Jeffrey Berklich DC, MPH, DABCO

1101 Cambridge Square, Suite B, Alpharetta, GA, 30009

Phone: 770-475-2225

Cell: 404-550-0486

Fax: 770-664-4718

berklich2@yahoo.com

SELECTED OCCUPATIONAL HISTORY

Clinic Director/Chiropractor, Berklich Chiropractic Center, Alpharetta, Georgia, 1985 - Present

Clinic Director, South DeKalb Health Clinic, Decatur, Georgia, 1985 – 1990

Clinic Director, Ashby Station Clinic, Atlanta, Georgia, 1985 – 1990

Clinical Manager/Chiropractor, Baughman and Berklich Clinic, Atlanta, Georgia, 1983 - 1985

Chiropractor, Atlanta Back Pain Clinic, Atlanta, Georgia, 1982 - 1983

EDUCATION AND LICENSURE

Doctor of Chiropractic, Licensed in the State of Massachusetts, License # 3567, 2017 – Present

Doctor of Chiropractic, Licensed in the State of Georgia, License # CHIR01911, 1982 - Present

Doctorate of Chiropractic, Life Chiropractic College, Marietta, Georgia, 1982

Internship, Life Chiropractic College, Luckie Street Clinic, Atlanta, Georgia, 1980 -1982

National Board of Chiropractic Examiners, Physiotherapy, 1999

National Board of Chiropractic Examiners, Part 2, 1981

National Board of Chiropractic Examiners, Part 1, 1981

Masters of Public Health in Environmental Sciences/Occupational Health and Safety Management, Tulane University, School of Public Health and Tropical Medicine, New Orleans, Louisiana, 2001

Bachelor of Arts in Applied Behavioral Science, National-Louis University, Evanston, Illinois, 1993

CERTIFICATIONS AND DIPLOMATES

 

MRI Interpretation, Certificate #1116, ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Buffalo, NY, 2015

Spinal Biomechanical Engineering, Certificate #1043, ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Buffalo, NY, 2015

Diplomate, American Board of Chiropractic Orthopedics, Certificate # 2570, 1996

Certification in Electrical Therapeutic Modalities, Georgia Board of Chiropractic Examiners, Certification #CH87001911, 1987

SELECTED POST-GRADUATE EDUCATION

 

Trends in Spinal Healthcare, Analyzing spinal healthcare trends in both utilization and necessity and understanding the marketplace and how a clinical excellence level is reflected in a doctors' documentation and credentials. Treatment pathways in triaging spinal pathobiomechanics. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2021

MRI Spine Interpretation Advanced Diagnosis, An evidence-based understanding of time-related etiology of disc pathology considering the American Society of Neuroradiology's designation of protrusion, extrusion, and sequestration of spinal discs, T1, T2, STIR and Proton-Density weighted evaluation to diagnose spine form MRI accurately. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2021

Spinal Biomechanical Engineering Analytics and Case Management, Utilizing spinal mensurating algorithms to conclude a pathobiomechanical vs. normal spine in the absence of anatomical pathology. Clinically correlating a history and physical examination findings to x-ray biomechanical results in creating an accurate diagnosis, prognosis, and treatment plan. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2021

MSK Extremity Radiological Interpretation, Utilizing both MRI and x-ray to diagnose 1) Arthritis - Inflammatory and Degenerative, 2) Advanced cartilage assessment, 3) Rotator Cuff Tears, 4) Labral tears (shoulder and hip), 5) Tendon injuries and degeneration, 6) Meniscal tears, 7) Ligamentous injuries, 8) Common fractures, 9) Sports-related injury patterns, 10) Plantar fasciitis.Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2021

Demonstrative Medical-Legal Documentation, The narrative report. How to effectively create medical-legal documentation and what the courts look for. Making your "4-Corner" (narrative) report demonstrable and build a reputation as an evidence-based provider. The step-by-step minutiae of building a report.Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2021

Managing Non-Anatomical Spine Pain, Treatment modalities centered upon "best-outcomes" in an evidence-based model considering chiropractic vs. physical therapy and chiropractic vs. medicine. Considerations of disability, pain reduction, functional improvement, drugs utilized, and side-effects are all considered. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2021

Documentation and Coding, CPT Coding Guidelines for Initial and Established Patients with particular attention paid to Patient History, Review of Systems, Social and Family History, Physical Examination, and Medical Decision making.  Specific differences in coding levels and required elements for a 99202-99203-99204-99205, and a 99212-99213-99214-99215. Academy of Chiropractic Post-Doctoral Division, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University- Kansas City, Long Island, NY, 2021

Demonstrative Documentation and Ethical Relationships, Pathways to improve coordination of care, and interprofessional communication with collaborating physicians.  Maintaining ethical relationships in the medical-legal community through documentation and communication of demonstrable diagnosis, prognosis, and treatment plans. Academy of Chiropractic Post-Doctoral Division, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University- Kansas City, Long Island, NY, 2021

MRI Spine Interpretation, Clinical case review of MRI’s including sagittal, axial, T1, T2, STIR, and proton density sequences. Identified will be the vertebrate, spinal cord, discs, nerve roots, thecal sac, posterior longitudinal ligament, epidural veins, and fat saturation pulses. Pathology will include bulges, herniations, protrusions, extrusions, myelomalacia, cord edema, and schmorl’s nodes. Academy of Chiropractic Post-Doctoral Division, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University- Kansas City, Long Island, NY, 2021

