Philip Dontino DC, DAAPM, DACNB

1 Oxford Road, New Hartford, NY, 13413

Phone: 315-738-1800

Cell: 315-794-6665

Fax: 315-738-7908

pdontino@gmail.com

https://www.newhartfordchiro.com

 

SELECTED OCCUPATIONAL HISTORY

President/Staff chiropractor/Owner/Partner, New Hartford Chiropractic Associates, PC, New Hartford, New York, 2010 – Present

Staff chiropractor/Owner/Partner, New Hartford Chiropractic Associates, PC, New Hartford, New York, 1993 - 2010

Staff Chiropractor/Owner/Partner, Chiropractic Associates, Sauquoit, New York, 1993

EDUCATION AND LICENSURE

Doctor of Chiropractic, Licensed in the State of New York, License # X006682-1, 1991 – Present.

Doctorate of Chiropractic, New York Chiropractic College, Old Brookeville, NY, 1991

Internship, Levittown and Syracuse Health Center, Levittown and Syracuse, New York, 1990 - 1991

National Board of Chiropractic Examiners, Part III, 1990

National Board of Chiropractic Examiners, Part II, 1990

National Board of Chiropractic Examiners, Part I, 1990

Bachelor of Science in the study Molecular Genetics/Biology, University of Rochester, Rochester, NY, 1987

CERTIFICATIONS AND DIPLOMATES

Trauma Qualified – Cleveland University, Kansas City, 2023 – Present

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), 2023

Certification in Electrodiagnostic Testing and Interpretation, New York Chiropractic College, Levittown, New York, 2007

Certified Independent Chiropractic Examiners Society, Inc., New York Chiropractic College, Levittown, New York, 1999

Disability Analyst and Fellow – American Board of Disability Analysts, Mt. Juliet, Tennessee, 1998

Certified Independent Chiropractic Examiner, American Board of Independent Medical Examiners, Huntington, West Virginia, 1998

Diplomate, American Academy of Pain Management, Ellicott City, Maryland, 1996

Diplomate, American Chiropractic Neurology Board, ACA American Chiropractic Neurology Board, Little River Academy, Texas, 1995

SELECTED POST-GRADUATE EDUCATION

2022 Trends in Spinal Healthcare, Analyzing evidenced-based spinal healthcare trends in both utilization and necessity and understanding the marketplace.  The use of evidenced-based demonstrative documentation in reporting treatment pathways in triaging spinal pathobiomechanics. 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, 2024

MRI Spine Clinical Case Grand Rounds, 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. Learn how to collaborate effectively with radiologists, neuroradiologists, and neurosurgeons on the clinical findings. 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, 2024

Chiropractic vs. Physical Therapy vs. Medical Case Management and Outcomes, Analysing evidence-based outcomes in triaging non-anatomical lesions. The analysis of neuro-biomechanical pathological lesions defines primary spinal lesions and removes the dogma of non-specific back pain. Managing collaborative relationships with medical primary providers and specialists in clinical practice. 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, 2024

MSK Extremity Radiological Interpretation, Utilizing both MRI and x-ray in identifying via x-ray and advanced imaging extremity instabilities from ligamentous, osseous or neoplastic derangement. 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, 2024

Demonstrative Narrative and Evaluation and Management Report Writing, Effectively creating demonstrative medical-legal documentation and meeting the needs of the courts, and making your "4-Corner" (narrative) report to build your reputation as an evidence-based provider. The step-by-step minutiae of building a report, accomplishing report writing timely and effectively by understanding the regulatory and administrative rules. Learn how to educate the lawyer on bodily injury through evidence-based demonstrative reporting. 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, 2024

Ligament/Connective Tissue Physiology and Pathology, Master-Class in ligaments; anatomy, physiology, vascularization, neurological innervation, tissue repair and how they all relate to clinical practice.  Ligament pathology correlates to the mechanisms of patho-neuro-biomechanical lesions (vertebral subluxation complex). Also, how ligaments play a critical role in the chiropractic spinal adjustment and in defining the chiropractic spinal adjustment mechanisms. 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, 2024

Stroke Evaluation and Risk Factors in the Chiropractic Practice, Diagnosing, triaging, and documenting headaches, migraines, and vascular incidents (stroke) in the primary provider's office. Imaging protocols based upon history and clinical presentation will be presented, along with analyzing imaging findings in determining the etiology. There will be an extensive question and answer session following the instructional presentation. 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, 2024

Age-Dating Herniated Discs and Trauma, Age dating herniated discs and trauma is a critical skill for an expert in spine. It combines the clinical skills of interpreting X-ray, MRI, and other imaging modalities with a clinician's understanding of joint pathology. This level of expertise is critical when collaborated with other physicians or working in the medical-legal environment as an expert. Age dating pathology is also central to creating a prognosis on your patient's recovery and must be evidence-based in rationale. 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, 2024

Clinical Grand Rounds in Spinal Biomechanics, 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. 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, 2024

Neurosurgical Grand Rounds, A clinical discussion of collaborating with neurosurgeons on spinal cord and spinal nerve root co-morbidities. Triaging cases with herniated, protruded, extruded, fragments discs and differentially diagnosing tethered cord, syringomyelia, traumatic Schmorl’s Nodes, Myelomalacia, spinal cord edema, vacuum disc and other intra, and extra-dural 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, 2024

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. 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, 2024

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. 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, 2024

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. 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, 2024

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. 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, 2024

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 building a reputation as an evidence-based provider. The step-by-step minutiae of building a report. 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, 2024

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. 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, 2024

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. 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, 2024

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. 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, 2024

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. 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, 2024

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. 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, 2024

National Spine Management East Conference 2023 – Objectifying Tissue Injury in the Spine - Detailed discussion of the “gold standard” tests that objectify injury in the human spine. Assessment of muscle, tendon/ligament, intervertebral disc, spinal nerve, and boney injuries was presented and correlated to imaging findings. Physical examination findings examples were correlated for the compliant need for testing orders including but not limited to plain film radiographs, MRI, CT, EMG/NCV and Bone Scan. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Buffalo, NY, 2023

National Spine Management East Conference 2023 – The Science of Chiropractic–whatdoestheresearch say? – Detailed analysis of the 2022-2023 scientific literature supporting chiropractic management of the spine pain patient. Outline of supporting evidence in the pain management, corrective care and health maintenance phases of care was presented. Peer reviewed medically indexed papers were discussed and correlated to trends in research with emphasis on the RAND Corporation’s Center for Collaborative Research in Complementary and Integrative Health was presented. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Buffalo, NY, 2023

National Spine Management East Conference 2023 – Anatomy and Histological Composition ofthe HealthyIntervertebral Disc – Anatomy of the healthy intervertebral disc and its nerve supply was reviewed.An overview of the histological structure of the intervertebral disc was presented. Discussion of the chemical and histological make-up of the intervertebral disc including vascular, proteoglycan and extracellular matrix composition was outlined and presented. Specific innervation and vascularization patterns and their relation to pain generating injuries was explained.National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Buffalo, NY, 2023

National Spine Management East Conference 2023 – Anatomy and Histological Composition of the Degenerative Intervertebral Disc – Anatomy of the degenerative intervertebral disc and its nerve supply will be reviewed.An overview of the histological structure of the degenerating intervertebral disc was presented. Discussion of the chemical and histological make-up of the degenerative intervertebral disc including vascular, proteoglycan and extracellular matrix composition will be presented. Key differences between the healthy and degenerative disc will be outlined including neovascularization and the ingrowth of free nerve endings.National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Buffalo, NY, 2023

National Spine Management East Conference 2023 – Nomenclature of the Intervertebral Disc - Detailed presentation of intervertebral disc nomenclature as outlined by the combined task forces of the North American Spine Society, the American Society of Spine Radiology, and the American Society of Neuroradiology. Specific classification parameters and descriptions of intervertebral disc bulge, protrusion, herniation, extrusion, sequestration, and traumatic disc bulge will be presented and reviewed. Differences in morphological description were presented with sagittal and axial MRI examples. Review of clinical correlation to etiology was discussed. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Buffalo, NY, 2023

