SELECTED POST-GRADUATE EDUCATION, CERTIFICATIONS AND DIPLOMATES
| 2023 National Spine Management Conference South – Role of a Spine Management Physician, Outline and overview of what a Spine Management Physician is, and the present day need in healthcare.
Details relating to the Doctor of Chiropractic filling that role with specific discussion related to WHY
physical therapy, nurse practitioners or physician assistants are unable to fill this position. Overview of
a spine manager’s role in the evaluation and triage of non-operative spine patients was presented.
Introduction to the diagnosis of non-specific spine pain was outlined with focus on the needs of primary
care, pain management and spinal surgeons. National Spine Management Group, LLC, Parker
University, Alabama State Board of Chiropractic Examiners, Kentucky Board of Chiropractic, Louisiana
State Board of Chiropractic Examiners, Texas Board of Chiropractic Examiners, Florida Board of
Chiropractic Medicine, Arizona Board of Chiropractic Examiners, Federation of Chiropractic Licensing
Boards – PACE, 2023 | | | | | 2023 National Spine Management Conference South – Moving From a Curative Model of Spine Care, A comprehensive look at the history of spinal care, degenerative changes and both regional and
global spinal compensation. Outline the spine as a whole organ system that must be monitored in relation
to physical activity, lifestyle, and traumatic patient history was discussed and presented. Application of
spine management principles mirroring internal medicine disorders was presented and reviewed. Specific
peer reviewed medically index research was presented outlining initial criteria for determining medical
necessity of supportive spine care. National Spine Management Group, LLC, Parker University, Alabama
State Board of Chiropractic Examiners, Kentucky Board of Chiropractic, Louisiana State Board of
Chiropractic Examiners, Texas Board of Chiropractic Examiners, Florida Board of Chiropractic
Medicine, Arizona Board of Chiropractic Examiners, Federation of Chiropractic Licensing Boards –
PACE, 2023 | | | | | 2023 National Spine Management Conference South – Interprofessional Communication with Primary Care Physicians, Research trends and working with primary care physicians was outlined.
Focus on the conservative management of spinal conditions, aiding the primary care clinic and working
to prevent unnecessary escalation of care. Reduction in opioid utilization and reduced surgery trends will
be discussed. Research documenting modulation of pain at the central nervous system level with the
chiropractic adjustment was presented. Application to real world scenarios including evaluation and
management documentation was reviewed. Details of effective communication were presented including
phone call, email, fax, and text messaging within the HIPAA compliance environment was discussed.
National Spine Management Group, LLC, Parker University, Alabama State Board of Chiropractic
Examiners, Kentucky Board of Chiropractic, Louisiana State Board of Chiropractic Examiners, Texas
Board of Chiropractic Examiners, Florida Board of Chiropractic Medicine, Arizona Board of Chiropractic
Examiners, Federation of Chiropractic Licensing Boards – PACE, 2023 | | | | | 2023 National Spine Management Conference South – Interprofessional Communication with Pain Management Physicians, Chiropractic diagnosis of spinal ligament pathology will be discussed in the
context of co-management with pain management specialists. Specific review of the role of a fellowship
trained interventional pain management physician in your community will be presented. Review of
epidural steroid injection, medial branch block and spinal ablation will be presented in the context of
when and how to refer. National Spine Management Group, LLC, Parker University, Alabama State
Board of Chiropractic Examiners, Kentucky Board of Chiropractic, Louisiana State Board of Chiropractic
Examiners, Texas Board of Chiropractic Examiners, Florida Board of Chiropractic Medicine, Arizona
Board of Chiropractic Examiners, Federation of Chiropractic Licensing Boards – PACE, 2023 | | | | | 2023 National Spine Management Conference South – Interprofessional Communication with the Spine Surgeon, Spinal sagittal balance and spine surgery research trends will be reviewed.
Chiropractic’s role in the conservative management of spinal biomechanics pre-surgery and post-surgery
will be outlined. Terminology and documentation requirements will be presented. National Spine
Management Group, LLC, Parker University, Alabama State Board of Chiropractic Examiners, Kentucky
Board of Chiropractic, Louisiana State Board of Chiropractic Examiners, Texas Board of Chiropractic
Examiners, Florida Board of Chiropractic Medicine, Arizona Board of Chiropractic Examiners,
Federation of Chiropractic Licensing Boards – PACE, 2023 | | | | | 2023 National Spine Management Conference South – Anatomy and Physiology of the Healthy Intervertebral Disc, Anatomy of the healthy intervertebral disc and its nerve supply will be reviewed. A
brief overview of the biochemical structure of the intervertebral disc will be presented. The role of the
intervertebral disc as a spinal stabilizer and its influence on facet joint function will be outlined. Specific
attention will be given to radiologic vocabulary such as intervertebral disc herniation, extrusion,
sequestration, and traumatic annular tears. National Spine
Management Group, LLC, Parker University, Alabama State Board of Chiropractic Examiners, Kentucky
Board of Chiropractic, Louisiana State Board of Chiropractic Examiners, Texas Board of Chiropractic
Examiners, Florida Board of Chiropractic Medicine, Arizona Board of Chiropractic Examiners,
Federation of Chiropractic Licensing Boards – PACE, 2023 | | | | | 2023 National Spine Management Conference South – Anatomy and Physiology of the Degenerated Intervertebral Disc, Anatomy of the degenerative intervertebral disc and its nerve supply will be
reviewed. An overview of the biochemical process of intervertebral disc degeneration will be outlined.
Specific attention will be given to the Pfirrmann Scale and radiographic terms such as desiccation,
intervertebral disc bulge and degenerative annular tears. National Spine Management Group, LLC, Parker University, Alabama State Board of Chiropractic Examiners, Kentucky Board of Chiropractic, Louisiana State Board of Chiropractic Examiners, Texas Board of Chiropractic Examiners, Florida Board of Chiropractic Medicine, Arizona Board of Chiropractic Examiners, Federation of Chiropractic Licensing Boards – PACE, 2023 | | | | | 2023 National Spine Management Conference South – Basic Spinal Biomechanical Modeling , Basic spinal biomechanical principles will be reviewed including sagittal spinal alignment and
coronal positioning in relation to the spinal facet joints. Research trends including symptomatic vs
asymptomatic spinal parameters will be presented in the context of the Doctor of Chiropractic as the
portal of entry spine care provider. National Spine Management Group, LLC, Parker University, Alabama State Board of Chiropractic Examiners, Kentucky Board of Chiropractic, Louisiana State Board of Chiropractic Examiners, Texas Board of Chiropractic Examiners, Florida Board of Chiropractic Medicine, Arizona Board of Chiropractic Examiners, Federation of Chiropractic Licensing Boards – PACE,
2023 | | | | | 2023 National Spine Management Conference South – Spinal Ligament Histological Structure and Function , Histology of ligament structure and function will be presented. Microanatomy and the wound
repair process will be discussed. Structural deficits post ligament injury will be presented and reviewed.
Anatomical positioning of ligamentous structures will be outlined with specific attention to the spinal
enthesis and the difference between an enthesophyte and osteophyte in spinal degeneration. National Spine Management Group, LLC, Parker University, Alabama State Board of Chiropractic Examiners, Kentucky Board of Chiropractic, Louisiana State Board of Chiropractic Examiners, Texas Board of Chiropractic Examiners, Florida Board of Chiropractic Medicine, Arizona Board of Chiropractic Examiners, Federation of Chiropractic Licensing Boards – PACE,
2023 | | | | | 2023 National Spine Management Conference South – Spinal Ligament Traumatic Pathology , Ligament pathology as a source of persistent spinal pain and dysfunction will be outlined and reviewed. Objectifying ligament injury will be presented, and context will be provided using plain film radiographs and MRI examples. Focus on facet capsules and interspinous ligament will be central to the discussion. National Spine Management Group, LLC, Parker University, Alabama State Board of Chiropractic Examiners, Kentucky Board of Chiropractic, Louisiana State Board of Chiropractic Examiners, Texas Board of Chiropractic Examiners, Florida Board of Chiropractic Medicine, Arizona Board of Chiropractic Examiners, Federation of Chiropractic Licensing Boards – PACE, 2023 | | | | | 2023 National Spine Management Conference South – Compliance and Documentation , Review of federal documentation guidelines with specific focus on CPT coding for initial and re-evaluation visits. Detailed outcomes of documentation audits by insurance carriers, regulator and special investigators will be presented in a case study format. Emphasis will be placed interprofessional communication and compliance. National Spine Management Group, LLC, Parker University, Alabama State Board of Chiropractic Examiners, Kentucky Board of Chiropractic, Louisiana State Board of Chiropractic Examiners, Texas Board of Chiropractic Examiners, Florida Board of Chiropractic Medicine, Arizona Board of Chiropractic Examiners, Federation of Chiropractic Licensing Boards – PACE, 2023 | | | | | 2023 National Spine Management Conference South – Trends in Chiropractic Research , Review and discussion of 2022/2023 research supporting the chiropractic profession and the
doctor of chiropractor as a spine care manager. Specific papers will be presented related to the pain
management, corrective, and health maintenance phases of chiropractic care. Overview of current and
future research trends will be demonstrated. National Spine Management Group, LLC, Parker University, Alabama State Board of Chiropractic Examiners, Kentucky Board of Chiropractic, Louisiana State Board of Chiropractic Examiners, Texas Board of Chiropractic Examiners, Florida Board of Chiropractic Medicine, Arizona Board of Chiropractic Examiners, Federation of Chiropractic Licensing Boards – PACE,
2023 | | | | | Spine Management Grand Rounds Internet Live and recorded Regularly Scheduled Series – Pathophysiology of Craniocervical Arterial Dissection, - detailed review of the anatomical structure and layers of the arterial wall was presented including the tunica externa, intima, and adventitia. Discussion of intimal tearing and thrombus formation was provided focused on hypoxic clinical patient presentations. Diagnostic angiography as the gold standard was presented. Clinical presentation of craniocervical arterial dissection was reviewed with past medical history such as genitive connective tissue disorders such as fibromuscular dysplasia, Ehlers-Danlos, Marfan, and Loeys-Dietz syndromes. Delineation between musculoskeletal and vascular manifestations of head/neck pain was presented and outlined with particular attention being given to hypoxic clinical presentations. 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 – 2023 | | | | | Diagnosis and Management of Anterior Sacral Contusion, – overview and discussion of
contusion of the anterior sacral ala in an elite college cross-country runner. Physical examination
outlining range of motion, neurological and orthopedic examination was reviewed and correlated to the
subjective complaint of right sided lower back pain. Misdiagnosis was presented and long-standing
symptoms resulting in possible cessation of play for this athlete. Discussion of interprofessional
communication with the neuroradiologist and subsequent MRI order with slices through the anterior
sacrum was reviewed and 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 – 2022 | | | | | Diagnosis and Management of Persistent Spine Pain –, – overview and discussion of spinal anatomy
including intervertebral discs, ligaments, spinal nerves, spinal cord, and facet capsule was
presented. Emphasis was placed on differential diagnosis, physical examination and clinical correlation
of injury mechanism and patient complaint. Specific outline of facet joint injury and joint effusion was
demonstrated and discussed using T1, T2 and STIR weighted MRI scans of the lumbar spine with specific
attention paid to the right L3 facet joint. Interprofessional communication in documentation and referral
for interventional pain management consulting was presented with emphasis on facet or medial branch
block injections. 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 2022 | | | | | Clinical Grand Rounds – Chiropractic Management of Head and Neck Trauma, Trauma – review of types of tissue injured in head and neck trauma including muscle,
nerve, intervertebral disc, ligament, spinal cord, vertebral body, artery, or vein was
presented. Clinical correlation of mechanism of injury, patient history, subjective
complaint, physical examination, advanced imaging findings and electrodiagnostic
testing was emphasized. Interprofessional communication and review of any
diagnostic dilemmas was reviewed. Spinal compressive radiculopathy versus acute
nerve injury without prolonged compression was presented. Differential diagnosis
between ligament, intervertebral disc and nerve pathology was outlined in depth and
presented. Emphasis was presented on spinal nerve manifestations of ligament
injury in the cervical spine. Spine Management Group, LLC, Federation of
Chiropractic Licensing Boards – PACE, State University of New York at Buffalo Jacobs
School of Medicine, and Biomedical Sciences 2022 | | | | | Diagnosis and Management of Lumbar Arachnoiditis, – outline of the causes of arachnoiditis in the
human spine was presented. Specific focus was on a case of lumbar arachnoiditis involving the cauda
equina evidenced on T1, T2 sagittal and axial MRI. Treatment options and lack of curative interventions
was presented. Relevant anatomy of the lumbar spine including cauda equina, conus medullaris, filum
terminale, dura mater, pia mater and arachnoid mater were reviewed in detail. Review of arachnoiditis
and chiropractic adjustment were discussed as well as interprofessional coordination of care with
interventional pain management and surgical consultation. 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 2022 | | | | | Diagnosis and Management of Lumbar Disc Herniation, – case review of traumatically
induced 10mm L5-S1 intervertebral disc extrusion was presented. Correlation of neurological
examination including testing of myotomes, dermatomes and deep tendon reflexes was
presented. Detailed review of sagittal T1, sagittal T2, axial T1, axial T2 as well as STIR images were
presented. Clinical referral for surgical consultation was outlined and clinical rationale was
presented. Review of the different between anatomical and functional sources of pain were outlined
with a focus on biomechanical parameters such as pelvic incidence. 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 – 2022 | | | | | Chiropractic Science Research, – review and presentation of updated peer-reviewed
medically indexed research supporting chiropractic management of spine pain was detailed.