Spinal Biomechanical Engineering Clinical Grand Rounds, Case reviews utilizing E/M, MRI, and x-ray mensuration report to conclude an accurate diagnosis, prognosis, and treatment plan. Common diagnosis requiring interprofessional collaboration with a discussion of diagnostic dilemmas and proper communication methods. Academy of Chiropractic Post-Doctoral Division, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University- Kansas City, Long Island, NY, 2021

Neurology of Ligament Pathology- Normal Morphology and Tissue Damage, Connective tissue morphology, embryology and wound repair as sequalae to trauma. Full components of strain-sprain models and permanency implications with wound repair and osseous aberration with aberrant structural integrity. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2021

Neurology of Ligament Pathology- Spinal Biomechanics and Disc Pathology, Disc pathology as sequella to trauma; herniation, extrusion, protrusion, sequestration and how the spinal unit as one system creates homeostasis to balance the pathology. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2021

Neurology of Ligament Pathology- Neurological Innervation, The peripheral and central innervation of the disc and spinal ligaments of the dorsal root ganglion, spinal thalamic tracts, periaqueductal gray areas innervating the Thalamus and multiple regions of the brain. The efferent neurological distribution to disparate areas of the spine to create homeostatis until tetanus ensues creating osseous changes under the effect of Wolff's Law. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2021

Interprofessional Hospital Based Spine Care, Trends in hospital and emergent care in the healthcare delivery system inclusive of policies, hospital staffing and current care paths for mechanical spine issues. Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2021

Demonstrative Diagnosis and Documenting Spinal Pathology, Analyzing patient records, x-rays and MRI’s in determining etiology of traumatically-induced pathological lesions. Clinically correlating the history, clinical findings, imaging findings and diagnosed bodily injuries to conclude and accurate diagnosis, prognosis, and treatment plan. Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2021

Demonstrative Diagnosis and Documenting Spinal Disc Injuries, Differentially diagnosing disc vs. posterior longitudinal ligaments vs. Thecal Sac vs. spinal cord vs. Ligamentum Flava pathology and insult. Identifying the borders of lesions and discerning between anatomic structures pathologically effected demonstrably. Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2021

Pathobiomechanics and Documentation, CPT Coding Guidelines for Initial and Established Patients with particular attention paid to Patient History, Review of Systems, Social and Family History, Physical Examination, and Medical Decision making. Specific differences in coding levels and required elements for a 99202-99203-99204-99205. Academy of Chiropractic Post-Doctoral Division, Cleveland University Kansas City, Long Island, NY, 2020

 

Using Documentation and Ethical Relationships, Pathways to improve coordination of care, and interprofessional communication with collaborating physicians. Maintaining ethical relationships in the medical-legal community through documentation and communication of demonstrable diagnosis, prognosis and treatment plans. Academy of Chiropractic Post-Doctoral Division, Cleveland University Kansas City, Long Island, NY, 2020

 

Spinal Biomechanical Engineering Clinical Application, History of clinical biomechanics with an emphasis on the diagnosis and management of spine pain of mechanical/functional origin. Evidence-based symptomatic vs. asymptomatic parameters using peer-reviewed medical index literature. Computerized mensuration analysis of spinal biomechanical pathology. Comparison of demonstrable spinal biomechanical failure on imaging to clinical evaluation and physical examination. Academy of Chiropractic Post-Doctoral Division, Cleveland University Kansas City, Long Island, NY, 2020

 

Spinal Biomechanical Engineering Clinical Grand Rounds, Case reviews utilizing E/M, MRI, and x-ray mensuration report to conclude an accurate diagnosis, prognosis, and treatment plan. Common diagnosis requiring interprofessional collaboration with a discussion of diagnostic dilemmas and proper communication methods. Academy of Chiropractic Post-Doctoral Division, Cleveland University Kansas City, Long Island, NY, 2020

 

Evaluation and Management, An overview of the evaluation and management process inclusive of utilizing electronic medical records to conclude evidenced-based conclusions with the utilization of macros. The importance of adhering to an academic standard and considering co-morbidities. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2020

Evaluation and Management, Concluding a chief complaint, history and what needs to be considered in a physical examination. This covers in dept the required elements for chief complain, history of present illness, review of systems, and past, family, and/or social history. This module also covers the following components of a physical examination: observation, palpation, percussion, and auscultation. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2020

Evaluation and Management, Coding and Spinal Examination: Detailing 99202-99205 and 99212-99215 inclusive of required elements for compliant billing. It reviews the elements for an extensive review of systems, cervical and lumbar anatomy and basic testing. The course also covers the basics of vertebra-basilar circulation orthopedic assessment. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2020

Evaluation and Management, Neurological Evaluation: Reviewing complete motor and sensory evaluation inclusive of reflex arcs with an explanation of Wexler Scales in both the upper and lower extremities. The course breaks down testing for upper and lower motor neuron lesions along with upper and lower extremity motor and sensory testing examinations. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2020

Evaluation and Management, Documenting Visit Encounters: Forensically detailing the S.O.A.P. note process for visit encounters and discussing the necessity for clinically correlating symptoms, clinical findings and diagnosis with the area(s) treated. It also details how to modify treatment plans, diagnosis, document collaborative care and introduce test findings between evaluations. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2020