National Spine Management East Conference 2023 – Anatomy and Histology of Spinal Ligaments – Presentation of the ligamentous structures of the human spine including but not limited to the anterior longitudinal, posterior longitudinal, intertransverse, facet capsular, ligamentum flavum, interspinous and supraspinous ligaments was outlined. Histological presentation will be provided with focus on regional adaptation to ligamentous microscopic structure with details presented on intracellular matrix and cytokine activity following traumatic events. Emphasis was placed on injury thresholds using the stress/strain curve as a guide.National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Buffalo, NY, 2023

 

National Spine Management East Conference 2023 – Functional Physiology of the Spinal Ligament and the Chiropractic Subluxation – Biomechanical alterations and their effect on spinal ligaments will be presented including isotropic and anisotropic changes in ligament function. Clinical correlation will be provided based on radiographic findings, traumatic events, and chronic compensatory pain patterns. Emphasis was placed on recent peer-reviewed evidence showing transection of one ligament in the spine has an influence on all others. Correlation to chiropractic care was emphasized. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Buffalo, NY, 2023

 

National Spine Management East Conference 2023 – Spinal Biomechanics – Sagittal Alignment Parameters – Detailed overview of sagittal balance in both a whole spine and regional perspective will be presented. Correlation to segmental changes will be reviewed. Interprofessional communication with primary care and medical specialists will be outlined with focus on kyphotic, lordotic and pelvic parameters. Emphasis was placed on pelvic incidence, pelvic tilt, sacral slope, lumbar lordosis, thoracic kyphosis, T1 angle and cervical lordosis. Discussion of these biomechanical parameters within the corrective phase of chiropractic and communication with the spine surgeon was emphasized.National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Buffalo, NY, 2023

 

National Spine Management East Conference 2023 - Communicating Chiropractic to the Medical Community - Overview and specific examples of interprofessional communication with the medical community were discussed. Common mistakes relating to speaking with primary care, interventional pain management and spine surgeons will be presented and reviewed. Emphasis will be placed on diagnosis and management of the spine pain patients within the pain management, corrective, and health maintenance phases of chiropractic care. Presentation was supported by examples published in the peer reviewed medically indexed scientific literature. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Buffalo, NY, 2023

 

National Spine Management East Conference 2023 - Communicating Chiropractic to the Legal Community - Presentation on the anatomy of medical-legal reporting and connective tissue diagnosis was provided. Overview of the care paradigm was presented including causal relationship, bodily injury, and persistent functional loss. Objectification of spinal injury and delineation between new and pre-existing conditions was outlined. Specific case reporting and timelines for accurate explanation of bodily injury was detailed. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Buffalo, NY, 2023

National Spine Management East Conference 2023 - Documentation and Diagnostic Workflows - Modernization of documentation workflows were presented with focus on E/M evaluations and care schedules. Medical necessity and clinical timing were outlined and addressed relating to diagnostic testing and specialist referral. The benefits of a using case findings to reach out to the medical community was addressed and compared to outreach processes. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Buffalo, NY, 2023

National Spine Management East Conference 2023 - Professional Liability – how to protect yourself - Common pitfalls and risk factors related to professional liability will be reviewed including physical examination and diagnostic duties. Review of professional boundaries will be presented. Proper patient intake, examination and clinical behavior will be presented. Emphasis will be placed on adverse events risk factors such as hypertension and genetic connective tissue disorders including Marfans and Ehlers-Danlos Syndrome were outlined. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Buffalo, NY, 2023

National Spine Management East Conference 2023 - Interprofessional Communication System – make it easy and effective - Overview of professional reporting systems in the modern area including completion of clinical reporting timely, outline of clinical information to include in specialist referral and imaging orders will be presented. Details of interprofessional communication to the primary care physician, spine surgeon and interventional pain management provider was detailed and explained. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Buffalo, NY, 2023

Primary Spine Care 15: Advanced MRI and X-Ray Documentation in Clinical Practice, Interpreting and utilizing X-ray and MRI findings in creating demonstrative documentation. Advanced identification of spinal disc lesions, herniations, bulges, protrusion, extrusion, and fragmentations through computer graphics. Identification and demonstrative documentation of vertebral motor unit pathology and reporting demonstratively using computer graphics. Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2023

Primary Spine Care 15; Advanced MRI Interpretation in Clinical Practice, Utilization of thin slice acquisitions with T2 Fat suppressed, STIR, proton density, T1 and T2 sequencing for advanced identification of spinal disc lesions, herniations, bulges, protrusion, extrusion, and fragmentations. Better visualization of intradural and extradural lesions, neoplasms, and infections. Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2023

Primary Spine Care 15; Ethics in Clinical Practice, Ethical, collaborative relationships with medical PCPs and specialists using advanced documentation and accurate reporting of imaging and advanced imaging. Creating a collegial relationship when conflicts arise in concluding accurate diagnosis to allow consensus and the evidence to determine final diagnosis. Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2023

Primary Spine Care 15; Spinal CAT Scan Interpretation, Understanding the utilization of CAT Scan slicing and the reformatting when using bone and soft tissue windows. Correlating MRI to CAT Scan creates an unclear conclusion to render a complete image of the morphology of the indeterminate pathology. Understanding the physics of CAT Scan and the radiation levels with different types of CAT Scan technology.  Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2023

Primary Spine Care 15; Connective Tissue/Strain Sprain Pathology, Understanding the morphology and physiology of connective tissue at the cellular and extra-cellular levels in building a foundation to understanding the function and interaction of ligaments, tendons, muscles, and bones, Identifying connective tissue pathology and the repair process with a foundation of r permanent aberrant sequella. Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2023

Primary Spine Care 15; Advanced Spinal Biomechanical Engineering, Understanding the concepts of normal vs. pathological movement of vertebral motor units in accurately concluding diagnosis on biomechanical pathology when considering excessive motion. An evidence-based approach to determining translation, angular deviation, and rotations beyond pathobiomechanical limitations in the spine. Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2023

Primary Spine Care 15; Trends in Spinal Care, An evidence-based approach to concluding accurate diagnosis, prognosis, and treatment plan, Eradicating the non-specific back pain dogma utilizing X-ray digitizing based on literature standards, Creating treatment plans with identifying the primary spinal lesions using evidence-based tools. Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2023

Primary Spine Care 15; Documentation in Clinical Practice, Understanding and including all historical elements; current history, past history, family history, and social history when documenting a 99201, 99202, 99203, 99204, and 99205. The application of time as the prime element as per Medicode in coding examinations and re-examination with face to face, review of records and the time necessary to document in an electronic health record. Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2023

Chiropractic Management, Spinal Ligament Injury, Review and detailed presentation of the frequency of traumatic ligament injuries in the cervical spine was outlined. Imaging modalities such as dynamic plain film radiographs and MRI were discussed with emphasis on stability and presence of acute injuries. The threshold for medical specialty referral was presented within the context of conservative vs surgical management. Outline of patient presentation, physical examination findings including orthopedic and neurological findings were presented. Application of AMA guidelines to the rating of injury severity using both the 5th and 6th edition of the Guides to the Evaluation of Permanent Impairment was reviewed. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences, Buffalo, NY, 2023

Primary Spine Care 14: Case Management and Documentation - Spinal Biomechanics in Clinical Practice, The utilization of X-Ray digitization to diagnose spinal biomechanical pathology and analyzing trends in healthcare when triaging mechanical spine pain. The role of credentials in interprofessional collaboration. 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, Long Island, NY, 2023

Primary Spine Care 14: Case Management and Documentation - MRI Spine Sequence Acquisition and Interpretation, The understanding and utilization of T1, T2, STIR, Proton Density, FSE, GRE imagine sequencing for conclusive diagnosing of fracture, tumor, infection, and disc pathology. Identifying herniation, protrusion, bulge, extrusion-migrated, and extrusion-fragments on MRI images. 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, Long Island, NY, 2023

Primary Spine Care 14: Case Management and Documentation - Spinal Disc Microanatomy, The understanding of the human spinal discal elements; annulus, nucleus pulposis, cartilaginous end plates inclusive of the neurology, visualization, differentiation from the neonate to adults. The understanding of the etiology of Modic changes on MRI and how spinal biomechanics are altered. 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, Long Island, NY, 2023