Timeline of publication was emphasized with three years being the maximum timeframe for
up-to-date data. Comprehensive review of evidence supporting chiropractic management of
the spine pain patient in the Pain Management, Corrective, and the Health Maintenance
Phases of care. Methods to communicate this evidence to the medical and legal communities
was presented in the context of compliant patient centered clinical documentation. Efficiency
of a Spine Management Physician versus conventional primary care was presented. Emphasis
on the hierarchy of published evidence starting with Foundational Evidence up to Level 1
evidence was presented. National Spine Management Group, LLC, Federation of
Chiropractic Licensing Boards, Cleveland University Kansas City, College of Chiropractic – Ft.
Lauderdale, Florida 2022 | | | | | Documentation and Communication in Spine Management, Management – presentation of compliant
healthcare documentation including E/M initial and re-evaluations, daily progress notes and
medical-legal narrative reports was provided. Workflows detailing interprofessional referral
language, advanced imaging requests and patient communication were detailed. Streamlined
processes for creating and maintaining compliant, evidence based, patient centered clinical
reporting was given. Emphasis was placed on the role of a Spine Management Physician in
the processes of interprofessional communication and case management. National Spine
Management Group, LLC, Federation of Chiropractic Licensing Boards, Cleveland University
Kansas City, College of Chiropractic – Ft. Lauderdale, Florida 2022 | | | | | Histology and Physical Tolerance of Spinal Ligaments, – presentation of the histological
structural organization of spinal ligaments including analysis of tropocollagen as the basis for
anatomical structure. Review of the structural hierarchy of the spinal ligament from
microscopic to macroscopic was included. Anisotropic properties of spinal ligaments were
defined, and examples presented. Detailed review of spinal entheses was presented with
emphasis on advanced imaging and chronic enthesopathy. New insights into the
pathogenesis, diagnostic modalities, and treatment of spinal enthesitis was outlined and
presented. Specific focus was on traumatic injury to the spinal entheses and the difference in
formation of spinal osteophytes and enthesophytes. Biomechanics of the degenerative spine
was detailed and reviewed in terms of clinical spine management. National Spine
Management Group, LLC, Federation of Chiropractic Licensing Boards, Cleveland University
Kansas City, College of Chiropractic – Ft. Lauderdale, Florida 2022 | | | | | Accident Reconstruction and Expert Reporting, – Crash dynamics and basic physics
formulas were presented and detailed. Review of biomechanical expert reports and included
mathematics was discussed with context given to data collection and accuracy. Spinal injury
thresholds were reviewed as well as the Law of Conservation of Energy and its relationship to
crash dynamics. Specific mathematical examples were presented including workflows to
review the accuracy of biomechanical expert reporting and mathematical formulas. National
Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Cleveland
University Kansas City, College of Chiropractic – Ft. Lauderdale, Florida 2022 | | | | | Degenerative versus Acute Ligament Laxity, – an updated scientifically validated grading
system for the identification of degeneration of the intervertebral disc and motion segment
was presented. Details such as radiographic signs of disc degeneration including loss of disc
height, osteophyte formation and diffuse sclerosis were provided. Grading examples were
provided in radiographic and gross specimen form starting with Grade 0 (no degeneration) to
Grade 3 (severe degeneration). Outline of the validity and interobserver agreement of this
grading system was shown for both the cervical and the lumbar spine. Review and emphasis
on the difference between osteophyte formation and enthesophytes was again outlined.
National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards,
Cleveland University Kansas City, College of Chiropractic – Ft. Lauderdale, Florida 2022 | | | | | Clinical Grand Rounds – Chiropractic Management of Upper Extremity Neurologic Deficits and Pre-existing Intervertebral Disc Pathology, – review of objectification of neurological deficits
including loss of sensation, aberrant deep tendon reflexes, loss of strength and the presence of
pathological reflexes was presented and discussed. Criteria for co-management in the presence
of neurological deficits with the pain management physician and the spine surgeon was
outlined. Detailed presentation on CPT coding and E/M documentation requires was discussed
and reviewed. Absolute and relative contraindications to chiropractic care was demonstrated
and 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 – 2022 | | | | | Clinical Grand Rounds – Trial Testimony and the Spine Management Patient, Patient – discussion and
presentation of the trial process and requirements of both the treating physician and expert physician was
outlined. Emphasis was placed on detailed preparation of case flow and objective demonstrable findings.
Review of courtroom proceedings including witness and expert testimony was included. Expert versus
treating physician requirements were presented. Emphasis was placed on thorough evaluation and
narrative reporting processes to prepare for court room questioning. Specific review of illustration of
demonstrative evidence 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 – 2022 | | | | | Clinical Grand Rounds – x-ray dosage, sagittal balance and surgery success rates, – discussion
related to millisievert and cumulative effective dose was presented. Outline of the definition and research
process of achieving Minimal Clinical Important Difference in spine surgery was discussed. CED levels
below 100mSv was reviewed and compared to patients receiving multiple plain film
radiographs. Discussion and relation of spinal biomechanics, sagittal balance, utilization of spine
radiographs and MRI to working with the neurosurgeon 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 – 2022 | | | | | Chiropractic Diagnosis of ligament injury to the upper cervical region was presented., The methods and tools to determine injury to the Occipital-Atlanto and Atlanto-Axial ligaments were presented. Correlation to mechanism of injury and medical legal reports were reviewed. The AO standards for spinal instability was presented. 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 – Prevalence of Spinal Degeneration , Discussion of the clinical
occurrence of spinal degenerative conditions such as Diffuse Skeletal Hyperostosis
(DISH), central stenosis, foraminal stenosis, degenerative disc disease and
osteoporosis was presented. Advanced imaging and plain film radiological utilization
in the diagnosis of spinal degermation was outlined and reviewed. Acute versus
degenerative conditions in the spine were reviewed and detailed in relation to
traumatic and non-traumatic events. Consensus driven parameters in the
identification and rating of degenerative change severity was discussed. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, 2021 | | | | | Clinical Grand Rounds – Types of Annular Fissures on Advanced and Plain Film Imaging –, detailed review of the structure and function of the human intervertebral disc was presented
including annulus fibrosis, nucleus pulposus, cartilaginous endplate and sharpey’s
fibers. Diagrams as well as MRI images were outlined and reviewed in both the cervical and
the lumbar spines with particular focus on the difference between degenerative and
traumatically induced changes. High intensity zone (HIZ) as a characteristic of injury to the
posterior aspect of the annulus fibrosis best visualized on T1 sagittal MRI images. Detailed
comparison of axial and sagittal T1, T2 and STIR images was outlined, discussed, and
reviewed. National Spine Management Group, LLC, Federation of Chiropractic Licensing
Boards, State University of New York at Buffalo Jacobs School of Medicine and Biomedical
Sciences – 2021 | | | | | Clinical Grand Rounds – 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, State University of New York at Buffalo Jacobs School of Medicine and Biomedical
Sciences – 2021 | | | | | Clinical Grand Rounds – 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 – 2021 | | | | | Clinical Grand Rounds – Classification of Degenerative Cervical Degenerative Disc Disease , – 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 – 2021 | | | | | Clinical Grand Rounds – 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 – 2021 | | | | | Spine Management Clinical Workflows, – in-depth review and discussion of the Doctor of Chiropractic as a
Spine Management Physician with specific focus on the diagnosis and management of spine pain of
mechanical origin. Details were outlined in relation to triage of anatomical causes of spine pain such as
fracture, tumor, infection. National Spine Management Group, Cleveland University Kansas City,
Chiropractic and Health Sciences, Federation of Chiropractic Licensing Boards, Buffalo, NY, Lehi, UT
2021 | | | | | Pain Management and the Chiropractic Adjustment, – Current peer reviewed indexed research
demonstrating the chiropractic adjustment’s effect on the central nervous system and pain threshold was
outlined and reviewed. Anatomical review and contemporary supportive research were discussed. Details
of central nervous system response to the chiropractic adjustment was reviewed and demonstrated.
National Spine Management Group, Cleveland University Kansas City, Chiropractic and Health Sciences,
Federation of Chiropractic Licensing Boards, Buffalo, NY, Lehi, UT 2021 | | | | | Corrective Spinal Care and Chiropractic Case Management, - Current peer reviewed indexed research
demonstrating the chiropractic adjustment’s effect on the biomechanical structure of the human spine
during the corrective/rehabilitative phase of care. Basic outline of biomechanical parameters in
symptomatic and asymptomatic patients was reviewed with particular focus on pathobiomechanics in
chiropractic practice. National Spine Management Group, Cleveland University Kansas City, Chiropractic
and Health Sciences, Federation of Chiropractic Licensing Boards, Buffalo, NY, Lehi, UT 2021 | | | | | Health Maintenance Care and Chiropractic Case Management , - Current peer reviewed indexed research
demonstrating the chiropractic adjustment’s effect on the maintenance of the human spine. Details of
indexed research reviewing Chiropractic’s role in the reduction of narcotic utilization and decreased
absenteeism from work due to disability. Communicating Health Maintenance Care to the medical
profession and the public was emphasized. National Spine Management Group, Cleveland University
Kansas City, Chiropractic and Health Sciences, Federation of Chiropractic Licensing Boards, Buffalo, NY,
Lehi, UT 2021 | | | | | Evidence Based Clinical Reporting, – overview of current CPT and ICD-10 coding guidelines pertaining to
the evaluation and management of spine pain patients was presented. Timed codes, relevant diagnosis
related to injured tissue was presented. Specific discussion of proper format of the Assessment portion of
clinical documentation was presented. Review of the difference between daily progress notes and
Evaluation and Management [E/M] reporting was provided. National Spine Management Group,
Cleveland University Kansas City, Chiropractic and Health Sciences, Federation of Chiropractic Licensing
Boards, Buffalo, NY, Lehi, UT 2021 | | | | | Cervical Spine Clinical Workflows, – detailed review of workflows of a thorough patient history and
identification of clinical red flags related to relative and absolute contraindications to chiropractic care was
presented. Outline of neurological examination including pathological reflexes present during spinal cord
compression, cervical stenosis and cervical myelomalacia was discussed. Normal vs abnormal
measurement of range of motion objectifying spinal dysfunction was presented. Specific orthopedic
testing related to specific muscle, nerve or intervertebral disc injury was discussed. Review of
interprofessional triage and imaging decision tree was outlined with specific focus on the pain
management physician and spinal surgeon. National Spine Management Group, Cleveland University
Kansas City, Chiropractic and Health Sciences, Federation of Chiropractic Licensing Boards, Buffalo, NY,
Lehi, UT 2021 | | | | | Clinical Grand Rounds – 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, State University of New York at Buffalo Jacobs School of Medicine and Biomedical
Sciences – 2021 | | | | | Clinical Grand Rounds – Pelvic Incidence,, Chiropractic and the Spine Surgeon –
detailed analysis of the historical publication of Pelvic Incidence as a integral part of
sagittal spinal balance. Inter-professional communication with the surgeon using peer
reviewed medically indexed biomechanical parameters was outlined and
presented. Functional interaction between the spine and pelvis was demonstrated
and discussed. Components of Pelvic Incidence, sacral slope, pelvic tilt and femoral
heads were reviewed and demonstrated on plain film radiographs. Specific updated
research regarding spinal pelvic balance and pelvic incidence measurements was
provided. National Spine Management Group, LLC, Federation of Chiropractic
Licensing Boards, State University of New York at Buffalo Jacobs School of Medicine
and Biomedical Sciences – 2021 | | | | | Clinical Grand Rounds – Chiropractic Management of Cervical Myelopathy, – review of all relevant spinal
anatomy in the cervical and lumbar spine including vertebral bodies, central canal, neuroforamen,
ligamentum flavum, anterior and posterior longitudinal ligaments, facet capsule, interspinous ligament,
supraspinous ligament and spinal cord anatomy. Review of spinal cord anatomy included white and
gray matter, ventral and dorsal nerve roots, spinal nerve including the dura mater, arachnoid mater and
pia mater. Specific review of patient history, mechanism of injury, physical examination including
neurological and orthopedic evaluation as well as criteria for ordering and reading advanced imaging
such as MRI and CT were presented in relation to cervical myelopathy, spinal cord compression and
myelomalacia. Patient centered; consensus driven clinical diagnosis including interprofessional
communication was presented, specific presentation relating to diagnostic outcomes and management.
