Michael Church DC , FSBT(c) CCSP
1410 S. Meridian, Suite A, Puyallup, WA, 98371
Phone: 253-841-4425
Fax: 253-445-5712
hspuyallup@gmail.com
https://www.puyallupregenerativemedicine.com
SELECTED OCCUPATIONAL HISTORY
Clinic Director, Puyallup Regenerative Medicine, Puyallup, Washington, 2018 - Present
Clinic Director, HealthSource of Puyallup, Puyallup, Washington, 2008 - 2018
Clinic Director, Church Chiropractic, Puyallup, Washington, 1997 - 2008
EDUCATION AND LICENSURE
Doctor of Chiropractic, Licensed in the State of Washington, License # CH3323, 1996-Present
Doctorate of Chiropractic, Western States Chiropractic College, Portland, Oregon, 1995
National Board of Chiropractic Examiners, Part I, 1994
National Board of Chiropractic Examiners, Part II, 1994
National Board of Chiropractic Examiners, Part III, 1995
National Board of Chiropractic Examiners, Physiotherapy, 1995

SELECTED POST-GRADUATE EDUCATION, CERTIFICATIONS AND DIPLOMATES

Acute and Chronic Spinal Injury Superimposed on One Another, Interprofessional Spine Management Grand Rounds –Acute and Chronic Spinal Injury Superimposed on One Another-This course provided healthcare providers with advanced imaging interpretation skills to differentiate traumatic from degenerative spinal injuries, particularly in motor vehicle collision cases. Participants developed expertise in utilizing imaging biomarkers, such as Modic changes and STIR sequences, to assess acute and chronic spinal pathology. The curriculum covered key distinctions between traumatic disc herniations and degenerative disc bulges, emphasizing the role of inflammation and tissue morphologyin diagnostic accuracy. Clinicians gained proficiency in causation analysis by integrating imaging findings with clinical presentations, enhancing their ability to support injury claims with objective evidence. The course also included case-based learningto apply these principles in real-world scenarios. Completion of this program demonstrated a provider’s commitment to evidence-based spinal injury assessment and improved patient outcomes through precise diagnostic differentiation.NationalSpine Management Group 2025, Federation of Chiropractic Licensing Boards, PACE Program 2025. Certification in Acute vs Chronic Spinal Injuries, Diplomate, National Spine Management Group, National Spine Management Group, Puyallup, Washington, 2025
Personal Injury Case Management, National Spine Management Conference - Spring 2025 - an advanced course in Personal Injury Case Management, emphasizing patient intake standardization, lien negotiation strategies, billing compliance under PIP/MedPay frameworks, and risk management protocols. The training focused on optimizing communication with legal representatives, understanding state-specific prompt pay laws, and utilizing lien and letter of protection agreements to secure payment for services. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program 2025. Certification in Personal Injury Case Management, Diplomate, National Spine Management Group, Cleveland University, Kansas City, Puyallup, WA, 2025
MRI and disc pathology analysis in personal injury, National Spine Management Conference - Spring 2025 - coursework in MRI and disc pathology analysis in personal injury, covering the historical evolution of MRI, quality standards for imaging, application of Fardon classification for disc injuries, and causation documentation strategies. Evaluated acute versus chronic pathology on imaging and were trained in correlating MRI findings with clinical examination for legal defensibility. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program 2025. Certification in MRI disc pathology analysis in personal injury, Diplomate, National Spine Management Group, Cleveland University, Kansas City, Cleveland University, Kansas City, Puyallup, WA, 2025
Ligament injury assessment and impairment ratings, National Spine Management Conference - Spring 2025 - completed training on ligamentous injury assessment and impairment ratings based on the AMA Guides to the Evaluation of Permanent Impairment. Focus was placed on Alteration of Motion Segment Integrity (AOMSI) diagnosis through flexion-extension radiographs, validation of measurements via inter-rater reliability, reproducibility standards, and automation to ensure legal defensibility. The curriculum prepared providers to identify and document ligament instability with high evidentiary standards. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program 2025. Certification in Ligament injury assessment and impairment ratings, Diplomate, National Spine Management Group, Cleveland University, Kansas City, Puyallup, WA, 2025
Biomarker and genetic profiling in traumatic brain injury, National Spine Management Conference - Spring 2025 - advanced instruction in Biomarker and Genetic Profiling in Traumatic Brain Injury (TBI) assessment, including the clinical application of circulating protein biomarkers (GFAP, S-100B, UCH-L1, NF-H) and genetic risk profiling (ApoE, MTHFR). The course emphasized integrating biomarker results with clinical findings and neuroimaging to improve TBI diagnosis and prognosis, with a focus on medico-legal application. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program 2025. Certification in advanced instruction in Biomarker and Genetic Profiling in Traumatic Brain Injury (TBI) assessment, Diplomate, National Spine Management Group, Cleveland University, Kansas City, Puyallup, WA, 2025
Deposition and trial testimony preparation, National Spine Management Conference - Spring 2025 - Completed technical coursework on Deposition and Trial Testimony Preparation, addressing pre-litigation procedures, deposition defense strategies, and courtroom testimony practices for chiropractors. Emphasis was placed on narrative clarity, record review, understanding fact versus expert witness roles, and the strategic use of visuals to enhance testimony credibility. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program 2025. Certification in Deposition and Trial Testimony Preparation, Diplomate, National Spine Management Group, Cleveland University, Kansas City, Puyallup, WA, 2025
Introduction to MRI hardware and imaging physics, National Spine Management Conference - Spring 2025 - Successfully completed coursework in Introduction to MRI Hardware and Imaging Physics, detailing the operation of BO main magnetic fields, RF coils, gradient systems, and the Fourier transform's role in image reconstruction. Providers gained an understanding of MRI signal formation, the importance of field homogeneity, and the impact of imaging parameters on diagnostic accuracy. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program 2025. Certification in Introduction to MRI hardware and imaging physics, Diplomate, National Spine Management Group, Cleveland University, Kansas City, Puyallup, WA, 2025
Detailed training in CT imaging principles for spine management, National Spine Management Conference - Spring 2025 - Completed detailed training in CT Imaging Principles for Spine Management, focusing on the Lambert-Beer Law, Radon transform, filtered back projection techniques, and Hounsfield Unit calibration. Instruction covered diagnostic applications in fracture and disc injury identification, artifact management, and strategies for minimizing radiation exposure under ALARA principles. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program 2025. Certification in Detailed training in CT imaging principles for spine management, Diplomate, National Spine Management Group, Cleveland University, Kansas City, Puyallup, WA, 2025
Clinical documentation strategies for personal injury cases, Completed a specialized program in Clinical Documentation Strategies for Personal Injury Cases, including structured E/M SOAP notes, narrative report construction, impairment rating documentation, and causality statements. Providers were trained to align subjective complaints with objective findings and treatment plans, enhancing both clinical management and legal defensibility. Certification in Clinical documentation strategies for personal injury, Diplomate, National Spine Management Group, Cleveland University, Kansas City, Puyallup, WA, 2025
Concussion diagnosis and Management, National Spine Management Conference - Spring 2025 - Completed advanced coursework in Concussion Diagnosis and Management with a focus on clinical symptom classification, Rivermead Post-Concussion Symptoms Questionnaire scoring, and integration of biomarkers for objective injury confirmation. Participants learned strategies for early identification and management of post-concussion syndrome and traumatic brain injuries. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program 2025. Certification in Completed advanced coursework in Concussion Diagnosis and Management with a focus on clinical symptom classification, Diplomate, National Spine Management Group, Cleveland University, Kansas City, Puyallup, WA, 2025
Use of circulating biomarkers and diffusion tensor imaging in assessing mTBI, National Spine Management Conference - Spring 2025 - Successfully completed training on the Use of Circulating Biomarkers and Diffusion Tensor Imaging (DTI) in the Assessment of Mild Traumatic Brain Injury (mTBI), covering the interpretation of UCH- L1, GFAP, and S-100B results, and the application of DTI for microstructural brain injury visualization. Emphasis was placed on integrating blood biomarker analysis with neuroimaging findings for legal and clinical documentation. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program 2025. Certification in Use of Circulating Biomarkers and Diffusion Tensor Imaging (DTI) in the Assessment of Mild Traumatic Brain Injury (mTBI), Diplomate, National Spine Management Group, Cleveland University, Kansas City, Puyallup, WA, 2025
focused instruction of concussion subtypes, National Spine Management Conference - Spring 2025 - Completed focused instruction on Concussion Subtypes, Clinical Categorization, and Personalized Care Pathway Development. Participants were trained to identify cognitive, vestibular, ocular, cervical, and mood/anxiety-related concussion presentations and design targeted treatment strategies based on symptomatology. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program 2025. Certification in focused instruction on Concussion Subtypes, Clinical Categorization, and Personalized Care Pathway Development., Diplomate, National Spine Management Group, Cleveland University, Kansas City, Puyallup, WA, 2025
Acute vs Degenerative Intervertebral Disc Disease, Acute vs Degenerative lntervertebral Disc Disease - advanced training on sensory nerve ingrowth into degenerating intervertebral discs and its role in triggering chronic discogenic pain following trauma. This course covered the pathophysiological mechanisms behind nerve ingrowth, including annular fissures, inflammatory mediators, and nociceptive activation, and how these factors contribute to the conversion of pre-existing but asymptomatic disc degeneration into a functionally limiting condition post-trauma. Special emphasis was placed on legal causation standards, including the "but for the accident" argument, the Eggshell Plaintiff Doctrine, and MRI findings that support the distinction between pre-existing asymptomatic degeneration and post-traumatic pain syndromes in personal injury litigation. National Spine Management Group, Federation of Chiropractic Licensing Boards PACE, 2025. Diplomate, National Spine Management Group, National Spine Management Group, Buffalo, NY, 2025
Acute vs Degenerative Intervertebral Disc Disease, Acute vs Degenerative lntervertebral Disc Disease - training on sensory nerve in-growth in degenerating intervertebral discs, focusing on the biochemical mechanisms of nociceptive sprouting and the clinical significance of neovascularization in chronic discogenic pain. The course examined the role of nerve growth factor (NGF}, calcitonin gene-related peptide (CGRP), and substance P, which drive sensory nerve expansion and increase pain perception in degenerative discs. Clinical applications included the use of high-intensity zones (HIZ} on MRI as a marker for pathologic nerve ingrowth and the role of regenerative medicine, including platelet-rich plasma (PRP) and stem cell therapy, in mitigating disc-related pain. National Spine Management Group, Federation of Chiropractic Licensing Boards PACE, 2025. Diplomate, National Spine Management Group, National Spine Management Group, Buffalo, NY, 2025
Acute vs Degenerative Intervertebral Disc Disease, Acute vs Degenerative lntervertebralDisc Disease - presentation on intervertebral disc grading with a focus on the Pfirrmann MRI classificationsystem for disc degeneration. This training provided an in-depth examination of Pfirrmann's five-tier grading scale, detailing its clinical and research applications, as well as its role in legal cases differentiatingacute trauma from chronic degenerative changes. The course also covered the comparative inter-rater reliability of disc grading systems, including Thompson, Schneiderman, and Modified Pfirrmann scales, highlighting their strengths and limitations. The Pfirrmann system was recognized as the gold standard for assessing disc degeneration severity, with practical applications in treatment planning, surgical decision-making,and medico-legal documentation. National Spine Management Group, Federation of Chiropractic Licensing Boards PACE, 2025. Diplomate, National Spine Management Group, National Spine Management Group, Buffalo , NY, 2025
Acute vs Degenerative Intervertebral Disc Disease, Acute vs Degenerative lntervertebral Disc Disease - evidence-based review of the Fardon et al. criteria for intervertebral disc morphology, focusing on the 2014 revisions and their implications for clinical and legal practice. This training covered the differentiation of disc bulges, protrusions, extrusions, and sequestrations on MRI, ensuring proper classification and reporting of disc pathology. Special emphasis was placed on the role of annular fissures, high-intensity zones (HIZ}, and Modic changes in diagnosing symptomatic disc disease and distinguishing pre-existing degenerative changes from acute traumatic injury. The course also explored the relevance of these MRI criteria in personal injury and workers' compensation cases, providing a standardized framework for expert witness testimony and medicolegal reporting. National Spine Management Group, Federation of Chiropractic Licensing Boards PACE, 2025. Diplomate, National Spine Management Group, National Spine Management Group, Buffalo, NY, 2025
Advanced Imaging for Hip Pathologies, Advanced Imaging for Hip Pathologies - Completed an in-depth course on advanced imaging techniques for the hip joint, focusing on MRI and MR arthrography (MRA) for diagnosing intra-articular and periarticular conditions. Key learnings included MRI protocols for femoroacetabular impingement (FA/}, labral tears, avascular necrosis (AVN}, and osteoarthritis. The course emphasized appropriate indications for MR arthrograms in labral pathology, interpretation of T1-weighted, STIR, and fat -suppressed proton density sequences, and the role of 30 isotropic imaging in detecting subtle cartilage and labral defects. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE, 2025 Diplomate, National Spine Management Group, National Spine Management Group, Buffalo, NY, 2025
Radiographic Analysis and Interpretation of Hip Pathology, Radiographic Analysis and Interpretation of Hip Pathology- Completed comprehensive training on radiographic analysis of the hip joint, including standard imaging protocols such as AP pelvis, AP hip, frog-leg lateral, and Dunn views. Developed proficiency in identifying radiographic markers of common hip conditions, including cam and pincer lesions in FA/, joint space narrowing in osteoarthritis, subchondral sclerosis, and femoral head collapse in AVN. Training included structured radiographic reporting for enhanced communication between musculoskeletal providers and orthopedic specialists. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE, 2025 Diplomate, National Spine Management Group, National Spine Management Group, Buffalo, NY, 2025
Interventional Hip Injection Therapy in Musculoskeletal Management, interventional Hip Injection Therapy in Musculoskeletal Management - Acquired specialized knowledge in hip injection therapy, including diagnostic and therapeutic applications of corticosteroids, platelet-rich plasma (PRP}, and hyaluronic acid. The course covered fluoroscopic vs. ultrasound-guided techniques, indications for intra-articular vs. periarticular injections, and clinical decision-making for non-surgical management of osteoarthritis, labral pathology, and trochanteric bursitis. Emphasis was placed on interprofessional collaboration between chiropractors and orthopedic surgeons in coordinating post-injection rehabilitation and optimizing patient outcomes. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE, 2025 Diplomate, National Spine Management Group, National Spine Management Group, Buffalo, NY, 2025
Surgical Considerations and Postoperative Rehabilitation in Hip Pathology, Surgical Considerations and Postoperative Rehabilitation in Hip Pathology­ Completed advanced training on surgical indications and post-surgical rehabilitation for hip pathology, including total hip arthroplasty {THA), arthroscopic labral repair, core decompression for AVN, and surgical fixation for SCFE. Gained expertise in preoperative patient selection criteria, surgical referral guidelines, and post-surgical rehabilitation protocols. Training included rehabilitation timelines for THA, hip arthroscopy, and osteotomies, with a focus on gait retraining, strength progression, and functional return to activity. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE, 2025 Diplomate, National Spine Management Group, National Spine Management Group, Buffalo, NY, 2025
Understanding Pain Referral Patterns in Cervical and Cranial Vascular disease, Understanding Pain Referral Patterns in Cervical and Cranial Vascular Disease­ Development of a comprehensive understanding of pain referral patterns associated with cervical and cranial vascular diseases, with a particular emphasis on differentiating vascular-origin pain from musculoskeletal conditions. They examined the neuroanatomical basis of vascular pain, including the role of the trigeminocervical complex and the autonomic nervous system in mediating referred pain from the internal carotid and vertebral arteries. The course covered specific diagnostic criteria for identifying vascular pain syndromes, including internal carotid artery dissection, vertebral artery dissection, and basilar artery insufficiency. Participants learned to recognize critical clinical presentations such as Homer's syndrome, cranial nerve deficits, and pain patterns mimicking cervicogenic headache or radiculopathy. Advanced case-based discussions reinforced the ability to integrate patient history, symptom patterns, and risk factors into differential diagnoses. Emphasis was placed on the necessity of early vascular screening to prevent misdiagnosis and inappropriate manual therapy interventions. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2024. Diplomate, National Spine Management Group, National Spine Management Group, Buffalo, NY, 2025
Vertebrobasilar Assessment & Red Flags in Clinical Practice, Vertebrobasilar Assessment & Red Flags in Clinical Practice - Attendees received specialized training in vertebrobasilar assessment, focusing on the identification of neurological red flags suggestive of vertebrobasilar insufficiency (VB!} and arterial dissection. They practiced the implementation of standardized screening protocols, including the vertebral artery test, cranial nerve examination, and positional assessment of dizziness and drop attacks. The course provided in-depth instruction on recognizing high­ risk populations, including patients with hypertension, connective tissue disorders, and recent infections predisposing them to vascular injury. Through clinical simulations, participants refined their ability to distinguish vascular from vestibular and musculoskeletal dizziness, ensuring appropriate triage and referral decisions. Discussion of imaging modalities such as CT angiography {CTA} and magnetic resonance angiography (MRA) guided clinical decision-making for emergent vs. routine vascular assessments. This module reinforced the importance of interprofessional collaboration with neurologists, radiologists, and vascular specialists. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2024. Diplomate, National Spine Management Group, National Spine Management Group, Buffalo, NY, 2025
Pathological Reflexes & Neurological Screening, Pathological Reflexes & Neurological Screening - A critical component of the course involved the identification and interpretation of pathological reflexes as indicators of upper motor neuron dysfunction and central nervous system pathology. Participants performed hands-on assessments of Hoffman's sign, Tromner's sign, and the Babinski reflex to detect corticospinal tract involvement in conditions such as cervical myelopathy, stroke, and demyelinating diseases. They explored the physiological mechanisms behind these reflexes, including the loss of descending cortical inhibition and subsequent hyperexcitability of spinal interneurons. The course emphasized the integration of these neurological findings into broader clinical evaluations, correlating them with patient symptoms and risk factors for vascular and spinal cord pathology. Participants gained expertise in determining when advanced imaging, such as MRI or electromyography(EMG), was warranted for further neurological assessment. Discussions covered differential diagnoses of upper versus lower motor neuron lesions, ensuring a systematic approach to complex neurological presentations. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2024. Diplomate, National Spine Management Group, National Spine Management Group, Buffalo, NY, 2025
Clinical Decision-Making & Safe Chiropractic Management, Clinical Decision-Making & Safe Chiropractic Management - description of an evidence-based CeAD detection tool to stratify patient risk and determine when immediate referral or conservative management was indicated. Discussed approaches to provide safe chiropractic management, modifying techniques to accommodate patients at risk for vascular events. They reviewed contraindications for high-velocity, low-amplitude cervical manipulations and explored alternative therapeutic interventions, such as mobilization, soft tissue therapy, and graded isometric exercises. Clinical discussions reinforced the necessity of continuous reassessment, ensuring that patients with evolving neurological symptoms were promptly directed to appropriate medical care. By the conclusion of the course, participants demonstrated proficiency in integrating vascular, neurological, and musculoskeletal assessments to enhance patient safety and optimize clinical outcomes. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2024. Diplomate, National Spine Management Group, National Spine Management Group, Buffalo, NY, 2025
Interventional Pain Management in Spine Care, interventional Pain Management in Spine Care - This course reviewed the fundamental principles of interventional pain management, focusing on patient selection, procedural indications, and evidence-based techniques for spine-related pain. It detailed criteria for determining patient candidacy and the role of interventions such as epidural steroid injections, facet joint injections, and radiofrequency ablation in managing radiculopathy, spinal stenosis, and facet-mediated pain. The course outlined commonly utilized imaging modalities, including fluoroscopy and ultrasound guidance, emphasizing procedural accuracy, safety, and radiation exposure reduction. Contrast-enhanced imaging techniques were reviewed to highlight the importance of precise needle placement in optimizing treatment efficacy. Pharmacologic agents, including corticosteroids and local anesthetics, were examined for their mechanisms of action, clinical applications, and risks. Strategies for optimizing medication selection minimizing adverse effects, and tailoring pharmacologic interventions to patient needs were discussed to enhance clinical decision-making. National Spine Management Group 2025, Federation of Chiropractic Licensing Boards, PACE Program 2025. Diplomate, National Spine Management Group, National Spine Management Group, Buffalo, NY, 2025