Primary Spine Care 14: Case Management and Documentation - Interprofessional Collaboration on Mechanical Back Pain in Clinical Practice, Triaging neurologically compromised cases in conjunction with positive MRI images, and collaboratively managing cases with neurosurgeons in clinical practice. Post-operative management of spinal cases through full recovery. 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, Long Island, NY, 2023

Primary Spine Care 14: Case Management and Documentation - Spinal Biomechanical Engineering Analytic, The analytics of spinal biomechanical engineering utilizing X-Ray digitizing for Alteration of Motion Segment Integrity and biomechanical pathology. Determining laxity of ligaments in connective tissue pathology and the long-term negative sequels of the 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, Long Island, NY, 2023

Primary Spine Care 14: Case Management and Documentation - Demonstrative Reporting of MRI Spinal Disc Pathology, The diagnosis, and reporting of spinal disc bulges, herniations, protrusions, extrusions, and fragments. Reporting varices, Modic 1, 2, and 3, posterior longitudinal, interspinous, and intertransverse ligament. Reporting the ligamentum Flavum and epidural fat as a space-occupying lesion. 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, Long Island, NY, 2023

Chiropractic Professional Liability Litigation, Discussion of thirty years of jury verdict data was reviewed and presented.  The focus was on the rationale for claims against Doctor of Chiropractic and overall decisions rendered by jury pools. Outlining the risk factors associated with overly aggressive treatment, failure to diagnose and lack of interprofessional referral when medical necessities were presented with statistics. Comparison between chiropractic management and surgical management was outlined and detailed.  Detailed analysis of causality versus correlation was presented and discussed. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences, Buffalo, NY, 2023 

Diagnosis of Lumbar Facet Syndrome, Overview of the most common pain syndrome in the lumbar spine including societal burdens was presented.  Discussion of facet joint arthrosis being the most frequent facet joint pathology in the human spine.  Outline of level of correlation between clinical symptoms, physical examination findings and degenerative spinal conditions was discussed. Presentation of diagnostic facet block and the medical necessity of such a referral when indicated was outlined.   National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences, Buffalo, NY, 2023 

Inter-professional Communication with the Personal Injury Attorney, Review of the outlined of the initial and re-evaluation E/M reporting in an injured patient.  Discussion targeted compliant reporting and interprofessional communication with the attorney.  Specific methods of ensuring compliant reporting were discussed and outlined.  Statutory language, permanency determination and impairment were presented and reviewed in contact of the final narrative report.  Emphasis was placed on the objectification of persistent functional loss and causal relationship in the personal injury patient.   Supporting medical evidence of intervertebral disc pathology including disc herniation, disc bulge and annular tear was provided. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences, Buffalo, NY, 2023 

Phases of Care, Pain Management, Detailed review of the pain management phase of chiropractic care was presented.  Emphasis was placed on entry to care and working with the primary care physician. Overview of basic primary care training and analysis of spine pain of non-specific origin was outlined.  Chiropractic adjustment and the central nervous system modulation of pain was presented and detailed.  Evidence based research was reviewed pertaining to interprofessional communication, pain management and the neurophysiology of spine pain.  Effects of spinal manipulation in the spine pain patient and avoidance of unnecessary escalation of care were presented and discussed. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences, Buffalo, NY, 2023 

Diagnosis and Management of Seronegative Spondyloarthropathies, Review of the clinical diagnosis of seronegative spondyloarthropathy was presented with attention paid to the two most common types, ankylosis spondylitis and psoriatic arthritis. Details regarding a complete physical examination assessing for swelling, redness and reduced range of motion were presented along with focus on enthesitis and spinal mobility.  Overview of the HBLA-27 allele and generic risk association was presented.  Details associated with radiographic evidence of seronegative spondyloarthropathies were discussed including sacroiliac joint sclerosis and vertebral hyperostosis.  Interprofessional management with rheumatology was emphasized. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences, Buffalo, NY, 2023 

Pathophysiology of Intermedullary Spinal Cord Tumors – Part 1, Discussion of Intermedullary Spinal Cord Tumors (IMSCT) was presented with details regarding astrocytoma, hemangioblastoma and ependymomas.  Review of specific characteristics of each of and their visualization on T1, T2 and STIR MRI images was presented. Clinical manifestations were emphasized including neck and back pain with details surrounding interprofessional communication with the neurosurgeon presented. Emphasis was additionally placed on early diagnosis and aggressive management with the spine surgeon.  Intermedullary spinal cord metastasis was detailed and presented in the context of the neck and back pain patient. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences, Buffalo, NY, 2023 

Pathophysiology of Intermedullary Spinal Cord Tumors – Part 2, Review of interprofessional communication with the neurosurgeon and primary care physician in patients with IMSCT was presented.  Intraoperative ultrasonography as a surgical adjunct to assist in the location and measurement of IMSCT was outlined.  Importance of delineation of tumor versus normal tissue was described and emphasized.  Surgical considerations for removal were outlined and correlated to operative outcomes.  Specific surgical techniques were presented and outlined in an evidenced based systematic review. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences, Buffalo, NY, 2023 

Pathophysiology of Intradural Extramedullary Spinal Cord Tumors, Common intradural extramedullary tumors were reviewed including meningioma, schwannoma and their association with neurofibromatosis.  Specific characteristics, locations and symptomatic pain patterns were presented. The correlation of symptom manifestation with imaging characteristics was detailed and emphasized. MRI findings reviewed included T1 and T2 weighted images.  Interprofessional communication was emphasized particularly with the primary care physician and spine surgeon.  Emphasis was placed on schwannoma and radiculopathic symptoms due to dorsal sensory nerve involvement. Additional tumor types such as myxopapillary ependymoma and paraganglioma were outlined with specific attention paid to their involvement with the Cauda equina.  National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences, Buffalo, NY, 2023 

Magnetic resonance imaging diagnosis of demyelinating diseases, Detailed review of the most common demyelinating diseases including multiple sclerosis, neuromyelitis optica spectrum disorder (NMOSD), acute disseminated encephalomyelitis (ADEM) and myelin oligodendrocyte glycoprotein (MOG) encephalomyelitis was presented.  Specific findings on advanced imaging such as MRI were presented to ensure a timely and accurate diagnosis.  MRI roles including diagnosis, imaging biomarkers and the monitoring of pharmacological side-effects were listed and discussed. Characteristic lesions of demyelinating disease were presented and listed in detail with a specific focus on the T1, T2 weighted images and sagittal FLAIR was presented. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences, Buffalo, NY, 2023 

Spine Management Grand Rounds Internet Live and recorded Regularly Scheduled Series, Diagnosis and Management of Lumbar Spinal Stenosis, Review of MRI as the gold standard for the diagnosis of lumbar stenosis (LSS) with emphasis on plain film radiograph’s historical limited role in 3-D diagnosis.  Analysis of a convolutional neural network (CNN) for the diagnosis of severe lumbar stenosis using radiography was presented.  Discussion of gradient weighted class activation mapping (Grand-CAM) was reviewed.  Overview of the algorithm trained by a CNN to identify LSS on radiographs which showed high diagnostic accuracy and its application as a possible triage tool was presented. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards – PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences, Buffalo, NY, 2023 

Spine Management Grand Rounds Internet Live and recorded Regularly Scheduled Series – Chiropractic Management Post C2-3 Fusion, Detailed review of upper cervical anatomy and spinal biomechanics was reviewed.  Specific attention to upper cervical ligamentous attachments and histological descriptions was given.  Review of clinical indicators for upper cervical spine fusion and predominant patient population was outlined. Emphasis was placed on concomitant diagnosis of structural and biomechanical sources of spine pain.  Interprofessional communication pathways were reviewed.  Evidence based approach to post-surgical care was presented focused on physician experience, published literature and patient response.  Outline of a systemized approach to the diagnosis and management of the patient with post-surgical upper cervical fusion was presented and discussed. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards – PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences,Office of Continuing Medical Education, Buffalo, NY, 2023 

