Jade Meylor DC, FASA

12980 W. 87th St. Parkway, Lenexa, KS, 66215

Phone: 913-227-0909

Cell: 913-530-2628

Fax: 913-227-0912

jadmeylor@msn.com

http://www.meylorchiro.com

SELECTED OCCUPATIONAL HISTORY

Owner/Staff Chiropractor, Meylor Chiropractic & Acupuncture, Lenexa, Kansas, 2005 – Present

Staff Chiropractor, Kansas City Medicine Partner, Lenexa, Kansas, 2016 – 2017

Staff Chiropractor, Meylor Chiropractic Offices, Sioux City, IA, 2004 – 2005

Volunteer Chiropractic Work, Palmer Clinic Abroad Program, Brazil, 2004

EDUCATION AND LICENSURE

Doctor of Chiropractic, Licensed in the State of Kansas, License # 01-05509, 2005 – Present

Doctor of Chiropractic, Licensed in the State of Missouri, License # 2011003871, 2011 - 2012, 2023-Present

Doctor of Chiropractic, Licensed in the State of Iowa, License # 06795, 2005 – 2007

Doctor of Chiropractic, Licensed in the State of North Carolina, License # 2011003871, 2005 – 2007

Doctorate of Chiropractic, Palmer College of Chiropractic, Davenport, IA, 2004

National Board of Chiropractic Examiners, Part IV, 2005

National Board of Chiropractic Examiners, Part III, 2005

National Board of Chiropractic Examiners, Part II, 2005

National Board of Chiropractic Examiners, Part I, 2005

National Board of Chiropractic Examiners, Physiotherapy, 2004

Bachelors of Science, Excelsior College, Albany, NY, 2004

CERTIFICATIONS, QUALIFICATIONS AND DIPLOMATES

Trauma Team Qualified, Academy of Chiropractic, 2018 - Present

Fellowship in Trauma and Spinal Biomechanics- 2023

 

SELECTED POST-GRADUATE EDUCATION

 

Fellowship – Spinal Biomechanics and Trauma

National Spine Management Group

Recognized by Cleveland University College of Chiropractic

Approved for Continuing Medical Education [ACCME] – State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences

 

PAIN MANAGEMENT ROTATION

Specialty Research in Pain Management – Clinical and Procedural – Growth of Interventional Pain Management Techniques and Current Trends in Pharmacological Management of Neuropathic Pain.  ESI comparison to gabapentin in lumbosacral radicular pain – current trends and future progress of pain management interventions. Mode of action, required dosage, advantages and side effects profiles of currently available pharmacological approaches. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

Specialty Research in Pain Management – Clinical and Procedural – Therapeutic Effects of Spinal Injection Therapy - Facet, medial branch blocks, prolotherapy and epidural interventions utilization within the Medicare population, effectiveness on lumbar central canal stenosis with and without steroids and effect on prevention of spinal surgery, herniated disc, fibromyalgia and chronic musculoskeletal pain. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

Specialty Research in Pain Management – Clinical and Procedural – Adverse Events Associated with Injection Therapy – transforaminal and interlaminar epidural steroid injections, anesthesia technical considerations, effects on cervical radiculopathy midline versus paramedian approaches and perineurial injection of autologous conditioned serum.  Review of FDA risk assessment.

National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

Specialty Research in Pain Management – Clinical and Procedural – Correlation of MRI Findings and Injection Outcomes - MODIC Changes on MRI and effectiveness of facet injection, facet joint signal change on MRI with fat suppression comparison with SPECT/CT. Discussion of Modic 1, 2 and 3 with correlation of clinical outcomes and patient selection criteria. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

Specialty Research in Pain Management – Clinical and Procedural – Therapeutic Effects of Botulinum Toxin and Dry-Needling in Myofascial Pain Syndrome – cost effectiveness, patient response and triage of therapeutic interventions.  Physiological review of trigger point etiology and clinical presentation of acute and chronic pain. Functional response of intervention including relief and recurrence.  National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

Specialty Research in Pain Management – Clinical and Procedural – Systematic Review Technical Considerations in Cervical Epidural Analgesia - Chemical blockage of cervical nerve roots, review of anatomical structures and correlation with MRI imaging.  Blockage effects on the respiratory, circulatory and neurological systems. Review of cervical epidural space (CES) borders and variants in patient population.  National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

Specialty Research in Pain Management – Clinical and Procedural – Trends in opioid analgesic abuse and mortality in the USA, Evaluation of Opioid Pain Management in Injured Children, assessment of opioid reporting in Veteran Affairs – Emergency visitation in pediatric injury, pain management and adoption of best practices. Trends in use of prescription opioid medication using RADARS (Research Abuse, Diversion and Addiction Related Surveillance System), comparison between legitimate pharmacy channels and diversion and abuse.  Opioid use prevalence and incidents in Veteran Affairs, new prescriptions or long-term conversion and relationship to persistent growth in opioid use. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

Specialty Research in Pain Management – Clinical and Procedural – Electrodiagnostic Testing, Transforaminal Epidural Steroid Injection, Intra-articular Facet Joint Injection, Spinal Manipulation Post-Epidural Injection– Needle EMG, active versus chronic denervation in lumbar, cervical spinal pathologies and differential diagnosis of spinal stenosis and intervertebral disc herniation.  Systematic review of facet joint injections, clinical trials and conservative therapy in lower back pain. Results of spinal manipulation post-epidural injection in the cervical spine. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

Specialty Research in Pain Management – Clinical and Procedural – Radiofrequency Ablation and outcome measures - medication, function and pain in relation to pain of spinal origin.  Medial Branch Block as prognostic tool prior to lumbar facet radiofrequency denervation.  Clinical comparison disc herniation, disc bulge, cervical and lumbar radiculopathy.  Diagnosis and patient triage correlation to anatomical spine structures. Long, short term risk factors and outcomes in radiofrequency ablation.   National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

Specialty Research in Pain Management – Clinical and Procedural – Role of Cannabinoids in Pain Management – review of pharmacological, botanical or synthetic origins of cannabinoids.  Mechanism of action in alleviation of pain including analgesic, anti-inflammatory effects, modular actions on neurotransmitters and interactions with prescribed or endogenous opioids. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

MRI PHYSICS

Specialty Research in MRI Physics – The Hardware – magnet types including permanent, resistive and superconducting magnets.  Volume RF, surface, quadrature and phase array coils and other hardware necessary for the generation of MRI imaging.  National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

Specialty Research in MRI Physics – Physics of Image Generation 1 – magnetization, excitation, relaxion, acquisition, computing and display. T1 relaxion and relaxation curves, T2 relaxation, phase and phase coherence, T2 relaxion curves.  National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

Specialty Research in MRI Physics – Physics of Image Generation 2 – gradient coils, signal coding including slice encoding gradient, phase encoding gradient, Frequency encoding gradient.  Gradient specifications and slice thickness. Filling k-space, k-space symmetry and k-space filling technique.    National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

Specialty Research in MRI Physics – Physics of Image Generation 3 – pulse sequences, spine echo sequences including multi-slicing and multi-echo sequencing.  T1, T2, proton density contrast and their applications.  Turbo spine echo, fast advanced spine echo (HASTE) sequence and gradient echo sequence.  Inversion recovery sequence including STIR and FLAIR sequence. Choosing the right sequence pros and cons, T1, T2 and PD parameters. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

Specialty Research in MRI Physics – Physics of Image Generation – technical parameters and artifacts – repetition time, echo time, flip angle, inversion time, number of acquisitions, matric and field of view. Slice thickness, slice gap, phase encoding direction 1 and direction 2 and relation to bandwidth. Motion artifact, para-magnetic artifact, phase wrap artifact, susceptibility artifact, clipping artifact, spine and zebra artifacts.  Effects on image quality and acquisition.  National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

 

NEURORADIOLOGY

Specialty Research in Neuroradiology – radiographic evolution of a Schmorl’s node – acute Schmorl’s node and progression to chronic stage comparison to serial MRI.  Endplate fracture and acute presentation and correlation to clinical findings and pain patterns.  Presentation in plain film radiograph and MRI images were compared and contrasted in both acute and chronic stages. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

Specialty Research in Neuroradiology – syringomyelia, fluid dynamics and spinal cord motion – scoliosis curve patters and syrinx characteristics versus Chiari I malformation.  Normal MRI appearance and motion artifacts related to cerebral spinal fluid motion related phenomena and common appearances on MRI imaging.  Syrinx wall and fluid motion and correlation to cardiac cycle with comparison between systolic and diastolic presentations.  National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

 

Specialty Research in Neuroradiology – Spinal Biomechanics, Thoracolumbar Deformity and Surgical Outcomes – full spine analysis, adjacent spinal biomechanics and its impact on surgical outcomes. Sagittal alignment pelvis to cervical spine and association with kyphosis and lordosis mechanical positioning.  National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

Specialty Research in Neuroradiology – MRI and EMG comparison in denervated muscle diagnosis – lumbar spine pathology and age in relation to paraspinal muscle size and fatty infiltration.  Fatty degeneration of paraspinal muscle in degenerative lumbar kyphosis and CT versus MRI digital analysis. Positive correlations with edema on MRI and fibrillations, positive sharp waves, denervation and the level of reduced recruitment pattern.  National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

 

Specialty Research in Neuroradiology – association between annular tear and disc degeneration – high intensity zone (HIZ) in lumbar disc and association to annular fissure on MRI.  Identification of duel HIZ and its relationship to acute inflammation and calcified tissue and its association with discogenic pain patterns. Influence of phenotype, population size and inclusion sequence.  T1, T2 and STIR imaging comparison and correlation. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

 

Specialty Research in Neuroradiology – degenerative cervical myelopathy – paraspinal muscle morphology, clinical symptoms and functional status. Review of fatty infiltration, asymmetry findings and correlation with clinical symptoms and functional scores. Review of complex anatomical arrangement of superficial and deep muscle layers in the cervical spine, correlation to MRI findings. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

 

Specialty Research in Neuroradiology – MRI Neurography, Diffuse Tensor Imaging (DTI) – diagnostic accuracy and fiber tracking in spinal cord compression.  Review of spinal cord structural integrity, peripheral neuropathy and correlation to diffuse tensor imaging findings.  Comparison in combining DTI with T2 and T2 alone and its value in magnetic resonance neurography. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

 

Specialty Research in Neuroradiology – Nomenclature and Classification of Lumbar Disc Pathology – modified Pfirrmann grading system and lumbar disc degeneration. Consensus driven description of intervertebral disc nomenclature including intervertebral disc bulge, herniation, protrusion, broad based disc herniation, extrusion and sequestration.  National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

 

Specialty Research in Neuroradiology – MRI evaluation of intradural tumor – neuroimaging of spinal tumors and correlation to histological study. Determining method of choice for evaluation, review of numerous types of intradural-extramedullary masses including meningioma and schwannoma.  Signal intensities, contrast enhancement patterns, presence of cysts and other key differentiation findings of spinal cord tumors. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

Specialty Research in Neuroradiology – Spinal Cord Compression, Myelomalacia, MRI Imaging and Clinical Correlation – positional cervical spinal cord compression and fibromyalgia.  T1 and T2 weighted images, comparison of hypo and hyperintense signals and extent of intramedullary changes on MRI.  Review of MRI findings associated with myelomalacia and discussion of correlation with clinical findings. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

Specialty Research in Neuroradiology – MRI Characteristics of Lumbar Facet Synovial Cyst – formation characteristics of synovial cyst, relation to degenerative changes in spinal facet joints as demonstrated on MRI.  Pre and post-surgical procedural MRI were reviewed and compared.  Surgical management and subsequent resection were demonstrated. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

 