Advanced Interventional Techniques for Spine Pain, Advanced interventional Techniques for Spine Pain - This program provided an in-depth review of interventional procedures for managing spine-related pain, including transforaminal, interlaminar, and caudal epidural steroid injections, as well as facet joint injections, medial branch blocks, and sacroiliac joint injections. Each procedure was analyzed in terms of its indications, mechanisms of action, and procedural execution, ensuring a thorough understanding of their role in pain management. Comparisons were drawn between different injection techniques, highlighting their relative effectiveness in addressing radiculopathy, facet-mediated pain, and sacroiliac joint dysfunction. The program described the importance of image-guided precision in these interventions, emphasizing the use of fluoroscopy and ultrasound for enhanced accuracy and safety. Detailed case discussions were included to illustrate patient selection criteria, contraindications, and post-procedural expectations. Additionally, the impact of adjunctive therapies such as physical rehabilitation and pharmacologic co-management was reviewed to underscore the importance of a multidisciplinary approach in optimizing patient outcomes. The application of radiofrequency ablation (RFA) for chronic pain syndromes was outlined, with a focus on patient selection, procedural methodologies, and clinical efficacy based on current research and long-term outcome data. Technical considerations such as optimal electrode placement, lesioning parameters, and post­ procedural care were discussed to maximize procedural success and durability of pain relief. Emerging advancements in pulsed and cooled RFA techniques were also reviewed, demonstrating their potential in expanding the scope of interventional pain management. National Spine Management Group 2025, Federation of Chiropractic Licensing Boards, PACE Program 2025. Diplomate, National Spine Management Group, National Spine Management Group, Buffalo, NY, 2025
Neuromodulation in Spine Care, Neuromodulation in Spine Care - This course provided a detailed overview of the principles and clinical applications of spinal cord stimulation (SGS), emphasizing its role in modulating pain perception through neuromodulation techniques. It outlined the mechanisms of SGS in disrupting nociceptive pathways, including its effects on dorsal column activation, inhibition of pain transmission, and neuromodulatory plasticity. The program examined patient selection criteria, discussing the importance of identifying appropriate candidates based on neuropathic pain profiles, previous treatment failures, and psychological suitability. The structured trial procedures were reviewed, focusing on temporary lead placement, pain relief assessment, and outcome evaluation prior to permanent implantation. The course reviewed long-term efficacy considerations, including the impact of SGS on functional improvement, opioid reduction, and overall quality of life. It compared traditional SGS modalities, such as tonic stimulation, high­ frequency (10 kHz}, and burst stimulation, highlighting their distinct mechanisms of action, clinical efficacy, and patient-reported outcomes. The curriculum also analyzed closed­ loop feedback systems, detailing how real-time neurophysiologic adjustments optimize stimulation parameters to enhance patient comfort and maximize analgesic effects. National Spine Management Group 2025, Federation of Chiropractic Licensing Boards, PACE Program 2025. Diplomate, National Spine Management Group, National Spine Management Group, Buffalo, NY, 2025
Conservative vs Surgical Management of Rotator Cuff Tears, Conservative vs. Surgical Management of Rotator Cuff Tears - an advanced course reviewing the comparative outcomes of conservative and surgical interventions for rotator cuff tears. The course provided an in-depth analysis of clinical and structural outcomes over one­ and two-year follow-ups, including patient-reported functional scores and imaging assessments. Special emphasis was placed on evidence-based decision-making regarding physical therapy, pain management, and surgical repair techniques for full-thickness rotator cuff tears. The curriculum also explored patient selection criteria, discussing factors that influence the decision to pursue surgery versus conservative treatment, including age, tear size, and functional demands. Additionally, the course evaluated long-term complications associated with both treatment modalities, such as re-tear rates and residual weakness. Advanced imaging techniques, including MRI evaluation of postoperative tendon integrity, were also discussed to provide a comprehensive understanding of treatment efficacy. National Spine Management Group 2025, Federation of Chiropractic Licensing Boards, PACE Program 2025. Diplomate, National Spine Management Group, National Spine Management Group, Buffalo, NY, 2025
Non-Surgical and Rehabilitative Interventions for Frozen Shoulder, Non-Surgical and Rehabilitative Interventions for Frozen Shoulder - studied a comprehensive review of non-surgical and rehabilitative treatments for frozen shoulder (adhesive capsulitis). The course covered the pathophysiology of the condition, risk factors, and rehabilitation techniques, including corticosteroid injections, manual therapy, stretching protocols, and hydrodilatation. Additionally, it provided a critical evaluation of systematic reviews, highlighting the effectiveness of various interventions in improving range of motion and reducing pain. The curriculum also emphasized the importance of staging in frozen shoulder management, differentiating between the freezing, frozen, and thawing phases and their respective treatment approaches. The role of multidisciplinary care was examined, including collaborations between physical therapists, orthopedic specialists, and pain management physicians to enhance patient outcomes. The session concluded with a discussion on the latest clinical guidelines and emerging therapies, such as platelet-rich plasma (PRP) injections and extracorporeal shockwave therapy, as potential adjuncts to rehabilitation. National Spine Management Group 2025, Federation of Chiropractic Licensing Boards, PACE Program 2025. Diplomate, National Spine Management Group, National Spine Management Group, Buffalo, NY, 2025
Diagnosis and Management of Shoulder Instability and Labral Tears, Diagnosis and Management of Shoulder Instability and Labral Tears - completed a course on the evaluation and treatment of shoulder instability and labral pathology, including Bankart and SLAP lesions. The curriculum covered the role of conservative management, indications for surgical intervention, and current arthroscopic repair techniques. The course also examined postoperative rehabilitation strategies to optimize functional outcomes for patients with recurrent dislocations or labral injuries. Special attention was given to patient­ specific factors influencing treatment, such as athletic demands, history of prior dislocations, and the presence of associated bony defects like Hill-Sachs or glenoid fractures. The session reviewed the latest arthroscopic advancements, including suture anchor techniques, capsular plication, and the Latarjet procedure for cases with significant glenoid bone loss. Furthermore, rehabilitation protocols were discussed in detail, highlighting progressive strengthening exercises, proprioceptive training, and return-to-sport criteria for competitive athletes. National Spine Management Group 2025, Federation of Chiropractic Licensing Boards, PACE Program 2025. Diplomate, National Spine Management Group, National Spine Management Group, Buffalo, NY, 2025
Developmental Spinal Stenosis and Spinal Trauma, Developmental Spinal Stenosis and Spinal Trauma - Delivered a one-hour educational course examining the anatomical, clinical, and medicolegal implications of developmental spinal stenosis in the cervical spine, with a focus on its significance in personal injury litigation. The presentation provided an in-depth review of normal spinal canal dimensions, the anatomical boundaries of the cervical canal, and the pathophysiology of central canal narrowing. Special attention was given to cases where intervertebral disc herniation contributes to symptomatic stenosis, particularly in individuals with pre-existing developmental narrowing. Discussed the role of advanced imaging modalities in assessing canal diameter, differentiating congenital predisposition from trauma-induced exacerbation, and supporting causation analysis in legal cases. Emphasized the importance of objective documentation in establishing the impact of spinal injuries on long-term function and prognosis, as well as its relevance in determining case valuation and settlement considerations. National Spine Management Group 2025, Federation of Chiropractic Licensing Boards, PACE Program 2025. Diplomate, National Spine Management Group, National Spine Management Group, Buffalo, NY, 2025
Advanced Analysis of Circulating Biomarkers of Concussion, Advanced Analysis of Circulating Biomarker s of Concussion - Detailed outline providing a comprehensive review of circulating biomarkers in concussion. The course examined critical markers-including Glial Fibrillary Acidic Protein {GFAP), Ubiquitin C-terminal Hydrolase-L1 {UCH-L1), S1008, Tau Protein, and Neurofilament Light Chain (NFL)- with emphasis on cellular localization and roles in neuronal and glial injury. Training detailed temporal dynamics of biomarker release, analytical validity, and clinical utility in early diagnosis and patient monitoring. The program further explored integration of biomarker data into multimodal diagnostic frameworks to enhance precision in concussion management. National Spine Management Group 2025, Federation of Chiropractic Licensing Boards, PACE Program 2025. Diplomate, National Spine Management Group, National Spine Management Group, Buffalo, NY, 2025
Genetic Profiles and Concussion Severity, Genetic Profiles and Concussion Severity - A comprehensive review focusing on genetic determinants influencing concussion outcomes, specifically examining APOE and MTHFR genes, was attended. Extensive review provided insight regarding APOE's function in lipid transport, neuronal repair, and synaptic plasticity, with emphasis on clinical implications of the e4 allele in exacerbating neuroinflammatory responses. Seminar content also addressed MTHFR function in to/ate metabolism, impact on homocysteine regulation, and consequences of common polymorphisms on vascular and neural health. The genetic­ focused curriculum underscored the importance of personalized medicine for optimizing therapeutic strategies in concussion care. National Spine Management Group 2025, Federation of Chiropractic Licensing Boards, PACE Program 2025. Diplomate, National Spine Management Group, National Spine Management Group, Buffalo, NY, 2025
Laboratory Certifications and Testing Validity, Laboratory Certifications and Testing Validity -A detailed presentation on the validity of laboratory testing was completed, critically analyzing regulatory frameworks that ensure high-quality diagnostic assays. Extensive overview of the Clinical Laboratory Improvement Amendments (CUA; 42 CFR 493) elucidated how federal standards guarantee accuracy, reliability, and timeliness of laboratory results. Additional oversight provided by the State of Texas was examined, emphasizing the complementarity of state-specific regulations with federal mandates. Rigorous accreditation processes administered by the College of American Pathologists {CAP) for Laboratory Developed Tests were detailed, ensuring that assays meet stringent analytical and clinical performance criteria. National Spine Management Group 2025, Federation of Chiropractic Licensing Boards, PACE Program 2025. Diplomate, National Spine Management Group, National Spine Management Group, Buffalo, NY, 2025
Interprofessional Care Coordination of Concussion, Interprofessional Care Coordination of Concussion - A comprehensive presentation integrating multidisciplinary insights was successfully completed, combining advanced scientific concepts with clinical applications in concussion diagnosis and management. Educational experience synthesized data from circulating biomarkers, genetic markers, and laboratory validation processes to foster a holistic understanding of the neurophysiological and molecular underpinnings of concussion. Curriculum utilized scientific rigor to delineate contributions of each component to evidence-based clinical decision-making and personalized patient care. Overall, the course enriched proficiency in incorporating sophisticated diagnostic strategies into clinical practice, thereby enhancing capacity to deliver optimized, patient-centered care. National Spine Management Group 2025, Federation of Chirop1·actic Licensing Boards, PACE Prog1·am 2025. Diplomate, National Spine Management Group, National Spine Management Group, Buffalo, NY, 2025
Interprofessional Spine Management Grand Rounds, Interprofessional Spine Management Grand Rounds –Thoracic Adjustment and Cervical Radiculopathy –received advanced educational materials on cervical spine anatomy, neuroanatomy, and radiculopathy to practicing healthcare providers, focusing on the motor and sensory functions of cervical spinal nerves. Was presented with comprehensive white papers, quizzes, and instructional content that emphasized the clinical relevance of cervical nerve exit patterns, muscular innervation, and dermatomal sensory distributions in the upper extremities. Provided evidence-based insights on cervical radiculopathy, integrating pathophysiology, diagnostic strategies, and management approaches to enhance interprofessional understanding and patient outcomes. Discussed collaboration with multidisciplinary teams to ensure alignment of educational content with current best practices and emerging trends in spinal biomechanics and trauma management. Demonstrated expertise in translating complex anatomical and neurological concepts into actionable knowledge for improving patient care in the clinical setting.National Spine Management Group 2025, Federation of Chiropractic Licensing Boards, PACE Program 2025. Diplomate, National Spine Management Group, National Spine Management Group, Buffalo, NY, 2025
Foundations of Clinical Judgement and Gestalt Reasoning, Foundations of Clinical Judgment and Gestalt Reasoning-Participated in academic instruction on the principles of clinical gestalt, exploring how experienced clinicians synthesize intuition, pattern recognition, and patient context to make real-time decisions. Gained insight into how tacit knowledge and experiential learning contribute to rapid diagnostic formulation, especially in emergency and outpatient care environments.National Spine Management Group, Federation of Chiropractic Licensing Boards PACE, 2025 Diplomate, National Spine Management Group, National Spine Management Group, Buffalo , NY, 2025
Application of Diagnostic Sensitivity and Specificity, Application of Diagnostic Sensitivity and Specificity-Completed coursework emphasizing the interpretation and application of diagnostic test characteristics, including sensitivity and specificity. Developed an understanding of how these metrics are used to guide screening and confirmatory strategies, and how to apply them in selecting appropriate diagnostic tools in various clinical scenarios. National Spine Management Group, Federation of Chiropractic Licensing Boards PACE, 2025 Diplomate, National Spine Management Group, National Spine Management Group, Buffalo, NY, 2025
Introduction to TBI Biomarkers and Advanced Neuroimaging, Introduction to TBI Biomarkers and Advanced Neuroimaging-Studied the clinical utility of traumatic brain injury biomarkers (UCH-L1, GFAP, Neurofilaments, and S-100B) and their temporal profiles. Reviewed imaging techniques such as Diffusion Tensor Imaging (DTI) and their application in diagnosing and monitoring brain injury. Engaged in discussions based on content from the National Academies of Sciences Workshop proceedings on biomarker integration in TBI care. National Spine Management Group, Federation of Chiropractic Licensing Boards PACE, 2025 Diplomate, National Spine Management Group, National Spine Management Group, Buffalo, NY, 2025
Overview of FDA Regulatory Pathways and Laboratory Certification, Overview of FDA Regulatory Pathways and Laboratory Certification-Received instruction on FDA approval processes for medical devices, including 510(k), De Novo, and PMA pathways. Reviewed classification of medical devices by risk and studied key laboratory certification standards such as CLIA and ISO 13485. Developed foundational knowledge in the regulatory framework supporting safe and effective clinical innovation. National Spine Management Group, Federation of Chiropractic Licensing Boards PACE, 2025 Diplomate, National Spine Management Group, National Spine Management Group, Buffalo, NY, 2025
Advanced Strategies for Personal Injury Case Management, Advanced Strategies for Personal Injury Case Management. This course explored critical aspects of personal injury (PI) cases, including liability and personal injury protection (PIP) insurance, strategies for documenting causality, bodily injury, and persistent functional loss, and the effective use of ICD-10 S and M codes. The program integrated personalized treatment plans, standard operating protocols (SOPs), and macros for streamlined documentation while addressing primary care challenges in managing PI cases. Practical case studies emphasized collaboration and precision to optimize patient outcomes and ensure compliance with insurance and legal standards. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025. Diplomate, National Spine Management Group, National Spine Management Group, Buffalo, NY, 2025
Optimizing Documentation and Management in Personal Injury cases, Optimizing Documentation and Management in Personal Injury Cases for Chiropractors. This session emphasized the importance of accurate documentation in PI claims, exploring the nuances of liability insurance, medical expenses coverage, and the role of causality in linking injuries to incidents. The lecture included strategies for managing acute and chronic conditions using ICD-10 coding, employing macros in documentation to enhance efficiency, and collaborating with attorneys and other providers. Participants gained actionable insights for integrating ethical and detailed recordkeeping into their practices. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025. Diplomate, National Spine Management Group, National Spine Management Group, Buffalo, NY, 2025
Best Practices for Chiropractors in Personal Injury Clinics., Best Practices for Chiropractors in Personal Injury Clinics. This session provided an in-depth analysis of exceeding policy limits in PI cases, leveraging umbrella insurance policies, and documenting persistent functional loss for fair compensation. It highlighted the role of chiropractors in supporting legal efforts through comprehensive records, causation evidence, and expert testimony. The workshop emphasized integrating technology, adhering to ethical standards, and maintaining objective measures to ensure credibility and optimize patient outcomes. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025. Diplomate, National Spine Management Group, National Spine Management Group, Buffalo, NY, 2025
Documentation, Strategy, and Management in Personal Injury Cases, Documentation, Strategy, and Management in Personal Injury Cases. This session was designed to equip healthcare providers with tools for effective PI case handling. Topics included understanding pre-determined treatment plans versus SOPs, overcoming administrative and financial challenges in PI cases, and accurately coding acute and chronic conditions using ICD-10 standards. Emphasis was placed on creating tailored documentation strategies, utilizing macros for efficiency, and balancing automation with personalization. Attendees were trained to strengthen collaborations with legal teams and improve multidisciplinary patient care. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025. Diplomate, National Spine Management Group, National Spine Management Group, Buffalo, NY, 2025
Medical Records and Litigation, Medical Records and Litigation - Completed a specialized training program focused on the critical role of medical records in legal proceedings, emphasizing their impact on court testimony and litigation outcomes. Gained expertise in creating comprehensive and defensible documentation that aligns with healthcare standards and legal requirements. Developed skills in recording objective findings, patient history, causation, and treatment rationales to support testimony. Enhanced proficiency in preparing for depositions and trial testimony by ensuring consistency and clarity in records. This training underscored best practices for addressing challenges posed by opposing counsel and highlighted strategies for maintaining credibility under cross-examination. Graduates of this program are equipped to provide medical-legal documentation that strengthens both litigation success and patient advocacy. National Spine Management Group 2025, Federation of Chiropractic Licensing Boards, PACE Program 2025. Diplomate, National Spine Management Group, National Spine Management Gropu, Buffalo, NY, 2025
Complex Medical Testimony and Jury Communication, Complex Medical Testimony and Jury Communication - Completed an advanced workshop on effective jury communication through medical testimony, focusing on the simplification of complex medical concepts. Acquired practical skills in using layperson-friendly language to explain technical terms and presenting compelling visual aids like MRIs and anatomical models. Developed expertise in structuring testimony to engage jurors and maintain their attention while addressing the legal and medical aspects of a case. Learned techniques for managing cross-examination with professionalism, emphasizing objectivity and neutrality. The program also covered strategies to frame the long-term impacts of injuries in relatable ways for jurors. This training equips practitioners to clearly and effectively convey medical findings, ensuring they resonate with lay audiences and legal professionals alike. National Spine Management Group 2025, Federation of Chiropractic Licensing Boards, PACE Program 2025. Diplomate, National Spine Management Group, National Spine Management Group, Buffalo, NY, 2025
Expert Witness Training and Litigation Preparedness, Expert Witness Training and Litigation Preparedness - Completed a comprehensive course on the roles and responsibilities of expert witnesses in personal injury litigation. This program focused on the admissibility of expert opinions, preparation for depositions, and courtroom testimony. Gained critical knowledge in delivering impartial, evidence-based opinions to assist courts in understanding complex medical issues. Developed the ability to align testimony with established legal precedents and effectively handle cross-examination. The course emphasized the importance of independence, integrity, and clarity in presenting evidence, ensuring practitioners are prepared to navigate the legal system as trusted experts. This training provided the tools necessary to support litigation outcomes while maintaining professional credibility. National Spine Management Group 2025, Federation of Chiropractic Licensing Boards, PACE Program 2025. Diplomate, National Spine Management Group, National Spine Management Group, Buffalo, NY, 2025
Understanding Legal Precedent and its Role in Personal Injury Litigation, Understanding Legal Precedent and Its Role in Personal Injury Litigation - Completed a detailed educational series on legal precedent in personal injury litigation, focusing on its application in evaluating negligence, causation, and damages. Explored the significance of established diagnostic and treatment standards in ensuring predictability and fairness in court rulings. Gained insights into the challenges of introducing innovative medical techniques within the framework of legal precedent. Learned how precedent influences admissibility of evidence, calculation of damages, and settlement negotiations. This program emphasized the importance of aligning medical practices with recognized legal standards to mitigate risk and improve case outcomes. Graduates are well-equipped to navigate the intersection of healthcare and law, ensuring their practices meet both clinical and legal benchmarks. National Spine Management Group 2025, Federation of Chiropractic Licensing Boards, PACE Program 2025. Diplomate, National Spine Management Group, National Spine Management Group, Buffalo, NY, 2025
Understanding No-Fault vs. Tort Systems in Personal Injury Law, Understanding No-Fault vs. Tort Systems in Personal Injury Law This course provided an overview of the foundational differences between no-fault and tort systems in personal injury law. Learners reviewed the roles of Personal Injury Protection (PIP) and liability insurance in each system and discussed the impact of legal frameworks on claim resolution. The program presented scenarios illustrating the serious injury threshold and limitations on non-economic damage claims. Participants explored comparative examples from states like New York, Florida, and Texas. Key legal principles and practical implications were analyzed to foster deeper comprehension of legal processes and their effects on injured parties. The course concluded with a discussion of litigation risks and strategic considerations for attorneys and insurance adjusters. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025 Diplomate, National Spine Management Group, National Spine Management Group, Buffalo, NY, 2025