Reimbursement Guidelines and Documentation, Advanced documentation based on clinical and testing findings that correlate to Evaluation and Management Guidelines. Evidence-Based necessity parameters for considering spinal imaging and electrodiagnostic testing. Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2023

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 reimbursor’s requirements for complete documentation. 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, 2023

Documenting Trauma, The documentation of biomechanical and anatomical pathology with trauma patients. Clinically correlating diagnosis, demonstrative bodily injury-pathology and persistent functional losses. Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2023

Stroke Anatomy and Physiology: Brain Vascular Anatomy, The anatomy and physiology of the brain and how blood perfusion affects 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, 2023

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, 2023

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, 2023

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, 2023

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, 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, 2023

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, 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, 2023

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, 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, 2023

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, 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, 2023

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, 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, 2023

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, 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, 2023

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, 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, 2023

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, 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, 2023

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, 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, 2023

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, 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, 2023

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, 2023

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, 2023

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, 2023

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, 2023

Impairment Rating, The understanding and utilization of the protocols and parameters of the AMA Guide to the Evaluation of Permanent Impairment 6th Edition. Spine, neurological sequelae, migraine, sexual dysfunction, sleep and arousal disorders, station and gait disorders and consciousness are detailed for impairment rating. Herniated discs, radiculopathy, fracture, dislocation and functional loss are also detailed in relation to impairment ratings. Cleveland University - Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2023

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 adult and pediatric cases. Differentially diagnosing various arthritic etiologies of osseous derangement. 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, 2023

Extremity MRI & Xray Interpretation of the Shoulder, Identifying fractures in adult and pediatric cases. Differentially diagnosing various arthritic changes vs. benign and metastatic Tumors. 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, 2023

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, 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, 2023

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, 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, 2023

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, 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, 2023

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 adult and pediatric cases. Differentially diagnosing various arthritic etiologies of osseous derangement. 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, 2023

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, 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, 2023

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 adult and pediatric cases. Differentially diagnosing various arthritic etiologies of osseous derangement. 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, 2023

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, 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, 2023

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, 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, 2023

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, 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, 2023

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, 2023

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, 2023

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, 2023

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, 2023

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, 2023

Coding and Care Planning, ICD -10, and CPT cross-coding requirements form the acute stage through rehabilitation, including home care. The documentation of passive vs. active care in chronic and trauma case management. Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2023 

Coding and Care Planning with Spinal Biomechanical Pathology, The documentation of short and long-term care, including demonstrative validation or spinal pathology in the clinical setting. Connective tissue pathological mechanisms in chronic and traumatic etiology. Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2023 

The Safe Use of X-Ray in a Clinical Setting, Utilizing the guidelines created by the American College of Radiology and the evidence in the scientific literature for case management involving x-ray. Understanding the standards for safe radiation exposure when creating a demonstrative spinal biomechanical diagnosis and ruling out anatomical pathology. Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2023 

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, 2023

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, 2023

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, 2023

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 diagnosing 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, 2023

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 algorithms 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, 2023

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, 2023

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 rotational 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, 2023

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 rotational 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, 2023

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, 2023

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, 2023

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, 2023

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, 2023

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, 2023

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, 2023

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. 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, 2023

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. 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, 2023

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 homeostasis until tetanus ensues creating osseous changes under the effect of 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, NY, 2023

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. 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, 2023

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 of how to utilize emergency room records in creating an accurate diagnosis and the significance of "risk factors" in spinal injury. 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, 2023

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, 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, 2023

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, 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, 2023

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-Electronystagmography (V-ENG) interpretation, protocols and clinical indications for the trauma patient. 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, 2023

Documentation and Reporting for the Trauma Victim, Understanding the necessity for accurate documentation and diagnosis utilizing the ICD-9 and the CPT to accurately describe the injury through diagnosis. Understanding and utilizing state regulations on reimbursement issues pertaining to healthcare. 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, 2023

Documenting Clinically Correlated Bodily Injury to Causality, Understanding the necessity for accurate documentation, diagnosis and clinical correlation to the injury when reporting injuries in the medical-legal community. Documenting the kinesiopathology, myopathology, neuropathology, and pathophysiology in both a functional and structural paradigm. 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, 2023

Spine Management Grand Rounds Internet Live and recorded Regularly Scheduled Series, Chiropractic Management Post C2-3 Fusion – detailed review of upper cervical anatomy and spinal biomechanics was reviewed. Specific attention to upper cervical ligamentous attachments and histological descriptions was given. Review of clinical indicators for upper cervical spine fusion and predominant patient population was outlined. Emphasis was placed on concomitant diagnosis of structural and biomechanical sources of spine pain. Interprofessional communication pathways were reviewed. Evidence based approach to post-surgical care was presented focused on physician experience, published literature and patient response. Outline of a systemized approach to the diagnosis and management of the patient with post-surgical upper cervical fusion was presented and discussed. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards – PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences, Office of Continuing Medical Education, Buffalo, NY, 2023

Spine Management Grand Rounds Internet Live and recorded Regularly Scheduled Series, Chiropractic Utilization of X-ray in Clinical Practice - review of field doctor response statistics regarding utilization of x-ray in clinical practice was presented.  Guest author was interviewed outlining the basis and rationale for the academic paper reviewed.  Discussion surrounding the use of x-ray for both anatomical contraindications to care (red flags) and assessment of biomechanical parameters was presented.  Literature supporting the conservative co-management of spinal biomechanical abnormalities within the greater healthcare system was emphasized.   Evidence based practice was outlined with particular focus on the utilization of x-ray in the management of the chiropractic patient.  National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards – PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences, Buffalo, NY, 2023

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, 2023

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, 2023

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, 2023

MRI Spinal Pathology, MRI interpretation of bone, intradural, extradural, cord and neural sleeve lesions. Tuberculosis, drop lesions, metastasis, ependymoma, schwannoma 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, 2023

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, 2023

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, 2023

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, 2023

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, 2023

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, 2023

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, 2023

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, 2023

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 spondylolisthesis, 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, 2023

Spinal Biomechanics and Anatomical Pathology Grand Rounds. Chiropractic Diagnosis and Management of Motor Vehicle Crash Injuries, A review of the ligament, biomechanical and neurologic implications of a chronic cervical spine conditions, age dating cervical spine pathology and acute cervical spine injury including cervical spinal cord edema. The methods to determine stability and co-management with medical specialists was reviewed. Identification of the biomechanical ligament injury associated with the structural compromise, disc herniation with traumatic annular fissures and triage for neurosurgical consultation was reviewed. 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, 2022

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, 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, 2022

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, 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, 2022

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, 2022

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, 2022

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, 2022

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, 2022

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, 2022

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, 2022

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, 2022

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, 2022

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, 2022

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, 2022

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. 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, 2022

Case Management, Spinal MRI and Documentation, Case Management of Traumatic Spinal Injuries, Understanding flexion-extension cervical injuries and diagnosing connective tissue pathology. Determining impairments and the literature-based standard for permanent injuries. 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, 2022

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. 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, 2022

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. 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, 2022

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. 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, 2022

Case Management, Spinal MRI and Documentation, Post-Traumatic Herniated Discs, Related Migraines-Headaches & Strain/Sprain Permanence’s, 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. 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, 2022

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 of the forces involved to conclude a differential diagnosis, while concurrent ruling malingerers, if applicable. 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, 2022

2023 Demonstrative Documentation Requirements, Analyzing the requirements in anatomical diagnostic imagery to communicate spinal pathology. Integrating technology, clinical findings, and advanced graphic tools to communicate a diagnostic conclusion. 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, 2022

MRI Spine Advanced Clinical Case Grand Rounds, Clinical case review of MRI including intra and extra-dural findings inclusive of the disc and vascular anatomical lesions. Differentially diagnosing central cord lesions, and spinal cord vascular lesions in both acute trauma and degenerative presentations.  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, 2022

Non-Specific Spine Pain, Chiropractic and Outcomes, Analyzing neuro-biomechanical pathological lesions defines primary spinal lesions and removes the dogma of non-specific back pain. Creating evidence-based demonstrative documentation in the creation of treatment plans. 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, 2022

Spinal Tumor MRI Interpretation, Diagnosing and documenting: Ependymoma, Astrocytoma, Hemangioblastoma, Lipoma, Meningioma, Neurofibroma, Schwannoma, Myxopapillary Ependymoma. 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, 2022