Evaluation and Management, Case Management and Treatment Orders: This module discusses how to document a clinically determined treatment plan inclusive of both manual and adjunctive therapies. It discusses how to document both short-term and long-term goals as well as referring out for collaborative care and/or diagnostic testing.  It also includes how to prognose your patient and determine when MMI (Maximum Medical Improvement) has been attained. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2020

Chiropractic as the First Option for Spine, A Literature-Based Standard, Utilizing clinical findings in conjunction with advanced imaging and electrodiagnostic findings in managing collaborative relationships with medical specialists. Applying a literature standard to care to ensure conservative care as the first option. PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2020

Managing spinal related cases based upon MRI findings of herniations, bulges, protrusion, extrusions (comminuted and fragmented) utilizing thin-sliced acquisition protocols. When to consider ordering T1, T2, Short Tau Inversion Radiant, proton density and Dixon sequencing for spinal related pathology. PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2020

Chiropractic as the First Option for Spine, A Literature-Based Standard, Creating literature-based documentation inclusive of history and a clinical examination that encompasses causality, diagnosis, prognosis and treatment plans. Ensuring the whole person impairment ratings are consistent with contemporary literature. PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2020

Chiropractic as the First Option for Spine, A Literature-Based Standard, Spinal biomechanical engineering models related to pathobiomechanics and literature-based standards in creating an accurate diagnosis, prognosis, and treatment plan. Determining impairment ratings based upon alteration of motion segment integrity utilizing motion-imaging, and creating demonstrable evidence for continued treatment plans. PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2020

Traumatic Brain Injury and Concussion Overview: This section is an in-depth overview of traumatic brain injury in concussion. It discusses that all brain injuries are traumatic and dispels the myth of a “mild traumatic brain injury.” Also, this covers triage protocols and the potential sequela of patients with traumatic brain injuries. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2020

 

Head Trauma and Traumatic Brain Injury Part 1: This section discusses gross traumatic brain injuries from trauma and significant bleeding with both epidural and subdural hematomas. There are numerous case studies reviewed inclusive of neurosurgical intervention and postsurgical outcomes. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2020

 

Head Trauma and Traumatic Brain Injury Part 2: This section continues with multiple case studies of gross traumatic brain injuries from trauma requiring neurosurgical intervention and also discusses recovery sequela based upon the significance of brain trauma. This module also concludes with concussion protocols in traumatic brain injury short of demonstrable bleeding on advanced imaging. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2020

 

Concussion And Electroencephalogram Testing: This this section covers concussion etiology and cognitive sequela where gross bleeding has not been identified on advanced imaging. It discusses the significance of electroencephalogram testing in determining brain function and pathology (if present). This module also covers the understanding of waveforms in electroencephalogram testing in both normal and abnormal scenarios. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2020

 

Concussion And Electroencephalogram Testing Pathological Results: This module covers amplitude, conduction and conduction delays as sequela to traumatic brain injury to diagnose concussion and traumatic brain injury in the absence of gross bleeding and advanced imaging. This section covers electroencephalograms and event-related potentials which measures the brain response that is a direct result of specific sensory or motor events. It is a stereotype electrophysiological response to a stimulus and provides a noninvasive means of evaluating brain function. In this module multiple case studies are discussed with ensuing triage protocols pending the results. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2020

 

Documentation, Carrier Mandates and How the Guide ER and Lawyer Referrals, Documenting electrodiagnostics, concussion and disc pathology as reflective of clinical findings when collaborating with medical specialists in private practice and hospital settings or in the medical-legal arena. Ensuring complete documentation in the evaluation and management process for both the initial and re-evaluation processes. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2019

Evidenced Based Care in a Collaborative Setting; Primary Spine Care 5, A literature based model for collaborating with hospitals, medical primary care providers and specialists. Reviewing the documentation requirements to communicate the diagnosis, prognosis and treatment plans with medical entities and having the evidence as a basis for those recommendations. Academy of Chiropractic Post-Doctoral Division, Cleveland University- Kansas City, Long Island, NY, 2019

 

Current Literature Standards of MRI Spine Interpretation; Primary Spine Care 5,  MRI Spine Interpretation of the spine. How to triage a trauma and non-trauma with advanced imaging and document the necessity. We will also cover the basics of MRI Spine Interpretation inclusive of all types of herniations, bulges, Academy of Chiropractic Post-Doctoral Division. Academy of Chiropractic Post-Doctoral Division, Cleveland University- Kansas City, Long Island, NY, 2019

 

Spine Brain Connection in Pain Pathways; Primary Spine Care 5, MRI Spine The spine-brain connection in managing chronic pain patients. Understanding how chronic pain negatively effects brain morphology and potential pathology as sequella. The role of chiropractic in preventing the loss of gray matter and the most recent evidence as outlined in indexed peer reviewed literature over the last 10 years verifying chiropractic’s role. Academy of Chiropractic Post-Doctoral Division, Cleveland University- Kansas City, Long Island, NY, 2019

 

Bio-Neuro-Mechanical Mechanism of the Chiropractic Spinal Adjustment; Primary Spine Care 5, The biological, neurological and mechanical mechanisms and pathways from the thrust to the dorsal horn and brain connection and how the brain processes the chiropractic spinal adjustment based upon the literature. Care paths of chiropractic and physical therapy from an outcome basis, Academy of Chiropractic Post-Doctoral Division. Academy of Chiropractic Post-Doctoral Division, Cleveland University- Kansas City, Long Island, NY, 2019