Advanced Documentation Techniques for Traffic-Related Injuries, Advanced Documentation Techniques for Traffic-Related Injuries This program reviewed medicolegal documentation requirements for injuries caused by traffic accidents. Participants were introduced to the importance of recording both external and internal injuries with precision to support accident reconstruction and legal proceedings. The course discussed methodologies for documenting typical injuries based on their mechanisms and severity, including the use of the Abbreviated Injury Scale (AIS) and AO fracture classifications. Participants analyzed case studies to evaluate documentation practices and their role in litigation outcomes. Additional topics included forensic photography, injury diagrams, and the ethical responsibilities of medical practitioners. The session emphasized the intersection of clinical expertise and legal evidence requirements. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025. Diplomate, National Spine Management Group, National Spine Management Group, Buffalo, NY, 2025
Exploring Deposition Strategies in Personal Injury Cases, Exploring Deposition Strategies in Personal Injury Cases This course provided a comprehensive overview of depositions as a pivotal element of the discovery process in personal injury litigation. Participants discussed the structure and function of depositions, including their role in fact-finding, preserving testimony, and shaping litigation boundaries. The curriculum reviewed techniques for questioning witnesses, assessing credibility, and uncovering new evidence. Real-world examples illustrated how depositions influence settlement strategies and trial preparation. The session highlighted the interplay between deposition records and courtroom testimony, emphasizing the importance of consistency and strategic communication. Practical exercises included drafting deposition questions and analyzing transcripts. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025. Diplomate, National Spine Management Group, National Spine Management Group, Buffalo, NY, 2025
Personal Injury Protection, State Specific Requirements, Personal Injury Protection (PIP): State-Specific Requirements and Legal Implications This course offered an in-depth review of PIP insurance regulations across various states, focusing on the financial and legal nuances of no-fault systems. Participants explored mandatory and optional coverage levels, subrogation rights, and the interaction between PIP and health insurance. The curriculum highlighted significant differences in coverage requirements between states like Michigan, New York, and Florida. Case studies presented challenges in coordinating benefits and navigating waiver options. Learners reviewed the legal mechanisms of subrogation and discussed how PIP impacts settlement negotiations and claimant recovery strategies. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025. Diplomate, National Spine Management Group, National Spine Management Group, Buffalo , NY, 2025
Expert Testimony Training , Expert Testimony Training: Key Legal Concepts for Physicians in Personal Injury Cases Completed a comprehensive course focusing on the roles and qualifications of medical professionals in personal injury litigation. This course emphasized the distinctions between treating physicians and medical experts, strategies for establishing expertise, and overcoming legal objections to credibility. Detailed exploration of courtroom dynamics, jury evaluation, and the effective use of CVs to demonstrate professional qualifications was included. Practical applications for managing objections and leveraging transcripts to maintain consistency in testimony were also discussed. This training provided advanced strategies to enhance credibility and professionalism in medical-legal contexts. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025 Diplomate, National Spine Management Group, National Spine Management Group, Buffalo, NY, 2025
Advanced training in Legal Testimony and Expert Qualifications, Advanced Training in Legal Testimony and Expert Qualifications Completed specialized training on integrating advanced spinal diagnostics with legal testimony requirements. Emphasis was placed on bridging the gap between clinical care and expert analysis, including causation, prognosis, and future medical needs. Participants were instructed on meeting Rule 702 standards and ensuring credibility through clear communication and comprehensive documentation. This training has been instrumental in providing expert testimony with confidence and precision in complex legal settings. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025. Diplomate, National Spine Management Group, National Spine Management Group, Buffalo, NY, 2025
Presentation Development Effective CV Strategies in Legal Testimony, Presentation Development: Effective CV Strategies in Legal Testimony Participated in an intensive training on creating impactful CVs for medical-legal applications. The session highlighted essential elements of a strong CV, such as education, certifications, and prior testimony, ensuring alignment with legal standards like Rule 702 of the Federal Rules of Evidence. Instruction covered practical methods for streamlining direct examinations and addressing objections through pre-prepared documentation. The training underscored the importance of maintaining updated, organized CVs to showcase qualifications and strengthen courtroom credibility. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025 Diplomate, National Spine Management Group, National Spine Management Group, Buffalo, NY, 2025
Courtroom Preparation, Courtroom Preparation: Communication and Professionalism in Testimony Attended a targeted lecture on the importance of effective communication and professionalism during legal proceedings. The program focused on presenting complex medical information clearly, handling objections with composure, and aligning testimony with legal standards. Practical examples included cross-examination preparation, transcript review for consistency, and collaboration with attorneys to frame evidence effectively. This training emphasized the integration of medical knowledge with legal processes to enhance the impact and reliability of expert testimony. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025. Diplomate, National Spine Management Group, National Spine Management Group, Buffalo , NY, 2025
Understanding Intervertebral Disc Pathology, Understanding Intervertebral Disc Pathology: Advanced Insights into Acute and Chronic Conditions -Presented a comprehensive session on the pathology of acute and chronic intervertebral disc injuries, emphasizing their mechanisms, pathophysiology, and long-term implications. Explored the biological and mechanical changes in disc injuries through case studies highlighting differences between acute trauma and chronic degeneration. Delivered an in-depth analysis of degenerative processes, including spondylosis and chronic herniation, focusing on their impact on patient function and quality of life. Discussed practical clinical approaches for managing these conditions in personal injury cases. The session concluded with interactive discussions, promoting a deeper understanding among chiropractic practitioners. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2024. Diplomate, National Spine Management Group, National Spine Management Group, Buffalo, NY, 2025
Physical Examination for Disc Injuries., Physical Examination for Disc Injuries: Clinical Assessment Techniques and Applications -Conducted an interactive seminar focused on advanced physical examination methods for diagnosing disc injuries in personal injury cases. Covered neurological and orthopedic testing, palpation techniques, and the identification of red flags for serious conditions. Participants engaged in a hands-on demonstration of clinical techniques, enhancing their ability to perform precise and effective evaluations. Emphasized the integration of examination findings into broader clinical decision-making frameworks. The session highlighted the critical role of thorough examination in correlating physical findings with imaging results for accurate diagnosis .National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2024 Diplomate, National Spine Management Group, National Spine Management Group, Buffalo, NY, 2025
Advanced Imaging in Disc Injury Diagnosis, Advanced Imaging in Disc Injury Diagnosis: Bridging Technology with Clinical Practice -Led a detailed workshop on the role of advanced imaging in diagnosing intervertebral disc injuries, tailored for chiropractic professionals. Compared MRI and CT modalities, emphasizing their applications in identifying disc herniation, degeneration, and associated pathologies. Utilized real-world imaging case studies to demonstrate the interpretation of findings in acute and chronic conditions. Discussed when and how to incorporate imaging into clinical practice to optimize patient outcomes. The session underscored the importance of imaging in validating physical examination findings and supporting documentation for legal purposes in personal injury cases. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2024 Diplomate, National Spine Management Group, National Spine Management Group, Buffalo, NY, 2025
Integration of Examination and Imaging in Clinical Practice., Integration of Examination and Imaging in Clinical Practice: A Holistic Approach Facilitated discussions which merged physical examination techniques with advanced imaging to refine diagnostic accuracy in spine injury management. Covered strategies for correlating examination findings with imaging data to develop comprehensive treatment plans. Addressed the documentation requirements crucial for personal injury cases, ensuring compliance with legal standards. Engaged participants in thought provoking pathways on integrating these tools effectively in practice. This approach highlighted the value of a multidisciplinary framework in enhancing patient care and optimizing clinical outcomes. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2024. Diplomate, National Spine Management Group, National Spine Management Group, Buffalo, NY , 2025
Pathology of Disc Injuries Education and Implications for Case Management., Pathology of Disc Injuries: Education and Implications for Case Management -Delivered a targeted continuing education seminar on the pathology of acute and chronic disc injuries with a focus on personal injury scenarios. The program included discussions on mechanisms of injury, degenerative processes, and the implications for clinical practice. Highlighted the significance of detailed patient history, physical examination, and imaging in understanding and managing these conditions. Provided insights into developing narratives for case documentation and optimizing outcomes for injured patients. The event fostered interprofessional collaboration, emphasizing the chiropractor's role in a multidisciplinary care model. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2024 Diplomate, National Spine Management Group, National Spine Management Group, Buffalo, NY, 2025
Advanced Diagnostic Interpretation Thyroid Pathology, Advanced Diagnostic Interpretation: Thyroid Pathology and Empty Sella in MRI Spinal Imaging -This course provided an in-depth review of incidental thyroid pathology identified on MRI, focusing on the appropriate follow-up for an enlarged thyroid. Participants analyzed the pathophysiology of thyroid enlargement, including benign and malignant differentials, and reviewed best practices for interdisciplinary communication. The course emphasized the role of ultrasound as the primary diagnostic modality, the indications for fine needle aspiration biopsy, and the interpretation of thyroid function tests. Through case-based discussions, attendees enhanced their ability to integrate incidental findings into comprehensive patient management, improving their diagnostic acumen and referral strategies in clinical practice .National Spine Management Group, Federation of Chiropractic Licensing Boards–2025. Diplomate, National Spine Management Group, National Spine Management Group, Buffalo, NY, 2025
Cervical Impairment Rating – AMA Guides to the Evaluation of Permanent Impairment, 5th and 6th Editions, Cervical Impairment Rating – AMA Guides to the Evaluation of Permanent Impairment, 5th and 6th Editions – Spring 2025 Completed expert-level training in the diagnostic evaluation of Alteration of Motion Segment Integrity (AOMSI) in the cervical spine using AMA Guides (5th and 6th Editions). Emphasis was placed on the application of objective criteria including >3.5 mm of translational motion and >11° of angular rotation to identify functional segmental instability. The program detailed the biomechanical rationale for these thresholds and instructed on standardized methods for identifying ligamentous damage based on motion segment behavior. Proficiency was demonstrated in integrating radiographic findings into the impairment rating process and using motion analysis to support clinical and legal documentation. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program 2025 Diplomate, National Spine Management Group, National Spine Management Group, Buffalo, NY, 2025
Cervical Impairment Rating – AMA Guides to the Evaluation of Permanent Impairment, 5th and 6th Edition, Cervical Impairment Rating – AMA Guides to the Evaluation of Permanent Impairment, 5th and 6th Editions – Spring 2025 Received advanced clinical instruction on cervical spine ligament biomechanics, with particular focus on diagnostic interpretation of motion-based instability. Training included radiographic recognition of ALL, PLL, interspinous, supraspinous, ligamentum flavum, and facet capsular ligament injury based on observed translation and angular abnormalities. Coursework emphasized differential diagnosis between structural instability and degenerative changes, and trained participants to correlate imaging findings with symptomatology and patient history. Gained working knowledge of using segmental instability findings to inform rehabilitation, surgical referral, and medico-legal reporting. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program 2025 Diplomate, National Spine Management Group, National Spine Management Group, Buffalo , NY, 2025
Cervical Impairment Rating – AMA Guides to the Evaluation of Permanent Impairment, 5th and 6th Editions, Cervical Impairment Rating – AMA Guides to the Evaluation of Permanent Impairment, 5th and 6th Editions – Spring 2025 Participated in an intensive educational module addressing the legal, regulatory, and procedural implications of AOMSI analysis in trauma care. Learned how to apply objective measurements to support causation, permanency, and impairment in personal injury and workers’ compensation cases. Instruction included strategies for achieving Frye admissibility of digital motion analysis tools, the legal standards for expert witness qualification, and the use of calibrated systems for forensic-level imaging evaluation. Participants were trained to construct defensible reports and testify to clinical findings with biomechanical validity, reinforcing their credibility in litigation settings. National Spine Diplomate, National Spine Management Group, National Spine Management Group, Buffalo, NY, 2025
Cervical Impairment Rating – AMA Guides to the Evaluation of Permanent Impairment, 5th and 6th Editions, Cervical Impairment Rating – AMA Guides to the Evaluation of Permanent Impairment, 5th and 6th Editions – Spring 2025 Completed advanced instruction in the technical and clinical components of flexion-extension radiograph acquisition for AOMSI assessment. Focused on the avoidance of common errors such as poor patient effort, non-neutral positioning, and improper sagittal plane alignment. Emphasized the impact of these variables on the validity of diagnostic motion measurements and provided structured protocols for improving reproducibility and clarity in radiographic imaging. Gained hands-on guidance in instructing imaging facilities, refining standard operating procedures, and improving diagnostic yield for motion-based cervical spine pathology. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program 2025 Diplomate, National Spine Management Group, National Spine Management Group, Buffalo, NY, 2025
Lumbar Spine Instability and AOMSI: Clinical, Imaging, and Legal Perspectives, Focused on the evaluation of lumbar spinal instability through the application of Alteration of Motion Segment Integrity (AOMSI). Emphasized biomechanical principles and radiographic criteria for identifying translational (>4.5 mm) and angular motion abnormalities (>15°–25°, depending on segment) using flexion-extension radiographs. Included instruction on the use of these findings in accordance with the AMA Guides to the Evaluation of Permanent Impairment, 5th Edition (Range of Motion model) and 6th Edition (Diagnosis-Based Impairment model), with application to trauma documentation, impairment rating, and surgical triage. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program 2025 Diplomate, National Spine Management Group, National Spine Management Gropu, Buffalo , NY, 2025
Advanced Imaging and Biomechanical Principles of Lumbar AOMSI, Addressed radiographic protocols for flexion-extension motion studies, measurement reproducibility, and standardization of lumbar instability thresholds. Included comprehensive review of key lumbar stabilizing ligaments (ALL, PLL, interspinous, supraspinous, ligamentum flavum, facet capsules) and their role in post-traumatic motion segment failure. Emphasized detection of overt instability and early translational micro-movements (≥1 mm), integrating clinical biomechanics with AMA Guides to the Evaluation of Permanent Impairment, 5th and 6th Editions. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program 2025 National Spine Management Group, Buffalo, NY, 2025
Medical-Legal Application of Lumbar AOMSI in Disability and Causation Analysis, Provided training in interpretation and documentation of lumbar segmental instability for personal injury, workers’ compensation, and disability claims. Included objective validation of motion abnormalities and application of radiographic findings to causation analysis, permanency evaluations, and impairment ratings under the AMA Guides to the Evaluation of Permanent Impairment, 5th and 6th Editions. Emphasized preparation of records and testimony meeting Frye and Daubert evidentiary standards. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program 2025 National Spine Management Group, Buffalo, NY, 2025
Impairment Rating and Radiologic Interpretation of Lumbar Segmental Instability, Provided instruction in the interpretation of functional radiographs and their integration into the impairment evaluation process. Emphasized application of translational and angular thresholds established in the AMA Guides to the Evaluation of Permanent Impairment, including the 5th Edition’s Range of Motion model and the 6th Edition’s Diagnosis-Based Impairment framework. Included literature review of cadaveric biomechanical studies by Yoganandan, Ivancic, and Chazal, and use of AOMSI findings in permanent impairment documentation, clinical triage, and medico-legal reporting. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program 2025 National Spine Management Group, Buffalo, NY, 2025
Medical and Interprofessional Communication, detailed overview of medial legal communication in relation to patient subjective and objective clinical findings. Outline of direct and cross-examination techniques were presented. Overview of Voir Dire and Daubert hearings were outlined. Discussion of examination of proof in relation to causality, bodily injury, and persistent functional losses was reviewed. Court testimony flow, professional expectations, and court room etiquette was presented and emphasized. Certification in Medical and Interprofessional Communications, Diplomate, Cleveland University - Kansas City, Cleveland University - Kansas City, National Spine Management Group, Fort Lauderdale, FL, 2022
Spine Management, discussion and outline of case management workflows related to the management of acute and chronic spine pain with a particular focus on pain of traumatic origin. Evidence-Based communication and Electronic Health Record processes were emphasized and presented. Patient management and triage based on patient history, physical examination and imaging findings was outlined. Overview of interprofessional referral options including physical therapy, interventional pain management and spine surgery was discussed in detail. Spine Management as concept was discussed by Dr. John Edwards, neurosurgeon in relation to reducing escalation of non-urgent cases as well as creating space for patients with urgent need. Certification in Spine Management, Diplomate, National Spine Management Group, Cleveland University - Kansas City, Cleveland University - Kansas City, Fort Lauderdale, FL, 2022
Documentation and Communication in Spine Management, presentation of compliant healthcare documentation including E/M initial and re-evaluations, daily progress notes and medical-legal narrative reports was provided. Workflows detailing interprofessional referral language, advanced imaging requests and patient communication were detailed. Streamlined processes for creating and maintaining compliant, evidence based, patient centered clinical reporting was given. Emphasis was placed on the role of a Spine Management Physician in the processes of interprofessional communication and case management. Certification in Documentation and Communication in Spine Management, Diplomate, National Spine Management Group, Cleveland University - Kansas City, Cleveland University - Kansas City, Fort Lauderdale, FL, 2022
Histology and Physical Tolerance of Spinal Ligaments, presentation of the histological structural organization of spinal ligaments including analysis of tropocollagen as the basis for anatomical structure. Review of the structural hierarchy of the spinal ligament from microscopic to macroscopic was included. Anisotropic properties of spinal ligaments were defined, and examples presented. Detailed review of spinal entheses was presented with emphasis on advanced imaging and chronic enthesopathy. New insights into the pathogenesis, diagnostic modalities, and treatment of spinal enthesitis was outlined and presented. Specific focus was on traumatic injury to the spinal entheses and the difference in formation of spinal osteophytes and enthesophytes. Biomechanics of the degenerative spine was detailed and reviewed in terms of clinical spine management. Certification in Histology and Physical Tolerance of Spinal Ligaments, Diplomate, National Spine Management Group, Cleveland University - Kansas City, Cleveland University - Kansas City, Fort Lauderdale, FL, 2022
Accident Reconstruction and Expert Reporting, Crash dynamics and basic physics formulas were presented and detailed. Review of biomechanical expert reports and included mathematics was discussed with context given to data collection and accuracy. Spinal injury thresholds were reviewed as well as the Law of Conservation of Energy and its relationship to crash dynamics. Specific mathematical examples were presented including workflows to review the accuracy of biomechanical expert reporting and mathematical formulas. Certification in Accident Reconstruction and Expert Reporting, Diplomate, National Spine Management Group, Cleveland University - Kansas City, Cleveland University - Kansas City, Fort Lauderdale, FL, 2022
Degenerative versus Acute Ligament Laxity, an updated scientifically validated grading system for the identification of degeneration of the intervertebral disc and motion segment was presented. Details such as radiographic signs of disc degeneration including loss of disc height, osteophyte formation and diffuse sclerosis were provided. Grading examples were provided in radiographic and gross specimen form starting with Grade 0 (no degeneration) to Grade 3 (severe degeneration). Outline of the validity and interobserver agreement of this grading system was shown for both the cervical and the lumbar spine. Review and emphasis on the difference between osteophyte formation and enthesophytes was again outlined. Certification in Degenerative versus Acute Ligament Laxity, Diplomate, National Spine Management Group, Cleveland University - Kansas City, Cleveland University - Kansas City, Fort Lauderdale, FL, 2022
Chiropractic Science Research, review and presentation of updated peer-reviewed medically indexed research supporting chiropractic management of spine pain was detailed. Timeline of publication was emphasized with three years being the maximum timeframe for up-to-date data. Comprehensive review of evidence supporting chiropractic management of the spine pain patient in the Pain Management, Corrective, and the Health Maintenance Phases of care. Methods to communicate this evidence to the medical and legal communities was presented in the context of compliant patient centered clinical documentation. Efficiency of a Spine Management Physician versus conventional primary care was presented. Emphasis on the hierarchy of published evidence starting with Foundational Evidence up to Level 1 evidence was presented. Certification in Chiropractic Science Research, Diplomate, National Spine Management Group, Cleveland University - Kansas City, Cleveland University - Kansas City, Fort Lauderdale, FL, 2022