Demonstrative Narrative and Evaluation and Management Report Writing, Clinical record-keeping, why write clinical notes, the importance of context, what to include in a clinical note, tips for better clinical documentation, basic legal considerations, open clinical notes, how to keep documentation efficient. 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, 2022

Age-Dating Ligament/Connective Tissue Physiology and Pathology, Utilizing pain patterns, the high signal in the annulus, high signal outside the annulus, Modic changes, disc height, vacuum disc, sclerosis, Phirrman rating, facet edema, and previous MRIs to determine the chronicity of pathology., Master-Class in ligaments; anatomy, physiology, vascularization, neurological innervation, tissue repair, and how they all relate to clinical practice.  Ligament pathology correlating to the mechanisms of patho-neuro-biomechanical lesions (vertebral subluxation complex). Also, how ligaments play a critical role in the chiropractic spinal adjustment and in defining the chiropractic spinal adjustment mechanisms. 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, 2022

Clinical Grand Rounds in Biomechanics, Digitizing, and Advanced Imaging: Case reviews concluding and accurate diagnosis, prognosis, and treatment plan utilizing evidence-based instrumentation and algorithms. Using demonstrative reporting of case findings to collaborate with co-treating physicians. 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, 2022

Medical-Legal Documentation: A documentation discussion on meeting the requirements of the courts, carriers, and licensure boards in complete and accurate reporting. Ensuring the diagnosis, prognosis, and treatment plan are demonstratively documented. 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, 2022

Diagnosing Mechanical Spine Pain, Review of specific cervical anatomy in the spine pain patient.  Clinical correlation between plain film radiographs and MRI studies was reviewed including radiographic motion studies.  Computerized Mensuration Analysis was outlined and discussed with findings correlating with normative translation and angular motion data.  Review of the AMA Guides to the Evaluation of Permanent Impairment 5th and 6th Editions was presented. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, NY, 2021

Pathophysiology of Osteophyte Formation, Discussion and presentation of extraspinal and vertebral osteophyte classification.  Review of traction osteophyte formation and its relationship to the vertebral body and degenerative changes was discussed.  Factors influencing osteophyte formation such as Transforming Growth Factor Beta and the relationship to the initiation of osteochondrosis were outlined. Details of segmental osteophyte formation on regional biomechanics were reviewed.  Peer reviewed evidence of the effects of spinal arthrodesis on adjacent segment degeneration, anterior and posterior osteophyte formation was presented. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, NY, 2021

Nomenclature and Morphology of Intervertebral Disc Pathology, Updated review and demonstration of intervertebral disc nomenclature related to intervertebral disc degeneration, trauma and other pathology.  Specific attention paid to the agreed upon nomenclature between the Combined Task Forces of the North American Spine Society, American Spine Society, American Society of Spine Radiology and American Society of Neuroradiology.  Details were provided in comparison to intervertebral disc herniation and intervertebral disc degeneration.  Radial fissures were reviewed and outlined including circumferential, transverse and radial pathology and its anatomical relation to the intervertebral disc.  National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, NY, 2021

Rating Degenerative Changes in the Cervical Spine, Review of a radiographic rating system for objective assessment of intervertebral disc degeneration in the cervical spine.  The degree of degeneration was organized based on loss of disc height, formation of osteophytes and the presence of diffuse sclerosis of adjacent vertebral bodies. Specific details of assessment were outlined and presented.  Comparison of plain film radiographs to cadaver specimens was demonstrated and discussed.  Review of interobserver validity of the grading system between observers was presented.  National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, NY, 2021

Mechanical Response of Damaged Cervical Spine Ligaments, Discussion of the biomechanical properties of cervical spinal ligaments under sub-failure loads.  Ligaments discussed were the Anterior Longitudinal Ligament, Posterior Longitudinal ligament and the Ligamentum Flavum.  Deformations exceeding physiological limitations were presented and reviewed.  Grade I and Grade II injuries were outlined and discussed. The presentation included observed ligamentous injury significantly compromising ligament ability to give tensile support within physiological spinal motion. Findings were clinically correlated to long term sequalae in Alteration of Motion Segment Integrity and the AMA Guides to the Evaluation of Permanent Impairment 5th and 6th Editions. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, NY, 2021

Facet Joint Thresholds and Alteration of Motion Segment Integrity, Discussion of the predominant mode of joint loading of the cervical facet joints during whiplash injury related to retraction tension on the facet joint capsule.  Review of shear forces, translation of the inferior and superior facet joint as well as injury risk due to excessive stretching of spinal ligaments was presented. Overview and discussion of mechanical trauma to ligament tissue and subsequent microstructural damage not visibly detected was outlined.  Threshold for microstructural changes during retraction, reduced ligament stiffness and unrecovered strain was discussed in detail.  Individual response to facet joint capsule response supported in the medical literature was presented. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, NY, 2021

Diagnosing Mechanical Spine Pain, Review of specific cervical anatomy in the spine pain patient.  Clinical correlation between plain film radiographs and MRI studies was reviewed including radiographic motion studies.  Computerized Mensuration Analysis was outlined and discussed with findings correlating with normative translation and angular motion data.  Review of the AMA Guides to the Evaluation of Permanent Impairment 5th and 6th Editions was presented. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, NY, 2021

Pathophysiology of Osteophyte Formation, Discussion and presentation of extraspinal and vertebral osteophyte classification.  Review of traction osteophyte formation and its relationship to the vertebral body and degenerative changes was discussed.  Factors influencing osteophyte formation such as Transforming Growth Factor Beta and the relationship to the initiation of osteochondrosis were outlined. Details of segmental osteophyte formation on regional biomechanics were reviewed.  Peer reviewed evidence of the effects of spinal arthrodesis on adjacent segment degeneration, anterior and posterior osteophyte formation was presented. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, NY, 2021

Nomenclature and Morphology of Intervertebral Disc Pathology, Updated review and demonstration of intervertebral disc nomenclature related to intervertebral disc degeneration, trauma and other pathology.  Specific attention paid to the agreed upon nomenclature between the Combined Task Forces of the North American Spine Society, American Spine Society, American Society of Spine Radiology and American Society of Neuroradiology.  Details were provided in comparison to intervertebral disc herniation and intervertebral disc degeneration.  Radial fissures were reviewed and outlined including circumferential, transverse and radial pathology and its anatomical relation to the intervertebral disc.  National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, NY, 2021

Introduction to Principles and Practices of Electrodiagnosis, A comprehensive program in electrodiagnostic medicine. It is a thorough program covering nerve conduction studies, needle EMG and evoked potentials. The program is designed for the Doctoral level health care professional (MD/DO, DC, DPM, DPT) and is designed for the learner to obtain core competency in the selection, performance and interpretation of electrodiagnostic studies. Learn the theory and practice of nerve conduction studies, needle electromyography (EMG) and evoked potentials. Develop the skills to perform and interpret the findings of these scientifically validated diagnostic procedures. Report writing, reimbursement coding and third-party reimbursement procedures skills taught with the goal of enhancing the ability to manage patients with spine and radicular pain syndromes, peripheral neuropathies, plexopathies and myopathies. Northeast College of Health Sciences – formerly New York Chiropractic College, Post-Doctoral Division, Levittown, NY, 2007

Neuropathy and Radiculopathy of the Upper Extremity, A comprehensive program in electrodiagnostic medicine. It is a thorough program covering nerve conduction studies, needle EMG and evoked potentials. The program is designed for the Doctoral level health care professional (MD/DO, DC, DPM, DPT) and is designed for the learner to obtain core competency in the selection, performance and interpretation of electrodiagnostic studies. Learn the theory and practice of nerve conduction studies, needle electromyography (EMG) and evoked potentials. Develop the skills to perform and interpret the findings of these scientifically validated diagnostic procedures. Report writing, reimbursement coding and third-party reimbursement procedures skills taught with the goal of enhancing the ability to manage patients with spine and radicular pain syndromes, peripheral neuropathies, plexopathies and myopathies. Northeast College of Health Sciences – formerly New York Chiropractic College, Post-Doctoral Division, Levittown, NY, 2007