Stroke Anatomy and Physiology: Brain Vascular Anatomy, The anatomy and physiology of the brain and how blood perfusion effects brain function. A detailed analysis of the blood supply to the brain and the physiology of ischemia. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2019

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, 2019

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, 2019

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, 2019

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, 2019

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, 2019

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, 2019

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, 2019

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, 2019

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, 2019

 

Primary Spine Care 2: Spinal Trauma Pathology, Morphology of healthy and traumatized connective tissue and the permanency implication of adhesions, spinal disc morphology in the healthy and pathological patient as sequella to trauma in relationship to bulges, herniations, protrusions, extrusions and sequestrations. Aberrant spinal biomechanics and negative sequella to trauma. Cleveland University – Kansas City, Academy of Chiropractic, Setauket NY, 2019

 

Primary Spine Care 2: Utilizing Research in Trauma, The ability of your electronic health records to convey tissue pathology while documenting case studies, field experiments, randomized trials and systematic literature reviews, Introducing evidence based macros in documentation to support the literature and necessity of care. Cleveland University – Kansas City, Academy of Chiropractic, Setauket NY, 2019

Primary Spine Care 2: Chiropracitc Evidence, Analyzing segmental pathology, adjusting vs. mobilization with cervicogenic headaches, Opioid alternatives and case management of mechanical spine pain based upon outcome studies. Cleveland University – Kansas City, Academy of Chiropractic, Setauket NY, 2019

Primary Spine Care 2: Chiropractic Spinal Adjustment Central Nervous System Processing, Literature reviews of mechanoreceptor, proprioceptor and nociceptor stimulation of later horn gray matter with periaqueductal stimulation affecting the thalamus and cortical regions with efferent distribution in disparate regions of the body in both pain and systemic stimulation. Cleveland University – Kansas City, Academy of Chiropractic, Setauket NY, 2019

Primary Spine Care - Credentials and Knowledge Base,The credentials and knowledge based from an academia perspective when cooperatively treating in a collaborative environment inclusive of understanding pathology and mechanical spine issues. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2019

Primary Spine Care - Spinal Biomechanical Engineering and MRI Spine Interpretation, Integrating Spinal Biomechanical Engineering and MRI Spine Interpretation into a primary spine care model, inclusive of necessity and acquisition protocols. A comprehensive review the latest evidence in documenting mechanical issues. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2019

Primary Spine Care - Hospital Administration, Triage, Clinical Requirements and Collaborative Relationships with Medical Specialists,Understanding hospital and medical specialist's care paths for mechanical spine pathology and integrating the doctor of chiropractic in the hospital and allopathic treatment protocols. Cleveland University – Kansas City, Long Island, NY, 2019

Primary Spine Care - Contemporary Spine Research and Documentation, Central nervous system connection and the thalamus, hypothalamus connection in both ascending and descending central pathways with neuro-endocrine implications that have the mechanisms to be a component of Schizophrenia, Dementia and Alzheimer’s with a linear relationship to the chiropractic spinal adjustment and chronic pain. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2019

Medical-Legal-Insurance Documentation, Accurate and compliant documentation of history and clinical findings inclusive of functional losses, loss of activities of daily living, duties under duress and permanent loss of enjoyment of life. Prognosing static vs. stable care, gaps in care both in the onset and in the middle of passive care with a focus on detailed diagnosing. The integration of chiropractic academia, the court system and the insurance reimburser’s requirements for complete documentation. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2019

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, 2019

 

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, 2019

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, 2019

Orthopedic Testing: Cervical Spine Part 2, Integration of cervical orthopedic testing in the clinical setting to develop a differential diagnosis. Utilizing radiographic and advanced imaging inclusive of MRI and CAT scan findings to verify tissue pathology suspected by orthopedic testing conclusions and developing a treatment plan as sequelae. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2019

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, 2019

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, 2019

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, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2019

Diagnostics, Risk Factors, Clinical Presentation and Triaging the Trauma Patient, An extensive understanding of the injured with clinically coordinating the history, physical findings and when to integrate neurodiagnostics. An understanding on how to utilize emergency room records in creating an accurate diagnosis and the significance of “risk factors” in spinal injury. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2019

Crash Dynamics and Its Relationship to Causality, An extensive understanding of the physics involved in the transference of energy from the bullet car to the target car. This includes G's of force, newtons, gravity, energy, skid marks, crumple zones, spring factors, event data recorder and the graphing of the movement of the vehicle before, during and after the crash. Determining the clinical correlation of forces and bodily injury. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2019

MRI, Bone Scan and X-Ray Protocols, Physiology and Indications for the Trauma Patient, MRI interpretation, physiology, history and clinical indications, bone scan interpretation, physiology and clinical indications, x-ray clinical indications for the trauma patient. Cleveland University – Kansas City,Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2019

Neurodiagnostic Testing Protocols, Physiology and Indications for the Trauma Patient, Electromyography (EMG), Nerve Conduction Velocity (NCV), Somato Sensory Evoked Potential (SSEP), Visual Evoked Potential (VEP), Brain Stem Auditory Evoked Potential (BAER) and Visual-Electronystagmosgraphy (V-ENG) interpretation, protocols and clinical indications for the trauma patient. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2019

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, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2019

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,Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2019