Attention was given to MRI and CT myelogram in both the uncomplicated and complicated 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 2021 | | | | | Clinical Grand Rounds – Aberrant Spinal Motion and Degenerative Disc Disease, – research analysis of
mechanic factors as etiology of intervertebral disc degeneration. Review of spinal tissue mechanics and
their relation to mechanical stress was discussed and corelated to abnormal changes in the structure and
composition of the intervertebral disc. Detailed discussion of ingrowth of pain transmitting nerve fibers
into degenerative intervertebral discs and their relationship to acute and chronic pain was
presented. Clinical correlation between congenital malformations of the spine, including scoliosis,
kyphosis, spina bifida, spondylolysis and Klippel Feil syndrome), accidental back injury or ligament injury,
occupational exposure and causing aberrant mechanical loading of lumbar spine, and intervertebral disc
degeneration visible on T1, T2 and STIR MRI, sagittal and axial sequences 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 2021 | | | | | Clinical Grand Rounds – Diagnosis of Ossification of Anterior Longitudinal Ligament , – discussion of the
different types of Ossification of Anterior Longitudinal Ligament (OALL) including Segmental, Continuous
and Mixed in the sagittal plane. Review of axial classification including Flat, Nodular and Globular was
presented. Anatomy of spinal ligaments including the anterior and posterior longitudinal ligament and
their attachments was outlined. Context of dysphagia, its progression, symptoms and need for referral
was reviewed and outlined. National Spine Management Group, LLC, Federation of Chiropractic
Licensing Boards, State University of New York at Buffalo Jacobs School of Medicine and Biomedical
Sciences 2021 | | | | | Clinical Grand Rounds – Chiropractic Management of Chronic Spine Pain, – Discussion of
chronic spine pain as a Public Health issue and Chiropractic’s role in its diagnosis and
management. Epidemiological statistics of chronic pain sufferers consulting Doctors of
Chiropractic in the United States was presented. Outline of a spinal function and
preventative model as opposed to a curative process was presented and reviewed.
National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards,
State University of New York at Buffalo Jacobs School of Medicine and Biomedical
Sciences – 2021 | | | | | 2021 Spine Management Conference-West– The Spine Management Physicians- , – discussion of
the Spine Management Physician concept utilizing supportive evidence was presented. Outline
of trends in spinal pain management versus a curative model was discussed. Credentials,
training, and triage methods were demonstrated for the Doctor of Chiropractic to increase
proficiency in spine management. Scientific evidence supporting the need for a portal of entry
physician dedicated to spine management oversight was outlined. Key differences between
Spine Management Physician and Primary Spine Care were discussed. National Spine
Management Group, LLC, Federation of Chiropractic Licensing Boards, Cleveland University of
Health Sciences, College of Chiropractic, Kansas City 2021 | | | | | 2021 Spine Management Conference – West – Chiropractic Evidence, – Pain Management Care
– outline of neurological mechanisms of central nervous system modulation of pain in the
human body was demonstrated. Specific peer-reviewed, medically indexed evidence was
presented starting with 2012 Systematic Review outlining spinal manipulation’s effectiveness in
pain management. Current evidence as well as future trends were discussed and presented.
Neurological downregulation was discussed including afferent and efferent neurological
pathways regulated by the dorsal horn of the spinal cord. Interprofessional communication and
compliant documentation of the pain management phase of care was emphasized. National
Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Cleveland
University of Health Sciences, College of Chiropractic, Kansas City 2021 | | | | | 2021 Spine Management Conference – West – Chiropractic Evidence, – Corrective Care –
specific trends in the biomechanical assessment of the human spine were provided and
discussed. Emphasis was placed on the transfer of laboratory based biomechanical science and
clinical utilization of biomechanical parameters in the diagnosis and correction of spinal
biomechanical pathology. Peer reviewed medically indexed publications defining symptomatic
vs asymptomatic were presented and discussed. Sagittal alignment and its relation to pelvic
incidence was reviewed in relation to asymptomatic parameters. Interprofessional
communication relating to biomechanical stabilization and spinal rehabilitation was outlined
and reviewed. Review of a regional versus whole spine model of spine management was
presented emphasizing the needs of the patient, primary care physician, pain management
physician and spine surgeon. National Spine Management Group, LLC, Federation of
Chiropractic Licensing Boards, Cleveland University of Health Sciences, College of Chiropractic,
Kansas City 2021 | | | | | 2021 Spine Management Conference – West – Physical Examination Workflows, – Cervical Spine
– detailed review of cervical spinal physical examination with emphasis on clinical triage
between anatomical and biomechanical sources of spine pain. Neurological evaluation of the
neck and surrounding structures was reviewed including pathological reflexes, assessment of
vascular compromise and myelopathic findings. Detailed patient screening was stressed and its
correlation to physical examination, red flags and relative vs absolute contraindications to
chiropractic care was presented. Patient positioning and efficient processes were reviewed and
demonstrated. Details relating to cervical spine and orthopedic testing was discussed. National
Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Cleveland
University of Health Sciences, College of Chiropractic, Kansas City 2021 | | | | | 2021 Spine Management Conference – West – Physical Examination Workflows, – Thoracic and
Lumbar Spine and Pelvis – outlines of thoracic, lumbar and pelvis physical examination were
presented. Neurological evaluation of the lumbar spine and surrounding structures was
reviewed including pathological reflexes, assessment of cauda equina syndrome and triage
processes for neurologically compromised patients. Detailed screening was stressed and its
correlation to physical examination, red flags and relative vs absolute contraindications to
chiropractic care was reviewed. Patient positioning and efficient processes was reviewed and
demonstrated. Details relating to lumbar spine and pelvic orthopedic testing was discussed.
National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Cleveland
University of Health Sciences, College of Chiropractic, Kansas City 2021 | | | | | 2021 Spine Management Conference – West – Interprofessional Communication and Reporting, – review of electronic health record workflows were presented and discussed with emphasis on
CPT compliant and efficient reporting. The importance of communication with the patient’s
other healthcare providers was outlined and discussed. Specific needs of the primary care
physician, pain management physician and spine surgeon were outlined and reviewed. Details
of simplified vocabulary and necessity of thoroughness were emphasized. Administrative
workflows ensuring regular and continued communication of clinical documentation was
provided. National Spine Management Group, LLC, Federation of Chiropractic Licensing
Boards, Cleveland University of Health Sciences, College of Chiropractic, Kansas City 2021 | | | | | 2021 Spine Management Conference – West – Patient Communication, communication
techniques were discussed with emphasis on patient comprehension to increase compliance and
reduce patient anxiety. Details were presented on simplification of complex medical
terminology to ensure understanding at the initial visitation as well as throughout the patient’s
care plan. Conversational interaction and dissemination of health information at the
appropriate comprehension level was provided. Proper reporting and interprofessional
communication were emphasized in a wholistic approach to supporting the patient’s needs.
National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Cleveland
University of Health Sciences, College of Chiropractic, Kansas City 2021 | | | | | 2021 Spine Management Conference – West – Intervertebral Disc Morphology, – detailed
discussion of the morphological descriptions of intervertebral disc pathology in the cervical,
thoracic, and lumbar spine was presented. Differential diagnosis of disc bulge, herniation,
protrusion, extrusion, and sequestration were presented. Attention was given to the five grades
of annular fissure associating circumferential, radial, and transverse morphology. High intensity
zone (HIZ) was discussed in detail as well as its correlation to acute inflammatory fluid. Specific
MRI images were presented and correlated to consensus driven definitions of intervertebral disc
pathology. Pre-existing degenerative changes in the human spine such as disc osteophyte
complex, spondylosis, increased innervation of the intervertebral disc and endplate changes
were discussed and correlated to acute findings on MRI. In depth discussion of the difference
between morphology and etiology of intervertebral disc pathology was outlined. National Spine
Management Group, LLC, Federation of Chiropractic Licensing Boards, Cleveland University of
Health Sciences, College of Chiropractic, Kansas City 2021 | | | | | 2021 Spine Management Conference – West – Ligamentous Response to Traumatic Injury, anatomical review of spinal ligaments including nerve supply and formation of scar tissue post
injury was presented. Function and histological composition were detailed and clinically
correlated to physiological thresholds. Injury thresholds were also outlined and compared to the
AMA Guides to the Evaluation of Permanent Impairment 5th and 6th edition. Detailed review of
radiographic findings in the cervical and lumbar spine in the presence of ligamentous injury was
reviewed and presented. Clinical criteria supporting the diagnosis of ligament injury and
ligament laxity including patient history, physical examination, radiographic findings, and
advanced imaging was presented. National Spine Management Group, LLC, Federation of
Chiropractic Licensing Boards, Cleveland University of Health Sciences, College of Chiropractic,
Kansas City 2021 | | | | | 2021 Spine Management Conference – West – Causality and Spinal Ligamentous Injury, -
detailed outline of acute versus chronic spine injury findings were presented. Reliable grading
systems for phases of spinal degeneration was reviewed and discussed. Scientifically validated
measuring process for intervertebral disc height and the 5 Grades of spinal degeneration
proposed by Kettler were outlined. Specific discussion was presented in the differential
diagnosis of ligament laxity due to degenerative process and acute ligamentous injury in the
functional spinal unit with specific examples of radiographic and advanced imaging findings.
Clinical correlation with Modic I, Modic II and Modic III endplate changes including cadaver
specimens was presented. National Spine Management Group, LLC, Federation of Chiropractic
Licensing Boards, Cleveland University of Health Sciences, College of Chiropractic, Kansas City 2021 | | | | | 2021 Spine Management Conference – West – Differential Spinal Tissue and Spinal Injury Triage, – review of spinal tissue types and their response to physical stress and injury was presented.
Prognostic factors in patient management were presented in relation to injury to spinal
musculature, nerve tissue, ligamentous tissue, intervertebral disc, and bone. Tissue based
triage, patient and interprofessional communication was emphasized and stressed. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Cleveland
University of Health Sciences, College of Chiropractic, Kansas City 2021 | | | | | 2021 Spine Management Conference – West – Innervation of Spinal Structures –, specific reviewed of the anatomical innervation of pain generating structures in the human spine was
presented. Scientific chronology of nerve supply discovery was presented and discussed.
Increased innervation of the degenerating interverbal disc was presented and supported with
contemporary scientific evidence. Spinal ligamentous structures as pain generating entities
were also reviewed including anterior longitudinal ligament, posterior longitudinal ligament,
supraspinous ligament, interspinous ligament and facet capsule. Clinical correlation to patient
history, physical examination and imaging findings was emphasized with specific discussion on
interprofessional triage and patient management. National Spine Management Group, LLC,
Federation of Chiropractic Licensing Boards, Cleveland University of Health Sciences, College of
Chiropractic, Kansas City 2021 | | | | | Cervical Spinal Alignment and Knee Replacement Revision Rates, –Review of the most common cervical spinal sagittal alignment parameters and their relationship
to interprofessional communication was presented. Discussion of rationale for knee
replacement revision surgery including aseptic loosening, fracture and prosthetic joint infection
was reviewed. Specific statistical review on revision surgery and effective treatment of end-
stage knee osteoarthritis was presented. Details of evidence-based research outlining patients
with cervical degenerative disorders having a higher rate of total knee replacement revisions
than those without degenerative changes. Analysis of the benefit of radiographic studies
looking at the mechanical relationship between the cervical spine and knee composition was
outlined and reviewed. National Spine Management Group, LLC, Federation of Chiropractic
Licensing Boards, State University of New York at Buffalo Jacobs School of Medicine and
Biomedical Sciences – 2021 | | | | | Importance of Interprofessional Healthcare Communication and Teamwork, – Discussion of the history of interprofessional healthcare and the acknowledgement
by the World Health Organization was presented. Specific detail on chiropractic academia and
student perception of its importance was outlined. The growth and importance of both
interprofessional education and communication was stressed and reviewed. Need for a clear
professional identity to facilitate interprofessional education and communication 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 – 2021 | | | | | Chiropractic Management of Cervical Radiculopathy, – characterization of
cervical radiculopathy in terms of neurological dysfunction including compression and inflammation of
the spinal nerves was reviewed. Cervical spondylosis and intervertebral disc herniation as causative
factors were presented and discussed. Conservative care as well as surgical intervention were presented
and correlated to response to care and clinical findings. Outline of patient history, physical examination
including neurological and orthopedic evaluation as well as criteria for ordering and reading advanced
imaging such as MRI and CT were presented. Plain film static and dynamic radiographic studies were
reviewed. Patient centered; consensus driven clinical diagnosis including interprofessional
communication 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 – 2021 | | | | | Chiropractic Management of Lumbar Disc Herniation –, review of the
pathogenesis and morphological presentation of lumbar intervertebral disc herniation. Outline of
patient history, physical examination including neurological and orthopedic evaluation as well as criteria
for ordering and reading advanced imaging such as MRI and CT were presented. Plain film static and
dynamic radiographic studies were reviewed. Patient centered; consensus driven clinical diagnosis