Motor and Sensory Nerve Conduction Studies of the Upper Extremity Practicum Laboratory, A comprehensive program in electrodiagnostic medicine. It is a thorough program covering nerve conduction studies, needle EMG and evoked potentials. The program is designed for the Doctoral level health care professional (MD/DO, DC, DPM, DPT) and is designed for the learner to obtain core competency in the selection, performance and interpretation of electrodiagnostic studies. Learn the theory and practice of nerve conduction studies, needle electromyography (EMG) and evoked potentials. Develop the skills to perform and interpret the findings of these scientifically validated diagnostic procedures. Report writing, reimbursement coding and third-party reimbursement procedures skills taught with the goal of enhancing the ability to manage patients with spine and radicular pain syndromes, peripheral neuropathies, plexopathies and myopathies. Northeast College of Health Sciences – formerly New York Chiropractic College, Post-Doctoral Division, Levittown, NY, 2007

Polyneuropathy, Neuropathy and Radiculopathy of the Lower Extremity, A comprehensive program in electrodiagnostic medicine. It is a thorough program covering nerve conduction studies, needle EMG and evoked potentials. The program is designed for the Doctoral level health care professional (MD/DO, DC, DPM, DPT) and is designed for the learner to obtain core competency in the selection, performance and interpretation of electrodiagnostic studies. Learn the theory and practice of nerve conduction studies, needle electromyography (EMG) and evoked potentials. Develop the skills to perform and interpret the findings of these scientifically validated diagnostic procedures. Report writing, reimbursement coding and third-party reimbursement procedures skills taught with the goal of enhancing the ability to manage patients with spine and radicular pain syndromes, peripheral neuropathies, plexopathies and myopathies. Northeast College of Health Sciences – formerly New York Chiropractic College, Post-Doctoral Division, Levittown, NY, 2007

Motor and Sensory Nerve Conduction Studies of the Lower Extremity Practicum Laboratory, A comprehensive program in electrodiagnostic medicine. It is a thorough program covering nerve conduction studies, needle EMG and evoked potentials. The program is designed for the Doctoral level health care professional (MD/DO, DC, DPM, DPT) and is designed for the learner to obtain core competency in the selection, performance and interpretation of electrodiagnostic studies. Learn the theory and practice of nerve conduction studies, needle electromyography (EMG) and evoked potentials. Develop the skills to perform and interpret the findings of these scientifically validated diagnostic procedures. Report writing, reimbursement coding and third-party reimbursement procedures skills taught with the goal of enhancing the ability to manage patients with spine and radicular pain syndromes, peripheral neuropathies, plexopathies and myopathies. Northeast College of Health Sciences – formerly New York Chiropractic College, Post-Doctoral Division, Levittown, NY, 2007

Introduction to Needle Electromyography (EMG), A comprehensive program in electrodiagnostic medicine. It is a thorough program covering nerve conduction studies, needle EMG and evoked potentials. The program is designed for the Doctoral level health care professional (MD/DO, DC, DPM, DPT) and is designed for the learner to obtain core competency in the selection, performance and interpretation of electrodiagnostic studies. Learn the theory and practice of nerve conduction studies, needle electromyography (EMG) and evoked potentials. Develop the skills to perform and interpret the findings of these scientifically validated diagnostic procedures. Report writing, reimbursement coding and third-party reimbursement procedures skills taught with the goal of enhancing the ability to manage patients with spine and radicular pain syndromes, peripheral neuropathies, plexopathies and myopathies. Northeast College of Health Sciences – formerly New York Chiropractic College, Post-Doctoral Division, Levittown, NY, 2007

Needle EMG of the Upper and Lower Extremity and Practicum and Laboratory, A comprehensive program in electrodiagnostic medicine. It is a thorough program covering nerve conduction studies, needle EMG and evoked potentials. The program is designed for the Doctoral level health care professional (MD/DO, DC, DPM, DPT) and is designed for the learner to obtain core competency in the selection, performance and interpretation of electrodiagnostic studies. Learn the theory and practice of nerve conduction studies, needle electromyography (EMG) and evoked potentials. Develop the skills to perform and interpret the findings of these scientifically validated diagnostic procedures. Report writing, reimbursement coding and third-party reimbursement procedures skills taught with the goal of enhancing the ability to manage patients with spine and radicular pain syndromes, peripheral neuropathies, plexopathies and myopathies. Northeast College of Health Sciences – formerly New York Chiropractic College, Post-Doctoral Division, Levittown, NY, 2007

Evoked Potentials, Introduction to Intraoperative Monitoring, A comprehensive program in electrodiagnostic medicine. It is a thorough program covering nerve conduction studies, needle EMG and evoked potentials. The program is designed for the Doctoral level health care professional (MD/DO, DC, DPM, DPT) and is designed for the learner to obtain core competency in the selection, performance and interpretation of electrodiagnostic studies. Learn the theory and practice of nerve conduction studies, needle electromyography (EMG) and evoked potentials. Develop the skills to perform and interpret the findings of these scientifically validated diagnostic procedures. Report writing, reimbursement coding and third-party reimbursement procedures skills taught with the goal of enhancing the ability to manage patients with spine and radicular pain syndromes, peripheral neuropathies, plexopathies and myopathies. Northeast College of Health Sciences – formerly New York Chiropractic College, Post-Doctoral Division, Levittown, NY, 2007

Case Reviews, Interpretive reporting and coding/reimbursement, A comprehensive program in electrodiagnostic medicine. It is a thorough program covering nerve conduction studies, needle EMG and evoked potentials. The program is designed for the Doctoral level health care professional (MD/DO, DC, DPM, DPT) and is designed for the learner to obtain core competency in the selection, performance and interpretation of electrodiagnostic studies. Learn the theory and practice of nerve conduction studies, needle electromyography (EMG) and evoked potentials. Develop the skills to perform and interpret the findings of these scientifically validated diagnostic procedures. Report writing, reimbursement coding and third-party reimbursement procedures skills taught with the goal of enhancing the ability to manage patients with spine and radicular pain syndromes, peripheral neuropathies, plexopathies and myopathies. Northeast College of Health Sciences – formerly New York Chiropractic College, Post-Doctoral Division, Levittown, NY, 2007

Comprehensive Course Review, Case Studies and Certification Examinations, A comprehensive program in electrodiagnostic medicine. It is a thorough program covering nerve conduction studies, needle EMG and evoked potentials. The program is designed for the Doctoral level health care professional (MD/DO, DC, DPM, DPT) and is designed for the learner to obtain core competency in the selection, performance and interpretation of electrodiagnostic studies. Learn the theory and practice of nerve conduction studies, needle electromyography (EMG) and evoked potentials. Develop the skills to perform and interpret the findings of these scientifically validated diagnostic procedures. Report writing, reimbursement coding and third-party reimbursement procedures skills taught with the goal of enhancing the ability to manage patients with spine and radicular pain syndromes, peripheral neuropathies, plexopathies and myopathies. Northeast College of Health Sciences – formerly New York Chiropractic College, Post-Doctoral Division, Levittown, NY, 2007

Neurology of Pain, The prevalence of chronic pain and high-impact chronic pain in the United States, as analyzed by the CDC in 2016 is estimated to affect 20.4% (50.0 million) of U.S. adults for chronic pain and 8.0% of U.S. adults (19.6 million) for high-impact chronic pain. It has been estimated that 1 in 6 American suffer from chronic headaches.  There appears to be a significant need for better treatment and management strategies. In this module you will learn the foundational neurological structures and pathways responsible for producing pain and those brain areas/structures that are critical in reducing the pain experience.  You will learn specific examination techniques that will allow you to assess the integrity of the brain’s pain modulatory centers. With that knowledge you will be shown specific treatment techniques to address the dysfunctional brain regions promoting one’s chronic pain. New York Chiropractic College, Post-Doctoral Division, Levittown, NY, 1994