The Current MRI Classification of Lumbar Spine Disc Lesions, MRI sequencing including T1, T2, and STIR with a review of normal anatomy in the sagittal, axial, and coronal planes. Methods to determine the anatomy being viewed when examining the axial images. The current MRI classification of disc lesions will be reviewed to include disc bulge, herniation, protrusion, extrusion, sequestration, and high intensity zones. Classification and meaning of Modic changes as seen on MRI. New York Chiropractic College Postgraduate & Continuing Education Department, Levittown, NY, 2015

Radiological Examination in Cervical Trauma, Review and interpretation of the cervical trauma x-ray series with particular attention regarding outpatient and office based evaluation. AP, lateral, AP open mouth, flexion, extension, right and left oblique x-rays are part of the cervical trauma series that helps develop the diagnosis. Each of these views has a specific significance in injury evaluation, treatment plan development and appropriate referral. Cleveland Chiropractic College, Postgraduate Education, Overland Park, KS, 2015

Spine Update 2015, Triage and evaluation of the spine patient, Differential Diagnosis: Hip or Back, Neck or Shoulder, Cervical Pain Management, Lumbar Pain Management, Lumbar Radiculopathy and Neurogenic Claudication, Cervical Radiculopathy and Myelopathy. Non-Operative Management, and Surgical Management, Spine Fusion and Minimally Invasive Surgical Options. Piedmont Healthcare, Spine Center, Atlanta, GA, 2015

 

Cervical Ligament Injury, Research shows cervical spine ligaments fail in a specific and predictable pattern. A detailed review of the current literature regarding spinal ligaments and spinal ligament failure patterns will be presented. Using x-ray line analysis mensuration and understanding these patterns will lead to improved diagnosis and avoid over-diagnosis. Life University, School of Chiropractic, Postgraduate Education, Marietta, GA, 2015

 

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, 2015

 

 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, 2015

 

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, 2015

 

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, 2015

 

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, 2015

 

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, 2015

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, 2015

Spinal Biomechanics in Trauma, To utilize whiplash associated disorders in various vectors of impact and whiplash mechanisms in determining pathobiomechanics. To clinically correlate annular tears, disc herniations, fractures, ligament pathology and spinal segmental instability as sequellae to pathobiomechanics from trauma. The utilization of digital motion x-ray in diagnoising normal versus abnormal facet motion along with case studies to understand the clinical application. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2015

Spinal Biomechanical Engineering & Organizational Analysis, Integrating spinal biomechanics and pathobiomechanics through digitized analysis.The comparison of organized versus disorganized compensation with regional and global compensation. Correlation of the vestibular, occular and proprioceptive neurological integration in the righting reflex as evidenced in imaging. Digital and numerical algorithm in analyzing a spine. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2015

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, 2015

Spinal Biomechanical Engineering: Lumbar Digital Analysis, Digitalizing and analyzing the lumbar spine images to diagnose pathobiomechanics. This includes anterior and posterior vertebral body elements in rotatioal analysis with neutral, left and right lateral bending in conjunction with gate analysis. Ligament instability/failure/pathology is identified all using numerical values and models.  Review of case studies for analysis of pathobiomechanics using a computerized/numerical algorithm along with corrective guidelines. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2015

Spinal Biomechanical Engineering: Full Spine Digital Analysis, Digitalizing and analyzing the full spine images to diagnose pathobiomechanics as sequellae to trauma in relation to ligamentous failure and disc and vertebral pathology as sequellae. This includes anterior and posterior vertebral body elements in rotatioal analysis with neutral, left and right lateral bending in conjunction with gate analysis. Ligament instability/failure/pathology is identified all using numerical values and models. Review of case studies for analysis of pathobiomechanics using a computerized/numerical algorithm along with corrective guidelines. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2015

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, 2015

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, 2015

 

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, 2015

MRI Spinal Pathology, MRI interpretation of bone, intradural, extradural, cord and neural sleeve lesions. Tuberculosis, drop lesions, metastasis, ependymoma, schwanoma and numerous other spinal related tumors and lesions. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2015

 

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, 2015

 

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, 2015

 

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, 2015

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, 2015

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, 2015

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, 2015

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, 2015

MRI Interpretation of Degenerative Spine and Disc Disease with Overlapping Traumatic Insult to Both Spine and Disc, MRI slices, views, T1, T2, STIR Axial, FFE, FSE and sagittal images in the interpretation of degenerative spondylolesthesis, spinal canal stenosis, Modic type 3 changes, central herniations, extrusions, compressions, nerve root compressions, advanced spurring and thecal sac involvement from an orthopedic, emergency room, chiropractic, neurological, neurosurgical, physical medicine perspective.  Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2015

Head Trauma, Brain Injury and Concussion, Brain and head physiology, brain mapping and pathology as a sequellae to trauma. Traumatic brain injury, mild traumatic brain injury, axonal shearing, diffuse axonal injury and concussion are detailed in etiology and clinically. Clinical presentation advanced diagnostic imaging and electrodiagnostics are detailed in analysis to create a differential diagnosis. Balance disorders that often occur as a result of trauma are also explored from clinical presentation to advance imaging and differential diagnosis. Academy of Chiropractic Post-Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Buffalo, NY, 2015

Impairment, AMA Guides 5th edition, AMA Guides; 5th edition; Measuring Spinal Range of Motion and Combined Value Chart, Impairment and disability rating. Addressing impairment and disability issues. The AMA Guides 5th edition. University of Bridgeport, College of Chiropractic, Postgraduate Division, Bridgeport, CT, 2014