Medical-Legal Ethical Relationships, Documentation and Legal Testimony, Report writing for legal cases., Medical-Legal Ethical Relationships, Documentation and Legal Testimony, Report writing for legal cases, the 4 corners of a narrative and documenting damages with understanding defense medical documentation and consistent reporting of bodily injuries. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2022 Certification in Medical-Legal Ethical Relationships, Documentation and Legal Testimony, Report writing for legal cases, Diplomate, Academy of Chiropractic Post-Doctoral Division, Cleveland University-Kansas City, Cleveland University - Kansas City, Long Island, NY, 2022
Medical-Legal Ethical Relationships, Documentation and Legal Testimony, Medical-Legal Ethical Relationships, Documentation and Legal Testimony, Part 2, Understanding report writing and the types of medical reports required for court inclusive of diagnosis, prognosis and treatment plans with requirements of reporting causality and permanency. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2022 Certification in Medical-Legal Ethical Relationships, Report Writing and Preparing for a Legal Case, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2022
Medical-Legal Ethical Relationships, Documentation and Direct Testimony, Organizing your documentation, Medical-Legal Ethical Relationships, Documentation and Direct Testimony, Organizing your documentation and understanindg all collaborative documentation and how it fits into your diagnosis, prognosis and treatment plan, Understanding the nuances of the functional losses of your patients related to their bodily injuries, Academy of Chiropractic, Post-Doctoral Division. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2022 Certification in Medical-Legal Ethical Relationships, Documentation and Direct Testimony, Organizing your documentation, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2022
Medical-Legal Ethical Relationships, Documentation and Direct Testimony Part 2, Medical-Legal Ethical Relationships, Documentation and Direct Testimony Part 2, Utilizing demonstrative documentation in direct examination and communicating the results of your care concurrently with the written documentation and reporting an accurate diagnosis for all images. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2022 Certification in Medical-Legal Ethical Relationships, Documentation and Direct Testimony Part 2, Diplomate, Academy of Chiropractic, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2022
Medical-Legal Ethical Relationships, Documentation and Direct Testimony Part 3, Medical-Legal Ethical Relationships, Documentation and Direct Testimony Part 3, The evaluation, interpretation and reporting of collaborative medical specialists results and concluding an accurate diagnosis inclusive of all findings and reviewing all images to ensure an accurate diagnosis. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2022 Certification in Medical-Legal Ethical Relationships, Documentation and Direct Testimony Part 3, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2022
Medical-Legal Ethical Relationships, Documentation and Direct Testimony Part 4, Medical-Legal Ethical Relationships, Documentation and Direct Testimony Part 4, Determininig and documenting disabilities and impairments inclusive of loss of enjoyment of life and duties under duress and the evaluation and validation of pain and suffering. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2022 Certification in Medical-Legal Ethical Relationships, Documentation and Direct Testimony Part 4, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2022
Medical-Legal Ethical Relationships, Documentation and Cross Examination Testimony, Reporting your documentation factually, Medical-Legal Ethical Relationships, Documentation and Cross Examination Testimony, Reporting your documentation factually and staying within the 4 corners of your medical report and scope of practice inclusive of understanding how your credentials allow you to report your documentation. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2022 Certification in Medical-Legal Ethical Relationships, Documentation and Cross Examination Testimony, Reporting your documentation factual, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2022
Medical-Legal Ethical Relationships, A Documentation Relationship Between the Doctor and Lawye, Medical-Legal Ethical Relationships, A Documentation Relationship Between the Doctor and Lawyer, The level of organization required in a medical-legal case that accurately reflects the bodily injuries of your patients and the time constraints in rendering an accurate report. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2022 Certification in Medical-Legal Ethical Relationships, A Documentation Relationship Between the Doctor and Lawye, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2022
Medical-Legal Ethical Relationships, Report Writing and Preparing for a Legal Case, Medical-Legal Ethical Relationships, Report Writing and Preparing for a Legal Case, Reviewing the facts of the case inclusive of your documentation, the defense medical examiner, medical specialists and the attorney to ensure accurate and consistent reporting. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2022 Certification in Medical-Legal Ethical Relationships, Report Writing and Preparing for a Legal Case, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2022
Medical-Legal Ethical Relationships, Report Writing and Preparing for a Legal Case, Medical-Legal Ethical Relationships, Report Writing and Preparing for a Legal Case, Creating demonstrative evidence, visuals of your patient's bodily injuries inclusive of x-rays, MRI's, CAT Scans and electrodiagnostic findings, the spinal biomechanics of herniated disc with ipsilateral findings and contralateral symptomatology. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2022 Certification in Medical-Legal Ethical Relationships, Report Writing and Preparing for a Legal Case, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2022
National Spine Management West Conference 2022 – Communicating with the Spine Surgeon, Detailed review of the scientific literature supporting interprofessional collaboration between the spine surgeon and the Doctor of Chiropractic was presented. Emphasis on updated needs of the spine surgeon with focus on the understanding of pre and post-surgical chiropractic care. Literature updates and documentation requirements were discussed. Specific talking points are provided for telecommunication with the spine surgeon. Certification in Communicating with the Spine Surgeon, Diplomate, National Spine Management Group, LLC, Cleveland University - Kansas City, Cleveland University - Kansas City, Salt Lake City, UT, 2022
Communicating with the Pain Management Physician, National Spine Management West Conference 2022 – Communicating with the Pain Management Physician - Review of the scientific literature supporting interprofessional collaboration with the interventional pain management physician was outlined. Updates and review of the chiropractic scientific literature in relation to pain management mechanisms of the chiropractic adjustment were presented. Documentation and interprofessional referral, communication and telecommunication talking points for daily practice was outlined. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Cleveland University Kansas City College of Chiropractic, 2022. Certification in Communicating with the Pain Management Physician, Diplomate, National Spine Management Group, LLC, Cleveland University - Kansas City, Cleveland University - Kansas City, Salt Lake City, UT, 2022
Communicating with the Primary Care Physician, National Spine Management West Conference 2022 – Communicating with the Primary Care Physician - Review of literature supporting interprofessional communication at the primary care level was presented. Literature outlining interprofessional communication and the needs of the primary care physician was discussed. Efficient reporting and communication points were reviewed. Chiropractic interaction with primary care physicians from a clinical perspective were outlined with an emphasis on supportive relationships. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Cleveland University Kansas City College of Chiropractic, 2022. Certification in Communicating with the Primary Care Physician, Diplomate, National Spine Management Group, LLC, Cleveland University - Kansas City, Cleveland University - Kansas City, Salt Lake City, UT, 2022
National Spine Management West Conference 2022 – Communication with Physical Therapy – the untapped potential, National Spine Management West Conference 2022 – Communication with Physical Therapy – the untapped potential - Discussion on developing a collaborative relationship with physical therapy and its effect on outcomes and community-based care was outlined. Supportive scientific literature presenting the interaction between spinal biomechanics and supervised rehabilitative techniques was reviewed. Outcomes and interprofessional communication techniques were discussed with an emphasis on interprofessional referral and support of both professions. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Cleveland University Kansas City College of Chiropractic, 2022. Certification in Communication with Physical Therapy – the untapped potential, Diplomate, National Spine Management Group, LLC, Cleveland University - Kansas City, Cleveland University - Kansas City, Salt Lake City, UT, 2022
National Spine Management West Conference 2022 – Interprofessional referral and pathway, National Spine Management West Conference 2022 – Interprofessional referral and pathways - Review and outline of complete workflows for patient evaluation, documentation and triage when clinically indicated were detailed. Efficiency and accuracy of interprofessional communication was presented in terms of the needs of the patient, pain management physician, spine surgeon, physical therapist, and primary care physician. Evidence based triage workflows were discussed and detailed with emphasis on preventing unnecessary escalation of care in spine pain patients was presented. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Cleveland University Kansas City College of Chiropractic, 2022. Certification in Interprofessional referral and pathways, Diplomate, National Spine Management Group, LLC, Cleveland University - Kansas City, Cleveland University - Kansas City, Salt Lake City, UT, 2022
National Spine Management West Conference 2022 – Communicating with the Lawyer, National Spine Management West Conference 2022 – Communicating with the Lawyer – Disc Injuries - Discussion of the medical-legal implications of injuries to the intervertebral disc was presented. Clinical correlation to mechanism of injury, objective physical examination findings, results of advanced imaging and persistent functional loss were reviewed. Medical legal discussion of anatomy of intervertebral disc herniation, degenerative bulge, annular tear, and their relationship to nerve supply in terms the legal community can understand was detailed. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Cleveland University Kansas City College of Chiropractic, 2022. Certification in Communicating with the Lawyer – Disc Injuries, Diplomate, National Spine Management Group, LLC, Cleveland University - Kansas City, Cleveland University - Kansas City, Salt Lake City, UT, 2022
National Spine Management West Conference 2022 – Communicating with the Lawyer – AOMSI, National Spine Management West Conference 2022 – Communicating with the Lawyer – AOMSI - Discussion of the medical-legal implications of injuries to the ligaments of the human spine was presented. Clinical correlation to mechanism of injury, objective physical examination findings, results of advanced imaging and persistent functional loss were reviewed. Medical legal discussion of the anatomy of spinal ligaments in the normal, degenerative, and traumatically injured spine was presented. Details of nerve supply to ligaments and the mechanism of scar tissue formation through the wound repair process was provided. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Cleveland University Kansas City College of Chiropractic, 2022. Certification in Communicating with the Lawyer – AOMSI, Diplomate, National Spine Management Group, LLC, Cleveland University - Kansas City, Cleveland University - Kansas City, Salt Lake City, UT, 2022
National Spine Management West Conference 2022 – Communicating with the Lawyer – Low Speed Collisions, National Spine Management West Conference 2022 – Communicating with the Lawyer – Low Speed Collisions - Discussion of the medical-legal implications of injuries sustained as a result of a low speed/impact collision resulting in minimal property damage was outlined. Clinical correlation to the low-speed mechanism of injury, objective physical examination findings, results of advanced imaging and persistent functional loss was reviewed. Medical legal discussion related to the correlation between impact forces and human spinal tolerance with particular attention being given to pre-existing degenerative spinal conditions was presented. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Cleveland University Kansas City College of Chiropractic, 2022. Certification in Communicating with the Lawyer – Low Speed Collisions , Diplomate, National Spine Management Group, LLC, Cleveland University - Kansas City, Cleveland University - Kansas City, Salt Lake City, UT, 2022
National Spine Management West Conference 2022 – Anatomy of a Narrative Report , National Spine Management West Conference 2022 – Anatomy of a Narrative Report – departing from gimmicks - Presentation on the flow of clinical information into the medical-legal format used by adjusters, attorneys, judges, jurors, and law clerks was provided. Key indicators of persistent functional loss such as physical examination findings, global and segmental range of motion, advanced imaging findings and results of electrodiagnostic testing were outlined. Direct discussion on where in a narrative report these findings are to be written with an emphasis on patient assessment and expert opinion. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Cleveland University Kansas City College of Chiropractic, 2022. Certification in Anatomy of a Narrative Report , Diplomate, National Spine Management Group, LLC, Cleveland University - Kansas City, Cleveland University - Kansas City, Salt Lake City, UT, 2022
National Spine Management West Conference 2022 – Advanced Imaging Protocols – update of the science of MRI, National Spine Management West Conference 2022 – Advanced Imaging Protocols – update of the science of MRI - Detailed review of common MRI sequences for spine imaging will be presented including T1, T2 and STIR in the sagittal and axial planes was presented. Additional sequences such as Proton Density, Diffusion Weighted and Dixon was detailed and reviewed. Particular attention were given to ordering contrast medium in a spine care practice. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Cleveland University Kansas City College of Chiropractic, 2022. Certification in Advanced Imaging Protocols – update of the science of MRI, Diplomate, National Spine Management Group, LLC, Cleveland University - Kansas City, Cleveland University - Kansas City, Salt Lake City, UT, 2022
National Spine Management West Conference 2022 – Spine Care Leadership – educating the medical community, National Spine Management West Conference 2022 – Spine Care Leadership – educating the medical community - Overview of spine care leadership and the processes of creating an Evidence-Based, Patient Centered reputation in your community was discussed. Focus on structuring a medical community outreach program, what topics to include and the process of building support was detailed. This section outlined the differences between the various stakeholders in the medical community including nurses, physician assistants, physicians, and administrative support staff was discussed. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Cleveland University Kansas City College of Chiropractic, 2022. Certification in Spine Care Leadership – educating the medical community, Diplomate, National Spine Management Group, LLC, Cleveland University - Kansas City, Cleveland University - Kansas City, Salt Lake City, UT, 2022
National Spine Management West Conference 2022 – Spine Care Leadership - educating the legal community, National Spine Management West Conference 2022 – Spine Care Leadership - educating the legal community - Overview of spine leadership and the process of creating a positive medical-legal provider reputation in your community was presented. Focus on structuring a legal community outreach program, what topics to include and the process of building support was detailed. This section outlined the differences between the various stakeholders in the legal community including adjusters, paralegals, lawyers, law clerks and judges was detailed. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Cleveland University Kansas City College of Chiropractic, 2022. Certification in Spine Care Leadership - educating the legal community, Diplomate, National Spine Management Group, LLC, Cleveland University - Kansas City, Cleveland University - Kansas City, Salt Lake City, UT, 2022
National Spine Management West Conference 2022 – Compliance and Documentation – practice pitfalls 101 - Detailed review , National Spine Management West Conference 2022 – Compliance and Documentation – practice pitfalls 101 - Detailed review of compliance parameters within clinical documentation with emphasis on detailed efficient processes was presented. Pitfalls common to clinical practice was demonstrated with practical, office ready solutions to ensure proper workflows, compliance, and efficiency were outlined. Whole practice documentation modeling was discussed including the use of a scribe. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Cleveland University Kansas City College of Chiropractic, 2022. Certification in Compliance and Documentation – practice pitfalls 101, Diplomate, National Spine Management Group, LLC, Cleveland University - Kansas City, Cleveland University - Kansas City, Salt Lake City, UT, 2022
National Spine Management West Conference 2022 – Updated Chiropractic Science Research, National Spine Management West Conference 2022 – Updated Chiropractic Science Research - Review and discussion of 2021/2022 research supporting the chiropractic profession and the doctor of chiropractor as a spine care manager was outlined. Specific papers were presented related to the pain management, corrective, and health maintenance phases of chiropractic care. Overview of current and future research trends were demonstrated in relation to the pain management phase, corrective care phase and health maintenance phase of chiropractic management. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Cleveland University Kansas City College of Chiropractic, 2022. Certification in Updated Chiropractic Science Research, Diplomate, National Spine Management Group, LLC, Cleveland University - Kansas City, Cleveland University - Kansas City, Salt Lake City, UT, 2022
National Spine Management West Conference 2022 - Preparing for Litigation – it starts with your documentation, National Spine Management West Conference 2022 - Preparing for Litigation – it starts with your documentation – outline of updated compliant reporting of the patient encounter within E/M evaluations, daily progress notes, goal setting and interprofessional management/referral was presented. Medical legal hurdles were explained and the impact of documentation on court room presentations was demonstrated. Overview of objective evidence in the diagnosis and management of traumatically injured patients was presented. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Cleveland University Kansas City College of Chiropractic, 2022. Certification in Preparing for Litigation – it starts with your documentation, Diplomate, National Spine Management Group, LLC, Cleveland University - Kansas City, Cleveland University - Kansas City, Salt Lake City, UT, 2022
National Spine Management West Conference 2022 - How Jurors Determine Damage Awards- the importance of Anchors, National Spine Management West Conference 2022 - How Jurors Determine Damage Awards- the importance of Anchors - discussion and review of litigation award Anchors and their influence on the chiropractic practice and documentation of functional losses due to spinal injury was outlined. Courtroom processes and review of testimony was presented. Consensus driven diagnosis and case management was emphasized. Objectification of bodily injury and its relation to short and long-term functional losses was presented. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Cleveland University Kansas City College of Chiropractic, 2022. Certification in How Jurors Determine Damage Awards- the importance of Anchors, Diplomate, National Spine Management Group, LLC, Cleveland University - Kansas City, Cleveland University - Kansas City, Salt Lake City, UT, 2022
National Spine Management West Conference 2022 - The Future of Spinal Biomechanics, National Spine Management West Conference 2022 - The Future of Spinal Biomechanics - Review of essential biomechanical parameters in the human spine was presented. Emphasis was placed on their clinical application, patient outcomes and communication with the spine surgeon when applicable. Pre and post-surgical case management was reviewed in the context of peer-reviewed medically indexed literature. A look to the future of interprofessional spine care between the chiropractor and the surgeon was presented. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Cleveland University Kansas City College of Chiropractic, 2022. Certification in The Future of Spinal Biomechanics , Diplomate, National Spine Management Group, LLC, Cleveland University - Kansas City, Cleveland University - Kansas City, Salt Lake City, UT, 2022
National Spine Management West Conference 2022 – Spine Management and the Future of Spine Care, National Spine Management West Conference 2022 – Spine Management and the Future of Spine Care - Discussion of the role of a spine manager in the daily treatment of spine patients was presented. Emphasis was placed on the understanding of the roles of other providers in the care paradigm including interventional pain management, spine surgery and rehabilitation professionals. Interprofessional communication techniques were presented with a focus on diagnosis and management in a patient centered environment. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Cleveland University Kansas City College of Chiropractic, 2022. Certification in Spine Management and the Future of Spine Care, Diplomate, National Spine Management Group, LLC, Cleveland University - Kansas City, Cleveland University - Kansas City, Salt Lake City, UT, 2022
National Spine Management West Conference 2022 – Fellowship Training and the Chiropractic Literature, National Spine Management West Conference 2022 – Fellowship Training and the Chiropractic Literature - Overview of current literature-based examples of the evolution of chiropractic graduate education was presented. The need for clinical rotations, interprofessional communication and patient advocacy was detailed. Future training modules including learner outcome assessments and educational pathways were also outlined. Detailed review of the medical model of graduate education was detailed and explained with a pathway for chiropractic academic growth outlined. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Cleveland University Kansas City College of Chiropractic, 2022. Certification in Fellowship Training and the Chiropractic Literature, Diplomate, National Spine Management Group, LLC, Cleveland University - Kansas City, Cleveland University - Kansas City, Salt Lake City, UT, 2022
Bone Lesions: Radiographic Assessment, Internet Enduring Material Sponsored by the Stanford University School of Medicine. Presented by the Radiology Department of Medicine at Stanford University School of Medicine. Part 1 of a three part series on assessment of focal bone lesion on radiography. Certification in Bone Lesions: Radiographic Assessment, Diplomate, Stanford University School of Medicine, Stanford University School of Medicine, Stanford University School of Medicine, Stanford, CA, 2021