Specialty Research in Neuroradiology – Variability in MRI Diagnostic Error Rates – in depth review of quality of MRI imaging and comparison to consistent MRI diagnosis between facilities.   Errors of interpretation in the study examinations were considered and presented.  Impact of radiological diagnosis, location of MRI study and reading radiologist and impact on treatment choice and clinical outcomes. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

ORTHOPEDIC SURGERY – EXTREMITY

Specialty Research in Orthopedic Extremity Surgery – Wrist Anatomy and Osseous Kinematics – normal kinematics using biplanar radiographic model were reviewed.  Discussion of extensive database of carpal bone anatomy and kinematics from a large number of healthy subjects.  3-D motion of each bone was calculated for each wrist position and discussed.  Database constructed including high-resolution surface models, measures of bone volume and shape, and the 3-D kinematics of each segmented bone.National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

Specialty Research in Orthopedic Extremity Surgery – Normal Motion of the Shoulder and Glenohumeral Instability – normal motion of the shoulder joint compared with clinical implications of glenohumeral joint instability including surgical recommendations.  Review  and  overview  of  the  anatomy  of  the  glenohumeral  joint, emphasis  on  instability  based  on  the  current  literature.  Description  of  detailed  anatomy  and  anatomical  variants  of  the  glenohumeral  joint  associated with anterior and posterior shoulder instability. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

Specialty Research in Orthopedic Extremity Surgery – Orthopedic Testing and Shoulder Pathology Diagnosis - use of orthopedic special tests (OSTs) to diagnose shoulder pathology and clinical examination.  Review OST clusters, examination of methodology and illustration of their use in arriving at a pathology-based diagnosis.  Discussion of examination of the biceps tendon and clinical relevance.  Review of SLAP lesion and shoulder impingement syndrome were reviewed.National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

Specialty Research in Orthopedic Extremity Surgery – Electrodiagnostic Testing and Carpal Tunnel Syndrome – Review of the most common mononeuropathy in the human body.  Relationship between clinical findings, neurological examination and electrodiagnostic testing in the diagnosis of carpal tunnel syndrome.  Acute and chronic symptoms including progression of the disorder were reviewed. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

Specialty Research in Orthopedic Extremity Surgery – Current Concepts in Elbow Disorders – Detailed anatomy of osseus, ligamentous and muscular structure of the elbow was reviewed. Common  disease  of  elbow  disorders and their treatment was discussed. Lateral epicondylitis and medial collateral ligament injury of the elbow were outlined. Rheumatoid  arthritis,  posttraumatic  osteoarthritis,  and  elderly  patients  with  comminuted  distal  humeral fractures.  Surgical design and technique were outlined. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

Specialty Research in Orthopedic Extremity Surgery – Differentiating Cervical Spine from Shoulder Pathology – anatomical review of cervical spine and glenohumeral joint focus on similarities and differences.  Cervical disorders masking shoulder pain, cervical radiculopathy, cervical spondylotic myelopathy, facet and discogenic pain patterns were outlined.  Details of shoulder pathology parsonage-tuner syndrome, subscapular neuropathy and thoracic outlet were presented.  National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

Specialty Research in Orthopedic Extremity Surgery – MRI of the Shoulder and Shoulder Girdle – review of MRI analysis of scapular fracture.  Detailed review of scapular function rehabilitation and training on chronic pain syndromes. Reliability of magnetic resonance imaging versus arthroscopy for the diagnosis and classification of superior glenoid labrum anterior to posterior lesions.National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

 

Specialty Research in Orthopedic Extremity Surgery -Cataloging Movements of the Ankle, Hip and Spine - Review Standardization and Terminology Committee (STC) of the International Society of Biomechanics (ISB) and classification of joint kinematics. Standard for the local axis system in each articulating bone is generated and presented.  Rationale for international standards among researchers was presented.National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

Specialty Research in Orthopedic Extremity Surgery -Cataloging Movements of the Shoulder, Elbow, Wrist and Hand - Review Standardization and Terminology Committee (STC) of the International Society of Biomechanics (ISB) and classification of joint kinematics. Standard for the local axis system in each articulating bone is generated and presented.  Rationale for international standards among researchers was presented.National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

Specialty Research in Orthopedic Extremity Surgery – MRI and Diagnosis of Shoulder Disorders – normal and abnormal shoulder anatomy as viewed on MRI was presented.  Review and presentation of MRI in the diagnosis and treatment of brachial plexus injury.  Discussion of preganglionic avulsions and muscular denervation.  Comparison of CT myelography to MRI myelography were outlined. Enhanced three dimensional T1 high-resolution isotropic volume excitation MR in the evaluation of shoulder pathology.  Comparison with two-dimensional enhanced T1 fat saturation MRI were discussed. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

Specialty Research in Orthopedic Extremity Surgery – Clinical Evaluation of Upper and Lower Extremity Pathology – review of relevant anatomy in shoulder, elbow, wrist, hip, knee and ankle was presented.  Physical examination including orthopedic, neurological and range of motion testing was presented and compared with findings on MRI results.  National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

ORTHOPEDIC SPINE SURGERY

Specialty Research in Orthopedic Spine Surgery – Fusion Surgery and Lumbar Stenosis – efficacy of fusion and decompression surgery in patients with lumbar spinal stenosis.  Review of degenerative spondylolisthesis and patient selection criteria. Discussion of correlation of MRI, CT findings and clinical evaluation.  Review of sedimentation sign on MRI and indications of prognostic factors.  Surgery versus nonsurgical treatment outlined and outcomes discussed. Compensation for lumbar spinal stenosis and clinical sagittal plane deformity was presented.  National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

Specialty Research in Orthopedic Spine Surgery – Posterior Lumbar Interbody Fusion and Adjacent Segment Degeneration (ASD) – adjacent segment degeneration as major consequence of spinal fusion.  Review of occurrence and location with correlation between surgical outcomes were discussed.   Discussion of age, BMI and pre-existing stenosis in cranial adjacent segment as risk factors. ASD prevalence in radiographic evidence between cranial and caudal segments were reviewed.  Presentation of risk factors and pre-operative radiological features. Facet sagittalization and tropism were discussed. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

Specialty Research in Orthopedic Spine Surgery – Morbidity and Mortality Predictions in Spinal Surgery – Review of the Charlson Comorbidity Index (CCI) and the American Society of Anesthesiologist (ASA) Physical Status Classification System.  Review of index outcomes and relation to costs of care. Discussion of index rating and likelihood of complications.  Review of classification system in cerebral spinal fluid (CSF) leaks. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

Specialty Research in Orthopedic Spine Surgery – Spondylolisthesis, clinical and radiographic classifications - classification system that considers disc space height, sagittal alignment and translation, and the absence or presence of unilateral or bilateral leg pain was discussed.  Detailed review of spondylolisthesis etiology, clinical presentation and imaging findings was reviewed. Review of inter and interobserver reliabilities of radiographic and clinical criteria.  Review of consensus driven treatment options for degenerative spondylolisthesis presented.  Transforaminal Lumbar Interbody Fusion (TLIF)  in degenerative disc disease with associated spondylolisthesis grade I was reviewed and correlated.National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

Specialty Research in Orthopedic Spine Surgery – Sagittal Alignment and Spinal Surgery, Clinical Outcomes and Follow up – discussion of outcomes and sagittal alignment in single unilateral transforaminal lumbar interbody fusion (TLIF).  Detailed review of surgical TLIF procedure and associated mid and long-term clinical outcomes.  Discussion and presentation of influence of pelvic incidents and lumbar lordosis mismatch and post-operative residual symptoms. Analysis of adjacent segment disease following fusion.  National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

 

Specialty Research in Orthopedic Spine Surgery – Complications and Outcomes in Adult Spinal Deformity Surgery – review of surgical approaches and complications in correction of adult spinal deformity. Relevance of age, comorbidities, blood loss, osteoporosis and smoking were discussed. Discussion of Cobb Angle, Sagittal Vertical Axis, Pelvic Tilt, Thoracic Kyphosis were reviewed and examined in relation to transpsoas lateral interbody fusion (LIF), percutaneous pedicle screw (PPS), transforaminal lumbar interbody fusion (TLIF).  Comparison between minimally invasive and traditionally open procedures was provided and reviewed.   Discussion of minimally invasive surgery options were emphasized and outcomes reviewed with correlation to diagnosis and procedural coding.  National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

Specialty Research in Orthopedic Spine Surgery – Surgical Interventions in Lumbar Disc Herniation – review of differences in surgical treatment of recurrent lumbar disc herniation.  Clinical correlation between plain film radiography, MRI studies and clinical presentation were reviewed.  Data on frequency in management of recurrent lumbar intervertebral disc herniations presented.  Duration of symptoms and influence of patient outcomes in sciatica patients undergoing micro-discectomy and decompressions.  National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

Specialty Research in Orthopedic Spine Surgery – Length of Stay in Lumbar Spinal Surgery – discussion on epidemiology of lumbar surgery outcomes and hospital stay.  Correlation to clinical presentation and comorbidities were reviewed.   Outline of decompression and instrumental fusion in the lumbar spine. Review of costs of lumbar surgery, trends in hospital stay and costs both on a cumulative and daily basis.  Comparison of the nationwide inpatient sample and national surgical quality improvement program databases for lumbar spine fusion procedures was reviewed and presented.  National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

Specialty Research in Orthopedic Spine Surgery – Pre-Surgical Planning and Implant Design – 3-D printing and surgical planning discussion a variety of historical materials in the creation of patient specific implants based on unique individual anatomy.   Historical trends in the creation of prosthetics with 3-D modeling software using neuroimaging data. Review of treatment complex spinal pathologies and surgical planning was discussed. Outline of current and future barriers to global implementation and commercialization was reviewed. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

Specialty Research in Orthopedic Spine Surgery – Spine Surgery Procedures in Medical Specialty Training – discussion of current spine surgery training including fellowship programming in the United States.  Accreditation Council for Graduate Medical Education (ACGME) cases logs were reviewed and discussed.  Variability of procedures within programs and between medical specialty programs were outlined. Differential utilization between orthopedic and neurosurgical fellows was reviewed. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

Specialty Research in Orthopedic Spine Surgery – Cerebral Spinal Fluid Dynamics, Central Nervous System Pathology and Intracranial Hypotension – pathophysiology and various craniospinal disorders.  Directional phase contrast MRI (4D Flow) was reviewed along with the anatomical and physiological properties of cerebral spinal fluid.  Specific disorders such as Alzheimer’s disease, hydrocephalus, Chiari Malformation and syringomyelia.  Clinical correlation of CSF dynamics to understanding disease process was reviewed including normal and abnormal flow patterns. Recent advancements in fluid flow studies were outlined and presented. Signal intensity changes on MRI study in cervical spondylotic myelopathy was discussed and compared to normal parameters. Fluid dynamics patterns within syringomyelia and Chiari malformation was discussed and correlated to MRI findings and clinical presentations.  Spinal microsurgical exploration surgery and resultant CSF leak and spontaneous intractable intracranial hypotension was reviewed and its pathoanatomical presentation outlined.  Review of the natural and surgical history of Chiari malformation Type I in pediatric population and clinical correlation with MRI studies. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

NEUROSURGERY

Specialty Research in Neurosurgery – Anatomy and Physiology of the Blood Brain Barrier – Review of consequences of alterations in homeostatic control of the neuronal environment.  Discussion of blood flow alterations and altered vessel permeability as determinants in the pathophysiology of brain injury. Review present day literature on the anatomy, development and physiological mechanisms of the blood–brain barrier.  The blood brain barrier’s role in the maintenance of the extracellular environment. Vascular anatomy of the spinal cord was review in relation to the physiology of the neural environment.National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