Impairment Apportionment, AMA Guides; 5th edition; Apportionment, The medicolegal system as it relates to apportionment. Minimize risks and failure risks when addressing the apportionment issue. Encourage development and nurturing of skill set risks when addressing the apportionment issue based on evidence-based literature and science. Action steps for minimizing risks when addressing the apportionment issue. University of Bridgeport, College of Chiropractic, CT, 2014

Impairment, Formulating an impairment rating based on evidence-based literature, science and AMA Guides 5th edition criteria, AMA Guides; 5th edition; Common Errors, Some of the criteria used by forensic examiners. Practices that lead forensic examiners to question the credibility of the reports of “IME providers.” The criteria used by impairment rating reviewers. Practices that lead impairment rating reviewers/auditors to question the credibility of reports or raters. Formulating an impairment rating based on evidence-based literature, science and AMA Guides 5th edition criteria. Action steps for minimizing risks when submitting an impairment rating report. University of Bridgeport, College of Chiropractic, Bridgeport, CT, 2014

Maximum Medical Improvement and Apportionment, Assessing the criteria regarding MMI as defined according to the AMA Guides. Understanding Apportionment, previous injuries, pre-existing conditions and previous Impairment Ratings as well as the chief legal issues concerning maximum medical improvement and apportionment. Life University, School of Chiropractic, Postgraduate Education, Marietta, GA, 2012

Treatment of Injuries, Current protocols in the treatment of soft tissue injuries. Risks, benefits and alternatives available in the care and rehabilitation of muscle, ligament, tendon, joint, disc, and nerve injury, and determining the best course of treatment, referral and/or co-management with a medical specialist. Life University, School of Chiropractic, Postgraduate Education, Marietta, GA, 2012

Chiropractic Differential Diagnosis and Treatment Methodologies, Patient triage, recognition of signs and symptoms of disease, disease characteristics and etiologies, emergent care referral, formulation of differential diagnostic impression, chiropractic and alternative treatment of disease. Texas Chiropractic College, Division of Postgraduate Studies, Pasadena, TX, 2008

Chiropractic Documentation Principles, Documentation methodologies in trauma and non-trauma patient, correlation of history, consultation, physical, orthopedic and neurological examinations and diagnostic testing in the triaging and reporting the clinical findings. Medicare/C.P.T. billing code analysis, record keeping and report writing workshop, risk management. Texas Chiropractic College, Division of Postgraduate Studies, Pasadena, TX, 2008

Physical/Orthopedic/Neurological/Chiropractic Examination Skills, Documenting the physical examination techniques and findings, utilization of appropriate physical, orthopedic, neurological, and chiropractic examination testing procedures in the trauma and non-trauma patient. Critical review of the examination and reporting documentation: case presentations. Texas Chiropractic College, Division of Postgraduate Studies, Pasadena, TX, 2008

Independent Chiropractic Examination Essentials, The independent examination process, history taking skill enhancement, establishing the diagnostic impression, establishing bodily injury and causal relationship, apportionment and permanent impairment, independent chiropractic examination report writing workshop, and case presentations. Texas Chiropractic College, Division of Postgraduate Studies, Pasadena, TX, 2008

Rehabilitative Exercise Protocols, Muscle anatomy and physiology, overview of the exercise energy systems, progressive resistance exercise methodologies, aerobic/anaerobic exercise training concepts, rehabilitative exercise treatment protocols, sport specific exercise strength training methods, patient exercise program designs. Texas Chiropractic College, Division of Postgraduate Studies, Pasadena, TX, 2006

Peer Review of Diagnostic Testing Procedures, Background and understanding of diagnostic testing protocols, ordering and interpretation of diagnostic testing. Plain film radiographs, MRI, CT scan, bone scan, myelography, electrodiagnostic testing: EMG, NCV, and SSEP. Texas Chiropractic College, Division of Postgraduate Studies, Pasadena, TX, 2006

Fundamentals of Physiotherapy, Comprehensive analysis of physiotherapy modalities, physiological effects, indications, contraindications and proper dosage of physical therapy modalities, manipulation under anesthesia, Vax-D protocols and guidelines, fundamental of clinical nutrition, alternative treatment methodologies. Texas Chiropractic College, Division of Postgraduate Studies, Pasadena, TX, 2006

Chiropractic Peer Review Essentials, Fundamentals of the peer review process, peer review report writing format and skill development, state/regional/national, chiropractic and cross-discipline treatment guidelines, deposition and courtroom testimony skill development, insurance industries “red flags” initiating the peer review process, peer review case presentations. Texas Chiropractic College, Division of Postgraduate Studies, Pasadena, TX, 2006

Chiropractic Treatment of Auto Accident Injuries, Biomechanics of cervical acceleration, deceleration, injury diagnosis, pathology and physiology of auto related injuries, evaluation and management of head trauma and spinal injuries, auto injury diagnostic testing procedures and triage of the injury patient. Texas Chiropractic College, Division of Postgraduate Studies, Pasadena, TX, 2005

Physical Therapy 101, Electrical stimulation to control pain, wobble board rehabilitation of ankle sprains, the SI joint, specificity, sensitivity, and predictive values of clinical tests of the sacroiliac joint. University of Bridgeport, College of Chiropractic, Bridgeport, CT, 2003