Bone Lesions, Radiographic Assessment, Part 2: Classification of Tumors, Internet Enduring Material Sponsored by the Stanford University School of Medicine. Presented by the Radiology Department of Medicine at Stanford University School of Medicine. Review of common bone tumors and their radiographic assessment based on the WHO classification system. Certification in Bone Lesions, Radiographic Assessment, Part 2: Classification of Tumors, Diplomate, Stanford University School of Medicine, Stanford University School of Medicine, Stanford University School of Medicine, Stanford, CA, 2021
Imaging of the Hip: More Radiographic Essentials!, Internet Enduring Material Sponsored by the Stanford University School of Medicine. Presented by the Radiology Department of Medicine at Stanford University School of Medicine. Essential skills for interpretation of hip radiographs. Certification in Imaging of the Hip: More Radiographic Essentials!, Diplomate, Stanford University School of Medicine, Stanford University School of Medicine, Stanford University School of Medicine, Stanford, CA, 2021
Subtle Fractures Not to Miss, Internet Enduring Material Sponsored by the Stanford University School of Medicine. Presented by the Radiology Department of Medicine at Stanford University School of Medicine. Musculoskeletal radiography cases that can be subtle and easy to miss are highlighted, with MRI and CT correlation. Certification in Subtle Fractures Not to Miss, Diplomate, Stanford University School of Medicine, Stanford University School of Medicine, Stanford University School of Medicine, Stanford, CA, 2021
MRI of the Brachial Plexus, Internet Enduring Material Sponsored by the Stanford University School of Medicine. Presented by the Radiology Department of Medicine at Stanford University School of Medicine. Key anatomy of the brachial plexus and tips on interpretation, emphasizing the value of sagittal images. Certification in MRI of the Brachial Plexus, Diplomate, Stanford University School of Medicine, Stanford University School of Medicine, Stanford University School of Medicine, Stanford, CA, 2021
MDCT of Ankle and Foot Trauma: Findings not to Miss, Key findings on multidetector CT studies of the ankle and foot. Subtle fractures not to miss, the role of CT in detection and staging of fractures, and the importance of soft tissue evaluation. Certification in MDCT of Ankle and Foot Trauma: Findings not to Miss, Diplomate, Stanford University School of Medicine, Stanford University School of Medicine, Stanford University School of Medicine, Stanford, CA, 2021
Normal Shoulder Radiography Take 1, Review of four basic projections in shoulder radiography. Certification in Normal Shoulder Radiography Take 1, Diplomate, Stanford University School of Medicine, Stanford University School of Medicine, Stanford University School of Medicine, Stanford, CA, 2021
Shoulder Radiography Fracture Dislocation, Presented by the Radiology Department of Medicine at Stanford University School of Medicine. Fracture dislocation of the humeral head on radiographs. Certification in Shoulder Radiography Fracture Dislocation, Diplomate, Stanford University School of Medicine, Stanford University School of Medicine, Stanford University School of Medicine, Stanford, CA, 2021
Upper Extremity Case Conference: Shoulder Girdle, Internet Enduring Material Sponsored by the Stanford University School of Medicine. Presented by the Radiology Department of Medicine at Stanford University School of Medicine. Essentials of radiographic diagnosis of injuries to the shoulder girdle, targeted to radiology residents. Certification in Upper Extremity Case Conference: Shoulder Girdle, Diplomate, Stanford University School of Medicine, Stanford University School of Medicine, Stanford University School of Medicine, Stanford, CA, 2021
MRI Spine Interpretation BASICS, MRI Spinal Anatomy, Protocols and Disc Pathology, Normal anatomy of axial and sagittal views utilizing T1, T2, gradient and STIR sequences of imaging. Degeneration and annular fissures of discs in both trauma and non-trauma patients and the biochemical properties of joints in age dating pathology. Disc bulges from degenerative and sequela to osseous issues, herniation pathology and protrusion, extrusion, migrated and sequestered variations. Clinical scenarios as sequela to disc and pre-existing pathologies. Cleveland University - Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2021 MRI Spine Interpretation, Herniated, bulged, extruded, protruded, sequestered and degenerative discs. The morphology of a pathological disc vs. normal morphology and the sequences required including T1, T2 and STIR for all spinal regions. Modic 1-2-3 changes detailed and the traumatic relationship. Cleveland University - Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2021 Certification in MRI Spine Interpretation BASICS, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
Upper Extremity Trauma Case Conference: Elbow, Wrist, and Hand, Internet Enduring Material Sponsored by the Stanford University School of Medicine. Presented by the Radiology Department of Medicine at Stanford University School of Medicine. Essentials of radiographic diagnosis of injuries to the shoulder girdle, targeted to radiology residents. Certification in Upper Extremity Trauma Case Conference: Elbow, Wrist, and Hand, Diplomate, Stanford University School of Medicine, Stanford University School of Medicine, Stanford University School of Medicine, Stanford, CA, 2021
Shoulder MRI Basic Axial Anatomy, Internet Enduring Material Sponsored by the Stanford University School of Medicine. Presented by the Radiology Department of Medicine at Stanford University School of Medicine. Test of display of shoulder MRI. Certification in Shoulder MRI Basic Axial Anatomy, Diplomate, Stanford University School of Medicine, Stanford University School of Medicine, Stanford University School of Medicine, Stanford, CA, 2021
Systematic Interpretation of Shoulder MRI, Internet Enduring Material Sponsored by the Stanford University School of Medicine. Presented by the Radiology Department of Medicine at Stanford University School of Medicine. Review of (basic) normal imaging anatomy of the shoulder on non contrast MRI, highlighting the important structures to analyze during readout. Certification in Systematic Interpretation of Shoulder MRI, Diplomate, Stanford University School of Medicine, Stanford University School of Medicine, Stanford University School of Medicine, Stanford, CA, 2021
Documenting Herniated Discs, Age-Dating Disc Pathology, and Connective Tissue Pathology as Sequella to Trauma , Case Management, Spinal MRI and Documentation Documenting Herniated Discs, Age-Dating Disc Pathology, and Connective Tissue Pathology as Sequella to Trauma , Herniated Discs and Connective Tissue Pathology, differentially diagnosing herniated discs vs. normal and bulging discs and protruded, extruded and fragmented discs. Normal vs. Pathological connective tissues and age-dating herniated discs. PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2021 Certification in Documenting Herniated Discs, Age-Dating Disc Pathology, and Connective Tissue Pathology as Sequella to Trauma , Diplomate, Academy of Chiropractic, Post-Doctoral Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
Case Management of Traumatic Spinal Injuries , Case Management, Spinal MRI and Documentation, Case Management of Traumatic Spinal Injuries, Understanding flexion-extension cervical injures and diagnosing connective tissue pathology. Determining impairments and the literature-based standard for permanent injuries. PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2021 Certification in Case Management of Traumatic Spinal Injuries , Diplomate, Academy of Chiropractic Post-Doctoral Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
Managing Herniated and Bulging Discs, Serious Injury in Non-Herniated Cases from Trauma , Case Management, Spinal MRI and Documentation, Managing Herniated and Bulging Discs, Serious Injury in Non-Herniated Cases from Trauma, Spinal disc morphology, and innervation. Herniated, bulged, protruded, and sequestered disc characteristics and management. Literature-based documentation requirements for no-dis spinal injuries. PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2021 Certification in Managing Herniated and Bulging Discs, Serious Injury in Non-Herniated Cases from Trauma , Diplomate, Academy of Chiropractic Post-Doctoral Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
Herniated Discs and Permanent Brain Malfunction & Biomechanical Failure , Case Management, Spinal MRI and Documentation, Herniated Discs and Permanent Brain Malfunction & Biomechanical Failure, A case-study of a post-traumatic herniated disc and related brain malfunction supported by contemporary literature, MRI acquisition, and necessity protocols. PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2021 Certification in Herniated Discs and Permanent Brain Malfunction & Biomechanical Failure , Diplomate, Academy of Chiropractic Post-Doctoral Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, ny, 2021
Demonstrative Documentation of Disc Herniation and MRI Physics , Case Management, Spinal MRI and Documentation, Demonstrative Documentation of Disc Herniation and MRI Physics, Understanding the documentation requirements to demonstratively show spinal disc lesions in reporting pathology. Understanding the physics of a nucleus resonating in T1 and T2 weighted imagery. PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2021 Certification in Demonstrative Documentation of Disc Herniation and MRI Physics , Diplomate, Academy of Chiropractic Post-Doctoral Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
Post-Traumatic Herniated Discs, Related Migraines-Headaches & Strain/Sprain Permanencies , Case Management, Spinal MRI and Documentation, Post-Traumatic Herniated Discs, Related Migraines-Headaches & Strain/Sprain Permanences, Relationship of headaches, and migraines to cervical spine disc herniation, clinical rationale for ordering MRI’s and the relationship of ligamentous pathology to spinal trauma. PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2021 Certification in Post-Traumatic Herniated Discs, Related Migraines-Headaches & Strain/Sprain Permanencies , Diplomate, Academy of Chiropractic Post-Doctoral Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
Documentation of Low-Speed Crashes in Determining Etiology of Serious Bodily Injuries , Case Management, Spinal MRI and Documentation, Documentation of Low-Speed Crashes in Determining Etiology of Serious Bodily Injuries, Documentation requirements during the evaluation, and management encounter to understand the etiology of spinal injuries. Having a complete understanding the forces involved to conclude a differential diagnosis, while concurrent ruling malingerers, if applicable. PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2021 Certification in Documentation of Low-Speed Crashes in Determining Etiology of Serious Bodily Injuries , Diplomate, Academy of Chiropractic Post-Doctoral Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
Extremity MRI & X-ray interpretation of the shoulder, Extremity MRI & Xray Interpretation of the Shoulder, Identifying normal anatomy on both MRI and x-ray, inclusive of osseous, connective tissue, and neurological structures. Identifying fractures in the adult and pediatric cases. Differentially diagnosing various arthritic etiologies of osseous derangement. Cleveland University Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2021 Certification in Extremity MRI & X-ray interpretation of the Shoulder, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island , NY, 2021
Extremity MRI & X-ray Interpretation of the Shoulder, Extremity MRI & Xray Interpretation of the Shoulder, Identifying fractures in the adult and pediatric cases. Differentially diagnosing various arthritic changes vs. benign and metastatic Tumors. Cleveland University Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2021 Certification in Extremity MRI & X-ray Interpretation of the Shoulder, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
Extremity MRI & X-ray Interpretation of the Elbow, Extremity MRI & Xray Interpretation of the Elbow, Identifying normal anatomy on both MRI and x-ray, inclusive of osseous, connective tissue, and neurological structures, identifying fractures in the adult and pediatric cases. Differentially diagnosing various arthritic etiologies of osseous derangement. Differentially diagnosing various arthritic changes vs. benign and metastatic Tumors. Cleveland University Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2021 Certification in Extremity MRI & X-ray Interpretation of the Elbow, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
Extremity MRI & X-ray Interpretation of the Wrist, Extremity MRI & Xray Interpretation of the Wrist, Identifying normal anatomy on both MRI and x-ray, inclusive of osseous, connective tissue, and neurological structures, identifying fractures in the adult and pediatric cases. Differentially diagnosing various arthritic etiologies of osseous derangement. Differentially diagnosing various arthritic changes vs. benign and metastatic Tumors. Cleveland University Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2021 Certification in Extremity MRI & X-ray Interpretation of the Wrist, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
Extremity MRI & X-ray Interpretation of the Hand, Extremity MRI & Xray Interpretation of the Hand, Identifying normal anatomy on both MRI and x-ray, inclusive of osseous, connective tissue, and neurological structures, identifying fractures in the adult and pediatric cases. Differentially diagnosing various arthritic etiologies of osseous derangement. Differentially diagnosing various arthritic changes vs. benign and metastatic Tumors. Cleveland University Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2021 Certification in Extremity MRI & X-ray Interpretation of the Hand, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University, Long Island, NY, 2021
Extremity MRI & Xray Interpretation of the Hip, Extremity MRI & Xray Interpretation of the Hip, Identifying normal anatomy on both MRI and x-ray, inclusive of osseous, connective tissue, and neurological structures. Identifying fractures in the adult and pediatric cases. Differentially diagnosing various arthritic etiologies of osseous derangement. Cleveland University Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2021 Certification in Extremity MRI & Xray Interpretation of the Hip, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
Extremity MRI & Xray Interpretation of the hIP, Extremity MRI & Xray Interpretation of the Hip, Identifying fractures in the adult and pediatric cases. Differentially diagnosing various arthritic changes vs. benign and metastatic Tumors. Cleveland University Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2021 Certification in Extremity MRI & Xray Interpretation of the Hip, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
Extremity MRI & Xray Interpretation of the Knee, Extremity MRI & Xray Interpretation of the Knee, Identifying normal anatomy on both MRI and x-ray, inclusive of osseous, connective tissue, and neurological structures. Identifying fractures in the adult and pediatric cases. Differentially diagnosing various arthritic etiologies of osseous derangement. Cleveland University Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2021 Certification in Extremity MRI & Xray Interpretation of the Knee, Diplomate, Academy of Chiropractic Post-Doctoral Education Divsion, Cleveland University - Kansas City, Cleveland Univeristy - Kansas City, Long Island, NY, 2021
Extremity MRI & Xray Interpretation of the Knee, Extremity MRI & Xray Interpretation of the Knee, Identifying fractures in the adult and pediatric cases. Differentially diagnosing various arthritic changes vs. benign and metastatic Tumors. Cleveland University Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2021 Certification in Extremity MRI & Xray Interpretation of the Knee, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island , NY, 2021
Extremity MRI & Xray Interpretation of the Hand, Extremity MRI & Xray Interpretation of the Hand, Identifying normal anatomy on both MRI and x-ray, inclusive of osseous, connective tissue, and neurological structures, identifying fractures in the adult and pediatric cases. Differentially diagnosing various arthritic etiologies of osseous derangement. Differentially diagnosing various arthritic changes vs. benign and metastatic Tumors. Cleveland University Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2021 Certification in Extremity MRI & Xray Interpretation of the Hand, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
Extremity MRI & Xray Interpretation of the Foot, Extremity MRI & Xray Interpretation of the Foot, Identifying normal anatomy on both MRI and x-ray, inclusive of osseous, connective tissue, and neurological structures, identifying fractures in the adult and pediatric cases. Differentially diagnosing various arthritic etiologies of osseous derangement. Differentially diagnosing various arthritic changes vs. benign and metastatic Tumors. Cleveland University Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2021 Certification in Extremity MRI & Xray Interpretation of the Foot, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY , 2021
Imaging of the Tibiofibular Syndesmosis and High Ankle Sprain, Imaging of the Tibiofibular Syndesmosis and High Ankle Sprain Certification in Imaging of the Tibiofibular Syndesmosis and High Ankle Sprain, Diplomate, Stanford University School of Medicine, Stanford University School of Medicine, Stanford University School of Medicine, Stanford, CA, 2021
MRI Spine Clinical Grand Rounds, MRI Spine Clinical Grand Rounds, Interpretation sequencing of STIR, T1, T2, Axial and Sagittal acquisitions. Landmarks, physics, and literature-based definitions of disc and osseous pathology, Visualizing, diagnosing, and documenting cervical and lumbar anatomy vs. pathology. Academy of Chiropractic Post-Doctoral Division, Accreditation Council for Continued Medical Education in conjunction with The State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Cleveland University - Kansas City, Long Island, NY, 2021 Certification in MRI Spine Interpretation, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
MRI Clinical Grand Rounds, MRI Spine Clinical Grand Rounds, Visualizing, diagnosing, and documenting lumbar spine sequencing, disc herniations, neural canals, cauda equina, conus medullaris, nerve sleeves, canal stenosis grading, and vertebral width vs. height in determining segmental remodeling. Diagnosing thecal sac abutment, central canal root compression and ligamentum flava involvement. Academy of Chiropractic Post-Doctoral Division, Accreditation Council for Continued Medical Education in conjunction with The State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Cleveland University - Kansas City, Long Island, NY, 2021 Certification in MRI Spine Interpretation, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island , NY, 2021
MRI Spine Clinical Grand Rounds, MRI Spine Clinical Grand Rounds, Case study visualizing, diagnosing, and documenting cervical spine sequencing, disc herniations, neural canals, cauda equina, conus medullaris, and vertebral width vs. height in determining segmental remodeling. Identifying the Pons, Occipital junction, and spinal cord to identify Chiari 1 malformations. Academy of Chiropractic Post-Doctoral Division, Accreditation Council for Continued Medical Education in conjunction with The State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Cleveland University - Kansas City, Long Island, NY, 2021 Certification in MRI Spine Interpretation, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
MRI Spine Clinical Grand Rounds, MRI Spine Clinical Grand Rounds, Visualizing, diagnosing, and documenting lumbar spine sequencing, disc extrusion type herniations, neural canals, cauda equina, conus medullaris, spondylolisthesis, degenerative spondylolisthesis, disc degeneration, neural canal and central root compressions, central canal stenosis. Varices vs. herniations, and multiple level disc pathology with biomechanical failures. Academy of Chiropractic Post-Doctoral Division, Accreditation Council for Continued Medical Education in conjunction with The State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Cleveland University - Kansas City, Long Island, NY, 2021 Certification in MRI Spine Interpretation, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
MRI Spine Clinical Grand Rounds, MRI Spine Clinical Grand Rounds, Visualizing, diagnosing, and documenting cervical spine sequencing, disc extrusion type herniations, neural canals, disc degeneration, thecal sac compression, central canal stenosis, cord displacement, reversal of cervical curve, Chiari 1 malformation. Identifying spinal biomechanical failure in MRI sequencing, with visualizing ligamentous pathology as cause for failure. Differentially diagnosing recent vs. older trauma based upon edematous signal in T1, T2, and STIR images. Academy of Chiropractic Post-Doctoral Division, Accreditation Council for Continued Medical Education in conjunction with The State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Cleveland University - Kansas City, Long Island, NY, 2021 Certification in MRI Spine Interpretation, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
MRI Clinical Grand Rounds, MRI Spine Clinical Grand Rounds, Visualizing, diagnosing, and documenting cervical spine sequencing, multiple disc extrusion type herniations, vertebral remodeling, intradural tumor displacing the spinal cord visualized in T1, T2, and STIR sequences, neural canal stenosis, disc degeneration, thecal sac compression, central canal stenosis, cord displacement, reversal of cervical curve, Chiari 1 malformation, and identifying of inferior brain structures. Academy of Chiropractic Post-Doctoral Division, Accreditation Council for Continued Medical Education in conjunction with The State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Cleveland University - Kansas City, Long Island, NY, 2021 Certification in MRI Spine Interpretation, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
MRI Spine Clinical Grand Rounds, MRI Spine Clinical Grand Rounds, Visualizing, diagnosing, and documenting 1) improper sequence acquisitions invalidating interpretation 2) incomplete study invalidating interpretation 3) visualizing, diagnosing, and documenting lumbar spine sequencing, multiple disc extrusion type herniations, vertebral remodeling, multiple thecal sac compressions, neural canal stenosis, disc osteophyte/ridging complex, central canal stenosis, spondylolisthesis. Identifying the spleen, liver, kidneys, inferior vena cava, and psoas musculature on imaging. Academy of Chiropractic Post-Doctoral Division, Accreditation Council for Continued Medical Education in conjunction with The State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Cleveland University - Kansas City, Long Island, NY, 2021 Certification in MRI Spine Interpretation, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
MRI Spine Clinical Grand Rounds, MRI Spine Clinical Grand Rounds, Visualizing, diagnosing, and documenting cervical spine sequencing, cervical spondylosis, pathological spinal biomechanics, reversal of lordotic curve, and vertebral width vs. height in determining segmental remodeling, central herniation, thecal sac compression of the cord, identifying tongue, epiglottis, hyoid cartilage, pharynx, thyroid. Reviewing fat saturation sequences for osseous metastatic tumors and advanced degeneration. Academy of Chiropractic Post-Doctoral Division, Accreditation Council for Continued Medical Education in conjunction with The State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Cleveland University - Kansas City, Long Island, NY, 2021 Certification in MRI Spine Interpretation, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
MRI Spine Clinical Grand Rounds, MRI Spine Clinical Grand Rounds, Visualizing, diagnosing, and documenting lumbar spine sequencing, degenerative disc disease, nerve root sleeve abutment, far lateral herniations vs. bulges, normal vs. dissected inferior vena cava aneurism, epidural fat as a space occupying lesion, facet arthropathy and edema, hypertrophy of ligamentum flava, and pseudo disc at the S1-S2 level. Academy of Chiropractic Post-Doctoral Division, Accreditation Council for Continued Medical Education in conjunction with The State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Cleveland University - Kansas City, Long Island, NY, 2021 Certification in MRI Spine Interpretation, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
MRI Spine Clinical Grand Rounds, MRI Spine Clinical Grand Rounds, Visualizing, diagnosing, and documenting cervical spine sequencing utilizing T1 weighted images for pathology, inclusive of advanced degeneration and tumor detection. STIR in a fat saturated image for ligamentous pathology inclusive of the posterior longitudinal, ligamentous flava and interspinal ligaments. Normal clivus and odontoid for cerebellar tonsil location. Cerebral spinal fluid (CSF) flow and the utilization of the spinal cord’s central canal for CSF transport. Academy of Chiropractic Post-Doctoral Division, Accreditation Council for Continued Medical Education in conjunction with The State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Cleveland University - Kansas City, Long Island, NY, 2021 Certification in MRI Spine Interpretation, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