Specialty Research in Neurosurgery – Spinal Cord Anatomy, Physiology and Vascular Reactivity – detailed review of the blood supply of the spinal cord, anatomy of the vascular system and physiology of blood flow.  Pathophysiology of various conditions including Thoracic Aortic Occlusion and Spinal Cord Injury were discussed with specific relation to risk of neurological deficit.  Severity and duration as an effect was reviewed and correlated clinically. Cerebral circulation and aging, discussion of effects on cognitive functioning and cerebrovascular disease in aging.  National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

Specialty Research in Neurosurgery – Upper Cervical Spine Anatomy and Cerebral Spinal Fluid Flow – MRI flow imaging and computational fluid dynamics in healthy patients with Chiari Malformations.   Review of abnormal cerebral spinal fluid flow oscillations and their effects on healthy patients.  Discussion of nonlaminar complex spatial and temporal variations with associated pressure waves and pressure gradients causing syringomyelia, headaches and other clinical manifestations in Chiari I malformation.  Microsurgical anatomy and internal architecture of brainstem in 3D images and surgical considerations.  CSF hydrodynamic changes, spinal cord injury and development of post traumatic syringomyelia (PTSM).  Impact of spinal cord nerve roots and denticulate ligaments on cerebral fluid dynamics in the cervical spine was reviewed and discussed. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

 

Specialty Research in Neurosurgery – Compression and Degeneration in Chronic Nerve Root Entrapment – differentiation between peripheral nerves and spinal nerve roots and effects of electrostimulation.  Discussion of various stimulating or recording neurosurgical implants and success vs failure rates. Review of the nerve root compression and its relation to consequences of disc herniation and acute compression during surgery.  Maximum pressure level a spinal nerve root can sustain is reviewed.  Discussion of microsurgical anatomy of lumbosacral nerve rootlets, Rhizotomy and chronic spinal cord injury. Review of qualitative grading of severity of lumbar spinal stenosis on morphology of dural sac on MRI studies, review of classification systems and the consideration of impingement of neural tissue.  National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

Specialty Research in Neurosurgery – Anatomy of Circle of Willis, Cerebral Arteries and Stroke Etiology – discussion of stroke by embolism, source and cause in diagnosis and long-term treatment. Review of complex nature of embolus transport and its relation to etiology.  Image based hemodynamics with discrete particle dynamics in relation to the distribution of emboli across the various cerebral arteries. Detailed anatomy of Circle of Willis reviewed and discussed with particular focus on size/inertia dependent trends in embolus distribution to the brain, distribution of cardiogenic versus aortogenic emboli among anterior, middle and posterior cerebral arteries, left versus right brain preference in cardio-embolus and aortic emboli transport and source-destination relationship for embolisms affecting the brain.  Detailed review of the microsurgical anatomy of the posterior cerebral artery in three dimensional images.National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

 

Specialty Research in Neurosurgery – Stroke Therapy, Implementation and Cost-Effectiveness – review of endovascular therapy in addition to standard care in acute ischemic vessel occlusion stroke.  Comparison in National Institutes of Health Stroke Score (NIHSS) score, symptom onset, Alberta Stroke Program Early CT Score (ASPECTS) and occlusion location. Considerations in acute management and revascularization of tandem occlusions in acute ischemic stroke with literature review. Discussion of Transcirculation Pipeline embolization device deployment as a rescue technique. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

Specialty Research in Neurosurgery – Surgical Approaches and Outcomes in Spine Surgery 1 – review of historical interventions, multilevel decompression and instrumented fusion in reduction of neural compression and spinal column stabilization.  Discussion of morbidity and mortality in relation to surgical procedures. The use of the modified fragility index to predict 30-day morbidity and mortality from spine surgery. Differences in patient selection for minimally invasive versus open surgical procedures, and review of post-surgical outcomes.  Morbidity, mortality and health care costs for patients undergoing spine surgery following ACGME resident duty-reform. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

Specialty Research in Neurosurgery – Surgical Approaches and Outcomes in Spine Surgery 2 Predisposing factors for dural tears in lumbar spine surgery including degenerative conditions, prior surgery and age related indicators were reviewed.  Discussion and review of re-admission rages in spine surgery through metanalysis and systematic review.  Bibliometric study of the most important minimally invasive (MIS) spine surgery papers including Level III and IV studies with focus on moving toward Level I and Level II. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

EMERGENCY MEDICINE

Specialty Research in Emergency Medicine – Emergency Medicine and Spine Pain – review of lack of guidelines for the management of lower back pain in the ED.  Frequency of lower back pain visitation in the emergency department including environmental/sociocultural dimensions and physical/psychospiritual dimensions were reviewed.  Discussion of utilization of significant healthcare resources with complete description of lower back pain characteristics, health services use in non-urgent lower back pain patients presenting to the ED. Managing spine pain in the ED using usual and customary medical intervention.  Extent of appropriate CT and MRI scans in the hospital setting, accessibility reviewed in conjunction with presented national data. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

Specialty Research in Emergency Medicine – Medication Usage and Motor Vehicle Accidents – review of ADHD medication utilization and motor vehicle accident data and frequency of motor vehicle accident sin this specific patient population.  Review of the prevalent and preventable cause of morbidity and mortality among patients and concepts of restricting based on prognostic factors. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

Specialty Research in Emergency Medicine – Emergency Department Imaging Perspectives – review of imaging protocols among a spectrum of clinical indications, perspective on aging populations and clinical complexity.  Review of CT, MRI, plain film imaging and ultrasound and their relationships to internal medicine and musculoskeletal disorders examined on an emergency basis through patient generated national survey data. Details of specific contexts in which imaging has become concentrated and targeted efforts for optimization of utilization. considerations of utilization of CT in the emergency department and evaluation to increasing trends.  Review of quality improvements in imaging utilization. Comparison between pediatric and adult imaging protocols and trends. Discussion and analysis of “Choose Wisely” recommendations and creating of guideline/policy/clinical pathways in New England EDs.  MRI utilization in pediatric ED reviewed and analyzed. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

Specialty Research in Emergency Medicine – Cauda Equina Syndrome and Other Emergent Conditions – traumatic injuries to the thoracolumbar spine and overall impact on emergency services.  Discussion of exact definitions of Conus Medullaris Syndrome (CMS) and Cauda Equina Syndrome (CES).  Diagnosis in acute phase and radiological findings clinically correlating with physical examination findings. Parameters for spinal regions of traumatic injury were presented and reviewed. Case presentations for neck and spine were included and reviewed with particular focus on differential diagnosis and case uniqueness. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

Specialty Research in Emergency Medicine – Emergency Medicine Residency Curriculum – review of Ohio State University Emergency Medicine Residency Program Musculoskeletal Emergencies Curriculum.  Outline of the significant nature of musculoskeletal emergency presentations to ED.  Details in the training required to master clinical experience, self-directed learning and small group didactics.  Case study reviews and discussion was presented with particular focus on infection vs non-infections and traumatic vs non-traumatic presentations in ED. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

Specialty Research in Emergency Medicine – Opioid vs Non-Opioid Medications in the Emergency Department – discussion of limited evidence of long-term outcomes of opioids with non-opioid medication for chronic pain.  Literature review on effectiveness for opioid interventions. Discussion of alternative recommendations, evidence demonstrating lack of benefit and poor long term outcomes.  Variation in physician opioid prescriptions discussed.   Patterns of opioid initiation at first visits for pain in the ED in the United States including frequency and dosage. Emergency Department data concerning the persistent pain after motor vehicle accidents and comparison between opioid and NSAID prescribed in the ED. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

Specialty Research in Emergency Medicine – Concussion and Repeat ED visits – review of patients presenting to ED with concussion with re-visitation within 72 hours.  Mechanism of injury including closed head injury, assault, fall and motor vehicle accidents discussed.  Epidemiological evidence presented regarding number of visitations, characteristics and care paths reviewed. Discussion of adoption of a more comprehensive discharge plan to further prevent repeat visits was outlined. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

Specialty Research in Emergency Medicine – CDC Epidemiology of ED Visits in the United States, Adults Over 65 and Motor Vehicle Accidents – Evaluation of data from the National Hospital Ambulatory Medical Care Survey and frequency of ED visitation.  Percentage of visits requiring hospital admission was reviewed along with patterns of need for critical care. Review of imaging ordering statistics and clinical diagnosis was discussed. Details of primary and secondary ED diagnosis presented in relation to sprain/strain, contusion and spinal pathology including herniated intervertebral disc, facture and spinal cord compression. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

Specialty Research in Emergency Medicine – National Hospital Ambulatory Medical Care Survey – a review of the current representative data on ambulatory care visits to hospital emergency departments in the United States.  Demographics, residence, insurance class, chief complaint with focus on traumatic injury, diseases of the nervous and musculoskeletal systems were outlined. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

Specialty Research in Emergency Medicine – Lower Back Pain and Emergency Room Visits – detailed analysis of impact of lower back pain on ED globally. First systematic review of the trends in the literature including lower back pain as significant complaint and the variables in its definition.   Discussion of the proper diagnosis and triage of lower back pain and its current impact on ED management was reviewed. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

Specialty Research in Emergency Medicine – Spinal Cord Injury without Radiographic Abnormality (SCIWORA) in Adults – case reports – detailed review of Spinal Cord Injury without Radiographic Abnormality was presented.  Syndrome of post traumatic myelopathy demonstrable on MRI with no evidence of osseous injury on plain film or CT scan.  Reporting of incidence was included with detailed discussion of case presentations, accurate diagnoses and triage was reviewed. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

Specialty Research in Emergency Medicine – CDC Traumatic Brain Injury Data – Related Emergency Department Visits, Hospitalizations, Deaths – United States, 2007 and 2013 – traumatic brain injury, short and long term adverse clinical outcomes, death and disability reviewed and compared based on CDC data over a 7 year period.  Mechanism of causation including motor vehicle accidents, falls and assault. Public health recommendations and interpretation of data was presented. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

Specialty Research in Emergency Medicine – CDC Data, Trends in Emergency Department Visits for Ischemic Stroke and Transient Ischemic Attack – relationship between stroke and statistical cause of death, type of stroke and prognosis related to recurrence was discussed.  Specific definitions of ischemic stroke, transient ischemic attack with etiology and relationship to emergency visits were outlined and presented. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

 

Specialty Research in Emergency Medicine – US Emergency Department Use by Children – pediatric utilization of emergency medicine resources, description of trends on a national basis.  Detailed analysis of specific demographics including race and resident status were reported and reviewed.  Discussion in allocation of resources including insurance class and coverage were reviewed. Anticipated expansion of Medicaid was considered and reviewed.  Estimates of nonurgent ED visits by children were presented and discussed.  National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

PRIMARY CARE/INTERNAL MEDICINE

Specialty Research in Primary Care and Internal Medicine – Supply of Chiropractic Care and Visits to Primary Care Physicians for Neck and Back Pain – discussion of primary care visits and lower back pain.  Expenditures and contributions to disability data.   Discussion of supply of chiropractic care in context of visits for lower back pain and primary care physicians.  Estimated national impact of primary care visits and expenditures was outlined with a focus on chiropractic’s assistance in managing lower back pain.  Defining an “episode” of lower back pain and relationship to collection of epidemiological data. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

Specialty Research in Primary Care and Internal Medicine – Safety of Chiropractic Care in Lower Back Pain and Migraine Headaches – review of adverse events associated with chiropractic care in the treatment of migraine.  Outline of a prospective 3-armed, single-blinded, placebo RCT. Discussion of transient and mild events following chiropractic intervention. Randomized clinical trials and meta-analysis reviewed and discussed relating to the diagnosis and management of lower back pain including adverse event reporting.  Risk of injury to the head, neck or trunk following an office visit for chiropractic spinal manipulation, as compared to office visit for evaluation by primary care physician. 