Electrodiagnosis, , Electrodiagnosis and nerve pathology in clinical conditions presenting in chiropractic practice and how they present on electrodiagnostic examination. The physiological principles involved in nerve depolarization and propagation of action potentials as they relate to motor and sensory nerve conduction studies. The physiology and nerve pathology in clinical conditions presenting in chiropractic practice and how they present on electrodiagnostic examination. The utilization of electrodiagnostic testing in the process of differential diagnosis. The setup and recording of compound muscle action potentials, sensory nerve action potentials and F-responses in all major peripheral nerves as well as H-reflex testing. The neuroanatomy as well as clinical applications of EMG and somatosensory and dermatomal evoked potentials. University of Bridgeport, College of Chiropractic Postgraduate Division, Bridgeport, CT, 2003

Quality Improvement/Utilization Management: A Review of the Core Body of Knowledge, Patient Safety, Transitions of Care, Accreditation Organizations, Insurance and Managed Care, Workers’ Compensation, Case Management, Clinical Resource Management, Credentialing and Privileging, Quality Improvement, Quality Management, and Quality Assurance, Risk Management, and Regulatory Environment are the key concepts of the Core Body of Knowledge. American Board of Quality Assurance and Utilization Review Physicians (ABQAURP), New Port Richey, FL, 2002

Accident Reconstruction, Analysis of Low Speed Collisions, Reconstruction for the Medical Practitioner, Reconstruction of low speed collision theories and practical applications, understanding biomechanics of occupant motion within the vehicle and occupant injury and safety system design, impact severity and test methodology, occupant restraints and human subject tolerances, anatomy and biomechanics of spinal and other frequently claimed injuries and comparative activities. Collision Event Makeup: Humans, Vehicles, Environment. Vectors, Force, Mass, Acceleration, Momentum. The mathematical calculations necessary utilizing time, distance, speed, coefficients of friction and acceleration in reconstructing an accident. The application of the documentation acquired from an accident site. Causality and bodily injury, Delta V issues correlated to injury and mortality. Alignment and Departure, front, rear, side impact, oblique and multidirectional crashes and severity of injuries. Anatomy and biomechanics of spinal injuries. Characteristics of Specific Automobile Bumpers in Low-Velocity Impacts and Low Speed Collisions. Texas A&M University, Texas Engineering Extension Services, College Station, TX, 1998

Disorders of the Upper Extremity, Detailed Regional Orthopedic evaluation of the upper extremity; an approach to the consultation, history taking and examination process as it relates to trauma and non-trauma conditions, disease processes and mechanism of injury. Evaluation of each area of the upper extremity, shoulder, elbow, wrist and hand, as they relate to a kinetic chain involving the entire region anatomy. Sprain, strain, tendon, ligament issues, and entrapment syndromes clinical presentations, and differential diagnosis from an orthopedic diagnostic perspective is reviewed in detail. Tumors, pathologies, fractures, and dislocations are reviewed regarding methods of diagnosis along with appropriate referral. The Disorders of the Upper Extremity series of courses comprehensively outlines and reviews the requirements of each areas neuro-musculoskeletal structure and function and provides a detailed regional orthopedic and neurological understanding regarding the examination, imaging and additional testing that may be required to develop the individual patients diagnosis and treatment plan National College of Chiropractic, The National-Lincoln School of Post Graduate Education, Lombard, IL, 1994

Disability Evaluation and the Rating of Physical Impairment, Using AMA Guides to the Evaluation of Permanent Impairment to determine extremity and whole person impairment using the appropriate techniques, conversions and associated graphs and tables Certification in Impairment Rating, National College of Chiropractic, The National-Lincoln School of Post Graduate Education, Lombard, IL, 1990

Clinical Evaluative Procedures, A comprehensive review of patient triage based on presenting signs and symptoms, and the orthopedic and neurological consultation, history, examination and ordering of diagnostic tests related to the neuro musculoskeletal system and the potential for referred pain from other sources. National College of Chiropractic, The National-Lincoln School of Post Graduate Education, Lombard, IL, 1990

Immobilization for the Orthopedic Specialist, Review of casting, splinting, and taping, custom orthosis, soft supports, hard supports, and stabilizing supports commonly used in the management of neuro musculoskeletal injuries and disease National College of Chiropractic, The National-Lincoln School of Post Graduate Education, Lombard, IL, 1990

Disorders of the Thoracic Spine, Lumbar Spine, Pelvis and Hip, Detailed Regional Orthopedic evaluation; an approach to the consultation, history taking and examination process as it relates to trauma and non-trauma conditions, disease processes and mechanism of injury. Evaluation of each area, lumbar spine, pelvis, and hip, as they relate to a kinetic chain involving the entire region anatomy. Thoracic and lumbar vertebral motor unit construction, vertebral bodies, ligaments, tendons, capsules, muscles, intervertebral discs, and axis of motion. Sprain, strain and intervertebral disc displacement/herniation clinical presentations, and differential diagnosis from an orthopedic diagnostic standpoint is reviewed in detail. Thoracic and lumbar neurological clinical presentations of clinical signs and symptoms of radicular origin as well as the significant and consequential clinical presentation of lumbar cauda equina syndrome and the need for timely referral for surgical decompression of this condition are discussed in detail. Tumors, pathologies, fractures, and dislocations are reviewed regarding methods of diagnosis along with appropriate referral. The Disorders of the Thoracic Spine, Lumbar Spine, Pelvis and Hip, series of courses comprehensively outlines and reviews the requirements of each areas neuro-musculoskeletal structure and function and provides a detailed regional orthopedic and neurological understanding regarding the examination, imaging and additional testing that may be required to develop the individual patients diagnosis and treatment plan. National College of Chiropractic, The National-Lincoln School of Post Graduate Education, Lombard, IL, 1989