Pathobiomechanics and Documentation, Pathobiomechanics and Documentation, CPT Coding Guidelines for Initial and Established Patients with particular attention paid to Patient History, Review of Systems, Social and Family History, Physical Examination, and Medical Decision making. Specific differences in coding levels and required elements for a 99202-99203-99204-99205. Academy of Chiropractic Post-Doctoral Division, Cleveland University Kansas City, Long Island, NY, 2021 Certification in Pathobiomechanics and Documentation, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas CIty, Long Island, NY, 2021
Using Documentation and Ethical Relationships, Using Documentation and Ethical Relationships, Pathways to improve coordination of care, and interprofessional communication with collaborating physicians. Maintaining ethical relationships in the medical-legal community through documentation and communication of demonstrable diagnosis, prognosis and treatment plans. Academy of Chiropractic Post-Doctoral Division, Cleveland University Kansas City, Long Island, NY, 2021 Certification in Using Documentation and Ethical Relationships, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
Spinal Biomechanical Engineering Clinical Application, Spinal Biomechanical Engineering Clinical Application, History of clinical biomechanics with an emphasis on the diagnosis and management of spine pain of mechanical/functional origin. Evidence-based symptomatic vs. asymptomatic parameters using peer-reviewed medical index literature. Computerized mensuration analysis of spinal biomechanical pathology. Comparison of demonstrable spinal biomechanical failure on imaging to clinical evaluation and physical examination. Academy of Chiropractic Post-Doctoral Division, Cleveland University Kansas City, Long Island, NY, 2021 Certification in Spinal Biomechanical Engineering Clinical Application, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
Spinal Biomechanical Engineering Clinical Grand Rounds, Spinal Biomechanical Engineering Clinical Grand Rounds, Case reviews utilizing E/M, MRI, and x-ray mensuration report to conclude an accurate diagnosis, prognosis, and treatment plan. Common diagnosis requiring interprofessional collaboration with a discussion of diagnostic dilemmas and proper communication methods. Academy of Chiropractic Post-Doctoral Division, Cleveland University Kansas City, Long Island, NY, 2021 Certification in Spinal Biomechanical Engineering Clinical Grand Rounds, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
Trends in Spinal Healthcare, 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 triaging spinal pathobiomechanics. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2021 Certification in Trends in Spinal Healthcare, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
MRI Spine Interpretation, MRI Spine Interpretation, An evidence-based understanding of 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-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2021 Certification in MRI Spine Interpretation, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
Spinal Biomechanics, 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 consideration of long-term care in the non-specific mechanical spine pain patient when necessary. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2021 Certification in Spinal Biomechanics, Diplomate, Academy of Chiropractic Post-Doctoral Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
Case Management of Mechanical Spine Pathology, Case Management of Mechanical Spine Pathology, Clinical Grand Rounds of herniated, protruded, extruded, sequestered, and bulging discs. Differentially diagnosing vascular vs. mechanical spinal lesions and the necessity for urgent vascular, neurological intervention, Collaborating in a team environment 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, 2021 Certification in Case Management of Mechanical Spine Pathology, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island , NY, 2021
Connective Tissue Spinal Disc Permanent Pathology, , Connective Tissue Spinal Disc Permanent Pathology, Primary Spine Care, Herniated, bulged, protruded and extruded discs, etiology and morphology. Age-dating disc pathology inclusive of Modic changes, piezoelectric effect, Wolff’s Law and radicular clinical presentation. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY 2021 Certification in Connective Tissue Spinal Disc Permanent Pathology, , Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
Connective Tissue Pathology and Research, Primary Spine Care, Connective Tissue Pathology and Research, Primary Spine Care, Utilization in spinal models considering the opioid abuse and various spinal models in contemporary health care. Care paths for mechanical spine pain and the evidence for conservative chiropractic care. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY 2021 Certification in Connective Tissue Pathology and Research, Primary Spine Care, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
Bio-Neuro-Mechanical Lesions and Spine Care, Primary Spine Care, Bio-Neuro-Mechanical Lesions and Spine Care, Primary Spine Care, Mechanoreceptor, proprioceptor, nociceptor innervation and control of the spinal system with central nervous system action and interaction. The integration of the pain processing network and the HPA Axis (hypothalamus, adrenal and pituitary) with the chiropractic spinal adjustment. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY 2021 Certification in Bio-Neuro-Mechanical Lesions and Spine Care, Primary Spine Care, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
Ethics, Documentation and Research, Primary Spine Care, Ethics, Documentation and Research, Primary Spine Care, Maintaining ethical Interprofessional relationships based upon an evidenced based practice inclusive of triage, diagnostics and reporting. Creating thorough documentation that reflects your complete findings encompassing descriptive ICD-10 codes and concludes the presence or absence of pathology. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY 2021 Certification in Ethics, Documentation and Research, Primary Spine Care, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland Univeristy - Kansas City, Long Island, NY, 2021
Spinal Biomechanical Engineering Clinical Grand Rounds, Spinal Biomechanical Engineering Clinical Grand Rounds, Case reviews utilizing E/M, MRI, and x-ray mensuration report to conclude an accurate diagnosis, prognosis, and treatment plan. Common diagnosis requiring interprofessional collaboration with a discussion of diagnostic dilemmas and proper communication methods. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City Long Island, NY, 2021 Certification in Spinal Biomechanical Engineering Clinical Grand Rounds, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
MRI Spine Interpretation, MRI Spine Interpretation, Clinical case review of MRI’s including sagittal, axial, T1, T2, STIR, and proton density sequences. Identified will be the vertebrate, spinal cord, discs, nerve roots, thecal sac, posterior longitudinal ligament, epidural veins, and fat saturation pulses. Pathology will include bulges, herniations, protrusions, extrusions, myelomalacia, cord edema, and schmorl’s nodes. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City Long Island, NY, 2021 Certification in MRI Spine Interpretation, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
Demonstrative Documentation and Ethical Relationships, Demonstrative Documentation and Ethical Relationships, Pathways to improve coordination of care, and interprofessional communication with collaborating physicians. Maintaining ethical relationships in the medical-legal community through documentation and communication of demonstrable diagnosis, prognosis, and treatment plans. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City Long Island, NY, 2021 Certification in Demonstrative Documentation and Ethical Relationships, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
Documentation and Coding, CPT Coding Guidelines for Initial and Established Patients, Documentation and Coding, CPT Coding Guidelines for Initial and Established Patients with particular attention paid to Patient History, Review of Systems, Social and Family History, Physical Examination, and Medical Decision making. Specific differences in coding levels and required elements for a 99202-99203-99204-99205, and a 99212-99213-99214-99215. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City Long Island, NY, 2021 Certification in Documentation and Coding, CPT Coding Guidelines for Initial and Established Patients, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
Ethics, Documentation and Research, Primary Spine Care, Maintaining ethical Interprofessional relationships, Ethics, Documentation and Research, Primary Spine Care, Maintaining ethical Interprofessional relationships based upon an evidenced based practice inclusive of triage, diagnostics and reporting. Creating thorough documentation that reflects your complete findings encompassing descriptive ICD-10 codes and concludes the presence or absence of pathology. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY 2021 Certification in Ethics, Documentation and Research, Primary Spine Care, Maintaining ethical Interprofessional relationships, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
Bio-Neuro-Mechanical Lesions and Spine Care, Bio-Neuro-Mechanical Lesions and Spine Care, Primary Spine Care, Mechanoreceptor, proprioceptor, nociceptor innervation and control of the spinal system with central nervous system action and interaction. The integration of the pain processing network and the HPA Axis (hypothalamus, adrenal and pituitary) with the chiropractic spinal adjustment. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY 2021 Certification in Bio-Neuro-Mechanical Lesions and Spine Care, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
Connective Tissue Pathology and Research, Primary Spine Care, Connective Tissue Pathology and Research, Primary Spine Care, Utilization in spinal models considering the opioid abuse and various spinal models in contemporary health care. Care paths for mechanical spine pain and the evidence for conservative chiropractic care. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY 2021 Certification in Connective Tissue Pathology and Research, Primary Spine Care, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
Connective Tissue Spinal Disc Permanent Pathology, Connective Tissue Spinal Disc Permanent Pathology, Primary Spine Care, Herniated, bulged, protruded and extruded discs, etiology and morphology. Age-dating disc pathology inclusive of Modic changes, piezoelectric effect, Wolff’s Law and radicular clinical presentation. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY 2021 Certification in Connective Tissue Spinal Disc Permanent Pathology, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
Bio-Neuro-Mechanical Mechanism of the Chiropractic Spinal Adjustment, Bio-Neuro-Mechanical Mechanism of the Chiropractic Spinal Adjustment; Primary Spine Care 5, The biological, neurological and mechanical mechanisms and pathways from the thrust to the dorsal horn and brain connection and how the brain processes the chiropractic spinal adjustment based upon the literature. Care paths of chiropractic and physical therapy from an outcome basis, Academy of Chiropractic Post-Doctoral Division. Academy of Chiropractic Post-Doctoral Division, Cleveland University- Kansas City, Long Island, NY, 2021 Certification in Bio-Neuro-Mechanical Mechanism of the Chiropractic Spinal Adjustment, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
Spine Brain Connection in Pain Pathways, Spine Brain Connection in Pain Pathways; Primary Spine Care 5, MRI Spine The spine-brain connection in managing chronic pain patients. Understanding how chronic pain negatively effects brain morphology and potential pathology as sequella. The role of chiropractic in preventing the loss of gray matter and the most recent evidence as outlined in indexed peer reviewed literature over the last 10 years verifying chiropractic’s role. Academy of Chiropractic Post-Doctoral Division, Cleveland University- Kansas City, Long Island, NY, 2021 Certification in Spine Brain Connection in Pain Pathways, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
Current Literature Standards of MRI Spine Interpretation, Current Literature Standards of MRI Spine Interpretation; Primary Spine Care 5, MRI Spine Interpretation of the spine. How to triage a trauma and non-trauma with advanced imaging and document the necessity. We will also cover the basics of MRI Spine Interpretation inclusive of all types of herniations, bulges, Academy of Chiropractic Post-Doctoral Division. Academy of Chiropractic Post-Doctoral Division, Cleveland University- Kansas City, Long Island, NY, 2021 Certification in Current Literature Standards of MRI Spine Interpretation, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
Evidenced Based Care in a Collaborative Setting, Evidenced Based Care in a Collaborative Setting; Primary Spine Care 5, A literature based model for collaborating with hospitals, medical primary care providers and specialists. Reviewing the documentation requirements to communicate the diagnosis, prognosis and treatment plans with medical entities and having the evidence as a basis for those recommendations. Academy of Chiropractic Post-Doctoral Division, Cleveland University- Kansas City, Long Island, NY, 2021 Certification in Evidenced Based Care in a Collaborative Setting, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
Documentation in Medical Collaborative Cases, Documentation in Medical Collaborative Cases, Concluding an E&M report in cases involving medical primary care providers of medical specialists that have complicated case histories, significant risk factors, and inconclusive findings. Triage and management of complicated cases requiring the clinical evaluation, advanced imaging and electrodiagnostics. Academy of Chiropractic, Cleveland University Kansas City, Chiropractic and Health Sciences, Long Island, New York, 2021 Certification in Documentation in Medical Collaborative Cases, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
MRI Spine Interpretation and Protocols, Contemporary acquisition protocols including slice thicknesses and sequences inclusive of the ordering process., MRI Spine Interpretation and Protocols, Contemporary acquisition protocols including slice thicknesses and sequences inclusive of the ordering process. Interpretation of axial, sagittal and coronal views in T1, T2 and stir views inclusive of the disc, spinal cord, extra-dural and intra-dural pathology. Academy of Chiropractic, Cleveland University Kansas City, Chiropractic and Health Sciences, Long Island, New York, 2021 Certification in MRI Spine Interpretation and Protocols, Contemporary acquisition protocols including slice thicknesses and sequences inc, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
Ethics and Medical Collaboration, Ethics and Medical Collaboration, Having referral relationships with emergency rooms, neurosurgeons, orthopedic surgeons, pain management specialists, neurologists, neuroradiologist and medical primary care providers based upon clinical dilemmas that processed after a thorough history, examination and imaging if clinically indicated to conclude diagnostic dilemmas. Utilizing evidence-based protocols and acquisition of images and treatment pathways, collaborating with medical specialists and primaries to conclude and accurate treatment plan. Academy of Chiropractic, Cleveland University Kansas City, Chiropractic and Health Sciences, Long Island, New York, 2021 Certification in Ethics and Medical Collaboration, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
Documentation in a Medical – Legal and Insurances, Documentation in a Medical – Legal and Insurances, Constructing and concluding an E&M (99202-99205) report that accurately reflects the history, clinical findings and management of trauma cases that concurrently meets the needs of both the carriers in the courts and ethical relationship that concurrently matches the standards of both contemporary academia requirements and a contemporary literature-based standard. Academy of Chiropractic, Cleveland University Kansas City, Chiropractic and Health Sciences, Long Island, New York, 2021 Certification in Documentation in a Medical – Legal and Insurances, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
Trends in Spinal Healthcare, Analyzing spinal healthcare trends in both utilization and necessity and understanding the marketplace and how a clinical excellence level is reflected in a doctors' documentation and credentials. , Trends in Spinal Healthcare, Analyzing spinal healthcare trends in both utilization and necessity and understanding the marketplace and how a clinical excellence level is reflected in a doctors' documentation and credentials. Treatment pathways in triaging spinal pathobiomechanics. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2021 Certification in Trends in Spinal Healthcare, Analyzing spinal healthcare trends in both utilization and necessity and understanding the , Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
MRI Spine Interpretation Advanced Diagnosis, An evidence-based understanding of time-related etiology of disc pathology, MRI Spine Interpretation Advanced Diagnosis, An evidence-based understanding of time-related etiology of disc pathology considering the American Society of Neuroradiology's designation of protrusion, extrusion, and sequestration of spinal discs, T1, T2, STIR and Proton-Density weighted evaluation to diagnose spine form MRI accurately. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2021 Certification in MRI Spine Interpretation Advanced Diagnosis, An evidence-based understanding of time-related etiology of disc pathology, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
Spinal Biomechanical Engineering Analytics and Case Management, Utilizing spinal mensurating algorithms to conclude a pathobiomechanical vs. normal spine in the absence of anatomical pathology. , Spinal Biomechanical Engineering Analytics and Case Management, Utilizing spinal mensurating algorithms to conclude a pathobiomechanical vs. normal spine in the absence of anatomical pathology. Clinically correlating a history and physical examination findings to x-ray biomechanical results in creating an accurate diagnosis, prognosis, and treatment plan. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2021 Certification in Spinal Biomechanical Engineering Analytics and Case Management, Utilizing spinal mensurating algorithms, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
MSK Extremity Radiological Interpretation, Utilizing both MRI and x-ray, MSK Extremity Radiological Interpretation, Utilizing both MRI and x-ray to diagnose 1) Arthritis - Inflammatory and Degenerative, 2) Advanced cartilage assessment, 3) Rotator Cuff Tears, 4) Labral tears (shoulder and hip), 5) Tendon injuries and degeneration, 6) Meniscal tears, 7) Ligamentous injuries, 8) Common fractures, 9) Sports-related injury patterns, 10) Plantar fasciitis.Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2021 Certification in MSK Extremity Radiological Interpretation, Utilizing both MRI and x-ray, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
Demonstrative Medical-Legal Documentation, The narrative report. , Demonstrative Medical-Legal Documentation, The narrative report. How to effectively create medical-legal documentation and what the courts look for. Making your "4-Corner" (narrative) report demonstrable and build a reputation as an evidence-based provider. The step-by-step minutiae of building a report.Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2021 Certification in Demonstrative Medical-Legal Documentation, The narrative report. , Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
Managing Non-Anatomical Spine Pain, Treatment modalities centered upon "best-outcomes" in an evidence-based model , Managing Non-Anatomical Spine Pain, Treatment modalities centered upon "best-outcomes" in an evidence-based model considering chiropractic vs. physical therapy and chiropractic vs. medicine. Considerations of disability, pain reduction, functional improvement, drugs utilized, and side-effects are all considered. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2021 Certification in Managing Non-Anatomical Spine Pain, Treatment modalities centered upon "best-outcomes" in an evidence-based model , Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
Primary Spine Care Qualified, Primary Spine Care Qualified, This qualification includes graduate chiropractic education in healthy and traumatically altered spinal morphology inclusive of osseous, connective tissue and neurological structure, function and pathology. This certifies you are qualified in assessing predictive models in spinal biomechanics and devising engineering paradigms for treatment plans to maximize spinal homeostasis in an evidenced based conclusion. In addition, this qualification acknowledges your expertise in triaging the injured and coordinating collaborative care from the trauma through conclusion of rehabilitation, Academy of Chiropractic Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island NY, 2021 Certification in Primary Spine Care Qualified, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
Evaluation & Management Qualified, Evaluation & Management Qualified – Cleveland University, Kansas City, 2020 Certification in Evaluation & Management Qualified, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
Medical-Legal Ethical Relationships, Report Writing and Preparing for a Legal Case, Medical-Legal Ethical Relationships, Report Writing and Preparing for a Legal Case, Creating demonstrative evidence, visuals of your patient's bodily injuries inclusive of x-rays, MRI's, CAT Scans and electrodiagnostic findings, the spinal biomechanics of herniated disc with ipsilateral findings and contralateral symptomatology. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2021 Certification in Medical-Legal Ethical Relationships, Report Writing and Preparing for a Legal Case, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
Medical-Legal Ethical Relationships, Report Writing and Preparing for a Legal Case, Medical-Legal Ethical Relationships, Report Writing and Preparing for a Legal Case, Creating demonstrative evidence, visuals of your patient's bodily injuries inclusive of x-rays, MRI's, CAT Scans and electrodiagnostic findings, the spinal biomechanics of herniated disc with ipsilateral findings and contralateral symptomatology. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2021 Certification in Medical-Legal Ethical Relationships, Report Writing and Preparing for a Legal Case, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
Medical-Legal Ethical Relationships, Report Writing and Preparing for a Legal Case, Medical-Legal Ethical Relationships, Report Writing and Preparing for a Legal Case, Reviewing the facts of the case inclusive of your documentation, the defense medical examiner, medical specialists and the attorney to ensure accurate and consistent reporting. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2021 Certification in Medical-Legal Ethical Relationships, Report Writing and Preparing for a Legal Case, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
Medical-Legal Ethical Relationships, Medical-Legal Ethical Relationships, A Documentation Relationship Between the Doctor and Lawyer, The level of organization required in a medical-legal case that accurately reflects the bodily injuries of your patients and the time constraints in rendering an accurate report. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2021 Certification in Medical-Legal Ethical Relationships, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
Medical-Legal Ethical Relationships, Documentation and Cross Examination Testimony, Medical-Legal Ethical Relationships, Documentation and Cross Examination Testimony, Reporting your documentation factually and staying within the 4 corners of your medical report and scope of practice inclusive of understanding how your credentials allow you to report your documentation. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2021 Certification in Medical-Legal Ethical Relationships, Documentation and Cross Examination Testimony, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
Medical-Legal Ethical Relationships, Documentation and Direct Testimony Part 4, Medical-Legal Ethical Relationships, Documentation and Direct Testimony Part 4, Determininig and documenting disabilities and impairments inclusive of loss of enjoyment of life and duties under duress and the evaluation and validation of pain and suffering. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2021 Certification in Medical-Legal Ethical Relationships, Documentation and Direct Testimony Part 4, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