National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

Specialty Research in Primary Care and Internal Medicine – Chiropractic and Pain Management in Primary Care – evaluation of the analgesic effects of spinal manipulation on both healthy and pain inflicted patients.  Discussion of evidence of increased in pressure pain thresholds in musculoskeletal pain at both local and remote sites. Detailed knowledge of patient population regarding demographics and socioeconomic factors as well as disease-specific characteristics. Suggestion that lower back pain should not be seen as benign and self-limiting with focus on management. Describe the communication system surrounding the management of chronic pain from the perspectives of allopathic providers, acupuncture and chiropractor providers, and chronic musculoskeletal pain patients.   Chiropractic manipulative treatment (CMT) association with lower healthcare costs among multiply-comorbid Medicare beneficiaries with an episode of chronic low back pain was reviewed.National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

Specialty Research in Primary Care and Internal Medicine – Perceptions of Chiropractic Care – demographic review of data on the perceptions of chiropractic care. Review of patient interest, trustworthiness, costs and frequency of visits was discussed. Nationally representative survey to compare characteristics and use of survey respondents with positive and negative perceptions of DCs and chiropractic care. Positive perceptions of DCs were more common than those for chiropractic care.  US adults generally perceive DCs in a positive manner.  Describe the preferences of older adults for low back pain co-management by MDs and DCs and identify their concerns for receiving care under such a treatment model. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

Specialty Research in Primary Care and Internal Medicine – Chiropractic and Post-Surgical Care and Care for Veterans – discussion of persistent post-surgical lower back and radicular pain response to chiropractic care.  Relevant anatomy related to lower back pain and intervertebral disc injury was outlined and presented.  Discussion and development of an integrated care pathway for doctors of chiropractic, primary care providers, and mental health professionals who manage veterans with low back pain, with or without mental health comorbidity, within Department of Veterans Affairs health care facilities. Support for the inclusion of chiropractic care as a component of multidisciplinary health care for low back pain, as currently recommended in existing guidelines with a focus on US Service Members. Discussion of availability of chiropractic care to military healthcare systems, referral and interprofessional communication models. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

 

Specialty Research in Primary Care and Internal Medicine – Effects of Chiropractic Care Combined with Medical Care, First Contact and Provider Type – differences in outcomes, patient satisfaction, and related healthcare costs in spinal, hip, and shoulder pain patients who initiated care with medical doctors (MDs) vs those who initiated care with doctors of chiropractic (DCs).  Pain of muscuoloskeletal origin and epidemiology of reduced productivity. Comparison of data on health outcomes, patient satisfaction, and related healthcare costs in patients consulting differing first-contact care providers for musculoskeletal pain.National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

Specialty Research in Primary Care and Internal Medicine – Integrating Chiropractic Care into Primary Care and Private Sector Healthcare Facilities – suggestion of a diverse role for chiropractors within conventional health care facilities.  Discussion of chiropractic’s effectiveness for managing musculoskeletal disorders, particularly spine-related pain and disability. Descriptions of doctors of chiropractic who work in nongovernmental, private sector health care settings in the United States. Shared electronic health records, face-to-face informal consultations methods for interprofessional communication. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

Specialty Research in Primary Care and Internal Medicine – American College of Physicians – Guideline Recommendations – Non-Invasive and Non-Pharmacological - American College of Physicians (ACP) developed this guideline to present the evidence and provide clinical recommendations on noninvasive treatment of low back pain.  Systematically review the current evidence on non-pharmacologic therapies for acute or chronic non-radicular or radicular low back pain.  Comparative benefits of non-pharmacological therapies in acute/subacute low back pain including exercise, spinal manipulation, lumbar supports, acupuncture, laser, ultrasound and traction. Discussion of first and second line therapies with reduction in opioid prescription. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.

Summit Brain and Spine Conference: Many Minds. Better Outcomes.  Med talks from Neurosurgeons, Interventional pain specialists, Mental health experts, Chiropractors, Spine management providers, Physical therapists, Orthopedic surgeons, Biomechanist, Yogi and Neuroradiologist. Emphasis on case studies and proper management of difficult cases. Sept. 14-17 2023 Lehi, Utah

Grand Rounds- Chiropractic Management- Lumbar Intervertebral Disc Extrusion- Analysis and review of T1, T2, and STIR MRI images with specific discussion on the presence of inflammatory fluid and migration of intervertebral disc material. Communication with the spine surgeon was emphasized with a particular focus on verbal reporting and clinical documentation. Interprofessional communication pitfalls were outlined and presented. The medical necessity of advanced imaging was present with the clinical correlation of orthopedic and neurological examination findings was detailed. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards- PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomechanical Sciences- 2023.

 

2023 National Spine Management Conference South – Role of a Spine Management Physician - Outline and overview of what a Spine Management Physician is, and the present day need in healthcare. Details relating to the Doctor of Chiropractic filling that role with specific discussion related to WHY physical therapy, nurse practitioners or physician assistants are unable to fill this position. Overview of a spine manager’s role in the evaluation and triage of non-operative spine patients was presented. Introduction to the diagnosis of non-specific spine pain was outlined with focus on the needs of primary care, pain management and spinal surgeons. National Spine Management Group, LLC, Parker University, Alabama State Board of Chiropractic Examiners, Kentucky Board of Chiropractic, Louisiana State Board of Chiropractic Examiners, Texas Board of Chiropractic Examiners, Florida Board of Chiropractic Medicine, Arizona Board of Chiropractic Examiners, Federation of Chiropractic Licensing Boards – PACE, 2023.

2023 National Spine Management Conference South – Moving From a Curative Model of Spine Care - A comprehensive look at the history of spinal care, degenerative changes and both regional and global spinal compensation. Outline the spine as a whole organ system that must be monitored in relation to physical activity, lifestyle, and traumatic patient history was discussed and presented. Application of spine management principles mirroring internal medicine disorders was presented and reviewed. Specific peer reviewed medically index research was presented outlining initial criteria for determining medical necessity of supportive spine care. National Spine Management Group, LLC, Parker University, Alabama State Board of Chiropractic Examiners, Kentucky Board of Chiropractic, Louisiana State Board of Chiropractic Examiners, Texas Board of Chiropractic Examiners, Florida Board of Chiropractic Medicine, Arizona Board of Chiropractic Examiners, Federation of Chiropractic Licensing Boards – PACE, 2023.

2023 National Spine Management Conference South – Interprofessional Communication with Primary Care Physicians - Research trends and working with primary care physicians was outlined. Focus on the conservative management of spinal conditions, aiding the primary care clinic and working to prevent unnecessary escalation of care. Reduction in opioid utilization and reduced surgery trends will be discussed. Research documenting modulation of pain at the central nervous system level with the chiropractic adjustment was presented. Application to real world scenarios including evaluation and management documentation was reviewed. Details of effective communication were presented including phone call, email, fax, and text messaging within the HIPAA compliance environment was discussed. National Spine Management Group, LLC, Parker University, Alabama State Board of Chiropractic Examiners, Kentucky Board of Chiropractic, Louisiana State Board of Chiropractic Examiners, Texas Board of Chiropractic Examiners, Florida Board of Chiropractic Medicine, Arizona Board of Chiropractic Examiners, Federation of Chiropractic Licensing Boards – PACE, 2023.

2023 National Spine Management Conference South – Interprofessional Communication with Pain Management Physicians - Chiropractic diagnosis of spinal ligament pathology will be discussed in the context of co-management with pain management specialists. Specific review of the role of a fellowship trained interventional pain management physician in your community will be presented. Rev iew of epidural steroid injection, medial branch block and spinal ablation will be presented in the context of when and how to refer. National Spine Management Group, LLC, Parker University, Alabama State Board of Chiropractic Examiners, Kentucky Board of Chiropractic, Louisiana State Board of Chiropractic Examiners, Texas Board of Chiropractic Examiners, Florida Board of Chiropractic Medicine, Arizona Board of Chiropractic Examiners, Federation of Chiropractic Licensing Boards – PACE, 2023.

2023 National Spine Management Conference South – Interprofessional Communication with the Spine Surgeon - Spinal sagittal balance and spine surgery research trends will be reviewed. Chiropractic’s role in the conservative management of spinal biomechanics pre-surgery and post-surgery will be outlined. Terminology and documentation requirements will be presented. National Spine Management Group, LLC, Parker University, Alabama State Board of Chiropractic Examiners, Kentucky Board of Chiropractic, Louisiana State Board of Chiropractic Examiners, Texas Board of Chiropractic Examiners, Florida Board of Chiropractic Medicine, Arizona Board of Chiropractic Examiners, Federation of Chiropractic Licensing Boards – PACE, 2023.

2023 National Spine Management Conference South – Anatomy and Physiology of the Healthy Intervertebral Disc - Anatomy of the healthy intervertebral disc and its nerve supply will be reviewed. A brief overview of the biochemical structure of the intervertebral disc will be presented. The role of the intervertebral disc as a spinal stabilizer and its influence on facet joint function will be outlined. Specific attention will be given to radiologic vocabulary such as intervertebral disc herniation, extrusion, sequestration, and traumatic annular tears. MRI samples will be provided demonstrating

2023 National Spine Management Conference South – Anatomy and Physiology of the Degenerated Intervertebral Disc - Anatomy of the degenerative intervertebral disc and its nerve supply will be reviewed. An overview of the biochemical process of intervertebral disc degeneration will be outlined. Specific attention will be given to the Pfirrmann Scale and radiographic terms such as desiccation, intervertebral disc bulge and degenerative annular tears.

2023 National Spine Management Conference South – Basic Spinal Biomechanical Modeling – Basic spinal biomechanical principles will be reviewed including sagittal spinal alignment and coronal positioning in relation to the spinal facet joints. Research trends including symptomatic vs asymptomatic spinal parameters will be presented in the context of the Doctor of Chiropractic as the portal of entry spine care provider.

2023 National Spine Management Conference South – Spinal Ligament Histological Structure and Function - Histology of ligament structure and function will be presented. Microanatomy and the wound repair process will be discussed. Structural deficits post ligament injury will be presented and reviewed. Anatomical positioning of ligamentous structures will be outlined with specific attention to the spinal enthesis and the difference between an enthesophyte and osteophyte in spinal degeneration.

2023 National Spine Management Conference South – Spinal Ligament Traumatic Pathology - Ligament pathology as a source of persistent spinal pain and dysfunction will be outlined and reviewed. Objectifying ligament injury will be presented, and context will be provided using plain film radiographs and MRI examples. Focus on facet capsules and interspinous ligament will be central to the discussion.

2023 National Spine Management Conference South – Compliance and Documentation - Review of federal documentation guidelines with specific focus on CPT coding for initial and re-evaluation visits. Detailed outcomes of documentation audits by insurance carriers, regulator and special investigators will be presented in a case study format. Emphasis will be placed interprofessional communication and compliance.

2023 National Spine Management Conference South – Trends in Chiropractic Research - Review and discussion of 2022/2023 research supporting the chiropractic profession and the doctor of chiropractor as a spine care manager. Specific papers will be presented related to the pain management, corrective, and health maintenance phases of chiropractic care. Overview of current and future research trends will be demonstrated.