Headaches and Face Pain, The prevalence of chronic pain and high-impact chronic pain in the United States, as analyzed by the CDC in 2016 is estimated to affect 20.4% (50.0 million) of U.S. adults for chronic pain and 8.0% of U.S. adults (19.6 million) for high-impact chronic pain. It has been estimated that 1 in 6 American suffer from chronic headaches.  There appears to be a significant need for better treatment and management strategies. In this module you will learn the foundational neurological structures and pathways responsible for producing pain and those brain areas/structures that are critical in reducing the pain experience.  You will learn specific examination techniques that will allow you to assess the integrity of the brain’s pain modulatory centers. With that knowledge you will be shown specific treatment techniques to address the dysfunctional brain regions promoting one’s chronic pain. New York Chiropractic College, Post-Doctoral Division, Levittown, NY, 1994

Neurochemistry & the Endocrine System, Clinical Disorders. Hyperprolactinemia (Associated conditions). Pituitary tumors. Hypothalamus. Sarcoidosis. Craniopharyngiomas. Cranial irradiation. Empty Sella syndrome. Pituitary or TSH induced hyperthyroidism. Causes of excess Cortisol. ACTH Deficiency. Deficiency of Vasopressin (Diabetes Insipidus). Syndrome of Inappropriate AVP Secretion (SIADH). Thyroid Disorders. Diseases of the Adrenal Cortex. Congenital adrenal hyperplasia. Pheochromocytoma. Diabetes Mellitus. Abnormalities of Testicular Function. Hypothalamic/Pituitary. Testicular. Abnormalities of the Ovaries. Disorders affecting Multiple Endocrine Systems. New York Chiropractic College, Post-Doctoral Division, Levittown, NY, 1994

Principles of Neuroradiology, The neurological examination and its understanding are foundational to the success of any applied patient treatment. Being able to correctly navigate a patient’s history and overlay that history to an examination specific to a patient needs years of clinical study and practice. This module is designed to provide you with the foundation necessary to build upon your skills to become an exceptional clinical interviewer and examiner. This module will further teach you the skills necessary to navigate and interpret some of the most common advanced testing techniques utilized by practitioners incorporating a functional neurology paradigm in their practices. New York Chiropractic College, Post-Doctoral Division, Levittown, NY, 1994

Principles of Neurologic Examination, The neurological examination and its understanding are foundational to the success of any applied patient treatment.   Being able to correctly navigate a patient’s history and overlay that history to an examination specific to a patient needs years of clinical study and practice.  This module is designed to provide you with the foundation necessary to build upon your skills to become an exceptional clinical interviewer and examiner.  This module will further teach you the skills necessary to navigate and interpret some of the most common advanced testing techniques utilized by practitioners incorporating a functional neurology paradigm in their practices. New York Chiropractic College, Post-Doctoral Division, Levittown, NY, 1994

Principles of Neurorehabilitation, Neurological rehabilitation is the term used to describe the treatment that patients receive after they have had a neurological injury, illness, or diagnosis of a long-term neurological condition. The World Health Organization’s definition of rehabilitation states “a set of measures that assist individuals, who experience or are likely to experience disability, to achieve and maintain optimum functioning in interaction with their environments” (WHO, 2011).  The module teaches you the core foundational principles in establishing a successful rehabilitation program addressing your patient’s specific needs. You will learn specific techniques to address specific areas of the nervous system and learn how to develop frequency and intensity strategies based upon an individual’s own metabolic capacity. New York Chiropractic College, Post-Doctoral Division, Levittown, NY, 1994

Peripheral Nervous System, Proper function of the peripheral nervous system (PNS) is critical to optimum human expression.   This module reviews the clinically important structural layout of the PNS and discusses the most common clinical scenarios affecting the peripheral nervous system.  Topics range from simple compressive mono-neuropathies to more complex metabolic and inflammatory conditions.   Diagnostic and treatment protocols with be emphasized throughout. New York Chiropractic College, Post-Doctoral Division, Levittown, NY, 1993

Spinal Cord, The spinal cord is the main conduit that connects the brain to the rest of the body.  Being encased within the vertebral column can act as a double edge sword. On one hand it provides protection and on the other hand it can expose the spinal cord to damage through a myriad of degenerative and traumatic conditions.  This module we review the structure/function of the spinal cord and those degenerative, traumatic, inflammatory, and vascular conditions that impair its function. New York Chiropractic College, Post-Doctoral Division, Levittown, NY, 1993

Cranial Nerves, 12 pairs of cranial nerves act and the final common pathways that allow direct access of the brain to its environment while allowing the brain direct control of systems vital to its survival. This module reviews the structure and function of each of the cranial nerves focusing on diagnostic testing and interpretations.  Common clinical entities will be discussed both from a diagnostic and management point of view. New York Chiropractic College, Post-Doctoral Division, Levittown, NY, 1993

Autonomic Nervous System, The autonomic nervous system (ANS), formerly known as the vegetative nervous system, is a division of the nervous system that supplies smooth muscle and glands, and as a result influences the function of internal organs. Called the ANS for its unconscious regulation of bodily functions, it is critical in delivering fuel and nutrients throughout the nervous system.  This module discusses the central and peripheral components that make up the ANS and how breakdown in these systems lead to the development of various dysautonomia. Diagnostic, examination, and treatment applications will be explored when appropriate. New York Chiropractic College, Post-Doctoral Division, Levittown, NY, 1993

Cerebellum, Leonardo da Vinci while making wax castings of the human brain back in 1504 was the first to and coin the term “cerebellum” (Latin for “little brain”) after identifying two small brain hemispheres tucked neatly under the relatively humongous left-right hemispheres of the “cerebrum” (Latin for “brain”).  This module explores the integrated structure and function of the cerebellum from its classical view in coordinating movement to its more progressive functional role in higher cognitive processing. Common clinical disorders will be discussed emphasizing diagnostic and treatment applications. New York Chiropractic College, Post-Doctoral Division, Levittown, NY, 1993

Ocular Motor System, The ocular motor system is that part of the CNS, which functions mainly in maintaining visual stability and controlling eye movements. It is made up of many brain areas that cooperate to stabilize images of interest on the high-acuity part of the retina. All these systems must funnel through the same final common pathway through the brainstem. This module discusses the structures of the brain and brainstem that produce various eye movements with focus on their central connectivity. Ocular examination techniques along with their diagnostic interpretations will be reviewed. The goal is to create individualized ocular rehabilitative strategies for each clinical entity observed. New York Chiropractic College, Post-Doctoral Division, Levittown, NY, 1993

Vestibular System, The vestibular system is one of the leading contributors to one’s sense of balance and spatial orientation for the purpose of coordinating movement with balance. It is responsible for providing our brain with information about motion, head position, and spatial orientation. This module reviews in detail the structural components and central functional connectivity of the vestibular system. Assessment and management of the most common vestibular disorders will be discussed with emphasis focusing on non-pharmaceutical strategies.

Frontal and Parietal Lobes. Broca was first to describe the existence of a “great cerebral system” (Broca1) that encircled the limbus (or edge) of the hemisphere and thus, defined this area as the limbic lobe.  From that time forward the lobular sequentialization of the brain has been commonly used to define its structure.  In this module we explore the frontal and parietal lobes of the brain focusing on structure, function, and the common clinical condition seen with each lobe’s dysfunction.  New York Chiropractic College, Post-Doctoral Division, Levittown, NY, 1993

Temporal and Limbic Lobes, Broca was first to describe the existence of a “great cerebral system” (Broca1) that encircled the limbus (or edge) of the hemisphere and thus, defined this area as the limbic lobe.  From that time forward the lobular sequentialization of the brain has been commonly used to define its structure.  In this module we explore the Temporal and Limbic lobes of the brain focusing on structure, function, and the common clinical condition seen with each lobe’s dysfunction.  New York Chiropractic College, Post-Doctoral Division, Levittown, NY, 1993