Medical-Legal Ethical Relationships, Documentation and Direct Testimony Part 3, Medical-Legal Ethical Relationships, Documentation and Direct Testimony Part 3, The evaluation, interpretation and reporting of collaborative medical specialists results and concluding an accurate diagnosis inclusive of all findings and reviewing all images to ensure an accurate diagnosis. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2021 Certification in Medical-Legal Ethical Relationships, Documentation and Direct Testimony Part 3, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
Medical-Legal Ethical Relationships, Documentation and Direct Testimony Part 2, Medical-Legal Ethical Relationships, Documentation and Direct Testimony Part 2, Utilizing demonstrative documentation in direct examination and communicating the results of your care concurrently with the written documentation and reporting an accurate diagnosis for all images. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2021 Certification in Medical-Legal Ethical Relationships, Documentation and Direct Testimony Part 2, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
Medical-Legal Ethical Relationships, Documentation and Direct Testimony, Medical-Legal Ethical Relationships, Documentation and Direct Testimony, Organizing your documentation and understanding all collaborative documentation and how it fits into your diagnosis, prognosis and treatment plan, Understanding the nuances of the functional losses of your patients related to their bodily injuries, Academy of Chiropractic, Post-Doctoral Division. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2021 Certification in Medical-Legal Ethical Relationships, Documentation and Direct Testimony, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
Medical-Legal Ethical Relationships, Documentation and Legal Testimony, Part 2, Medical-Legal Ethical Relationships, Documentation and Legal Testimony, Part 2, Understanding report writing and the types of medical reports required for court inclusive of diagnosis, prognosis and treatment plans with requirements of reporting causality and permanency. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2021 Certification in Medical-Legal Ethical Relationships, Documentation and Legal Testimony, Part 2, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
Medical-Legal Ethical Relationships, Documentation and Legal Testimony, Report writing for legal cases, the 4 corners of a narrative, Medical-Legal Ethical Relationships, Documentation and Legal Testimony, Report writing for legal cases, the 4 corners of a narrative and documenting damages with understanding defense medical documentation and consistent reporting of bodily injuries. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2021 Certification in Medical-Legal Ethical Relationships, Documentation and Legal Testimony, Report writing for legal cases, the 4 corners of, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2021
MRI Interpretation Review Qualified, Recognized by Cleveland University-Kansas City, Chiropractic and Health Sciences with courses recognized by the ACCGME in conjunction with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences. Qualification language approved by the American Chiropractic College of Radiology (ACCR) and the American Chiropractic Board of Radiology (ACBR) Certification in MRI Interpretation Review Qualified – Cleveland University, Kansas City, 2021-present , Cleveland University - Kansas City, 2021
2021 Spine Management Conference – West – The Spine Management Physician, 2021 Spine Management Conference – West – The Spine Management Physician – discussion of the Spine Management Physician concept utilizing supportive evidence was presented. Outline of trends in spinal pain management versus a curative model was discussed. Credentials, training, and triage methods were demonstrated for the Doctor of Chiropractic to increase proficiency in spine management. Scientific evidence supporting the need for a portal of entry physician dedicated to spine management oversight was outlined. Key differences between Spine Management Physician and Primary Spine Care were discussed. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Cleveland University of Health Sciences, College of Chiropractic, Kansas City 2021 Certification in 2021 Spine Management Conference – West – The Spine Management Physician, Diplomate, National Spine Management Group, LLC, Cleveland University - Kansas City, Cleveland University - Kansas City, Salt Lake City, UT, 2021
2021 Spine Management Conference – West – Chiropractic Evidence – Pain Management Care, 2021 Spine Management Conference – West – Chiropractic Evidence – Pain Management Care – outline of neurological mechanisms of central nervous system modulation of pain in the human body was demonstrated. Specific peer-reviewed, medically indexed evidence was presented starting with 2012 Systematic Review outlining spinal manipulation’s effectiveness in pain management. Current evidence as well as future trends were discussed and presented. Neurological downregulation was discussed including afferent and efferent neurological pathways regulated by the dorsal horn of the spinal cord. Interprofessional communication and compliant documentation of the pain management phase of care was emphasized. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Cleveland University of Health Sciences, College of Chiropractic, Kansas City 2021 Certification in 2021 Spine Management Conference – West – Chiropractic Evidence – Pain Management Care, Diplomate, National Spine Management Group, LLC, Cleveland University - Kansas City, Cleveland University - Kansas City, Salt Lake City, UT, 2021
2021 Spine Management Conference – West – Chiropractic Evidence – Corrective Care, 2021 Spine Management Conference – West – Chiropractic Evidence – Corrective Care – specific trends in the biomechanical assessment of the human spine were provided and discussed. Emphasis was placed on the transfer of laboratory based biomechanical science and clinical utilization of biomechanical parameters in the diagnosis and correction of spinal biomechanical pathology. Peer reviewed medically indexed publications defining symptomatic vs asymptomatic were presented and discussed. Sagittal alignment and its relation to pelvic incidence was reviewed in relation to asymptomatic parameters. Interprofessional communication relating to biomechanical stabilization and spinal rehabilitation was outlined and reviewed. Review of a regional versus whole spine model of spine management was presented emphasizing the needs of the patient, primary care physician, pain management physician and spine surgeon. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Cleveland University of Health Sciences, College of Chiropractic, Kansas City 2021 Certification in 2021 Spine Management Conference – West – Chiropractic Evidence – Corrective Care, Diplomate, National Spine Management Group, LLC, Cleveland University - Kansas City, Cleveland University - Kansas City, Salt Lake City, UT, 2021
2021 Spine Management Conference – West – Physical Examination Workflows – Cervical Spine, 2021 Spine Management Conference – West – Physical Examination Workflows – Cervical Spine – detailed review of cervical spinal physical examination with emphasis on clinical triage between anatomical and biomechanical sources of spine pain. Neurological evaluation of the neck and surrounding structures was reviewed including pathological reflexes, assessment of vascular compromise and myelopathic findings. Detailed patient screening was stressed and its correlation to physical examination, red flags and relative vs absolute contraindications to chiropractic care was presented. Patient positioning and efficient processes were reviewed and demonstrated. Details relating to cervical spine and orthopedic testing was discussed. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Cleveland University of Health Sciences, College of Chiropractic, Kansas City 2021 Certification in 2021 Spine Management Conference – West – Physical Examination Workflows – Cervical Spine, Diplomate, National Spine Management Group, LLC, Cleveland University - Kansas City, Cleveland University - Kansas City, Salt Lake City, UT, 2021
2021 Spine Management Conference – West – Physical Examination Workflows – Thoracic and Lumbar Spine and Pelvis, 2021 Spine Management Conference – West – Physical Examination Workflows – Thoracic and Lumbar Spine and Pelvis – outlines of thoracic, lumbar and pelvis physical examination were presented. Neurological evaluation of the lumbar spine and surrounding structures was reviewed including pathological reflexes, assessment of cauda equina syndrome and triage processes for neurologically compromised patients. Detailed screening was stressed and its correlation to physical examination, red flags and relative vs absolute contraindications to chiropractic care was reviewed. Patient positioning and efficient processes was reviewed and demonstrated. Details relating to lumbar spine and pelvic orthopedic testing was discussed. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Cleveland University of Health Sciences, College of Chiropractic, Kansas City 2021 Certification in 2021 Spine Management Conference – West – Physical Examination Workflows – Thoracic and Lumbar Spine and Pelvis, Diplomate, National Spine Management Group, LLC, Cleveland University - Kansas City, Cleveland University - Kansas City, Salt Lake City, UT, 2021
2021 Spine Management Conference – West – Interprofessional Communication and Reporting, 2021 Spine Management Conference – West – Interprofessional Communication and Reporting – review of electronic health record workflows were presented and discussed with emphasis on CPT compliant and efficient reporting. The importance of communication with the patient’s other healthcare providers was outlined and discussed. Specific needs of the primary care physician, pain management physician and spine surgeon were outlined and reviewed. Details of simplified vocabulary and necessity of thoroughness were emphasized. Administrative workflows ensuring regular and continued communication of clinical documentation was provided. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Cleveland University of Health Sciences, College of Chiropractic, Kansas City 2021 Certification in 2021 Spine Management Conference – West – Interprofessional Communication and Reporting, Diplomate, National Spine Management Group, LLC, Cleveland University - Kansas City, Cleveland University - Kansas City, Salt Lake City, UT, 2021
2021 Spine Management Conference – West – Patient Communication, 2021 Spine Management Conference – West – Patient Communication – communication techniques were discussed with emphasis on patient comprehension to increase compliance and reduce patient anxiety. Details were presented on simplification of complex medical terminology to ensure understanding at the initial visitation as well as throughout the patient’s care plan. Conversational interaction and dissemination of health information at the appropriate comprehension level was provided. Proper reporting and interprofessional communication were emphasized in a wholistic approach to supporting the patient’s needs. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Cleveland University of Health Sciences, College of Chiropractic, Kansas City 2021 Certification in 2021 Spine Management Conference – West – Patient Communication, Diplomate, National Spine Management Group, LLC, Cleveland University - Kansas City, Cleveland University - Kansas City, Salt Lake City, UT, 2021
2021 Spine Management Conference – West – Intervertebral Disc Morphology, 2021 Spine Management Conference – West – Intervertebral Disc Morphology – detailed discussion of the morphological descriptions of intervertebral disc pathology in the cervical, thoracic, and lumbar spine was presented. Differential diagnosis of disc bulge, herniation, protrusion, extrusion, and sequestration were presented. Attention was given to the five grades of annular fissure associating circumferential, radial, and transverse morphology. High intensity zone (HIZ) was discussed in detail as well as its correlation to acute inflammatory fluid. Specific MRI images were presented and correlated to consensus driven definitions of intervertebral disc pathology. Pre-existing degenerative changes in the human spine such as disc osteophyte complex, spondylosis, increased innervation of the intervertebral disc and endplate changes were discussed and correlated to acute findings on MRI. In depth discussion of the difference between morphology and etiology of intervertebral disc pathology was outlined. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Cleveland University of Health Sciences, College of Chiropractic, Kansas City 2021 Certification in 2021 Spine Management Conference – West – Intervertebral Disc Morphology, Diplomate, National Spine Management Group, LLC, Cleveland University - Kansas City, Cleveland University - Kansas City, Salt Lake City, UT, 2021
2021 Spine Management Conference – West – Ligamentous Response to Traumatic Injury , 2021 Spine Management Conference – West – Ligamentous Response to Traumatic Injury – anatomical review of spinal ligaments including nerve supply and formation of scar tissue post injury was presented. Function and histological composition were detailed and clinically correlated to physiological thresholds. Injury thresholds were also outlined and compared to the AMA Guides to the Evaluation of Permanent Impairment 5th and 6th edition. Detailed review of radiographic findings in the cervical and lumbar spine in the presence of ligamentous injury was reviewed and presented. Clinical criteria supporting the diagnosis of ligament injury and ligament laxity including patient history, physical examination, radiographic findings, and advanced imaging was presented. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Cleveland University of Health Sciences, College of Chiropractic, Kansas City 2021 Certification in 2021 Spine Management Conference – West – Ligamentous Response to Traumatic Injury , Diplomate, National Spine Management Group, LLC, Cleveland University - Kansas City, Cleveland University - Kansas City, Salt Lake City, UT, 2021
2021 Spine Management Conference – West – Causality and Spinal Ligamentous Injury, 2021 Spine Management Conference – West – Causality and Spinal Ligamentous Injury - detailed outline of acute versus chronic spine injury findings were presented. Reliable grading systems for phases of spinal degeneration was reviewed and discussed. Scientifically validated measuring process for intervertebral disc height and the 5 Grades of spinal degeneration proposed by Kettler were outlined. Specific discussion was presented in the differential diagnosis of ligament laxity due to degenerative process and acute ligamentous injury in the functional spinal unit with specific examples of radiographic and advanced imaging findings. Clinical correlation with Modic I, Modic II and Modic III endplate changes including cadaver specimens was presented. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Cleveland University of Health Sciences, College of Chiropractic, Kansas City 2021 Certification in 2021 Spine Management Conference – West – Causality and Spinal Ligamentous Injury, Diplomate, National Spine Management Group, LLC, Cleveland University - Kansas City, Cleveland University - Kansas City, Salt Lake City, UT, 2021
2021 Spine Management Conference – West – Differential Spinal Tissue and Spinal Injury Triage, 2021 Spine Management Conference – West – Differential Spinal Tissue and Spinal Injury Triage – review of spinal tissue types and their response to physical stress and injury was presented. Prognostic factors in patient management were presented in relation to injury to spinal musculature, nerve tissue, ligamentous tissue, intervertebral disc, and bone. Tissue based triage, patient and interprofessional communication was emphasized and stressed. National National Spine Management Group, LLC - Copyright 2021 4 Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Cleveland University of Health Sciences, College of Chiropractic, Kansas City 2021 Certification in 2021 Spine Management Conference – West – Differential Spinal Tissue and Spinal Injury Triage, Diplomate, National Spine Management Group, LLC, Cleveland University - Kansas City, Cleveland University - Kansas City, Salt Lake City, UT, 2021
2021 Spine Management Conference – West – Innervation of Spinal Structures, 2021 Spine Management Conference – West – Innervation of Spinal Structures – specific reviewed of the anatomical innervation of pain generating structures in the human spine was presented. Scientific chronology of nerve supply discovery was presented and discussed. Increased innervation of the degenerating interverbal disc was presented and supported with contemporary scientific evidence. Spinal ligamentous structures as pain generating entities were also reviewed including anterior longitudinal ligament, posterior longitudinal ligament, supraspinous ligament, interspinous ligament and facet capsule. Clinical correlation to patient history, physical examination and imaging findings was emphasized with specific discussion on interprofessional triage and patient management. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Cleveland University of Health Sciences, College of Chiropractic, Kansas City 2021 Certification in 2021 Spine Management Conference – West – Innervation of Spinal Structures, Diplomate, National Spine Management Group, LLC, Cleveland University - Kansas City, Cleveland University - Kansas City, Salt Lake City, UT, 2021
Electrodiagnostics: Electromyogram/Nerve Conduction Velocity (EMG/NCV), Diagnosis & Interpretation:, Electrodiagnostics: Electromyogram/Nerve Conduction Velocity (EMG/NCV), Diagnosis & Interpretation: Needle Electromyogram (EMG) Studies: The EMG process, inclusive of how the test is performed and the steps required in planning and electromyographic study. This covers the spontaneous activity of a motor unit action potential, positive sharp / waves and fibrillations. The insertional activity (both normal and abnormal), recruitment activity in a broad polyphasic presentation and satellite potentials. This covers the diagnosing of patterns of motor unit abnormalities including neuropathic demyelinated neuropathies along with acute myopathic neuropathies. This section also covers the ruling out of false positive and false negative results. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island NY, 2020 Certification in Electrodiagnostics: Electromyogram/Nerve Conduction Velocity (EMG/NCV), Diagnosis & Interpretation:, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, 2020
Electrodiagnostics: Electromyogram/Nerve Conduction Velocity (EMG/NCV), Diagnosis & Interpretation:, Electrodiagnostics: Electromyogram/Nerve Conduction Velocity (EMG/NCV), Diagnosis & Interpretation: Nerve Conduction Velocity (NCV) Part 1: Nerve conduction velocity testing, the equipment required and the specifics of motor and sensory testing. This section covers the motor and sensory NCV procedures and interpretation including latency, amplitude (CMAP) physiology and interpretation including the understanding of the various nuances of the wave forms. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island NY, 2020 Certification in Electrodiagnostics: Electromyogram/Nerve Conduction Velocity (EMG/NCV), Diagnosis & Interpretation:, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, 2020
Head Trauma and Traumatic Brain Injury Part 1:, Head Trauma and Traumatic Brain Injury Part 1: This section discusses gross traumatic brain injuries from trauma and significant bleeding with both epidural and subdural hematomas. There are numerous case studies reviewed inclusive of neurosurgical intervention and postsurgical outcomes. Cleveland University, Kansas City, Academy of Chiropractic, Post- Doctoral Division, Long Island, NY, 2020 Certification in Head Trauma and Traumatic Brain Injury Part 1:, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, 2020
Traumatic Brain Injury and Concussion Overview:, Traumatic Brain Injury and Concussion Overview: This section is an in-depth overview of traumatic brain injury in concussion. It discusses that all brain injuries are traumatic and dispels the myth of a “mild traumatic brain injury.” Also, this covers triage protocols and the potential sequela of patients with traumatic brain injuries. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2020 Certification in Traumatic Brain Injury and Concussion Overview:, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, 2020
Electrodiagnostics: Electromyogram/Nerve Conduction Velocity (EMG/NCV), Diagnosis & Interpretation:, Electrodiagnostics: Electromyogram/Nerve Conduction Velocity (EMG/NCV), Diagnosis & Interpretation: Anatomy and Physiology of Electrodiagnostics: An in-depth review of basic neuro-anatomy and physiology dermatomes and myotomes to both the upper and lower extremities and the neurophysiology of axons and dendrites along with the myelin and function of saltatory for conduction. The sodium and potassium pump’s function in action potentials. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island NY, 2020 Certification in Electrodiagnostics: Electromyogram/Nerve Conduction Velocity (EMG/NCV), Diagnosis & Interpretation:, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, 2020
Neurology of Ligament Pathology- Normal Morphology and Tissue Damage, Neurology of Ligament Pathology- Normal Morphology and Tissue Damage, Connective tissue morphology, embryology and wound repair as sequalae to trauma. Full components of strain-sprain models and permanency implications with wound repair and osseous aberration with aberrant structural integrity. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2020 Certification in Neurology of Ligament Pathology- Normal Morphology and Tissue Damage, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, 2020
Triaging and reporting while maintaining ethical medical-legal relationships, 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. Diplomate, Academy of Chiropractic Post-Doctoral Division, Cleveland University - Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2020, Cleveland University - Kansas City, 2020
Physical Examination & Documentation for the Trauma Patient, 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. Cleveland University - Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2020 Diplomate, Academy of Chiropractic Post-Doctoral Division, Cleveland University - Kansas City, Cleveland University - Kansas City, 2020
Crash Dynamics and its Relationship to Causality, 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. Cleveland University - Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2020 Diplomate, Academy of Chiropractic Post-Doctoral Division, Cleveland University - Kansas City, Clevelsnd University - Kansas City, 2020
MRI, Bone Scan and X-Ray Protocols, 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. Cleveland University - Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2020 Diplomate, Academy of Chiropractic Post-Doctoral Division, Cleveland University - Kansas City, Cleveland University - Kansas City, 2020
Neurodiagnostic Testing: EMG/NCV, VEP, BAER, V-ENG and SSEP, 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. Cleveland University - Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2020 Certification in Neurodiagnostic Testing, Diplomate, Academy of Chiropractic Post-Doctoral Division, Cleveland University - Kansas City, Cleveland University - Kansas City, 2020
Documentation and Working within Your State Laws to Ensure Compliant Paperwork and Reimbursement, Documentation and Reporting for the Trauma Victim, Understanding the necessity for accurate documentation and diagnosis utilizing the ICD-10 and the CPT to accurately describe the injury through diagnosis. Understanding and utilizing state regulations on reimbursement issues pertaining to healthcare. Cleveland University - Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2020 Diplomate, Academy of Chiropractic Post-Doctoral Division, Cleveland University - Kansas City, Cleveland Univeristy - Kansas City, 2020
Strategic Plan, Documenting Clinically Correlated Bodily Injury to Causality, Understanding the necessity for accurate documentation, diagnosis and clinical correlation to the injury when reporting injuries to the medical-legal community. Documenting the kinesiopathology, myopathology, neuropathology, and pathophysiology in both a functional and structural paradigm. Cleveland University - Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2020 Diplomate, Academy of Chiropractic Post-Doctoral Division, Cleveland University - Kansas City, Cleveland Univesity - Kansas City, 2020