Marc A. Asher, MD Comprehensive Spine Center; 3rd Spine Symposium - Current Diagnosis and Management of Cervical and Thoracic Stenosis- This highlights the current clinical treatment that goes along with these diagnoses in the hospital setting.- presenter Justin Davis MD. The University of Kansas Medical Center Office of Continuing Education & Professional Development- Sept 2022

Marc A. Asher, MD Comprehensive Spine Center; 3rd Spine Symposium-Lumbar Stenosis- Symptoms, examination, imaging and treatment options for lumbar spinal stenosis- presenter Brandon B. Carlson MD. The University of Kansas Medical Center Office of Continuing Education & Professional Development- Sept 2022

Marc A. Asher, MD Comprehensive Spine Center; 3rd Spine Symposium-Back Pain Red Flags; Symptoms Not to miss- This was an overview of non so common spinal issues and injuries not to overlook or evaluate more in-depth from an emergency physician's point of view. Presenter Bryan Beaver MD. The University of Kansas Medical Center Office of Continuing Education & Professional Development- Sept 2022

Marc A. Asher, MD Comprehensive Spine Center; 3rd Spine Symposium- Spinal Stenosis: History and Physical Exam- A clinical overview of who to take a patient from history intake and clinical presentation and assess Spinal Stensos. Presenter Michael Carroll MD. The University of Kansas Medical Center Office of Continuing Education & Professional Development- Sept 2022

Marc A. Asher, MD Comprehensive Spine Center; 3rd Spine Symposium- Efficacy of Steriods with low back pain. Research relating the outcome of steroid use, when used properly. Presenter D.J. Kennedy MD. The University of Kansas Medical Center Office of Continuing Education & Professional Development- Sept 2022

Marc A. Asher, MD Comprehensive Spine Center; 3rd Spine Symposium- Physical Therapy Intervention for patients with Spinal Stenosis. A non-pharmacological or surgical option for patients who either can not or do not want those option. This rehab based therapy and at home therapies offer a more natural approach when indicated. Presenter- Craig Goldberg PT. The University of Kansas Medical Center Office of Continuing Education & Professional Development- Sept 2022

Marc A. Asher, MD Comprehensive Spine Center; 3rd Spine Symposium- Imaging Spinal Instability. Looking through CT, MRI and plain film x-rays and seeing unstable spinal issues that are in need of surgical intervention. Presenter Jamie Crist MD. The University of Kansas Medical Center Office of Continuing Education & Professional Development- Sept 2022

Marc A. Asher, MD Comprehensive Spine Center; 3rd Spine Symposium- Interventional Treatment of Spinal Stenosis. Options and procedures that have been shown to have good outcomes for patients needing more intervention than medication, injections, and physical therapy. Presenter Andrew Sack MD. The University of Kansas Medical Center Office of Continuing Education & Professional Development- Sept 2022

Marc A. Asher, MD Comprehensive Spine Center; 3rd Spine Symposium- Lumbar Stenosis; Surgical Options. Looking at last resort options for patients who have failed more conservative methods of care. Joshua Bunch MD. The University of Kansas Medical Center Office of Continuing Education & Professional Development- Sept 2022

Marc A. Asher, MD Comprehensive Spine Center; 3rd Spine Symposium- Case Studies; Case studies on numerous patients and their outcomes with different methods of treatment and care. Presenter Casey Smith MD. The University of Kansas Medical Center Office of Continuing Education & Professional Development- Sept 2022

Chiropractic Care, Chronic Pain, and Opioids;  Looking at the different patient presentations, history, treatment options, and statistics of Opioid use. Presenter Brandon Steele DC. Kansas Chiropractic Association for category 1 education. Aug 2022

 

Spine Management:  Practical Applications of the Whiplash Research: Whiplash history, Whiplash today, Low speed collisions, Minor vehicle damage, Crushing can be good, Soft tissue injury and repair, The concept of motion, Selected interesting studies, Life University West, Whiplash in Paradise Seminars, Fort Lauderdale, FL February 2022

 

 

Clinical Workflows – in-depth review and discussion of the Doctor of Chiropractic as a Spine Management Physician with specific focus on the diagnosis and management of spine pain of mechanical origin. Details were outlined in relation to triage of anatomical causes of spine pain such as fracture, tumor, infection. National Spine Management Group, Cleveland University Kansas City, Chiropractic and Health Sciences, Federation of Chiropractic Licensing Boards, Buffalo, NY, Lehi, UT 2021.

 

Pain Management and the Chiropractic Adjustment – Current peer reviewed indexed research demonstrating the chiropractic adjustment’s effect on the central nervous system and pain threshold was outlined and reviewed. Anatomical review and contemporary supportive research were discussed. Details of central nervous system response to the chiropractic adjustment was reviewed and demonstrated. National Spine Management Group, Cleveland University Kansas City, Chiropractic and Health Sciences, Federation of Chiropractic Licensing Boards, Buffalo, NY, Lehi, UT 2021.

 

Corrective Spinal Care and Chiropractic Case Management - Current peer reviewed indexed research demonstrating the chiropractic adjustment’s effect on the biomechanical structure of the human spine during the corrective/rehabilitative phase of care. Basic outline of biomechanical parameters in symptomatic and asymptomatic patients was reviewed with particular focus on pathobiomechanics in chiropractic practice. National Spine Management Group, Cleveland University Kansas City, Chiropractic and Health Sciences, Federation of Chiropractic Licensing Boards, Buffalo, NY, Lehi, UT 2021.

 

Health Maintenance Care and Chiropractic Case Management - Current peer reviewed indexed research demonstrating the chiropractic adjustment’s effect on the maintenance of the human spine. Details of indexed research reviewing Chiropractic’s role in the reduction of narcotic utilization and decreased absenteeism from work due to disability. Communicating Health Maintenance Care to the medical profession and the public was emphasized. National Spine Management Group, Cleveland University Kansas City, Chiropractic and Health Sciences, Federation of Chiropractic Licensing Boards, Buffalo, NY, Lehi, UT 2021.

 

Evidence Based Clinical Reporting – overview of current CPT and ICD-10 coding guidelines pertaining to the evaluation and management of spine pain patients was presented. Timed codes, relevant diagnosis related to injured tissue was presented. Specific discussion of proper format of the Assessment portion of clinical documentation was presented. Review of the difference between daily progress notes and Evaluation and Management [E/M] reporting was provided. National Spine Management Group, Cleveland University Kansas City, Chiropractic and Health Sciences, Federation of Chiropractic Licensing Boards, Buffalo, NY, Lehi, UT 2021.

 

Cervical Spine Clinical Workflows – detailed review of workflows of a thorough patient history and identification of clinical red flags related to relative and absolute contraindications to chiropractic care was presented. Outline of neurological examination including pathological reflexes present during spinal cord compression, cervical stenosis and cervical myelomalacia was discussed. Normal vs abnormal measurement of range of motion objectifying spinal dysfunction was presented. Specific orthopedic testing related to specific muscle, nerve or intervertebral disc injury was discussed. Review of interprofessional triage and imaging decision tree was outlined with specific focus on the pain management physician and spinal surgeon. National Spine Management Group, Cleveland University Kansas City, Chiropractic and Health Sciences, Federation of Chiropractic Licensing Boards, Buffalo, NY, Lehi, UT 2021.

 

Supporting improvement of Patient Care; Understanding the collaberation and co-management of musculoskeletal complaints for better patient outcome. Pain management procedures and current treatment, along with case studies and research on treatment oucomes with certain conditions.  When and how to have utilization of Chiropractic care and Physical therapy care for patient in conjunction or instead of medication or drug therapy. Proper communication and time frames of care for different providers within the medical community. Duke health; Duke University systems, Department of Clinical Education and Professional Development, accredited by American Nurses Credentialing Center (ANCC), the Accreditation Council for Pharmacy Education (ACPE), and the Accreditation Coucil for Continuing Medical Education (ACCME) Durham, NC, 2020

 

Trends in Spinal Healthcare, Analyzing spinal healthcare trends in both utilization and necessity and understanding the marketplace and how a level of clinical excellence is reflected in a doctors' documentation and credentials. Treatment pathways in triage and spinal pathobiomechanics. Academy of Chiropractic Post-Doctoral Division, Cleveland University- Kansas City, Long Island, NY 2020

 

MRI Spine Interpretation, An evidentce-bases understanding fo time-related etiology of disc pathology considering the American Society of Neuroradiology's designation of protrusion, extrusion, and sequestration of spinal discs, Considering the signal intensity of discs in age-dating pathology and acquisition protocols for advanced spinal imaging. Academy of Chiropractic Post-Docotal Division, Cleveland University - Kansas City, Long Island, NY, 2020

 

Spinal Biomechanics; A Literature Perspective, An evidenced-based model for spinal biomechanical engineering and pathobiomechanics considering the pathophysiological limits in translations, angular deviation, and rotational planes. Utilizing the Cartesian system in plotting vertebral points to demonstratively conclude an accurate diagnosis, prognosis and biomechanical treatment plan with the conderation of long-term care in the non-specific mechanical spine pain patient when necessary. Academy of Chiropractic Post-Doctoral Divistion, Cleveland University - Kansas City, Long Island, NY 2020

 

Case Management of Mechanical Spine Pathology, Clinical Grand Rounds of herniated, protruded, extruded, sequestered, and bulging discs. Differentially diagnosing vascular vs. mechanical spine lesions and the necessity for urgent vascular, neurological intervention, Collaberation in a team evironment utilizing a neuroradiologist, electrophysiologist, and neurosurgeon with the chiropractor as the primary spine care provider. Academy of Chiropractic Post-Doctoral Division, Cleveland University - Kansas City, Long Island, NY, 2020

 

Trends in Spinal Treatment, Management of spinal care for mechanical spine issues from hospitals and medical specialists to trauma qualified chiropractors based upon published outcomes. Utilizing imaging studies in spinal biomechanics, pain models and clinical outcomes to determine a conclusive diagnosis, prognosis and treatment plan for triaging in a collaborative environment. Cleveland University Kansas City, Chiropractic and Health Sciences, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2019

Neurology of Spinal Biomechanics, Understanding spinal biomechanics and the neurotransmitters required for homeostasis. The interconnected role of Pacinian Corpuscles, Ruffini Corpuscles, Golgi Organ Receptors, Nociceptors, Proprioreceptors and Mechancoreceptors in maintaining sagittal and axial alignment in the presence of mechanical pathology. Cleveland University Kansas City, Chiropractic and Health Sciences, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2019

MRI Age-Dating of Herniated Discs, The literature, academic and clinical standards to age-date herniated discs. The clinical correlation the pain patterns with advanced imaging finings of bone edema, and bone spurs based upon the Piezoelectric effect for remodeling, high signal on T2 weighted images, Vacuum Discs and disc heights in determining the time frames of the etiology of spinal disc pathology. Cleveland University Kansas City, Chiropractic and Health Sciences, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2019

Creating Ethical Collaborative and Medical-Legal Relationships, Understanding the timely triage necessities based upon clinical and imaging outcomes, and the documentation required for collaborative physicians to continue care. Ensuring that the documentation is complete, reflective of services rendered, and clear for third party consideration in an admissible format to be considered in a medical-legal environment. Cleveland University Kansas City, Chiropractic and Health Sciences, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2019

Central Innervation of Spinal Biomecinacal Engineering, Understanding the lateral and ventral horn’s innovations of Pacinian Corpuscles, Ruffini Corpuscles, Golgi Organ Receptors, Nociceptors, Proprioreceptors and Mechancoreceptors, and the pathways through the spinal thalamic tracts through the periaqueductal region, the Thalamus into the Occipital, pre-frontal, sensory and motor cortexes and then efferently back through the Thalamus to disparate regions in creating spinal homeostasis. Cleveland University Kansas City, Chiropractic and Health Sciences, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2019

Identifying Spinal Pathology of MRI, Utilizing T1, T2, STIR, and Gradient studies in determining myelomalacia, intra and extra-dural tumors, and systemic disease patterns affecting the spinal cord. When to use contrast post-operatively in identifying discal structures vs. adhesions in postoperative advanced imaging. MRI Interpretation of herniated, circumferential bulges, focal bulges, protruded, extruded, comminuted, sequestered and fragmented discs. When to consider a neurosurgical consultation based upon the correlation of imaging and clinical findings. Cleveland University Kansas City, Chiropractic and Health Sciences, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2019