Neurophysiology of the Respiratory/Digestive and Reproductive Systems, According to the latest data from the CDC (2020) heart disease continues as the leading cause of death for men, women, and people of most racial and ethnic groups in the United States accounting for about 647,000 deaths each year—that’s 1 in every 4 deaths. Understanding the contributors to heart disease is critical to its prevention.  In this module you will learn about the anatomy and physiology of both the respiratory and cardiovascular systems.  Emphasis will be placed on the central neurological structure governing these systems and how pathophysiology in those systems act as a comorbidity to the presence of respiratory and cardiovascular disease. Examination and diagnostic techniques specific to these systems will be discussed and demonstrated to develop better non pharmaceutical treatment and management strategies. The National Institute of Health (2020) estimates 60 to 70 million people are affected by chronic digestive disease per year in the United States. It is also estimated that 43% of individuals suffer from intermittent digestive disorders.  Also, according to the NIH (2020) about 9% of men and about 11% of women of reproductive age in the United States have experienced fertility problems.  In this module you will learn the clinically important anatomy and physiology that is foundational to the understanding of the most common gastric and reproductive disorders.  Further the anatomy and physiology of the Brain-Gut Axis will be discussed from a gastric/reproductive disease centric point of view allowing clinicians a better understating of this very intimate relationship.  Examination techniques specific to these areas will be discussed and demonstrated to allow for the development of improved non-pharmaceutical management of these conditions. New York Chiropractic College, Post-Doctoral Division, Levittown, NY, 1993

Neurology of Movement, There are seven basic movements the human body can perform, and all other movements are merely variations of these seven: Pull, Push, Squat, Lunge, Hinge, Rotation and Gait.   The creation of these seven basic movements is critical to human function and performance.   This module discusses the neurological mechanisms involved in the creation and coordination of movement.  You will learn about the main central structures involved in the creation of movement and how these seemingly independent nodes are significantly integrated together.  This module provides the foundational framework necessary for you to understand the pathologies involving the motor system. Approximately 28% of the US population including both men and women aged 50-89 suffer from some type of movement disorder.  Of that 15-20% are a result of the secondary effects of pharmaceutical management resulting in Tardive Dyskinesia.  Thus, there is a substantial need for a better understanding of the pathophysiology involved in the development and maintenance of some of the most common movement disorders affecting humankind.  In this module you will learn the anatomy and physiology of the main neurological structures involved in the pathogenesis inherent to all movement disorders.  You will also learn examination history taking and examination techniques to allow you to correctly define the movement disorder. New York Chiropractic College, Post-Doctoral Division, Levittown, NY, 1993

Embryology and Physiology of the Nervous System, In embryology and physiology of the nervous system, you will learn the pertinent anatomy, physiology, and pathophysiology of the neuron as well as the embryological development of the nervous system. You will learn techniques to allow you to appropriately assess and diagnosis the common conditions related to embryological development and neuronal stability. Clinical applications will be discussed for patients with these conditions. This course provides the foundational framework for the use of manual and brain-based therapies in the treatment of neurological disease. This module begins by focusing on the concepts in embryological development of the peripheral and central nervous systems. Emphasis will be placed on discussing the pros and cons of both the columnar and prosomeric models of cortical organization.  The physiological function of nerves will be reviewed with an emphasis on the clinical scenarios seen with metabolic deregulation. The influence of early sensory input to the development of thalami cortical projections preserved throughout adulthood will be discussed in relationship to the effects of sensory deprivation on neurological integrity throughout life.  This module provides learners with the foundation needed for ongoing studies in our Clinical Neuroscience series. New York Chiropractic College, Post-Doctoral Division, Levittown, NY, 1992

The Proprioceptive and Neuromuscular System, Human movement is critical for survival.  In this module we discuss the building blocks of the neuromuscular system by reviewing in detail muscular development and structure.  We further discuss how muscles communicate with the CNS to provide a steady state of feedback allowing for fluid movement control.  The most common primary myopathies and will be reviewed along with the most common neuromuscular disorders. In this module you will learn pertinent anatomy, physiology, and pathophysiology as related to the neuromuscular system.  You will learn the appropriate assessments as well as the information needed to make an appropriate diagnosis for the most common conditions related to the function of the neuromuscular system. A neurological and physical medicine approach to supporting patients with these conditions will be presented. New York Chiropractic College, Post-Doctoral Division, Levittown, NY, 1992

Peripheral Nervous System, Proper function of the peripheral nervous system (PNS) is critical to optimum human expression.   This module reviews the clinically important structural layout of the PNS and discusses the most common clinical scenarios affecting the peripheral nervous system.  Topics range from simple compressive mono-neuropathies to more complex metabolic and inflammatory conditions.   Diagnostic and treatment protocols with be emphasized throughout. New York Chiropractic College, Post-Doctoral Division, Levittown, NY, 1992

Spinal Cord, The spinal cord is the main conduit that connects the brain to the rest of the body.  Being encased within the vertebral column can act as a double edge sword. On one hand it provides protection and on the other hand it can expose the spinal cord to damage through a myriad of degenerative and traumatic conditions.  This module we review the structure/function of the spinal cord and those degenerative, traumatic, inflammatory, and vascular conditions that impair its function. New York Chiropractic College, Post-Doctoral Division, Levittown, NY, 1992

Cranial Nerves, 12 pairs of cranial nerves act and the final common pathways that allow direct access of the brain to its environment while allowing the brain direct control of systems vital to its survival. This module reviews the structure and function of each of the cranial nerves focusing on diagnostic testing and interpretations.  Common clinical entities will be discussed both from a diagnostic and management point of view. New York Chiropractic College, Post-Doctoral Division, Levittown, NY, 1992

Autonomic Nervous System, The autonomic nervous system (ANS), formerly known as the vegetative nervous system, is a division of the nervous system that supplies smooth muscle and glands, and as a result influences the function of internal organs. Called the ANS for its unconscious regulation of bodily functions, it is critical in delivering fuel and nutrients throughout the nervous system.  This module discusses the central and peripheral components that make up the ANS and how breakdown in these systems lead to the development of various dysautonomia. Diagnostic, examination, and treatment applications will be explored when appropriate. New York Chiropractic College, Post-Doctoral Division, Levittown, NY, 1992

Intracranial and Vascular Disorders, The brain being incased within the bony cranium as surrounded by various structures that protect and support its function.  This module discusses those structures ranging from the skull’s sutures, meninges, vascular system, CSF, and supportive glial cells. Clinical disorders of these structures will be discussed with an emphasis on diagnostic and treatment applications. New York Chiropractic College, Post-Doctoral Division, Levittown, NY, 1992

SELECTED TEACHING/INSTRUCTING/LECTURING/CONSULTING

Assistant Professor, New York Chiropractic College, Syracuse Health Center, Syracuse, NY, 1996 - 1998

Clinician, New York Chiropractic College, Syracuse Health Center, Syracuse, NY, 1992 -1996

Resident Director, New York Chiropractic College, Syracuse Health Center, Syracuse, NY, 1991 - 1992

Director’s Assistant, New York Chiropractic College, Syracuse Health Center, Syracuse, NY, 1991

SELECTED MEMBERSHIPS

American Academy of Spine Physicians, Member, 2013 – 2018

American Back Society, Member, 2000 – 2008

Independent Chiropractic Examiners Society, Inc., Member and Lecturer, 1999 – 2004

American Board of Disability Analysts, Member, 1998 – 2018

American Academy of Pain Management, Member, 1996 – Present

American College of Chiropractic Consultants, Member, 1992 – 1998

American Chiropractic Association – Council on Neurology, Member, 1992 – 1998

American Chiropractic Association, Member, 1991 – Present

SELECTED HONORS AND AWARDS

Certificate of Appreciation for Educational Lectures, New Venture Gear, 1992

Outstanding Clinician Award, New York Chiropractic College, 1991

Springwell Scholarship, American Chiropractic Association, 1990

Rochester National Scholarship, University of Rochester, 1983 – 1987

SELECTED COMMUNITY SERVICE

Yahnundasis Country Club – Board of Governors and Treasurer, New Hartford, NY, 2015 – 2022

UFCW, In-House Save Your Back Program, Utica, NY, 1995 - 2000

Salvation Army Adult Rehabilitation Center, Community Outreach Program, Syracuse, NY, 1992 – 1998

Rescue Mission Alliance, Community Outreach Program, Syracuse, NY 1992 – 1998

New Venture Gear, Community Outreach Program, Syracuse, NY, 1992 - 1998

Syracuse Health Center, New York Chiropractic College, Volunteer for Community Outreach Programs, 1991 – 1998