Impairment Rating, 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 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 2020 Diplomate, Academy of Chiropractic Post-Doctoral Division, Cleveland University - Kansas City, 2020
Primary Spine Care Chiropractic as the First Option for Spine, Chiropractic as the First Option for Spine, A Literature-Based Standard, Utilizing clinical findings in conjunction with advanced imaging and electrodiagnostic findings in managing collaborative relationships with medical specialists. Applying a literature standard to care to ensure conservative care as the first option. PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University - Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2020 Certification in Primary Spine Care, Diplomate, Academy of Chiropractic Post-Doctoral Division, Cleveland University - Kansas City, Cleveland University - Kansas City, 2020
Primary Spine Care, Chiropractic as the First Option for Spine, Chiropractic as the First Option for Spine, A Literature-Based Standard, Managing spinal related cases based upon MRI findings of herniations, bulges, protrusions, extrusions (comminuted and fragmented) utilizing thin-sliced acquisition protocols. When to consider T1, T2, Short Tau Inversion Radiant, proton density and Dixon sequencing for spinal related pathology, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University - Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY 2020 Certification in Primary Spine Care, Diplomate, Academy of Chiropractic Post-Doctoral Division, Cleveland University - Kansas City, Cleveland University - Kansas City, 2020
Primary Spine Care: Chiropractic as the First Option for Spine, Chiropractic as the First Option for Spine, A Literature-Based Standard. Creating literature-based documentation inclusive of history and a clinical examination that encompasses causality, diagnosis, prognosis and treatment plans. Ensuring the whole person impairment ratings are consistent with contemporary literature, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University - Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY 2020 Certification in Primary Spine Care, Diplomate, Academy of Chiropractic Post-Doctoral Division, Cleveland University - Kansas City, Cleveland University - Kansas City, 2020
Primary Spine Care Chiropractic as the First Option for Spine, Chiropractic as the First Option for Spine, A Literature-Based Standard, Spinal biomechanical engineering models related to pathobiomechanics and literature-based standards in creating an accurate diagnosis, prognosis and treatment plan. Determining impairment ratings based upon alteration of motion segment integrity utilizing motion-imaging, and creating demonstrable evidence for continued treatment plans, PACE approved for the Federation of Chiropractic Licensing Boards, Cleveland University - Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY 2020 Certification in Primary Spine Care, Diplomate, Academy of Chiropractic Post-Doctoral Division, Cleveland University - Kansas City, Cleveland University - Kansas City, 2020
Mild Traumatic Brain Injury/Traumatic Brain Injury Concussion (MTBI), 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, 2020 Diplomate, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, Cleveland University - Kansas City, Cleveland University - Kansas City, 2020
MRI History and Physics, 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. 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, 2020 Diplomate, Academy of Chiropractic Post-Doctoral Division, Cleveland Unisversity - Kansas City, 2020
MRI Spinal Anatomy and Protocols, 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. 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, 2020 Diplomate, Academy of Chiropractic Post-Doctoral Division, Cleveland University - Kansas City, 2020
MRI Disc Pathology and Spinal Stenosis, 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. 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, 2020 Diplomate, Academy of Chiropractic Post-Doctoral Division, Cleveland University - Kansas City, 2020
MRI Spinal Pathology, 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. 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, 2020 Diplomate, Academy of Chiropractic Post-Doctoral Division, Cleveland University - Kansas City, 2020
MRI Methodology of Analysis, 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. 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, 2020 Diplomate, Academy of Chiropractic Post-Doctoral Division, Cleveland University - Kansas City, 2020
MRI Clinical Application, 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. 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, 2020 Diplomate, Academy of Chiropractic Post-Doctoral Division, Cleveland University - Kansas City, 2020
MRI Disc Overview & Imaging Protocols , 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. 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, 2020 Diplomate, Academy of Chiropractic Post-Doctoral Division, Cleveland University - Kansas City, 2020
MRI Interpretation of Lumbar Bulges/Degenerative Disc Disease , 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. 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, 2020 Diplomate, Academy of Chiropractic - Kansas City, Cleveland University - Kansas City, 2020
MRI Interpretation of Lumbar Herniated Discs, 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. 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, 2020 Diplomate, Academy of Chiropractic Post-Doctoral Division, Cleveland University - Kansas City, 2020
MRI Interpretation of Cervical Bulges/Degenerative Disc Disease , 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. 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, 2020 Diplomate, Academy of Chiropractic Post-Doctoral Division, Cleveland University - Kansas City, 2020
MRI Interpretation of Cervical Herniated Discs, 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. 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, 2020 Diplomate, Academy of Chiropractic Post-Doctoral Division, Cleveland University - Kansas City, 2020
Virtual Grand Rounds, 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. 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, 2020 Diplomate, Academy of Chiropractic Post-Doctoral Division, Cleveland University - Kansas City, 2020
Spinal Biomechanical Engineering: Cartesian Coordinate System, 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, 2020 Certification in Spinal Biomechanical Engineering: Cartesian Coordinate System, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, 2020
Spinal Biomechanical Engineering: Cervical Pathobiomechanics, 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, 2020 Certification in Spinal Biomechanical Engineering: Cervical Pathobiomechanics, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, 2020
Spinal Biomechanical Engineering: Lumbar Pathobiomechanics, 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, 2020 Certification in Spinal Biomechanical Engineering: Lumbar Pathobiomechanics, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, 2020
Spinal Biomechanics in Trauma, 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, 2020 Certification in Spinal Biomechanics in Trauma, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, 2020
Spinal Biomechanical Engineering & Organizational Analysis, 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, 2020 Certification in Spinal Biomechanical Engineering & Organizational Analysis, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, 2020
Spinal Biomechanical Engineering: Cervical Digital Analysis, 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, 2020 Certification in Spinal Biomechanical Engineering: Cervical Digital Analysis, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, 2020
Spinal Biomechanical Engineering: Lumbar Digital Analysis, 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, 2020 Certification in Spinal Biomechanical Engineering: Lumbar Digital Analysis, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, 2020
Spinal Biomechanical Engineering: Full Spine Digital Analysis, 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, 2020 Certification in Spinal Biomechanical Engineering: Full Spine Digital Analysis, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, 2020
Diagnostic dilemmas and connective tissue Morphology, 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, 2020 Certification in Diagnostic dilemmas and connective tissue Morphology, Diplomate, Academy of Chiropractic Post-Doctoral Division, Cleveland University - Kansas City, Cleveland University - Kansas City, 2020
Ligament anatomy and injury research and spinal kinematics, 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, 2020 Certification in Ligament anatomy and injury research and spinal kinematics, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, 2020
Spinal Biomechanics, Central Nervous System and Spinal Disc Nomenclature, 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, 2020 Certification in Spinal Biomechanics, Central Nervous System and Spinal Disc Nomenclature, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, 2020
Biomechanics of Traumatic Disc Bulge and Age Dating Herniated Disc Pathology, 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, 2020 Certification in Biomechanics of Traumatic Disc Bulge and Age Dating Herniated Disc Pathology, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, 2020
Spinal trauma pathology, clinical grand rounds, 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, 2020 Certification in Spinal trauma pathology, clinical grand rounds, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas CIty, Cleveland University - Kansas City, 2020
Spinal trauma pathology, Research and documentation Review, 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, 2020 Certification in Spinal trauma pathology, Research and documentation Review, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, 2020
Terms, Concepts & Definitions, 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, 2020 Certification in Terms, Concepts & Definitions, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, 2020
Causality, Bodily Injury, Crumple Zones, Force & Critical Documentation, 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, 2020 Certification in Causality, Bodily Injury, Crumple Zones, Force & Critical Documentation, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, 2020
Skid Marks, Time, Distance, Velocity & Speed Formulas, 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, 2020 Certification in Skid Marks, Time, Distance, Velocity & Speed Formulas, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, 2020
Research, Causality & Bodily Injury, 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, 2020 Certification in Research, Causality & Bodily Injury, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, 2020
Neurology of Ligament Pathology- Spinal Biomechanics and Disc Pathology, Neurology of Ligament Pathology- Spinal Biomechanics and Disc Pathology, Disc pathology as sequella to trauma; herniation, extrusion, protrusion, sequestration and how the spinal unit as one system creates homeostasis to balance the pathology. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2020 Certification in Neurology of Ligament Pathology- Spinal Biomechanics and Disc Pathology, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas CIty, 2020
Neurology of Ligament Pathology- Neurological Innervation, Neurology of Ligament Pathology- Neurological Innervation, The peripheral and central innervation of the disc and spinal ligaments of the dorsal root ganglion, spinal thalamic tracts, periaqueductal gray areas innervating the Thalamus and multiple regions of the brain. The efferent neurological distribution to disparate areas of the spine to create homeostatis until tetanus ensues creating osseous changes under the effect of Wolff's Law. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2020 Certification in Neurology of Ligament Pathology- Neurological Innervation, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, 2020
Electrodiagnostics: Electromyogram/Nerve Conduction Velocity (EMG/NCV), Diagnosis & Interpretation:, Electrodiagnostics: Electromyogram/Nerve Conduction Velocity (EMG/NCV), Diagnosis & Interpretation: Nerve Conduction Velocity (NCV) Part 2: Compound motor action potentials (CMAP) and sensory nerve action potentials (SNAP) testing and interpretation including the analysis and diagnosis of the wave forms. It also covers compressive neuropathies of the median, ulnar and posterior tibial nerves; known as carpal tunnel, cubital tunnel and tarsal tunnel syndromes. This section offers interpretation algorithms to help understand the neurodiagnostic conclusions. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island NY, 2020 Certification in Electrodiagnostics: Electromyogram/Nerve Conduction Velocity (EMG/NCV), Diagnosis & Interpretation:, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, 2020
Electrodiagnostics: Electromyogram/Nerve Conduction Velocity (EMG/NCV), Diagnosis & Interpretation:, Electrodiagnostics: Electromyogram/Nerve Conduction Velocity (EMG/NCV), Diagnosis & Interpretation: Overview of EMG and NCV Procedures, Results, Diagnoses and Documentation. The clinical incorporation of electrodiagnostic studies as part of a care plan where neuropathology is suspected. It also covers how to use electrodiagnostics in a collaborative environment between the chiropractor as the primary spine care provider and the surgeon, when clinically indicated. This section covers sample cases and health conclude and accurate treatment plans based upon electro-neurodiagnostic findings when clinically indicated. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island NY, 2020 Certification in Electrodiagnostics: Electromyogram/Nerve Conduction Velocity (EMG/NCV), Diagnosis & Interpretation:, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, 2020
Head Trauma and Traumatic Brain Injury Part 2:, Head Trauma and Traumatic Brain Injury Part 2: This section continues with multiple case studies of gross traumatic brain injuries from trauma requiring neurosurgical intervention and also discusses recovery sequela based upon the significance of brain trauma. This module also concludes with concussion protocols in traumatic brain injury short of demonstrable bleeding on advanced imaging. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2020 Certification in Head Trauma and Traumatic Brain Injury Part 2:, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, 2020
Concussion And Electroencephalogram Testing:, Concussion And Electroencephalogram Testing: This this section covers concussion etiology and cognitive sequela where gross bleeding has not been identified on advanced imaging. It discusses the significance of electroencephalogram testing in determining brain function and pathology (if present). This module also covers the understanding of waveforms in electroencephalogram testing in both normal and abnormal scenarios. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2020 Certification in Concussion And Electroencephalogram Testing:, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, 2020
Concussion And Electroencephalogram Testing Pathological Results:, Concussion And Electroencephalogram Testing Pathological Results: This module covers amplitude, conduction and conduction delays as sequela to traumatic brain injury to diagnose concussion and traumatic brain injury in the absence of gross bleeding and advanced imaging. This section covers electroencephalograms and event-related potentials which measures the brain response that is a direct result of specific sensory or motor events. It is a stereotype electrophysiological response to a stimulus and provides a noninvasive means of evaluating brain function. In this module multiple case studies are discussed with ensuing triage protocols pending the results. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2020 Certification in Concussion And Electroencephalogram Testing Pathological Results:, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, 2020
Stroke Anatomy and Physiology Part 1, 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, 2020 Certification in Stroke Anatomy and Physiology Part 1, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, 2020
Stroke Anatomy and Physiology Part 2, 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, 2020 Certification in Stroke Anatomy and Physiology Part 2, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, 2020
Stroke Principles of Treatment an Overview for the Primary Care Provider, 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, 2020 Certification in Stroke Principles of Treatment an Overview for the Primary Care Provider, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, 2020
Clinical Evaluation & Protocols for Identifying Stroke Risk, 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, 2020 Certification in Clinical Evaluation & Protocols for Identifying Stroke Risk, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, 2020
Academy of Chiropractic – Active Trauma Team Member, 2020-present, Certification in Academy of Chiropractic – Active Trauma Team Member, 2020-present, Diplomate, Academy of Chiropractic Post-Doctoral Educational Division, 2020
Interprofessional Hospital Based Spine Care, 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, 2020 Certification in Interprofessional Hospital Based Spine Care, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - kansas City, 2020
An overview of the evaluation and management process , Evaluation and Management, An overview of the evaluation and management process inclusive of utilizing electronic medical records to conclude evidenced-based conclusions with the utilization of macros. The importance of adhering to an academic standard and considering co-morbidities. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2020 Certification in An overview of the evaluation and management process , Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, 2020
Evaluation and Management, Evaluation and Management, Concluding a chief complaint, history and what needs to be considered in a physical examination. This covers in dept the required elements for chief complain, history of present illness, review of systems, and past, family, and/or social history. This module also covers the following components of a physical examination: observation, palpation, percussion, and auscultation. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2020 Certification in Evaluation and Management, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, 2020
Evaluation and Management, Coding and Spinal Examination, Evaluation and Management, Coding and Spinal Examination: Detailing 99202-99205 and 99212-99215 inclusive of required elements for compliant billing. It reviews the elements for an extensive review of systems, cervical and lumbar anatomy and basic testing. The course also covers the basics of vertebra-basilar circulation orthopedic assessment. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2020 Certification in Evaluation and Management, Coding and Spinal Examination, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, 2020
Evaluation and Management, Neurological Evaluation, Evaluation and Management, Neurological Evaluation: Reviewing complete motor and sensory evaluation inclusive of reflex arcs with an explanation of Wexler Scales in both the upper and lower extremities. The course breaks down testing for upper and lower motor neuron lesions along with upper and lower extremity motor and sensory testing examinations. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2020 Certification in Evaluation and Management, Neurological Evaluation, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, 2020
Evaluation and Management, Documenting Visit Encounters, Evaluation and Management, Documenting Visit Encounters: Forensically detailing the S.O.A.P. note process for visit encounters and discussing the necessity for clinically correlating symptoms, clinical findings and diagnosis with the area(s) treated. It also details how to modify treatment plans, diagnosis, document collaborative care and introduce test findings between evaluations. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2020 Certification in Evaluation and Management, Documenting Visit Encounters, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, 2020
Evaluation and Management, Case Management and Treatment Orders, Evaluation and Management, Case Management and Treatment Orders: This module discusses how to document a clinically determined treatment plan inclusive of both manual and adjunctive therapies. It discusses how to document both short-term and long-term goals as well as referring out for collaborative care and/or diagnostic testing. It also includes how to prognose your patient and determine when MMI (Maximum Medical Improvement) has been attained. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2020 Certification in Evaluation and Management, Case Management and Treatment Orders, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, 2020
The Basics of Orthopedic Testing, 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, 2020 Certification in The Basics of Orthopedic Testing, Diplomate, Academy of Chiropractic Post Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, 2020
Cervical Spine Orthopedic Testing, 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, 2020 Certification in Cervical Spine Orthopedic Testing, Diplomate, Academy of Chiropractic Post Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, 2020
Cervical Spine Part 2, 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, 2020 Certification in Cervical Spine Part 2, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, 2020
Lumbar Spine, 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, 2020 Certification in Lumbar Spine, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, 2020
Clinical Grand Rounds, 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, 2020 Certification in Clinical Grand Rounds, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, 2020
Medical-Legal-Insurance Documentation: Colossus of the Courtroom, 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, 2020 Certification in Medical-Legal-Insurance Documentation: Colossus of the Courtroom, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, 2020
Diagnosing, Diagnosing and Case Management, The requirements for diagnosing based upon in an initial evaluation and management encounter ranging from a 99202 – 99205 that includes comorbidities, non-musculoskeletal, and sequellae to injury diagnosis. Academy of Chiropractic Post-Doctoral Division, Cleveland University - Kansas City, Long Island, NY , 2020 Certification in DIagnosing, Diplomate, Academy of Chiropractic Post Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2020
Diagnosing, Diagnosing and Case Management, The requirements for diagnosing imaging inclusive of static x-rays, biomechanical x-rays, and MRI. Documenting the clinical findings of disc bulge, herniation, protrusion, extrusion, and fragmentation. Coding, diagnosing, and documenting individual treatment encounters in the clinical setting. Academy of Chiropractic Post-Doctoral Division, Cleveland University - Kansas City, Long Island, NY , 2020 Certification in Diagnosing, Diplomate, Academy of Chiropractic Post Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island, NY, 2020
Hospital Based Spine Care Qualified, Hospital Based Spine Care Qualified, Credentialed in hospital protocols, emergency room protocols, acute and chronic patient triage inclusive of MRI spine interpretation, spinal biomechanical engineering, head trauma, concussion, mild traumatic and traumatic brain injuries. Co-credentialed through the ACCME (Accreditation Council for Continuing Medical Education), Cleveland University – Kansas City and the Academy of Chiropractic, Long Island, New York, 2020 Certification in Hospital Based Spine Care Qualified, Diplomate, Academy of Chiropractic Post-Doctoral Education Division, Cleveland University - Kansas City, Cleveland University - Kansas City, Long Island , NY, 2020
Whiplash Biomechanics & Injury Traumatology, Advanced Certification, Certification in Whiplash Biomechanics & Injury Traumatology, Advanced Certification, Diplomate, Spine Research Institute of San DIego, Spine Research Institute of San Diego, San Diego, CA, 2017
Neurologic Emergencies, Case studies in Critical Diagnoses. Certification in Case Studies in Critical Diagnoses, Diplomate, Harvard Medical School, Harvard Medical School, 2014
Certified Chiropractic Sports Physician, Certification in Chiropractic Sports Physician, Diplomate, American Board of Chiropractic Sports Physicians, American Board of Chiropractic Sports Physicians, University of Western States - Portland, OR, Portland, OR, 2011

SELECTED MEMBERSHIPS

Academy of Chiropractic, 2020 - Present
International Chiropractic Association, 2020 - Present
Prosport Chiropractic, 2012 - 2021
American Chiropractic Association, 2011 - 2021
American Chiropractic Association Sports Council, 2011 - 2020