Computerized Mensuration of Spinal Biomechanical Pathology, Understanding the algorithmic interpretation of spinal biomechanical pathology in a 3-D model and creating treatment plans, impairment ratings and teaching models based upon the vertebral motor unit angles. Determining sagittal and axial alignments in creating a normative baseline for treatment goals and outcomes. Cleveland University - Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island NY, 2019

Neurosurgical-Chiropractic Collaboration on Spinal Pathology, Utilizing x-ray, MRI and other modalities of advanced imaging in conjunction with spinal biomechanical failure and clinical evaluation to collaboratively create treatment protocols for patients in both the operative and non-operative cases. Determining the boundaries of scope of care for both the chiropractor and neurosurgeon based upon a definitive diagnosis of the mechanical vs. an anatomical lesion. Cleveland University - Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island NY, 2019

Documentation and Ethics in Medical-Legal Relationships, Creating ethical relationships based upon accurate documentation reflective of the casually related condition of the injured. Ensuring accepted credentials of the doctor based upon Voir Dire standards reflected in an admissible curriculum vitae. How to present demonstrative documentation in the courts reflective of the patient’s pathology. Cleveland University - Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island NY, 2019

Coding, Documentation and Compliant Coding, Ensuring the correct codes are utilized in an evaluation and management encounter. The correct elements are utilized to support the level of E&M coded along with a self-audit program to ensure ethical billing occurs. Guidelines for history of present illness, primary complaint, review of systems, family, social and past histories are discussed and how to document the same. Cleveland University - Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island NY, 2019

Connective Tissue Pathology, Spinal Biomechanics as Sequella to Trauma, MRI Spine Interpretation, Ordering Protocols & Triaging the Injure, The latest research on the 6 ways to age-date disc herniations and bulges from trauma inclusive of disc pathology nomenclature. MRI ordering protocols, inclusive of Dixon format and fat-suppressed images. The neurology and pathology of connective tissue and the sequella of trauma at the biomechanical level leading to bio-neuro-mechanical failure. Contemporary “evidenced-based building blocks” for triaging and in a collaborative environment. Cleveland University Kansas City, Chiropractic and Health Sciences, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2018

 

Spinal Biomechanical Engineering Digitizing, integrating automated mensuration into creating treatment plans and determining maximum medical improvement. A literature-based study of normal vs. abnormal motor until function. Determining ligamentous laxity, alteration of motion segment integrity and pathological stress units and whole person impairments based upon the literature and academic standards. Cleveland University Kansas City, Chiropractic and Health Sciences, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2018

 

Science of the Chiropractic Spinal Adjustment and Vertebral Subluxation, The literature-based definitions of both the mechanisms the chiropractic adjustment and how it affects the central nervous system in pain pathways and systemic issues that is the arbiter for normal vs. abnormal function. The “physiological mechanisms” of how the chiropractic spinal adjustment affects the peripheral and central nervous systems. Subluxation degeneration/Wolff’s Law will be detailed from a literature perspective combined with the mechanism of subluxation (bio-neuro-mechanical lesion). A literature perspective why “long-term” chiropractic care is clinically indicated as usual and customary to effectuate demonstrable biomechanical changes in the spine. An evidenced-based perspective of why physical therapy is a poor choice for spine as a 1st referral option for any provider inclusive of the literature. Cleveland University Kansas City, Chiropractic and Health Sciences, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2018

 

Documentation, Collaboration, and Primary Spine Care, An academic basis for documentation that is usual and customary across professions in collaborative care. Maintaining ethical medical-legal relationships based upon Voir Dire and Duabert standards with ensuring a “4-corners” inclusive report. Ensuring Primary Care Status based upon an academic standards. Cleveland University Kansas City, Chiropractic and Health Sciences, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2018

 

Documentation of the Trauma and Non-Trauma Case, Documenting primary and associated complaints, past history, allergies, medications, review of systems, previous treatment, family-social medical histories, previous tests and results, history or previous injuries and illnesses, on the job questionnaire, auto accident questionnaire, vital examination, neurological examination, orthopedic testing, test orders, prognosis and treatment plans. A detailed review of current CPT coding requirements for the proper documentation of E/M visits to properly code for billable patient services.  Focused attention was paid to the performance of comprehensive patient history, physical examination, review of systems as well as determining the level of clinical decision making.  Analysis of a properly organized E/M report was reviewed to demonstrate proper organization and language use. PACE Approved for the Federation of Chiropractic Licensing Board, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2018

 

Interprofessional Reporting and Case Documentation, analysis of case flow, patient chart organization and EMR workflows to optimize the success and satisfaction of the patient encounter, feasibility of accurate and timely documentation as well as strategies to provide timely interprofessional clinical communication.  Focus was provided on patient, primary care and medical specialty communication beginning at the initial visitation all the way through to the release from care. An internal compliance review to ensure complete documentation based upon the E/M level billed. PACE Approved for the Federation of Chiropractic Licensing Board, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2018

 

Documenting Trauma and Non-Trauma Cases & Triaging Disc Pathology, Triage, care and collaboration for herniated, bulged, protruded, extruded and fragmented spinal discs. Compliant documentation of evaluation and management of new and established patients inclusive of chief complaint, history of present illness, review of systems, past-family-social histories with case management protocols and the required elements. Clinically coordinating treatment with subjective complaints, clinical findings and diagnosis for each encounter. PACE Approved for the Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post-Doctoral Division, Long Island, NY 2018

Triage and Management of the Trauma and Non-Trauma Patient, Differentially diagnosing spinal issues in the trauma and non-trauma patient inclusive of spinal disc pathology utilizing x-ray, MRI, CAT Scan and clinical evaluations. Collaborative triaging protocols with neurologists, neurosurgeons, orthopedic surgeons, pain management and primary medical care providers with both mechanical and anatomical spinal pathologies. Academy of Chiropractic, Cleveland University - Kansas City Chiropractic and Health Sciences, Long Island, NY, 2018

Stroke Anatomy and Physiology: Brain Vascular Anatomy, The anatomy and physiology of the brain and how blood perfusion effects brain function. A detailed analysis of the blood supply to the brain and the physiology of ischemia. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018

Stroke Anatomy and Physiology: Stroke Types and Blood Flow, Various types of stroke identifying ischemia, hypoperfusion, infarct and penumbra zones and emboli. Cardiac etiologies and clinical features as precursor to stroke with associated paradoxical emboli and thrombotic etiologies. Historical and co-morbidities that have etiology instroke inclusive of diabetes, coagulopathy, acquired and hereditary deficiencies. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018

Stroke Principles of Treatment an Overview for the Primary Care Provider, Stroke type and treatments performed by vascular specialists. The goals of treatment with the physiology of the infarct and penumbra zones and the role of immediate triage in the primary care setting. Detailing the complications of stroke and future care in the chiropractic, primary care or manual medicine clinical setting. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018

Clinical Evaluation and Protocols for Identifying Stroke Risk, The neurological history and examination for identifying stroke risks with a focus on supra and infratentorial regions, upper and lower motor lesions, cranial nerve signs, spinal cord pathology, motor and sensory pathology and gait abnormalities. Examining genetic and family histories along with dissection risk factors. Stroke orthopedic testing and clinical guidelines pertaining to triage for the primary care provider. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018

Mild Traumatic Brain Injury/Traumatic Brain Injury/Concussion, Differentially diagnosing mild traumatic brain injury vs. traumatic brain injury and the clinical and imaging protocols required to conclude an accurate diagnosis for head trauma. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctorial Division, Long Island, NY, 2018

Impairment Rating, 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. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018

Accident Reconstruction: Terms, Concepts and Definitions, 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. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2018

Accident Reconstruction: Causality, Bodily Injury, Negative Acceleration Forces, Crumple Zones and Critical Documentation, 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. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2018

Accident Reconstruction: Skid Marks, Time, Distance, Velocity, Speed Formulas and Road Surfaces, 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. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2018

Accident Reconstruction: Research, Causality and Bodily Injury, 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.Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2018

Medical-Legal-Insurance Documentation, Accurate and compliant documentation of history and clinical findings inclusive of functional losses, loss of activities of daily living, duties under duress and permanent loss of enjoyment of life. Prognosing static vs. stable care, gaps in care both in the onset and in the middle of passive care with a focus on detailed diagnosing. The integration of chiropractic academia, the court system and the insurance reimburser’s requirements for complete documentation. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2018

Spinal Biomechanical Engineering: Cartesian System, The Cartesian Coordinate System from the history to the application in the human body. Explanation of the x, y and z axes in both translation and rotations (thetas) and how they are applicable to human biomechanics. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018

Spinal Biomechanical Engineering: Cervical Pathobiomechanics, Spinal biomechanical engineering of the cervical and upper thoracic spine. This includes the normal and pathobiomechanical movement of both the anterior and posterior motor units and normal function and relationship of the intrinsic musculature to those motor units. Nomenclature in reporting normal and pathobiomechanical findings of the spine. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018

Spinal Biomechanical Engineering: Lumbar Pathobiomechanics, Spinal biomechanical engineering of the lumbar spine. This includes the normal and pathobiomechanical movement of both the anterior and posterior motor units and normal function and relationship of the intrinsic musculature to those motor units. Nomenclature in reporting normal and pathobiomechanical findings of the spine. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018

Spinal Biomechanics in Trauma, To utilize whiplash associated disorders in various vectors of impact and whiplash mechanisms in determining pathobiomechanics. To clinically correlate annular tears, disc herniations, fractures, ligament pathology and spinal segmental instability as sequellae to pathobiomechanics from trauma. The utilization of digital motion x-ray in diagnoising normal versus abnormal facet motion along with case studies to understand the clinical application. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018

Spinal Biomechanical Engineering & Organizational Analysis, Integrating spinal biomechanics and pathobiomechanics through digitized analysis.The comparison of organized versus disorganized compensation with regional and global compensation. Correlation of the vestibular, occular and proprioceptive neurological integration in the righting reflex as evidenced in imaging. Digital and numerical algorithm in analyzing a spine. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018

Spinal Biomechanical Engineering: Cervical Digital Analysis, Digitizing and analyzing the cervical spine in neutral, flexion and extension views to diagnose pathobiomechanics. This includes alteration of motion segment integrity (AMOSI) in both angular and translational movement. Ligament instability/failure/pathology are identified all using numerical values and models. Review of case studies to analyze pathobiomechanics using a computerized/numerical algorithm. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018

Spinal Biomechanical Engineering: Lumbar Digital Analysis, Digitalizing and analyzing the lumbar spine images to diagnose pathobiomechanics. This includes anterior and posterior vertebral body elements in rotatioal analysis with neutral, left and right lateral bending in conjunction with gate analysis. Ligament instability/failure/pathology is identified all using numerical values and models.  Review of case studies for analysis of pathobiomechanics using a computerized/numerical algorithm along with corrective guidelines. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018

Spinal Biomechanical Engineering: Full Spine Digital Analysis, Digitalizing and analyzing the full spine images to diagnose pathobiomechanics as sequellae to trauma in relation to ligamentous failure and disc and vertebral pathology as sequellae. This includes anterior and posterior vertebral body elements in rotatioal analysis with neutral, left and right lateral bending in conjunction with gate analysis. Ligament instability/failure/pathology is identified all using numerical values and models. Review of case studies for analysis of pathobiomechanics using a computerized/numerical algorithm along with corrective guidelines. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018

Spinal Trauma Pathology, Triage and Connective Tissue Injuries and Wound Repair, Triaging the injured and differentially diagnosing both the primary and secondary complaints. Connective tissue injuries and wound repair morphology focusing on the aberrant tissue replacement and permanency prognosis potential. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, New York, 2018

Spinal Trauma Pathology, Ligament Anatomy and Injury Research and Spinal Kinematics, Spinal ligamentous anatomy and research focusing on wound repair, future negative sequelae of abnormal tissue replacement and the resultant aberrant kinematics and spinal biomechanics of the spine. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, New York, 2018