including interprofessional communication 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 – 2021 | | | | | Chiropractic Management of Cervical Facet Syndrome –, – review of the
pathogenesis and morphological presentation of cervical facet syndrome. Outline of patient history,
physical examination including neurological and orthopedic evaluation as well as criteria for ordering
and reading advanced imaging such as MRI and CT were presented. Discussion involving ligamentous
structures such as interspinous ligament, supraspinous ligament and facet capsules was presented. Plain
film static and dynamic radiographic studies were reviewed as well as specific sclerotogenous referrals
patterns of facet mediated pain. Patient centered; consensus driven clinical diagnosis including
interprofessional communication was presented, specific presentation relating to diagnostic medial
branch blocks and pain management referral 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 – 2021 | | | | | Chiropractic Diagnosis and Management of Cervical Ligament Laxity, Laxity – detailed
outline of injury thresholds of the anterior longitudinal, posterior longitudinal and ligamentum flavum
was presented. Review of structural and physiological properties relating to stress/strain curve of the
above ligaments. Outline of the toe region, linear region and failure region was
demonstrated. Transversely isotropic material properties of spinal ligaments was included and
correlated to chiropractic care and impairment rating using the AMA Guides to the Evaluation and
Management 5th and 6th editions. 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 – 2021 | | | | | Chiropractic Diagnosis and Management of the Pre-Surgical Patient, – outline and analysis of spinal
biomechanical parameters in a whole spine model of care. Review of the details of measuring Pelvic
Incidence and discussion of history of its analysis. Outline of movement from a regional model of spine
care to a full spine model was presented. Analysis of the components of the pre-surgical patient
including muscle movement patterns, segmental mobility, spinal curvature and rotation in the coronal,
sagittal and axial planes 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 – 2021 | | | | | Chiropractic Diagnosis and Management of the Post-Surgical Patient, - outline and analysis of spinal
biomechanical parameters in a whole spine model of care in the post-surgical analysis of the spine pain
patient. Review of the details of measuring Pelvic Incidence and discussion of history of its analysis in
relation to sagittal balance and vertebral body rotation was discussed. Outline of movement from a
regional model of spine care to a full spine model was presented particularly in the context of pain
management strategies post-surgery. Analysis of the components of the post-surgical patient including
muscle movement patterns, segmental mobility, spinal curvature and rotation in the coronal, sagittal
and axial planes was presented. Interprofessional communication and co-management 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 – 2021 | | | | | Chiropractic Diagnosis and Management of Whiplash Disorder, – outline and discussion of Whiplash as a
mechanism of injury with particular focus on damage to underlying tissue structures. Review of anatomy,
with specific focus on surrounding muscular, supraspinous ligament, interspinous ligament, spinal nerve,
spinal cord, facet capsule and dorsal/ventral nerve roots was presented. Clinical correlation to imaging
studies and its influence on management of the Whiplash patient was reviewed. Focused attention was
paid to Whiplash as a mechanism of injury and not a complete diagnosis. 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 – 2021 | | | | | Diagnosing and Case Management, -The requirements for diagnosing based upon in an initial evaluation and management encounter ranging from a 99202 – 99205 that includes comorbidities, non-musculoskeletal, and sequella to injury diagnosis. Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2020 | | | | | Diagnosing and Case Management, -The requirements for diagnosing imaging inclusive of static x-rays, biomechanical x-rays, and MRI. Documenting the clinical findings of disc bulge, herniation, protrusion, extrusion, and fragmentation. Coding, diagnosing, and documenting individual treatment encounters in the clinical setting. Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2020 | | | | | Diagnosis of Fracture of Par Interarticularis, Presentation and discussion of the clinical diagnosis of fracture of the pars interarticular, detailed review of patient history, presenting symptomology, physical examination and imaging review. Detailed analysis of radiographic evaluation using dynamic radiographs and advanced imaging of the lumbar spine. Differential diagnosis of pain patterns and neurological findings were presented and clinically correlated to anatomical findings. State University of New York at Buffalo, Jacobs School of Medicine, Buffalo NY 2020
Interprofessional Communication in Fracture of Pars Interarticularis – analysis and discussion of the interprofessional communication and triage of pars interarticularis fracture. Documentation processes and referral to medical specialty was reviewed with detailed analysis of communicating spinal biomechanical pathology in conjunction with anatomical findings. Co-management processes was reviewed and discussed. Clinical correlation to case documentation was presented. State University of New York at Buffalo, Jacobs School of Medicine, Buffalo, NY, 2020 | | | | | Interprofessional Communication in Fracture of Pars Interarticularis, analysis and discussion of the interprofessional communication and triage of pars interarticularis fracture. Documentation processes and referral to medical specialty was reviewed with detailed analysis of communicating spinal biomechanical pathology in conjunction with anatomical findings. Co-management processes was reviewed and discussed. Clinical correlation to case documentation was presented. State University of New York at Buffalo, Jacobs School of Medicine, Buffalo, NY, 2020 | | | | | Clinical Case Management of Fracture of Pars Interarticularis, clinical case management including both anatomical and mechanical featured of fracture of pars interarticularis was presented and discussed. Surgical parameters were demonstrated and clinically correlated to physical examination and imaging findings. Roles of surgeon, pain management, chiropractic and physical therapy were reviewed and presented. Group consensus on the proper pre-surgical, surgical and post-surgical of the patient were presented. Timeline on recovery and relevant future assessment was reviewed and its clinical correlation to both the acute and chronic pars interarticularis fracture. State University of New York at Buffalo, Jacobs School of Medicine, Buffalo, NY, 2020 | | | | | Diagnosis of Cervical Radiculopathy, diagnosis of cervical acute and chronic cervical radiculopathy was reviewed and discussed. Emphasis on patient history, symptoms, physical examination and clinical correlation to imaging and electrodiagnostic testing was presented. Clinical correlation to electrodiagnostic findings, advanced imaging and neurological examination was reviewed. Details regarding traumatic vs degenerative cervical radiculopathy etiology was presented as well as the difference between radiculopathy and radiculitis was discussed. State University of New York at Buffalo, Jacobs School of Medicine, Buffalo, NY, 2020 | | | | | Interprofessional Management of Cervical Radiculopathy, review of interprofessional management of the cervical radiculopathy patient. Considerations for triage and referral were correlated to physical examination findings, severity of the complaint and findings on electrodiagnostic testing. Interventional pain management including epidural injections was outlined. Biomechanical analysis and chiropractic management was reviewed including short and long term management of the cervical radiculopathy patient. State University of New York at Buffalo, Jacobs School of Medicine, Buffalo, NY, 2020 | | | | | Clinical Case Management of Cervical Radiculopathy, evidence based interventions related to cervical radiculopathy were outlined including surgical intervention, interventional pain management, chiropractic and supervised rehabilitation. Acute, subacute and chronic stages of clinical intervention and case management were reviewed and presented. Functional assessment and activity modification were presented and correlated to clinical findings and stage of the diagnosis. State University of New York at Buffalo, Jacobs School of Medicine, Buffalo, NY, 2020 | | | | | Specialty Research in Pain Management – Clinical and Procedural – Growth of Interventional Pain Management Techniques and Current Trends in Pharmacological Management of Neuropathic Pain. , ESI comparison to gabapentin in lumbosacral radicular pain – current trends and future progress of pain management interventions. Mode of action, required dosage, advantages and side effects profiles of currently available pharmacological approaches. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine 2020 | | | | | Specialty Research in Pain Management – Clinical and Procedural – Therapeutic Effects of Spinal Injection Therapy , - Facet, medial branch blocks, prolotherapy and epidural interventions utilization within the Medicare population, effectiveness on lumbar central canal stenosis with and without steroids and effect on prevention of spinal surgery, herniated disc, fibromyalgia and chronic musculoskeletal pain. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Pain Management – Clinical and Procedural – Adverse Events Associated with Injection Therapy , – Transforaminal and interlaminar epidural steroid injections, anesthesia technical considerations, effects on cervical radiculopathy midline versus paramedian approaches and perineurial injection of autologous conditioned serum. Review of FDA risk assessment.
National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine
2020 | | | | | Specialty Research in Pain Management – Clinical and Procedural – Correlation of MRI Findings and Injection Outcomes - , - MODIC Changes on MRI and effectiveness of facet injection, facet joint signal change on MRI with fat suppression comparison with SPECT/CT. Discussion of Modic 1, 2 and 3 with correlation of clinical outcomes and patient selection criteria. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Pain Management – Clinical and Procedural – Therapeutic Effects of Botulinum Toxin and Dry-Needling in Myofascial Pain Syndrome , – cost effectiveness, patient response and triage of therapeutic interventions. Physiological review of trigger point etiology and clinical presentation of acute and chronic pain. Functional response of intervention including relief and recurrence. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Pain Management – Clinical and Procedural – Systematic Review Technical Considerations in Cervical Epidural Analgesia , Chemical blockage of cervical nerve roots, review of anatomical structures and correlation with MRI imaging. Blockage effects on the respiratory, circulatory and neurological systems. Review of cervical epidural space (CES) borders and variants in patient population. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Pain Management – Clinical and Procedural – Trends in opioid analgesic abuse and mortality in the USA, Evaluation of Opioid Pain Management in Injured Children, assessment of opioid reporting in Veteran Affairs , – Emergency visitation in pediatric injury, pain management and adoption of best practices. Trends in use of prescription opioid medication using RADARS (Research Abuse, Diversion and Addiction Related Surveillance System), comparison between legitimate pharmacy channels and diversion and abuse. Opioid use prevalence and incidents in Veteran Affairs, new prescriptions or long-term conversion and relationship to persistent growth in opioid use. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine 2020 | | | | | Specialty Research in Pain Management – Clinical and Procedural – Electrodiagnostic Testing, Transforaminal Epidural Steroid Injection, Intra-articular Facet Joint Injection, Spinal Manipulation Post-Epidural Injection, – Needle EMG, active versus chronic denervation in lumbar, cervical spinal pathologies and differential diagnosis of spinal stenosis and intervertebral disc herniation. Systematic review of facet joint injections, clinical trials and conservative therapy in lower back pain. Results of spinal manipulation post-epidural injection in the cervical spine. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Pain Management – Clinical and Procedural – Radiofrequency Ablation and outcome measures - medication, function and pain in relation to pain of spinal origin. , Medial Branch Block as prognostic tool prior to lumbar facet radiofrequency denervation. Clinical comparison disc herniation, disc bulge, cervical and lumbar radiculopathy. Diagnosis and patient triage correlation to anatomical spine structures. Long, short term risk factors and outcomes in radiofrequency ablation. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Pain Management – Clinical and Procedural – Role of Cannabinoids in Pain Management , – Review of pharmacological, botanical or synthetic origins of cannabinoids. Mechanism of action in alleviation of pain including analgesic, anti-inflammatory effects, modular actions on neurotransmitters and interactions with prescribed or endogenous opioids. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in MRI Physics – The Hardware – magnet types including permanent, resistive and superconducting magnets, - Volume RF, surface, quadrature and phase array coils and other hardware necessary for the generation of MRI imaging. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in MRI Physics – Physics of Image Generation 1 , – magnetization, excitation, relaxion, acquisition, computing and display. T1 relaxion and relaxation curves, T2 relaxation, phase and phase coherence, T2 relaxion curves. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in MRI Physics – Physics of Image Generation 2 , – gradient coils, signal coding including slice encoding gradient, phase encoding gradient, Frequency encoding gradient. Gradient specifications and slice thickness. Filling k-space, k-space symmetry and k-space filling technique. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in MRI Physics – Physics of Image Generation 3 , – pulse sequences, spine echo sequences including multi-slicing and multi-echo sequencing. T1, T2, proton density contrast and their applications. Turbo spine echo, fast advanced spine echo (HASTE) sequence and gradient echo sequence. Inversion recovery sequence including STIR and FLAIR sequence. Choosing the right sequence pros and cons, T1, T2 and PD parameters. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in MRI Physics – Physics of Image Generation – technical parameters and artifacts , – repetition time, echo time, flip angle, inversion time, number of acquisitions, matric and field of view. Slice thickness, slice gap, phase encoding direction 1 and direction 2 and relation to bandwidth. Motion artifact, para-magnetic artifact, phase wrap artifact, susceptibility artifact, clipping artifact, spine and zebra artifacts. Effects on image quality and acquisition. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Neuroradiology – radiographic evolution of a Schmorl’s , – acute Schmorl’s node and progression to chronic stage comparison to serial MRI. Endplate fracture and acute presentation and correlation to clinical findings and pain patterns. Presentation in plain film radiograph and MRI images were compared and contrasted in both acute and chronic stages. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Neuroradiology – syringomyelia, fluid dynamics and spinal cord motion , – scoliosis curve patters and syrinx characteristics versus Chiari I malformation. Normal MRI appearance and motion artifacts related to cerebral spinal fluid motion related phenomena and common appearances on MRI imaging. Syrinx wall and fluid motion and correlation to cardiac cycle with comparison between systolic and diastolic presentations. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Neuroradiology – Spinal Biomechanics, Thoracolumbar Deformity and Surgical Outcomes , – full spine analysis, adjacent spinal biomechanics and its impact on surgical outcomes. Sagittal alignment pelvis to cervical spine and association with kyphosis and lordosis mechanical positioning. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Neuroradiology – MRI and EMG comparison in denervated muscle diagnosis – , – lumbar spine pathology and age in relation to paraspinal muscle size and fatty infiltration. Fatty degeneration of paraspinal muscle in degenerative lumbar kyphosis and CT versus MRI digital analysis. Positive correlations with edema on MRI and fibrillations, positive sharp waves, denervation and the level of reduced recruitment pattern. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Neuroradiology – association between annular tear and disc degeneration , – high intensity zone (HIZ) in lumbar disc and association to annular fissure on MRI. Identification of duel HIZ and its relationship to acute inflammation and calcified tissue and its association with discogenic pain patterns. Influence of phenotype, population size and inclusion sequence. T1, T2 and STIR imaging comparison and correlation. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Neuroradiology – degenerative cervical myelopathy , – paraspinal muscle morphology, clinical symptoms and functional status. Review of fatty infiltration, asymmetry findings and correlation with clinical symptoms and functional scores. Review of complex anatomical arrangement of superficial and deep muscle layers in the cervical spine, correlation to MRI findings. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Neuroradiology – MRI Neurography, Diffuse Tensor Imaging (DTI) , – diagnostic accuracy and fiber tracking in spinal cord compression. Review of spinal cord structural integrity, peripheral neuropathy and correlation to diffuse tensor imaging findings. Comparison in combining DTI with T2 and T2 alone and its value in magnetic resonance neurography. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Neuroradiology – Nomenclature and Classification of Lumbar Disc Pathology , – modified Pfirrmann grading system and lumbar disc degeneration. Consensus driven description of intervertebral disc nomenclature including intervertebral disc bulge, herniation, protrusion, broad based disc herniation, extrusion and sequestration. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Neuroradiology – MRI evaluation of intradural tumor , – neuroimaging of spinal tumors and correlation to histological study. Determining method of choice for evaluation, review of numerous types of intradural-extramedullary masses including meningioma and schwannoma. Signal intensities, contrast enhancement patterns, presence of cysts and other key differentiation findings of spinal cord tumors. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Neuroradiology – Spinal Cord Compression, Myelomalacia, MRI Imaging and Clinical Correlation , Correlation – positional cervical spinal cord compression and fibromyalgia. T1 and T2 weighted images, comparison of hypo and hyperintense signals and extent of intramedullary changes on MRI. Review of MRI findings associated with myelomalacia and discussion of correlation with clinical findings. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Neuroradiology – MRI Characteristics of Lumbar Facet Synovial Cyst , – formation characteristics of synovial cyst, relation to degenerative changes in spinal facet joints as demonstrated on MRI. Pre and post-surgical procedural MRI were reviewed and compared. Surgical management and subsequent resection were demonstrated. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Neuroradiology – Variability in MRI Diagnostic Error Rates , – in depth review of quality of MRI imaging and comparison to consistent MRI diagnosis between facilities. Errors of interpretation in the study examinations were considered and presented. Impact of radiological diagnosis, location of MRI study and reading radiologist and impact on treatment choice and clinical outcomes. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Orthopedic Extremity Surgery – Wrist Anatomy and Osseous Kinematics , – normal kinematics using biplanar radiographic model were reviewed. Discussion of extensive database of carpal bone anatomy and kinematics from a large number of healthy subjects. 3-D motion of each bone was calculated for each wrist position and discussed. Database constructed including high-resolution surface models, measures of bone volume and shape, and the 3-D kinematics of each segmented bone. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Orthopedic Extremity Surgery – Normal Motion of the Shoulder and Glenohumeral Instability , – normal motion of the shoulder joint compared with clinical implications of glenohumeral joint instability including surgical recommendations. Review and overview of the anatomy of the glenohumeral joint, emphasis on instability based on the current literature. Description of detailed anatomy and anatomical variants of the glenohumeral joint associated with anterior and posterior shoulder instability. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Orthopedic Extremity Surgery – Orthopedic Testing and Shoulder Pathology Diagnosis , - use of orthopedic special tests (OSTs) to diagnose shoulder pathology and clinical examination. Review OST clusters, examination of methodology and illustration of their use in arriving at a pathology-based diagnosis. Discussion of examination of the biceps tendon and clinical relevance. Review of SLAP lesion and shoulder impingement syndrome were reviewed. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Orthopedic Extremity Surgery – Electrodiagnostic Testing and Carpal Tunnel Syndrome , – Review of the most common mononeuropathy in the human body. Relationship between clinical findings, neurological examination and electrodiagnostic testing in the diagnosis of carpal tunnel syndrome. Acute and chronic symptoms including progression of the disorder were reviewed. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Orthopedic Extremity Surgery – Current Concepts in Elbow Disorders , – Detailed anatomy of osseus, ligamentous and muscular structure of the elbow was reviewed. Common disease of elbow disorders and their treatment was discussed. Lateral epicondylitis and medial collateral ligament injury of the elbow were outlined. Rheumatoid arthritis, posttraumatic osteoarthritis, and elderly patients with comminuted distal humeral fractures. Surgical design and technique were outlined. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Orthopedic Extremity Surgery – Differentiating Cervical Spine from Shoulder Pathology , – anatomical review of cervical spine and glenohumeral joint focus on similarities and differences. Cervical disorders masking shoulder pain, cervical radiculopathy, cervical spondylotic myelopathy, facet and discogenic pain patterns were outlined. Details of shoulder pathology parsonage-tuner syndrome, subscapular neuropathy and thoracic outlet were presented. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Orthopedic Extremity Surgery – MRI of the Shoulder and Shoulder Girdle , - review of MRI analysis of scapular fracture. Detailed review of scapular function rehabilitation and training on chronic pain syndromes. Reliability of magnetic resonance imaging versus arthroscopy for the diagnosis and classification of superior glenoid labrum anterior to posterior lesions. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Orthopedic Extremity Surgery -Cataloging Movements of the Ankle, Hip and Spine , - Review Standardization and Terminology Committee (STC) of the International Society of Biomechanics (ISB) and classification of joint kinematics. Standard for the local axis system in each articulating bone is generated and presented. Rationale for international standards among researchers was presented. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Orthopedic Extremity Surgery -Cataloging Movements of the Shoulder, Elbow, Wrist and Hand , - Review Standardization and Terminology Committee (STC) of the International Society of Biomechanics (ISB) and classification of joint kinematics. Standard for the local axis system in each articulating bone is generated and presented. Rationale for international standards among researchers was presented. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Orthopedic Extremity Surgery – MRI and Diagnosis of Shoulder Disorders , – normal and abnormal shoulder anatomy as viewed on MRI was presented. Review and presentation of MRI in the diagnosis and treatment of brachial plexus injury. Discussion of preganglionic avulsions and muscular denervation. Comparison of CT myelography to MRI myelography were outlined. Enhanced three dimensional T1 high-resolution isotropic volume excitation MR in the evaluation of shoulder pathology. Comparison with two-dimensional enhanced T1 fat saturation MRI were discussed. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Orthopedic Extremity Surgery – Clinical Evaluation of Upper and Lower Extremity Pathology , – review of relevant anatomy in shoulder, elbow, wrist, hip, knee and ankle was presented. Physical examination including orthopedic, neurological and range of motion testing was presented and compared with findings on MRI results. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Orthopedic Spine Surgery – Fusion Surgery and Lumbar Stenosis , – efficacy of fusion and decompression surgery in patients with lumbar spinal stenosis. Review of degenerative spondylolisthesis and patient selection criteria. Discussion of correlation of MRI, CT findings and clinical evaluation. Review of sedimentation sign on MRI and indications of prognostic factors. Surgery versus nonsurgical treatment outlined and outcomes discussed. Compensation for lumbar spinal stenosis and clinical sagittal plane deformity was presented. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Orthopedic Spine Surgery – Posterior Lumbar Interbody Fusion and Adjacent Segment Degeneration (ASD) , – adjacent segment degeneration as major consequence of spinal fusion. Review of occurrence and location with correlation between surgical outcomes were discussed. Discussion of age, BMI and pre-existing stenosis in cranial adjacent segment as risk factors. ASD prevalence in radiographic evidence between cranial and caudal segments were reviewed. Presentation of risk factors and pre-operative radiological features. Facet sagittalization and tropism were discussed. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Orthopedic Spine Surgery – Morbidity and Mortality Predictions in Spinal Surgery , – Review of the Charlson Comorbidity Index (CCI) and the American Society of Anesthesiologist (ASA) Physical Status Classification System. Review of index outcomes and relation to costs of care. Discussion of index rating and likelihood of complications. Review of classification system in cerebral spinal fluid (CSF) leaks. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Orthopedic Spine Surgery – Spondylolisthesis, clinical and radiographic classifications , - classification system that considers disc space height, sagittal alignment and translation, and the absence or presence of unilateral or bilateral leg pain was discussed. Detailed review of spondylolisthesis etiology, clinical presentation and imaging findings was reviewed. Review of inter and interobserver reliabilities of radiographic and clinical criteria. Review of consensus driven treatment options for degenerative spondylolisthesis presented. Transforaminal Lumbar Interbody Fusion (TLIF) in degenerative disc disease with associated spondylolisthesis grade I was reviewed and correlated. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Orthopedic Spine Surgery – Sagittal Alignment and Spinal Surgery, Clinical Outcomes and Follow up , – discussion of outcomes and sagittal alignment in single unilateral transforaminal lumbar interbody fusion (TLIF). Detailed review of surgical TLIF procedure and associated mid and long-term clinical outcomes. Discussion and presentation of influence of pelvic incidents and lumbar lordosis mismatch and post-operative residual symptoms. Analysis of adjacent segment disease following fusion. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Orthopedic Spine Surgery – Complications and Outcomes in Adult Spinal Deformity Surgery , – review of surgical approaches and complications in correction of adult spinal deformity. Relevance of age, comorbidities, blood loss, osteoporosis and smoking were discussed. Discussion of Cobb Angle, Sagittal Vertical Axis, Pelvic Tilt, Thoracic Kyphosis were reviewed and examined in relation to transpsoas lateral interbody fusion (LIF), percutaneous pedicle screw (PPS), transforaminal lumbar interbody fusion (TLIF). Comparison between minimally invasive and traditionally open procedures was provided and reviewed. Discussion of minimally invasive surgery options were emphasized and outcomes reviewed with correlation to diagnosis and procedural coding. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Orthopedic Spine Surgery – Surgical Interventions in Lumbar Disc Herniation , – review of differences in surgical treatment of recurrent lumbar disc herniation. Clinical correlation between plain film radiography, MRI studies and clinical presentation were reviewed. Data on frequency in management of recurrent lumbar intervertebral disc herniations presented. Duration of symptoms and influence of patient outcomes in sciatica patients undergoing micro-discectomy and decompressions. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Orthopedic Spine Surgery – Length of Stay in Lumbar Spinal Surgery , – discussion on epidemiology of lumbar surgery outcomes and hospital stay. Correlation to clinical presentation and comorbidities were reviewed. Outline of decompression and instrumental fusion in the lumbar spine. Review of costs of lumbar surgery, trends in hospital stay and costs both on a cumulative and daily basis. Comparison of the nationwide inpatient sample and national surgical quality improvement program databases for lumbar spine fusion procedures was reviewed and presented. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Orthopedic Spine Surgery – Pre-Surgical Planning and Implant Design , – 3-D printing and surgical planning discussion a variety of historical materials in the creation of patient specific implants based on unique individual anatomy. Historical trends in the creation of prosthetics with 3-D modeling software using neuroimaging data. Review of treatment complex spinal pathologies and surgical planning was discussed. Outline of current and future barriers to global implementation and commercialization was reviewed. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Orthopedic Spine Surgery – Spine Surgery Procedures in Medical Specialty Training , – discussion of current spine surgery training including fellowship programming in the United States. Accreditation Council for Graduate Medical Education (ACGME) cases logs were reviewed and discussed. Variability of procedures within programs and between medical specialty programs were outlined. Differential utilization between orthopedic and neurosurgical fellows was reviewed. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Orthopedic Spine Surgery – Cerebral Spinal Fluid Dynamics, Central Nervous System Pathology and Intracranial Hypotension , – pathophysiology and various craniospinal disorders. Directional phase contrast MRI (4D Flow) was reviewed along with the anatomical and physiological properties of cerebral spinal fluid. Specific disorders such as Alzheimer’s disease, hydrocephalus, Chiari Malformation and syringomyelia. Clinical correlation of CSF dynamics to understanding disease process was reviewed including normal and abnormal flow patterns. Recent advancements in fluid flow studies were outlined and presented. Signal intensity changes on MRI study in cervical spondylotic myelopathy was discussed and compared to normal parameters. Fluid dynamics patterns within syringomyelia and Chiari malformation was discussed and correlated to MRI findings and clinical presentations. Spinal microsurgical exploration surgery and resultant CSF leak and spontaneous intractable intracranial hypotension was reviewed and its pathoanatomical presentation outlined. Review of the natural and surgical history of Chiari malformation Type I in pediatric population and clinical correlation with MRI studies. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Neurosurgery – Anatomy and Physiology of the Blood Brain Barrier , – Review of consequences of alterations in homeostatic control of the neuronal environment. Discussion of blood flow alterations and altered vessel permeability as determinants in the pathophysiology of brain injury. Review present day literature on the anatomy, development and physiological mechanisms of the blood–brain barrier. The blood brain barrier’s role in the maintenance of the extracellular environment. Vascular anatomy of the spinal cord was review in relation to the physiology of the neural environment. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Neurosurgery – Spinal Cord Anatomy, Physiology and Vascular Reactivity , – detailed review of the blood supply of the spinal cord, anatomy of the vascular system and physiology of blood flow. Pathophysiology of various conditions including Thoracic Aortic Occlusion and Spinal Cord Injury were discussed with specific relation to risk of neurological deficit. Severity and duration as an effect was reviewed and correlated clinically. Cerebral circulation and aging, discussion of effects on cognitive functioning and cerebrovascular disease in aging. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Neurosurgery – Upper Cervical Spine Anatomy and Cerebral Spinal Fluid Flow , – MRI flow imaging and computational fluid dynamics in healthy patients with Chiari Malformations. Review of abnormal cerebral spinal fluid flow oscillations and their effects on healthy patients. Discussion of nonlaminar complex spatial and temporal variations with associated pressure waves and pressure gradients causing syringomyelia, headaches and other clinical manifestations in Chiari I malformation. Microsurgical anatomy and internal architecture of brainstem in 3D images and surgical considerations. CSF hydrodynamic changes, spinal cord injury and development of post traumatic syringomyelia (PTSM). Impact of spinal cord nerve roots and denticulate ligaments on cerebral fluid dynamics in the cervical spine was reviewed and discussed. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Neurosurgery – Compression and Degeneration in Chronic Nerve Root Entrapment , – differentiation between peripheral nerves and spinal nerve roots and effects of electrostimulation. Discussion of various stimulating or recording neurosurgical implants and success vs failure rates. Review of the nerve root compression and its relation to consequences of disc herniation and acute compression during surgery. Maximum pressure level a spinal nerve root can sustain is reviewed. Discussion of microsurgical anatomy of lumbosacral nerve rootlets, Rhizotomy and chronic spinal cord injury. Review of qualitative grading of severity of lumbar spinal stenosis on morphology of dural sac on MRI studies, review of classification systems and the consideration of impingement of neural tissue. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Neurosurgery – Anatomy of Circle of Willis, Cerebral Arteries and Stroke Etiology , – discussion of stroke by embolism, source and cause in diagnosis and long-term treatment. Review of complex nature of embolus transport and its relation to etiology. Image based hemodynamics with discrete particle dynamics in relation to the distribution of emboli across the various cerebral arteries. Detailed anatomy of Circle of Willis reviewed and discussed with particular focus on size/inertia dependent trends in embolus distribution to the brain, distribution of cardiogenic versus aortogenic emboli among anterior, middle and posterior cerebral arteries, left versus right brain preference in cardio-embolus and aortic emboli transport and source-destination relationship for embolisms affecting the brain. Detailed review of the microsurgical anatomy of the posterior cerebral artery in three dimensional images. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Neurosurgery – Stroke Therapy, Implementation and Cost-Effectiveness , – review of endovascular therapy in addition to standard care in acute ischemic vessel occlusion stroke. Comparison in National Institutes of Health Stroke Score (NIHSS) score, symptom onset, Alberta Stroke Program Early CT Score (ASPECTS) and occlusion location. Considerations in acute management and revascularization of tandem occlusions in acute ischemic stroke with literature review. Discussion of Transcirculation Pipeline embolization device deployment as a rescue technique. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Neurosurgery – Surgical Approaches and Outcomes in Spine Surgery 1 , – review of historical interventions, multilevel decompression and instrumented fusion in reduction of neural compression and spinal column stabilization. Discussion of morbidity and mortality in relation to surgical procedures. The use of the modified fragility index to predict 30-day morbidity and mortality from spine surgery. Differences in patient selection for minimally invasive versus open surgical procedures, and review of post-surgical outcomes. Morbidity, mortality and health care costs for patients undergoing spine surgery following ACGME resident duty-reform. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Neurosurgery – Surgical Approaches and Outcomes in Spine Surgery 2 , -Predisposing factors for dural tears in lumbar spine surgery including degenerative conditions, prior surgery and age related indicators were reviewed. Discussion and review of re-admission rages in spine surgery through metanalysis and systematic review. Bibliometric study of the most important minimally invasive (MIS) spine surgery papers including Level III and IV studies with focus on moving toward Level I and Level II. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Emergency Medicine – Emergency Medicine and Spine Pain , – review of lack of guidelines for the management of lower back pain in the ED. Frequency of lower back pain visitation in the emergency department including environmental/sociocultural dimensions and physical/psychospiritual dimensions were reviewed. Discussion of utilization of significant healthcare resources with complete description of lower back pain characteristics, health services use in non-urgent lower back pain patients presenting to the ED. Managing spine pain in the ED using usual and customary medical intervention. Extent of appropriate CT and MRI scans in the hospital setting, accessibility reviewed in conjunction with presented national data. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Emergency Medicine – Medication Usage and Motor Vehicle Accidents , – review of ADHD medication utilization and motor vehicle accident data and frequency of motor vehicle accident sin this specific patient population. Review of the prevalent and preventable cause of morbidity and mortality among patients and concepts of restricting based on prognostic factors. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Emergency Medicine – Emergency Department Imaging Perspectives , – review of imaging protocols among a spectrum of clinical indications, perspective on aging populations and clinical complexity. Review of CT, MRI, plain film imaging and ultrasound and their relationships to internal medicine and musculoskeletal disorders examined on an emergency basis through patient generated national survey data. Details of specific contexts in which imaging has become concentrated and targeted efforts for optimization of utilization. considerations of utilization of CT in the emergency department and evaluation to increasing trends. Review of quality improvements in imaging utilization. Comparison between pediatric and adult imaging protocols and trends. Discussion and analysis of “Choose Wisely” recommendations and creating of guideline/policy/clinical pathways in New England EDs. MRI utilization in pediatric ED reviewed and analyzed. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Emergency Medicine – Cauda Equina Syndrome and Other Emergent Conditions , – traumatic injuries to the thoracolumbar spine and overall impact on emergency services. Discussion of exact definitions of Conus Medullaris Syndrome (CMS) and Cauda Equina Syndrome (CES). Diagnosis in acute phase and radiological findings clinically correlating with physical examination findings. Parameters for spinal regions of traumatic injury were presented and reviewed. Case presentations for neck and spine were included and reviewed with particular focus on differential diagnosis and case uniqueness. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Emergency Medicine – Emergency Medicine Residency Curriculum , – review of Ohio State University Emergency Medicine Residency Program Musculoskeletal Emergencies Curriculum. Outline of the significant nature of musculoskeletal emergency presentations to ED. Details in the training required to master clinical experience, self-directed learning and small group didactics. Case study reviews and discussion was presented with particular focus on infection vs non-infections and traumatic vs non-traumatic presentations in ED. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Emergency Medicine – Opioid vs Non-Opioid Medications in the Emergency Department , – discussion of limited evidence of long-term outcomes of opioids with non-opioid medication for chronic pain. Literature review on effectiveness for opioid interventions. Discussion of alternative recommendations, evidence demonstrating lack of benefit and poor long term outcomes. Variation in physician opioid prescriptions discussed. Patterns of opioid initiation at first visits for pain in the ED in the United States including frequency and dosage. Emergency Department data concerning the persistent pain after motor vehicle accidents and comparison between opioid and NSAID prescribed in the ED. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Emergency Medicine – Concussion and Repeat ED visits , – review of patients presenting to ED with concussion with re-visitation within 72 hours. Mechanism of injury including closed head injury, assault, fall and motor vehicle accidents discussed. Epidemiological evidence presented regarding number of visitations, characteristics and care paths reviewed. Discussion of adoption of a more comprehensive discharge plan to further prevent repeat visits was outlined. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Emergency Medicine – CDC Epidemiology of ED Visits in the United States, Adults Over 65 and Motor Vehicle Accidents , – Evaluation of data from the National Hospital Ambulatory Medical Care Survey and frequency of ED visitation. Percentage of visits requiring hospital admission was reviewed along with patterns of need for critical care. Review of imaging ordering statistics and clinical diagnosis was discussed. Details of primary and secondary ED diagnosis presented in relation to sprain/strain, contusion and spinal pathology including herniated intervertebral disc, facture and spinal cord compression. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Emergency Medicine – National Hospital Ambulatory Medical Care Survey , – a review of the current representative data on ambulatory care visits to hospital emergency departments in the United States. Demographics, residence, insurance class, chief complaint with focus on traumatic injury, diseases of the nervous and musculoskeletal systems were outlined. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Emergency Medicine – Lower Back Pain and Emergency Room Visits , – detailed analysis of impact of lower back pain on ED globally. First systematic review of the trends in the literature including lower back pain as significant complaint and the variables in its definition. Discussion of the proper diagnosis and triage of lower back pain and its current impact on ED management was reviewed. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Emergency Medicine – Spinal Cord Injury without Radiographic Abnormality (SCIWORA) in Adults , – case reports – detailed review of Spinal Cord Injury without Radiographic Abnormality was presented. Syndrome of post traumatic myelopathy demonstrable on MRI with no evidence of osseous injury on plain film or CT scan. Reporting of incidence was included with detailed discussion of case presentations, accurate diagnoses and triage was reviewed. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Emergency Medicine – CDC Traumatic Brain Injury Data – Related Emergency Department Visits, Hospitalizations, Deaths – United States, 2007 and 2013 , – traumatic brain injury, short and long term adverse clinical outcomes, death and disability reviewed and compared based on CDC data over a 7 year period. Mechanism of causation including motor vehicle accidents, falls and assault. Public health recommendations and interpretation of data was presented. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Emergency Medicine , – CDC Data, Trends in Emergency Department Visits for Ischemic Stroke and Transient Ischemic Attack – relationship between stroke and statistical cause of death, type of stroke and prognosis related to recurrence was discussed. Specific definitions of ischemic stroke, transient ischemic attack with etiology and relationship to emergency visits were outlined and presented. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Emergency Medicine – US Emergency Department Use by Children , – pediatric utilization of emergency medicine resources, description of trends on a national basis. Detailed analysis of specific demographics including race and resident status were reported and reviewed. Discussion in allocation of resources including insurance class and coverage were reviewed. Anticipated expansion of Medicaid was considered and reviewed. Estimates of nonurgent ED visits by children were presented and discussed. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Primary Care and Internal Medicine – Supply of Chiropractic Care and Visits to Primary Care Physicians for Neck and Back Pain , – discussion of primary care visits and lower back pain. Expenditures and contributions to disability data. Discussion of supply of chiropractic care in context of visits for lower back pain and primary care physicians. Estimated national impact of primary care visits and expenditures was outlined with a focus on chiropractic’s assistance in managing lower back pain. Defining an “episode” of lower back pain and relationship to collection of epidemiological data. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Primary Care and Internal Medicine – Safety of Chiropractic Care in Lower Back Pain and Migraine Headaches , – review of adverse events associated with chiropractic care in the treatment of migraine. Outline of a prospective 3-armed, single-blinded, placebo RCT. Discussion of transient and mild events following chiropractic intervention. Randomized clinical trials and meta-analysis reviewed and discussed relating to the diagnosis and management of lower back pain including adverse event reporting. Risk of injury to the head, neck or trunk following an office visit for chiropractic spinal manipulation, as compared to office visit for evaluation by primary care physician.
