology alter the sagittal plane alignment of the spine. Further, it will be explained how common anomalies such as how 4 lumbar vertebra, 6 lumbar vertebra, and transitional segments affect the sagittal plane alignment of the spine. In the end, details of case management using these topics will be covered using a variety of case studies for a comprehensive picture of clinical application of this course material. A survey of research material will be reviewed supporting the utilization and efficacy of CBP technique treatment methods across a population of patients with abnormal spine conditions.

. Outline research on the epidemiology of musculoskeletal disorders . Outline economic impacts of musculoskeletal disorders . Discuss biomechanical and functional tolerances of tissues . Identify the domains of and concepts within motor control . Outline some research on chiropractic's influence on motor control . Discuss principles of motor control and rehabilitation applied to practice

. Outline research on the epidemiology of musculoskeletal disorders . Outline economic impacts of musculoskeletal disorders . Discuss biomechanical and functional tolerances of tissues . Identify the domains of and concepts within motor control . Outline some research on chiropractic's influence on motor control . Discuss principles of motor control and rehabilitation applied to practice

Magnetic fields, T1 and T2 relaxations, nuclear spins, phase encoding, spin echo, T1 and T2 contrast, magnetic properties of metals and the historical perspective of the creation of NMR and MRI

Normal anatomy of axial and sagittal views utilizing T1, T2, 3D gradient and STIR sequences of imaging. Standardized and desired protocols in views and sequencing of MRI examination to create an accurate diagnosis in MRI.

MRI interpretation of bulged, herniated, protruded, extruded, sequestered and fragmented disc pathologies in etiology and neurological sequella in relationship to the spinal cord and spinal nerve roots.

MRI interpretation of bone, intradural, extradural, cord and neural sleeve lesions. Tuberculosis, drop lesions, metastasis, ependymoma, schwanoma and numerous other spinal related tumors and lesions.

MRI interpretation sequencing of the cervical, thoracic and lumbar spine inclusive of T1, T2, STIR and 3D gradient studies to ensure the accurate diagnosis of the region visualized.

The clinical application of the results of space occupying lesions. Disc and tumor pathologies and the clinical indications of manual and adjustive therapies in the patient with spinal nerve root and spinal cord insult as sequella.

An in-depth understanding of the protocols in triaging and reporting the clinical findings of the trauma patient. Maintaining ethical relationships with the medical-legal community.

An extensive understanding of the injured with clinically coordinating the history, physical findings and when to integrate neurodiagnostics. An understanding on how to utilize emergency room records in creating an accurate diagnosis and the significance of “risk factors” in spinal injury.

An extensive understanding of the physics involved in the transference of energy from the bullet car to the target car. This includes G's of force, newtons, gravity, energy, skid marks, crumple zones, spring factors, event data recorder and the graphing of the movement of the vehicle before, during and after the crash. Determining the clinical correlation of forces and bodily injury.

MRI interpretation, physiology, history and clinical indications, bone scan interpretation, physiology and clinical indications, x-ray clinical indications for the trauma patient.

Electromyography (EMG), Nerve Conduction Velocity (NCV), Somato Sensory Evoked Potential (SSEP), Visual Evoked Potential (VEP), Brain Stem Auditory Evoked Potential (BAER) and Visual (V-ENG) interpretation, protocols and clinical indications for the trauma patient.

Understanding the necessity for accurate documentation and diagnosis utilizing the ICD-9 and the CPT to accurately describe the injury through diagnosis. Understanding and utilizing state regulations on reimbursement issues pertaining to healthcare.

Understanding the necessity for accurate documentation, diagnosis and clinical correlation to the injury when reporting injuries in the medical-legal community. Documenting the kinesiopathology, myopathology, neuropathology, and pathophysiology in both a functional and structural paradigm.

The understanding and utilization of the protocols and parameters of the AMA Guide to the Evaluation of Permanent Impairment 6th Edition. Spine, neurological sequelae, migraine, sexual dysfunction, sleep and arousal disorders, station and gait disorders and consciousness are detailed for impairment rating. Herniated discs, radiculopathy, fracture, dislocation and functional loss are also detailed in relation to impairment ratings

The forces in physics that prevail in accidents to cause bodily injury. Quantifying the force coefficients of vehicle mass and force vectors that can be translated to the occupant and subsequently cause serious injury.

Factors that cause negative acceleration to zero and the subsequent forces created for the vehicle that get translated to the occupant. Understanding critical documentation of hospitals, ambulance reports, doctors and the legal profession in reconstructing an accident.

The mathematical calculations necessary utilizing time, distance, speed, coefficients of friction and acceleration in reconstructing an accident. The application of the critical documentation acquired from an accident site.

Delta V issues correlated to injury and mortality, side impact crashes and severity of injuries, event data recorder reports correlated to injury, frontal impact kinematics, crash injury metrics with many variables and inquiries related to head restraints.