Spinal Trauma Pathology, Spinal Biomechanics, Central Nervous System and Spinal Disc Nomenclature, The application of spinal biomechanical engineering models in trauma and the negative sequelae it has on the central nervous system inclusive of the lateral horn, periaqueductal grey matter, thalamus and cortices involvement. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, New York, 2018

Spinal Trauma Pathology, Biomechanics of Traumatic Disc Bulge and Age Dating Herniated Disc Pathology, The biomechanics of traumatic disc bulges as sequelae from trauma and the comorbidity of ligamentous pathology. Age-dating spinal disc pathology in accordance with Wolff’s Law. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, New York, 2018

Spinal Trauma Pathology, Clinical Grand Rounds, The review of case histories of mechanical spine pathology and biomechanical failures inclusive of case histories, clinical findings and x-ray and advanced imaging studies. Assessing comorbidities in the triage and prognosis of the injured. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, New York, 2018

Spinal Trauma Pathology, Research Perspectives, The review of current literature standards in spinal trauma pathology and documentation review of biomechanical failure, ligamentous failure and age-dating disc pathology. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, New York, 2018

 

Interprofessional Hospital Based Spine Care, Trends in hospital and emergent care in the healthcare delivery system inclusive of policies, hospital staffing and current care paths for mechanical spine issues. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2018

 

Orthopedic Testing: Principles, Clinical Application and Triage, Integration of orthopedic testing in the clinical setting to develop a differential diagnosis. Utilizing radiographic and advanced imaging inclusive of MRI and CAT scan findings to verify tissue pathology suspected by orthopedic testing conclusions and developing a treatment plan as sequelae. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018

Orthopedic Testing: Cervical Spine, Integration of cervical orthopedic testing in the clinical setting to develop a differential diagnosis. Utilizing radiographic and advanced imaging inclusive of MRI and CAT scan findings to verify tissue pathology suspected by orthopedic testing conclusions and developing a treatment plan as sequelae. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018

Orthopedic Testing: Cervical Spine Part 2, Integration of cervical orthopedic testing in the clinical setting to develop a differential diagnosis. Utilizing radiographic and advanced imaging inclusive of MRI and CAT scan findings to verify tissue pathology suspected by orthopedic testing conclusions and developing a treatment plan as sequelae. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018

Orthopedic Testing: Lumbar Spine, Integration of lumbar orthopedic testing in the clinical setting to develop a differential diagnosis. Utilizing radiographic and advanced imaging inclusive of MRI and CAT scan findings to verify tissue pathology suspected by orthopedic testing conclusions and developing a treatment plan as sequelae. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018

Orthopedic Testing: Clinical Grand Rounds, how to integrate orthopedic testing in the clinical setting utilizing both simple and complex patient scenarios. It includes potential stroke, or vertebrobasilar insufficient patients and understanding the nuances in a clinical evaluation with orthopedic testing as a critical part of the evaluation and screening process. How to integrate orthopedic testing in the clinical setting utilizing both simple and complex patient scenarios. It includes potential stroke, or vertebrobasilar insufficient patients and understanding the nuances in a clinical evaluation with orthopedic testing as a critical part of the evaluation and screening process. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018

Croft Module 1: Whiplash Advanced Topics: The Fundamental Science, Requisite and comprehensive biomechanics knowledge for forensic experts, the minimal property damage myth exposed. A cutting edge analysis of brain, neck, and other soft tissue injuries that occur secondary to cervical acceleration deceleration syndrome and whiplash associated disorder. Risk assessment: the fundamental key to modern forensic practice. Certification in Whiplash and Brain Injury Traumatology, Spine Research Institute of San Diego, Omaha, NE, 2018

 

Neurodiagnostics, Imaging Protocols and Pathology of the Trauma Patient, 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. Texas Chiropractic College, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2017

Diagnostics, Risk Factors, Clinical Presentation and Triaging the Trauma Patient, 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. Texas Chiropractic College, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2017

Crash Dynamics and Its Relationship to Causality, 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. Texas Chiropractic College, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2017

MRI, Bone Scan and X-Ray Protocols, Physiology and Indications for the Trauma Patient, MRI interpretation, physiology, history and clinical indications, bone scan interpretation, physiology and clinical indications, x-ray clinical indications for the trauma patient. Texas Chiropractic College,Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2017

Neurodiagnostic Testing Protocols, Physiology and 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-Electronystagmosgraphy (V-ENG) interpretation, protocols and clinical indications for the trauma patient. Texas Chiropractic College,Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2017

Documentation and Reporting for the Trauma Victim, 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. Texas Chiropractic College, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2017

Documenting Clinically Correlated Bodily Injury to Causality, 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. Texas Chiropractic College,Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2017

MRI Spine Interpretation and Spinal Biomechanics, Bulging, herniated, protruded and extruded disc contemporary nomenclature, analysis and differential diagnosis. Connective tissue physiology and pathology with aberrant biomechanical permanent sequalae, Texas Chiropractic College, Academy of Chiropractic, Melville, NY, 2017

 

Contemporary Literature in Spinal Biomechanics, Normal vs. pathological biomechanical spinal motion both in a single motor unit and coupling actions. Interdisciplinary approach to mechanical spine issues and evidenced based care paths, Texas Chiropractic College, Academy of Chiropractic, Melville, NY, 2017

 

Documentation of Spinal Trauma, Interdisciplinary approaches in documentation of spinal related injuries inclusive of connective tissue disorders and biomechanical failure. Clinically correlating history, imaging, advanced imaging and clinical findings to conclude an accurate diagnosis, prognosis and treatment plan, Texas Chiropractic College, Academy of Chiropractic, Melville, NY, 2017

 

Contemporary Literature of the Chiropractic Spinal Adjustment, The bio-neuro-mechanical scientific foundation of spinal lesion and the neurological pathways, both in the lower and upper motor neuron pathways. The autonomic sequella of the vertebral subluxation and the effects of the correction and maintenance of those lesions, Texas Chiropractic College, Academy of Chiropractic, Melville, NY, 2017

 

MRI History and Physics, 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. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

MRI Spinal Anatomy and Protocols, 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. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

 

MRI Disc Pathology and Spinal Stenosis, MRI interpretation of bulged, herniated, protruded, extruded, sequestered and fragmented disc pathologies in etiology and neurological sequelae in relationship to the spinal cord and spinal nerve roots. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

MRI Spinal Pathology, 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. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

 

MRI Methodology of Analysis, 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.  Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

 

MRI Clinical Application, 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 sequelae. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

 

MRI Protocols Clinical Necessity, MRI slices, views, T1, T2, STIR axial, stacking, FFE, FSE and sagittal images. Clinical indication for the utilization of MRI and pathologies of disc in both trauma and non-trauma sequellae, including bulge, herniation, protrusion, extrusion and sequestration. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

MRI Interpretation of Lumbar Degeneration/Bulges, MRI slices, views, T1, T2, STIR axial, stacking, FFE, FSE and sagittal images in the interpretation of lumbar degeneration. With the co-morbidities and complications of stenosis, pseudo-protrusions, cantilevered vertebrate, Schmorl's nodes and herniations. Central canal and cauda equina compromise interpretation with management. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

MRI Interpretation of Lumbar Herniations, MRI slices, views, T1, T2, STIR axial, stacking, FFE, FSE and sagittal images in the interpretation of lumbar herniations. With the co-morbities and complications of stenosis, pseudo-protrusions, cantilevered vertebrate, Schmorl's nodes and herniations. Morphology of lumbar disc pathologies of central and lateral herniations, protrusions, extrusions, sequestration, focal and broad based herniations are defined and illustrated. Central canal and cauda equina compromise interpretation with management. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

MRI Interpretation of Cervical Degeneration/Bulges, MRI slices, views, T1, T2, STIR axial, stacking, FFE, FSE and sagittal images in the interpretation of cervical degeneration. With the co-morbidities and complications of stenosis, pseudo-protrusions, cantilevered vertebrate, Schmorl's nodes and herniations. Spinal cord and canal compromise interpretation with management. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

MRI Interpretation of Cervical Herniations, MRI slices, views, T1, T2, STIR Axial, FFE, FSE and sagittal images in the interpretation of lumbar herniations. With the co-morbidities and complications of stenosis, pseudo-protrusions, cantilevered vertebrate, Schmorl's nodes and herniations. morphology of lumbar disc pathologies of central and lateral herniations, protrusions, extrusions, sequestration, focal and broad based herniations are defined and illustrated. Spinal cord and canal compromise interpretation with management.  Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

MRI Interpretation of Degenerative Spine and Disc Disease with Overlapping Traumatic Insult to Both Spine and Disc, MRI slices, views, T1, T2, STIR Axial, FFE, FSE and sagittal images in the interpretation of degenerative spondylolesthesis, spinal canal stenosis, Modic type 3 changes, central herniations, extrusions, compressions, nerve root compressions, advanced spurring and thecal sac involvement from an orthopedic, emergency room, chiropractic, neurological, neurosurgical, physical medicine perspective.  Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

Nutrition for the Brain, How nutrition of lack of, cause have direct cause to many aliments and diseases plaguing humans. Testing of blood levels and saliva can give indicative markers to malnutrients and allow physicians to monitor range more accurately. The biggest vitamins and supplements making on our patients lives are Omega3's, probiotics and certain vitamins like d3 and the b vitamins. Kansas Chiropractic Association, Shawnee, KS, 2017

 

Primary Spine Care Symposium – Interprofessional Spine Care, Clinical analysis of anatomic versus biomechanical spine pain and clinical triage protocols.  Relating current research trends in the Whole Spine Model of patient including normal versus abnormal sagittal curvature in the adolescent and adult spine, pelvic incidence as a parameter for sagittal balance in the human spine and current methods of assessment. Patient centered approach to Evidenced Based Spine care with a focus on diagnosis, prognosis and triage of the spine pain patient, Texas Chiropractic College Post-Doctoral Division, Academy of Chiropractic Post-Doctoral Division, Melville NY 2017

Primary Spine Care Symposium – Epidemiology of Spine Pain, Review of the current Centers for Disease Control [CDC} data on the frequency of musculoskeletal pain in the United States population with emphasis on pain of spinal origin.  CDC guidelines on opioid medication were discussed and correlated to persistent pain syndromes.  Research was reviewed showing the importance of managing the spine pain patient properly from the entry point of care with a concentration on maintenance of spinal biomechanics, Texas Chiropractic College Post-Doctoral Division, Academy of Chiropractic Post-Doctoral Division, Melville NY 2017

Primary Spine Care Symposium- Connective Tissue and Spinal Disc Pathology, The morphology and pathology of connective tissue, inclusive of spinal disc disorders and prognosticating wound repair with permanency implications. Disc bulge, herniation, protrusion and extrusion classifications based upon contemporary literature and how to age-date disc pathology, Texas Chiropractic College Post-Doctoral Division, Academy of Chiropractic Post-Doctoral Division, Melville NY 2017

Primary Spine Care Symposium – Physiology and Anatomy of Spinal Manual Adjusting, Understanding the role of mechanoreceptors, proprioceptors and nociceptors with facets, ligaments, tendons and muscles in aberrant spinal biomechanics. MRI and imaging studies of decompressing via a chiropractic spinal adjustment of the bio-neuro-mechanical lesion and its effects on the central nervous system both reflexively and supratentorally, Texas Chiropractic College Post-Doctoral Division, Academy of Chiropractic Post-Doctoral Division, Melville NY 2017

Primary Spine Care Symposium – Medical-Legal Documentation, The contemporary documentation required in a medical-legal environment that is evidenced based and meets the standards of the courts and academia. Utilizing the scientific data to support a diagnosis, prognosis and treatment plan while meeting the admissibility standards based upon a professional’s credentials. Texas Chiropractic College Post-Doctoral Division, Academy of Chiropractic Post-Doctoral Division, Melville NY 2017