National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Primary Care and Internal Medicine – Chiropractic and Pain Management in Primary Care , – evaluation of the analgesic effects of spinal manipulation on both healthy and pain inflicted patients. Discussion of evidence of increased in pressure pain thresholds in musculoskeletal pain at both local and remote sites. Detailed knowledge of patient population regarding demographics and socioeconomic factors as well as disease-specific characteristics. Suggestion that lower back pain should not be seen as benign and self-limiting with focus on management. Describe the communication system surrounding the management of chronic pain from the perspectives of allopathic providers, acupuncture and chiropractor providers, and chronic musculoskeletal pain patients. Chiropractic manipulative treatment (CMT) association with lower healthcare costs among multiply-comorbid Medicare beneficiaries with an episode of chronic low back pain was reviewed. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Primary Care and Internal Medicine – Perceptions of Chiropractic Care , – demographic review of data on the perceptions of chiropractic care. Review of patient interest, trustworthiness, costs and frequency of visits was discussed. Nationally representative survey to compare characteristics and use of survey respondents with positive and negative perceptions of DCs and chiropractic care. Positive perceptions of DCs were more common than those for chiropractic care. US adults generally perceive DCs in a positive manner. Describe the preferences of older adults for low back pain co-management by MDs and DCs and identify their concerns for receiving care under such a treatment model. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Primary Care and Internal Medicine – Chiropractic and Post-Surgical Care and Care for Veterans – discussion of persistent post-surgical lower back and radicular pain response to chiropractic care. Relevant anatomy related to lower b, - Discussion and development of an integrated care pathway for doctors of chiropractic, primary care providers, and mental health professionals who manage veterans with low back pain, with or without mental health comorbidity, within Department of Veterans Affairs health care facilities. Support for the inclusion of chiropractic care as a component of multidisciplinary health care for low back pain, as currently recommended in existing guidelines with a focus on US Service Members. Discussion of availability of chiropractic care to military healthcare systems, referral and interprofessional communication models. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Primary Care and Internal Medicine – Effects of Chiropractic Care Combined with Medical Care, First Contact and Provider Type , – differences in outcomes, patient satisfaction, and related healthcare costs in spinal, hip, and shoulder pain patients who initiated care with medical doctors (MDs) vs those who initiated care with doctors of chiropractic (DCs). Pain of musculoskeletal origin and epidemiology of reduced productivity. Comparison of data on health outcomes, patient satisfaction, and related healthcare costs in patients consulting differing first-contact care providers for musculoskeletal pain. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Primary Care and Internal Medicine – Integrating Chiropractic Care into Primary Care and Private Sector Healthcare Facilities , – suggestion of a diverse role for chiropractors within conventional health care facilities. Discussion of chiropractic’s effectiveness for managing musculoskeletal disorders, particularly spine-related pain and disability. Descriptions of doctors of chiropractic who work in nongovernmental, private sector health care settings in the United States. Shared electronic health records, face-to-face informal consultations methods for interprofessional communication. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Specialty Research in Primary Care and Internal Medicine – American College of Physicians – Guideline Recommendations – Non-Invasive and Non-Pharmacological , - American College of Physicians (ACP) developed this guideline to present the evidence and provide clinical recommendations on noninvasive treatment of low back pain. Systematically review the current evidence on non-pharmacologic therapies for acute or chronic non-radicular or radicular low back pain. Comparative benefits of non-pharmacological therapies in acute/subacute low back pain including exercise, spinal manipulation, lumbar supports, acupuncture, laser, ultrasound and traction. Discussion of first and second line therapies with reduction in opioid prescription. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, 2020 | | | | | Trends in Spinal Treatment, Migration of spinal care for mechanical spine issues from hospitals and medical specialists to trauma qualified chiropractors based upon published outcomes. Utilizing imaging studies in spinal biomechanics, pain models and clinical outcomes to determine a conclusive diagnosis, prognosis and treatment plan for triaging in a collaborative environment. Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2019 | | | | | Clinical Grand Rounds – Traumatically Induced Cervical Central Canal Stenosis, – a case review of traumatically induced acute cervical intervertebral disc extrusion with superior migration resulting in severe central canal stenosis and spinal cord impingement. A detailed review of physical examination findings, neurological evaluation, MRI images and surgical triage. Interprofessional communication both verbally and through proper evidence-based documentation. Academy of Chiropractic, Post-Doctoral Division, Buffalo, NY, 2019 | | | | | Clinical Grand Rounds - Traumatically Induced Biomechanical Pathology with Secondary Underlying Multi-Level Cervical Intervertebral Disc Herniation, – Case review of traumatically induced biomechanical pathology in the cervical spine in the absence of pre-existing degenerative change and ligament laxity. Review of underlying multi-level acute intervertebral disc herniation and clinical correlation to patient presentation. T1, T2 and STIR MRI review of acute intervertebral disc herniation in both sagittal and axial planes outlining correlation to radiologist report and electrodiagnostic findings. Academy of Chiropractic Post-Doctoral Division Buffalo, NY, 2019 | | | | | Clinical Grand Rounds – Biomechanical Pathology Secondary to Cervical Fusion, - Case review of traumatically induced cervical and lumbar spine. Prior cervical fusion C4-7 with review of plain film radiographs, MRI studies and neurological evaluation. Biomechanical assessment revealed significant compensation in lumbar spine secondary to cervical disc herniation and grade 2 ligament injury above the prior fusion. Modic 2 changes on lumbar spine MRI. Care plan, interprofessional documentation and patient centered education. Academy of Chiropractic Post-Doctoral Division Buffalo, NY, 2019 | | | | | Clinical Grand Rounds – Interprofessional Management of Cervical Instability and Traumatic Brain Injury, - Case review of traumatically induced cervical spine grade 2 ligament tear with associated underlying degenerative disc disease and traumatic brain injury. MRI review and discussion of axonal shearing findings on advanced imaging, evidenced based triage to neurology concussion clinic and documentation. Clinical correlation to pre-existing electrodiagnostic evidence. Surgical co-management of anatomical and biomechanical pathology with post-op follow up, focus on interprofessional communication. Academy of Chiropractic Post-Doctoral Division Buffalo, NY, 2019 | | | | | Clinical Grand Rounds – Traumatic Disc Bulge and Associated Grade 2 Ligament Injury , -a case review of traumatically induced cervical spine traumatic bulge of the intervertebral disc with concomitant grade 2 ligament injury was presented. Detailed anatomy and morphological presentation of normal and degenerative intervertebral disc presentation was demonstrated and reviewed. Review of morphological differences between disc bulge, disc herniation and disc protrusion was presented. Grade 1, Grade 2 and Grade 3 ligamentous sprains were reviewed and discussed. Radiographic analysis and objectification of grade 2 sprain was presented and its correlation to the AMA Guides to the Evaluation of Permanent Impairment 5th edition was reviewed. Interprofessional communication both verbally and through proper evidence-based documentation was emphasized and discussed. Academy of Chiropractic, Post-Doctoral Division, Buffalo, NY, 2019 | | | | | Clinical Grand Rounds – Traumatic Cervical Disc Herniation and Associated Sternum Fracture , a case review of traumatically induced multi-level cervical disc herniation with associated Grade 2 Ligament Injury rated as sub-threshold. Review of case history, physical examination findings, plain film radiographs, cervical spine MRI and bone scan. Radiographic analysis and objectification of grade 2 sprain was presented and its correlation to the AMA Guides to the Evaluation of Permanent Impairment 5th edition was reviewed. Review of the purpose, function and positive findings on bone scan was reviewed and demonstrated using patient’s fractured sternum. Interprofessional communication both verbally and through proper evidence-based documentation was emphasized and discussed. Academy of Chiropractic, Post-Doctoral Division, Buffalo, NY, 2019 | | | | | Clinical Grand Rounds – Compensatory Lower Back Pain Due to T2 Biomechanical Pathology , – case review of spinal biomechanical engineering study in the care plan of non-responsive lower back pain. Review of medical care plan, epidural steroid injections and past medical history. Patient centered approach to full spine assessment in non-responsive chronic lower back pain with associated primary spinal mechanical lesion identified in upper thoracic spine. Academy of Chiropractic, Post-Doctoral Division, Buffalo, NY, 2019 | | | | | Clinical Grand Rounds – Differentiating Pre-existing vs Causally Related Spinal Injury using MRI , – case review of traumatic injury to the cervical spine with underlying pre-existing traumatic injuries. Physical examination, neurological and orthopedic testing was clinically correlated to mechanism of injury, plain film radiographs and MRI studies. Comparison of T1, T2 and STIR views were reviewed in relation to intervertebral disc bulge, intervertebral disc herniation, Modic 1, Modic 2 and Modic 3 changes. Comparative review of causally related versus pre-existing changes was demonstrated. Academy of Chiropractic, Post-Doctoral Division, Buffalo, NY, 2019 | | | | | Clinical Grand Rounds – Traumatic Cervical Disc Herniation with Pre-existing Cervical Spinal Fusion, a case review of traumatically induced multi-level cervical disc herniation with below a pre-existing spinal fusion. Review of case history, physical examination findings, plain film radiographs, cervical spine MRI with particular attention paid to osteophyte and modic changes. Interprofessional communication both verbally and through proper evidence-based documentation was emphasized and discussed focusing on acute versus chronic spinal injury. Academy of Chiropractic, Post-Doctoral Division, Buffalo, NY, 2019 | | | | | Clinical Grand Rounds – Clinical Diagnosis of Traumatically Induced Intervertebral Disc Injury versus Pre-Existing Disc Bulge in the Cervical Spine, Clinical Diagnosis of Traumatically Induced Intervertebral Disc Injury versus Pre-Existing Disc Bulge in the Cervical Spine-case review of pre-existing cervical spine degenerative disc disease, myomalacia and spinal cord compression with superimposed central canal stenosis due to overlying traumatically induced cervical disc herniation. Discuss of Modic 1 changes and acute injury with associated foraminal canal stenosis and acute intervertebral disc herniation. Causality related to mechanism of injury, physical examination presentation and analysis of bodily injury was presented. Academy of Chiropractic, Post-Doctoral Division, Buffalo, NY, 2019 | | | | | Neurology of Spinal Biomechanics, Understanding the normal of spinal biomechanics and the neurotransmitters required for homeostasis. The interconnected role of Pacinian Corpuscles, Ruffini Corpuscles, Golgi Organ Receptors, Nociceptors, Proprioceptors and Mechanoreceptors in maintaining sagittal and axial alignment in the presence of mechanical pathology. Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2019 | | | | | MRI Age-Dating of Herniated Discs, The literature, academic and clinical standards to age-date herniated discs. The clinical correlation the pain patters with advanced imaging finings of bone edema, spurs based upon the Piezoelectric effect of remodeling, high signal on T2 weighted images, Vacuum Discs and disc heights in determining the time frames of the etiology of the spinal disc pathology. Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2019 | | | | | Creating Ethical Collaborative and Medical-Legal Relationships, Understanding the timely triage necessities based upon clinical and imaging outcomes and the documentation required for collaborative physicians to continue care. Ensuring that the documentation is complete, reflective of services rendered and clear for third party consideration in an admissible format to considered in a medical-legal environment. Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2019 | | | | | Central Innervation of Spinal Biomechanical Engineering, Understanding the lateral and ventral horn’s innovations of Pacinian Corpuscles, Ruffini Corpuscles, Golgi Organ Receptors, Nociceptors, Proprioceptors and Mechanoreceptors and the pathways through the spinal thalamic tracts through the periaqueductal region, the Thalamus into the Occipital, pre-frontal, sensory and motor cortexes and the efferently back through the Thalamus to disparate regions in creating spinal homeostasis, Pacinian Corpuscles, Ruffini Corpuscles, Golgi Organ Receptors, Nociceptors, Proprioceptors and Mechanoreceptors Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2019 | | | | | Identifying Spinal Pathology of MRI, Utilizing T1, T2, STIR and Gradient studies in determining myelomalacia, intra and extra-dural tumors and systemic disease patterns affecting the spinal cord. When to use contrast post-operatively in identifying disc structures vs. adhesions on postoperative advanced imaging. MRI Interpretation of herniated, circumferential bulges, focal bulges, protruded, extruded, comminuted, sequestered and fragmented discs. When to consider a neurosurgical consultation based upon the correlation of imaging and clinical findings Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2019 | | | | | Clinical Grand Rounds – Innervation Patterns and their Clinical Application of the Spinal Meninges and the Intervertebral Discs, – A detailed review of spinal cord anatomy both in sagittal and axial sections with particular attention being paid to the three covering layers. Analysis of the structure, function and sensory innervation of the dura mater [aka the thecal sac], arachnoid mater and pia mater. Discussion of the sensory innervation of health and degenerative intervertebral discs was presented and outlined. Causality related to mechanism of injury, physical examination presentation and analysis of bodily injury was presented. Academy of Chiropractic, Post-Doctoral Division, Buffalo, NY, 2019 | | | | | Clinical Grand Rounds – Clinical Diagnosis and Management Traumatic Cervical Spine Injury with Pre-existing Fusion – , a detailed review of physical examination and assessment of traumatic cervical spine injury in a patient with a pre-existing spinal fusion at C3-C5. Discussion of pre-existing disc bulges versus traumatically induced intervertebral disc herniation was reviewed. Clinical correlation to prior history, current history, physical examination findings, MRI T1, T2 and STIR images, dynamic flexion/extension radiographs were provided. Definition and discussion of Alteration of Motion Segment Integrity (AOMSI) and its correlation to mechanism of injury and sensory pain fiber test was presented. Academy of Chiropractic, Post-Doctoral Division, Buffalo, NY, 2019 | | | | | Clinical Grand Rounds – Innervation Patterns and their Clinical Application of the Spinal Meninges and the Intervertebral Discs , – a detailed review of spinal cord anatomy both in sagittal and axial sections with particular attention being paid to the three covering layers. Analysis of the structure, function and sensory innervation of the dura mater [aka the thecal sac], arachnoid mater and pia mater. Discussion of the sensory innervation of health and degenerative intervertebral discs was presented and outlined. Causality related to mechanism of injury, physical examination presentation and analysis of bodily injury was presented. Academy of Chiropractic, Post-Doctoral Division, Buffalo, NY, 2019 | | | | | Clinical Grand Rounds – Spinal Primary and Secondary Biomechanical Pathology, – a case review of objectification of spinal biomechanical pathology utilizing a Whole Organ Model of the human spine. Discussion of adjacent region mechanical dysfunction and clinical diagnosis utilizing sagittal and coronal plan data. Interprofessional communication both verbally and through proper evidence-based documentation was emphasized and discussed focusing on acute versus chronic spinal injury. Academy of Chiropractic, Post-Doctoral Division, Buffalo, NY, 2019 | | | | | Clinical Grand Rounds – Clinical Diagnosis of Traumatically Induced Intervertebral Disc Injury versus Pre-Existing Disc Bulge in the Cervical Spin, -case review of pre-existing cervical spine degenerative disc disease, myomalacia and spinal cord compression with superimposed central canal stenosis due to overlying traumatically induced cervical disc herniation. Discuss of Modic 1 changes and acute injury with associated foraminal canal stenosis and acute intervertebral disc herniation. Causality related to mechanism of injury, physical examination presentation and analysis of bodily injury was presented. Academy of Chiropractic, Post-Doctoral Division, Buffalo, NY, 2019 | | | | | Clinical Grand Rounds – Differentiating Pre-existing vs Causally Related Spinal Injury using MRI, – case review of traumatic injury to the cervical spine with underlying pre-existing traumatic injuries. Physical examination, neurological and orthopedic testing was clinically correlated to mechanism of injury, plain film radiographs and MRI studies. Comparison of T1, T2 and STIR views were reviewed in relation to intervertebral disc bulge, intervertebral disc herniation, Modic 1, Modic 2 and Modic 3 changes. Comparative review of causally related versus pre-existing changes was demonstrated. Academy of Chiropractic, Post-Doctoral Division, Buffalo, NY, 2019 | | | | | Clinical Grand Rounds – Clinical Diagnosis and Management Traumatic Cervical Spine Injury with Pre-existing Fusion, – A detailed review of physical examination and assessment of traumatic cervical spine injury in a patient with a pre-existing spinal fusion at C3-C5. Discussion of pre-existing disc bulges versus traumatically induced intervertebral disc herniation was reviewed. Clinical correlation to prior history, current history, physical examination findings, MRI T1, T2 and STIR images, dynamic flexion/extension radiographs were provided. Definition and discussion of Alteration of Motion Segment Integrity (AOMSI) and its correlation to mechanism of injury and sensory pain fiber test was presented. Academy of Chiropractic, Post-Doctoral Division, Buffalo, NY, 2019 | | | | | Triage and Management of the Trauma and Non-Trauma Patient, Triage and Management of the Trauma and Non-Trauma Patient, Differentially diagnosing spinal issues in the trauma and non-trauma patient inclusive of spinal disc pathology utilizing x-ray, MRI, CAT Scan and clinical evaluations. Collaborative triaging protocols with neurologists, neurosurgeons, orthopedic surgeons, pain management and primary medical care providers with both mechanical and anatomical spinal pathologies. Academy of Chiropractic, Cleveland University - Kansas City Chiropractic and Health Sciences, Long Island, NY, 2018 | | | | | Triaging and reporting while maintaining ethical medical-legal relationships, Neurodiagnostics, Imaging Protocols and Pathology of the Trauma Patient, An in-depth understanding of the protocols in triaging and reporting the clinical findings of the trauma patient. Maintaining ethical relationships with the medical-legal community. PACE Recognized by The Federation of Chiropractic Licensing Boards', Academy of Chiropractic Post-Doctoral Division, Long Island, NY,