 

Disorders of the Cervical Spine, Detailed Cervical Regional Orthopedic evaluation; an approach to the consultation, history taking and examination process as it relates to trauma and non-trauma conditions, disease processes and mechanism of injury. Evaluation of the Cervical Spine anatomy, motor unit construction, vertebral bodies, ligaments, tendons, capsules, muscles, intervertebral discs, and axis of motion. Sprain, strain, intervertebral disc herniation and clinical presentations, and differential diagnosis from an orthopedic diagnostic standpoint is reviewed in detail. Cervical neurological clinical presentations and neurological evaluation of radicular compression, and cervical cord compression, and the resulting myelopathic clinical presentation are discussed in detail. Tumors, pathologies, fractures, dislocations are discussed regarding methods of diagnosis along with appropriate referral. The Cervical Spine Disorders series of courses comprehensively outlines and reviews each area of the cervical spines neuro-musculoskeletal structure and function and provides a detailed regional orthopedic and neurological understanding regarding the examination, imaging and additional testing that may be required to develop the individual patients diagnosis and treatment plan. National College of Chiropractic, The National-Lincoln School of Post Graduate Education, Lombard, IL, 1989

 

Clinical Neurology, Discussed in detail are the central and peripheral nervous systems, spinal nerve roots, cranial nerves and autonomic nervous system. Clinical examination procedures regarding Mental, Mood, Memory, Behavior, Coordination, Gait and Equilibrium evaluation as these relate to disease and/or trauma. Electrodiagnostic and other testing to evaluate the presence of trauma, disease or pathology. National College of Chiropractic, The National-Lincoln School of Post Graduate Education, Lombard, IL, 1989

 

Orthopedic Radiology, Skeletal and related soft tissues radiology for the Orthopedic Practice, skeletal pathology and normal variants. Pathological and degenerative processes as it relates to demographic risk and associated history of trauma. Skeletal trauma, fractures, dislocations and ligament laxity and validation based on mechanism of injury. National College of Chiropractic, The National-Lincoln School of Post Graduate Education, Lombard, IL, 1988

 

Impairment Rating and the Law, The rating of permanent impairment for disability evaluation based on the “American Medical Association’s Guides to the Evaluation of Permanent Impairment.” Kaplan Seminars, Coco, FL, 1985

 

The Rating of Physical Impairment for Disability Evaluation, Using AMA Guides to the Evaluation of Permanent Impairment, determine extremity and whole person impairment using the appropriate techniques, conversions and associated graphs and tables Certification in Impairment Rating, National College of Chiropractic, The National-Lincoln School of Post Graduate Education, Lombard, IL, 1984

 

Proficiency in X-Ray, Certificate, Graduate X-Ray study in the specialty field of Spinal and Skeletal Disorders. Normal skeletal structure, and common variants as well as tumors and various pathologies typically seen in clinical practice. Degenerative disc and joint disease and other skeletal degenerative presentations. Mensuration, normal biomechanical alignment, identification and evidence of skeletal trauma with focus on the Spine. Certification in Graduate X-Ray, Erhardt Roentgenology Seminars, Atlanta, GA, 1982

 

SELECTED TEACHING/INSTRUCTING/LECTURING/CONSULTING

 

Registered Review Agent, Georgia Board of Chiropractic Examiners, Certificate # CHIR01911, 2010 - Present

 

Examiner, Part IV, National Board of Chiropractic Examiners, Atlanta, GA, 1999 – Present

 

Consultant, Independent Medical Examination and Peer Review consulting, Atlanta, GA, 1984 – Present

 

Faculty Member, Health Care Professions, University of Phoenix, Atlanta, GA, 2005 – 2018

 

Lead Faculty, Area Chair, College of Natural Science, University of Phoenix, Atlanta, GA, 2008 - 2011

 

Lecturer, Understanding the Mechanisms and Potential for Injury as a Result of a Motor Vehicle Crash, High Visibility, Ltd, Atlanta, GA, 1998 - 2004

 

Lecturer, When the Damage is Done: The Nuts and Bolts of Low Impact Collisions, High Visibility, Ltd, Atlanta, GA, 1998 - 2004

 

SELECTED PUBLICATIONS

 

Jahn, W., et al. (1999). Keeping junk chiropractic out of court. Journal of Manipulative and Physiological Therapeutics, Vol 22(Issue 8), 545 - 547.

 

SELECTED MEMBERSHIPS

 

American Public Health Association, Member, 2001 – Present

 

American Academy of Chiropractic Orthopedists, Member, 1997 – Present

 

Georgia Chiropractic Association, Member, 1984 – Present

 

Academy of Chiropractic Orthopedists, Clinical Interdisciplinary Protocols Syllabus Development for the Masters of Science in Physical Medicine & Rehabilitation, Chairman, 2007 – 2008

 

American Chiropractic Association, Georgia Blue Cross Blue Shield Chiropractic Clinical Integration Program, Georgia Liaison, 2002 – 2003

 

Georgia Chiropractic Association, Peer Review Committee, Member, 2002 – 2003

 

SELECTED HONORS AND AWARDS

 

College of Natural Sciences, Faculty Academic Excellence, University of Phoenix, Atlanta Campus, 2009