Connective Tissue Pathology and Trauma,Wound repair of axial connective tissue and the negative spinal biomechanical engineering sequella. Determining causality from an accident reconstruction perspective inclusive of transference of forces and G’s of energy realized by automobile occupants. Texas Chiropractic College,Academy of Chiropractic, Melville NY, 2016

 

Primary Spine Care, MRI, Bone Edema and Degeneration,The effects of trauma on spinal vertebral segments and the short and long term sequella to morphology. Identifying and diagnosing bone edema, spurring, types of degeneration in assessing biomechanical stability in conjunction with Modic and Pfeiffer changes. Texas Chiropractic College, Academy of Chiropractic, Melville, NY 2016

Chiropractic Wellness Lifestyle Certification Program Module 4, Think Well: The Science, Paradigm, and Clinical Application of Wellness Emotional, Intellectual, and Spiritual Fitness Protocols. ICA Council On Wellness Lifestyle Science, Chicago, IL, 2016

Understanding neurophysiological ramifications of emotional and physical stress, Adaptive physiology in the context of the multiple structural and physiological elements of subluxation complex. Identifying interactions of somato- and psycho- neuroimmunology and neurophysiology in health and illness. Reviewing scientific literature highlighting health promotion and illness prevention benefits of positive mental attitude and congruent belief systems. Outlining optimal approaches and proactive applications for implementing human behavior change through transforming attitude and actions toward wellness-congruent lifestyle changes in patient case management. Speaker Dr. James Chestnut, Chicago, IL, 2016

The Role of the Cervical Spine in Post-Concussion Syndrome, Based on previously established tissue injury thresholds, acceleration/deceleration of the head–neck complex of sufficient magnitude to cause mild TBI is also likely to cause concurrent injury to the joints and soft tissues of the cervical spine. It has also been well established that injury and/or dysfunction of the cervical spine can result in numerous signs and symptoms synonymous with concussion, including head-aches, dizziness, as well as cognitive and visual dysfunction; making diagnosis difficult. Speaker Dr. Steve Gould DC, DACBR, FICC Overland Park, KS, 2016

Primary Spine Care, Neurophysiological central and peripheral nervous systems mechanisms of pain with integrated higher cortical functions of the thalamus, cingulate, amygdala, pre-frontal, motor and sensory cortexes. Trauma and chronic pain care effecting mechanoreceptors, nociceptors and proprioceptors through adjustive therapy based upon evidenced based care and current literature verification.Texas Chiropractic College, New York State Department of Education Board for Chiropractic, Academy of Chiropractic,Islandia, NY, 2015 Primary Spine Care with Interdisciplinary Collaborative Care,Triage of patients based upon MRI findings of disc herniation, disc bulge, protrusion, extrusion or sequestrations and spinal cord or nerve root negative sequella, clinical findings of neuro-compressive pathologies and neurodiagnostic findings of EMG-NCV, SSEP, VEP, BAER, VEP and V-ENG findings.Texas Chiropractic College, New York State Department of Education Board for chiropractic,Academy of Chiropractic, Islandia, NY, 2015 

Certified Chiropractic Wellness Lifestyle Practitioner Program: Module 1, This course puts together the science, paradigm and clinical application of Chiropractic- The relationship between chiropractic, movement, neuromusculoskeletal system function, autonomic function, allostasis and health. This course used the proof of evidenced based research to teach on how Chiropractic plays a vital role in the overall outcome of health for the general public. Cleveland Chiropractic College, Overland Park, KS, 2015

Impairment rating AMA guidelines 6th edition, “Guidelines to the Evaluation of Permanent Impairment” – 6th Edition, including the new ICD-10 codes. learning impairment vs. disability, new rules, diagnosis based impairments, specific disorders of the spine, upper and lower extremity impairment, and documentation for impairment. Iowa Chiropractic Association, Des Moines, IA, 2014

National Registry of Certified Medical Examiners Traing, This included studies on vision, FMCSA regulations for vision: visual acutiy, peripheral horizontal vision fields, color recognistion, pupil accommodation, mococular vision, federal vision exemptions.  Hearing: FMCSA reguations for hearing: Meniere's Disease, Vertigo, Labyrinithine Fistula, Nonfunctioning Labyrinth, Audiometric Test, Force whisper test. Cardiovascular Disease: FMCSA regulations for Cardiovascular Disease: Coronary Heart Diesease, Myocardial Disease, Post Heart Transplant, Valvular Heart Diesease, Congenital Heart Disease, Cardiac Arrhythmias and Treatments, Aneurysms, Peripheral Vascular Diesease, and Venous Disease and Treatment.  Hypertension: FCSA regulations for Hypertension. Diabetes Mellitus: FMCSA regulations for Diabetes Mellitus, Incretin Mimetic, Insulin Therapy, Oral Hypoglycemic. Respiratory System: FMCSA regulation for Respiratory System: Asthma and Allergy related Disease, Chronic Ostructive Pulmonary Diesease, Chronic Sleep Disorders, Infectious Respiratory Diseases, Non-Infectous Diseaes.  Neurological Condiions: FMCSA regulation for Neurological Conditions: Episodic Neurological Conditions, Neuromuscular Diseaes, Progressive Neruological Conditions, Static Neurological Conditions. Musculoskeletal: FMCSA regulation for Musculoskeletal Conditions: Neuromuscular Diseases, Skilled Performance Tests.  Other: Urinalysis, Psychological Disorders Drug and Alcohol Testing.  Accreditation Council for Continuing Medical Education (ACCME), Lenexa, KS, 2014

Croft Module 1: Whiplash Advanced Topics: The Fundamental Science, Requisite and comprehensive biomechanics knowledge for forensic experts, the minimal property damage myth exposed. A cutting edge analysis of brain, neck, and other soft tissue injuries that occur secondary to cervical acceleration deceleration syndrome and whiplash associated disorder. Risk assessment: the fundamental key to modern forensic practice. Certification in Whiplash and Brain Injury Traumatology, Spine Research Institute of San Diego, Kansas City, MO, 2013

Croft Module 2: Management Principles in Personal Injury and Forensic Documentation, Auto crash reconstruction in low speed crashes: critical knowledge for today’s forensic practitioners. Comprehensive physical examination of whiplash and traumatic brain injury cases and the correct way to document these injuries. The latest radiographic examination methods and analysis techniques. CT and MRI examination of brain and soft tissue injuries. How and when to use special diagnostic imaging modalities (SPECT, PET, functional MRI, VF, etc.) How and when to use electrodiagnostics (EMG, sEMG, SSEP, VEP, etc.) Special considerations for the proper management of personal injury cases. Certification in Whiplash and Brain Injury Traumatology, Spine Research Institute of San Diego, Kansas City, MO, 2013

Croft Module 3: Principles of Impairment Rating and Forensic, Reporting Critical documentation from day 1; What every personal injury and forensic expert needs to know. Incorporating outcomes assessment and disability instruments into your reports (SCL-90-R, Oswestry, Roland-Morris, Rivermead PCS, and more). The application of AMA guidelines in personal injury and forensic practice. Critical rebuttal methods and strategies in today’s modern forensic practice. Certification in Whiplash and Brain Traumatology, Spine Research Institute of San Diego, Kansas City, MO, 2013

Croft Module 4: Medicolegal Fundamentals for Practitioners and Forensic Experts, Essentials of documentation and record keeping in medicolegal cases. When and how to incorporate medical photography. Preparing for depositions arbitrations, cross-examination and testifying in court. Critical differences between chiropractic and medical approaches that make or break a case. Using evidence effectively; models, charts, diagrams, photos, movies, and more. Daubert and Frey rules; how they affect your testimony and how they can exclude opposing experts. Disabusing the MIST myth; Colossus. Learned treatises and reliable authorities; other federal rules of evidence experts should know. Certification in Whiplash and Brain Traumatology, Spine Research Institute of San Diego, Kansas City, MO, 2013

 

Titleist Performance Institute: Golf Fitness Instructor,Instruction was taught on the evaluation and management of Golf Biomechanics to improve movements, strengthen engaging muscles, stretch appropriate muscle groups, reduce injury and rehab injured areas. We learned how to analyze and break down each component of the golf swing to find out where the malfunction(s) occur so to find out if it is a flexibility issue or stability issue. Parker College of Chiropractic, Dallas, TX, 2009

 

Croft Module 1: Whiplash Advanced Topics: The Fundamental Science, Requisite and comprehensive biomechanics knowledge for forensic experts, the minimal property damage myth exposed. A cutting edge analysis of brain, neck, and other soft tissue injuries that occur secondary to cervical acceleration deceleration syndrome and whiplash associated disorder. Risk assessment: the fundamental key to modern forensic practice. Certification in Whiplash and Brain Injury Traumatology, Spine Research Institute of San Diego, Chicago, IL, 2008

 

Croft Module 2: Management Principles in Personal Injury and Forensic Documentation, Auto crash reconstruction in low speed crashes: critical knowledge for today’s forensic practitioners. Comprehensive physical examination of whiplash and traumatic brain injury cases and the correct way to document these injuries. The latest radiographic examination methods and analysis techniques. CT and MRI examination of brain and soft tissue injuries. How and when to use special diagnostic imaging modalities (SPECT, PET, functional MRI, VF, etc.) How and when to use electrodiagnostics (EMG, sEMG, SSEP, VEP, etc.) Special considerations for the proper management of personal injury cases. Certification in Whiplash and Brain Injury Traumatology, Spine Research Institute of San Diego, Chicago, IL, 2008

 

Croft Module 3: Principles of Impairment Rating and Forensic, Reporting Critical documentation from day 1; What every personal injury and forensic expert needs to know. Incorporating outcomes assessment and disability instruments into your reports (SCL-90-R, Oswestry, Roland-Morris, Rivermead PCS, and more). The application of AMA guidelines in personal injury and forensic practice. Critical rebuttal methods and strategies in today’s modern forensic practice. Certification in Whiplash and Brain Traumatology, Spine Research Institute of San Diego; Chicago, IL, 2008

 

Croft Module 4: Medicolegal Fundamentals for Practitioners and Forensic Experts, Essentials of documentation and record keeping in medicolegal cases. When and how to incorporate medical photography. Preparing for depositions arbitrations, cross-examination and testifying in court. Critical differences between chiropractic and medical approaches that make or break a case. Using evidence effectively; models, charts, diagrams, photos, movies, and more. Daubert and Frey rules; how they affect your testimony and how they can exclude opposing experts. Disabusing the MIST myth; Colossus. Learned treatises and reliable authorities; other federal rules of evidence experts should know. Certification in Whiplash and Brain Traumatology, Spine Research Institute of San Diego, Chicago, IL, 2008

 

SELECTED JOURNAL PUBLICATIONS

 

Croft AC.., Milam B., Meylor J., Manning R., (2016) Confirmatory factor analysis and multiple linear regression of the neck disability index: assessment if subscales are equally relevant in whiplash and nonspecific neck pain. J Chiropractic Medicine 15(2) pgs. 87-94

 

SELECTED HONORS & AWARDS

 

Pinnacle Aware, Top twenty-five Outstanding Doctors of America, Pinnacle Management Group, 2017, 2018, 2019, 2020.

 

"10 Best" "Patient Satisfaction Award" American Institute of Chiropractors, 2016, 2021

 

SELECTED MEMBERSHIPS

Academy of Chiropractic, Member, 2014 – 2021

Kansas Chiropractic Association (KCA), Member, 2005 - Present

Member of Fellowship of American Society of Acupuncture (F.A.S.A.), Member, 2004 - Present

American Chiropractic Association (ACA), Member, Expired