2018 | | | | | Physical Examination & Documentation for the Trauma Patient, Diagnostics, Risk Factors, Clinical Presentation and Triaging the Trauma Patient, An extensive understanding of the injured with clinically coordinating the history, physical findings and when to integrate neurodiagnostics. An understanding on how to utilize emergency room records in creating an accurate diagnosis and the significance of “risk factors” in spinal injury. PACE Recognized by The Federation of Chiropractic Licensing Boards', Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2018 | | | | | Crash Dynamics and Its Relationship to Causality, Crash Dynamics and Its Relationship to Causality, An extensive understanding of the physics involved in the transference of energy from the bullet car to the target car. This includes G's of force, newtons, gravity, energy, skid marks, crumple zones, spring factors, event data recorder and the graphing of the movement of the vehicle before, during and after the crash. Determining the clinical correlation of forces and bodily injury. PACE Recognized by The Federation of Chiropractic Licensing Boards', Academy of Chiropractic Post-Doctoral Division, Long Island, NY 2018 | | | | | MRI, Bone Scan and X-Ray Protocols, Physiology and Indications for the Trauma Patient, 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. PACE Recognized by The Federation of Chiropractic Licensing Boards', Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2018 | | | | | Neurodiagnostics Testing: EMG/NCV, VEP, BAER, V-ENG and SSEP, Clinical Indications and Interpretation, 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. PACE Recognized by The Federation of Chiropractic Licensing Boards', Academy of Chiropractic Post-Doctoral Division, Long Island, NY 2018 | | | | | Documentation and Working within Your State Laws to Ensure Compliant Paperwork and Reimbursement, Documentation and Reporting for the Trauma Victim, Understanding the necessity for accurate documentation and diagnosis utilizing the ICD-9 and the CPT to accurately describe the injury through diagnosis. Understanding and utilizing state regulations on reimbursement issues pertaining to healthcare. PACE Recognized by The Federation of Chiropractic Licensing Boards', Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2018 | | | | | Strategic Plan, Documenting Clinically Correlated Bodily Injury to Causality, Understanding the necessity for accurate documentation, diagnosis and clinical correlation to the injury when reporting injuries in the medical-legal community. Documenting the kinesiopathology, myopathology, neuropathology, and pathophysiology in both a functional and structural paradigm. PACE Recognized by The Federation of Chiropractic Licensing Boards', Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2018 | | | | | Neurology of Ligament Pathology- Normal Morphology and Tissue Damage, Connective tissue morphology, embryology and wound repair as sequelae 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, PACE approved of the Federation of Chiropractic Licensing Boards, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2018 | | | | | 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 Academy of Chiropractic, Post-Doctoral Division, PACE approved of the Federation of Chiropractic Licensing Boards, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2018 | | | | | Neurology of Ligament Pathology- Spinal Biomechanics and Disc Pathology, Disc pathology as sequela 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, PACE approved of the Federation of Chiropractic Licensing Boards, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2018 | | | | | Documenting Trauma and Non-Trauma Cases & Triaging Disc Pathology, Triage, care and collaboration for herniated, bulged, protruded, extruded and fragmented spinal discs. Compliant documentation of evaluation and management of new and established patients inclusive of chief complaint, history of present illness, review of systems, past-family-social histories with case management protocols and the required elements. Clinically coordinating treatment with subjective complaints, clinical findings and diagnosis for each encounter. Cleveland University-Kansas City Chiropractic and Health Sciences, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2018 | | | | | MRI History and Physics, MRI History and Physics, Magnetic fields, T1 and T2 relaxations, nuclear spins, phase encoding, spin echo, T1 and T2 contrast, magnetic properties of metals and the historical perspective of the creation of NMR and MRI Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,Academy of Chiropractic Post-Doctoral Division , Buffalo, NY, 2018 | | | | | MRI Spinal Anatomy and Protocols, MRI Spinal Anatomy and Protocols, Normal anatomy of axial and sagittal views utilizing T1, T2, 3D gradient and STIR sequences of imaging. Standardized and desired protocols in views and sequencing of MRI examination to create an accurate diagnosis in MRI Diplomate, , Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018 | | | | | MRI Disc Pathology and Spinal Stenosis, MRI Disc Pathology and Spinal Stenosis, MRI interpretation of bulged, herniated, protruded, extruded, sequestered and fragmented disc pathologies in etiology and neurological sequelae in relationship to the spinal cord and spinal nerve roots. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018 | | | | | MRI Spinal Pathology, 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 Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,Academy of Chiropractic Post-Doctoral Division , Buffalo, NY, 2018 | | | | | MRI Methodology of Analysis, MRI Methodology of Analysis, MRI interpretation sequencing of the cervical, thoracic and lumbar spine inclusive of T1, T2, STIR and 3D gradient studies to ensure the accurate diagnosis of the region visualized. New York Chiropractic Council, ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, 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, b, NY, 2018 | | | | | MRI Clinical Application, The clinical application of the results of space occupying lesions. Disc and tumor pathologies and the clinical indications of manual and adjustive therapies in the patient with spinal nerve root and spinal cord insult as sequelae. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,Academy of Chiropractic Post-Doctoral Division , Buffalo, NY, 2018 | | | | | 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 sequelae, including bulge, herniation, protrusion, extrusion and sequestration. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018 | | | | | MRI Interpretation of Lumbar Degeneration/Bulges, MRI slices, views, T1, T2, STIR axial, stacking, FFE, FSE and sagittal images in the interpretation of lumbar degeneration. With the co-morbidities and complications of stenosis, pseudo-protrusions, cantilevered vertebrate, Schmorl's nodes and herniations. Central canal and cauda equina compromise interpretation with management. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018 | | | | | 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-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. Central canal and cauda equina compromise interpretation with management. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018 | | | | | MRI Interpretation of Cervical Degeneration/Bulges, MRI slices, views, T1, T2, STIR axial, stacking, FFE, FSE and sagittal images in the interpretation of cervical degeneration. With the co-morbidities and complications of stenosis, pseudo-protrusions, cantilevered vertebrate, Schmorl's nodes and herniations. Spinal cord and canal compromise interpretation with management. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018 | | | | | MRI Interpretation of Cervical Herniations, MRI slices, views, T1, T2, STIR Axial, FFE, FSE and sagittal images in the interpretation of lumbar herniations. With the co-morbidities and complications of stenosis, pseudo-protrusions, cantilevered vertebrate, Schmorl's nodes and herniations. morphology of lumbar disc pathologies of central and lateral herniations, protrusions, extrusions, sequestration, focal and broad based herniations are defined and illustrated. Spinal cord and canal compromise interpretation with management. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018 | | | | | 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. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018 | | | | | Spinal Biomechanical Engineering: 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. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018 | | | | | Spinal Biomechanical Engineering: Cervical Pathobiomechanics, Spinal biomechanical engineering of the cervical and upper thoracic spine. This includes the normal and pathobiomechanical movement of both the anterior and posterior motor units and normal function and relationship of the intrinsic musculature to those motor units. Nomenclature in reporting normal and pathobiomechanical findings of the spine. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018 | | | | | Spinal Biomechanical Engineering: Lumbar Pathobiomechanics, Spinal biomechanical engineering of the lumbar spine. This includes the normal and pathobiomechanical movement of both the anterior and posterior motor units and normal function and relationship of the intrinsic musculature to those motor units. Nomenclature in reporting normal and pathobiomechanical findings of the spine. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018 | | | | | Spinal Biomechanics in Trauma, To utilize whiplash associated disorders in various vectors of impact and whiplash mechanisms in determining pathobiomechanics. To clinically correlate annular tears, disc herniations, fractures, ligament pathology and spinal segmental instability as sequelae 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. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018 | | | | | Spinal Biomechanical Engineering & Organizational Analysis, Integrating spinal biomechanics and pathobiomechanics through digitized analysis.The comparison of organized versus disorganized compensation with regional and global compensation. Correlation of the vestibular, ocular and proprioceptive neurological integration in the righting reflex as evidenced in imaging. Digital and numerical algorithm in analyzing a spine. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018 | | | | | Spinal Biomechanical Engineering: Cervical Digital Analysis, Digitizing and analyzing the cervical spine in neutral, flexion and extension views to diagnose pathobiomechanics. This includes alteration of motion segment integrity (AMOSI) in both angular and translational movement. Ligament instability/failure/pathology are identified all using numerical values and models. Review of case studies to analyze pathobiomechanics using a computerized/numerical algorithm. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018 | | | | | Spinal Biomechanical Engineering: Lumbar Digital Analysis, Digitalizing and analyzing the lumbar spine images to diagnose pathobiomechanics. This includes anterior and posterior vertebral body elements in 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. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018 | | | | | Spinal Biomechanical Engineering: Full Spine Digital Analysis, Digitalizing and analyzing the full spine images to diagnose pathobiomechanics as sequelae to trauma in relation to ligamentous failure and disc and vertebral pathology as sequelae. 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. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018 | | | | | Spinal Trauma Pathology, Triage and Connective Tissue Injuries and Wound Repair, Triaging the injured and differentially diagnosing both the primary and secondary complaints. Connective tissue injuries and wound repair morphology focusing on the aberrant tissue replacement and permanency prognosis potential. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018 | | | | | Spinal Trauma Pathology: 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. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018 | | | | | Spinal Trauma Pathology: 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 gray matter, thalamus and cortices involvement. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018 | | | | | Spinal Trauma Pathology: Biomechanics of Traumatic Disc Bulge and Age Dating Herniated Disc Pathology, The biomechanics of traumatic disc bulges as sequella from trauma and the comorbidity of ligamentous pathology. Age-dating spinal disc pathology in accordance with Wolff’s Law. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018 | | | | | Spinal Trauma Pathology: 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. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018 | | | | | Spinal Trauma Pathology: 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. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018 | | | | | The Basics of Orthopedic Testing, Orthopedic Testing: Principles, Clinical Application and Triage, Integration of orthopedic testing in the clinical setting to develop a differential diagnosis. Utilizing radiographic and advanced imaging inclusive of MRI and CAT scan findings to verify tissue pathology suspected by orthopedic testing conclusions and developing a treatment plan as sequelae. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018 | | | | | Cervical Spine Orthopedic Testing, Orthopedic Testing: Cervical Spine, Integration of cervical orthopedic testing in the clinical setting to develop a differential diagnosis. Utilizing radiographic and advanced imaging inclusive of MRI and CAT scan findings to verify tissue pathology suspected by orthopedic testing conclusions and developing a treatment plan as sequelae. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018 | | | | | Cervical Spine Part 2, Orthopedic Testing: Cervical Spine, Integration of cervical orthopedic testing in the clinical setting to develop a differential diagnosis. Utilizing radiographic and advanced imaging inclusive of MRI and CAT scan findings to verify tissue pathology suspected by orthopedic testing conclusions and developing a treatment plan as sequelae. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,Academy of Chiropractic Post-Doctoral Division , Buffalo, NY, 2018 | | | | | Lumbar Spine Orthopedic Testing:, 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. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018 | | | | | Clinical Grand Rounds, Orthopedic Testing: Clinical Grand Rounds, Integration of 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. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018 | | | | | Accident Reconstruction: Terms, Concepts and Definitions, The forces in physics that prevail in accidents to cause bodily injury. Quantifying the force coefficients of vehicle mass and force vectors that can be translated to the occupant and subsequently cause serious injury. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2018 | | | | | Accident Reconstruction: Causality, Bodily Injury, Negative Acceleration Forces, Crumple Zones and Critical Documentation, Factors that cause negative acceleration to zero and the subsequent forces created for the vehicle that get translated to the occupant. Understanding critical documentation of hospitals, ambulance reports, doctors and the legal profession in reconstructing an accident. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2018 | | | | | Accident Reconstruction: Skid Marks, Time, Distance, Velocity, Speed Formulas and Road Surfaces, The mathematical calculations necessary utilizing time, distance, speed, coefficients of friction and acceleration in reconstructing an accident. The application of the critical documentation acquired from an accident site. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2018 | | | | | Accident Reconstruction: Research, Causality and Bodily Injury, Delta V issues correlated to injury and mortality, side impact crashes and severity of injuries, event data recorder reports correlated to injury, frontal impact kinematics, crash injury metrics with many variables and inquiries related to head restraints. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2018 | | | | | Impairment Rating, The understanding and utilization of the protocols and parameters of the AMA Guide to the Evaluation of Permanent Impairment 6th Edition. Spine, neurological sequelae, migraine, sexual dysfunction, sleep and arousal disorders, station and gait disorders and consciousness are detailed for impairment rating. Herniated discs, radiculopathy, fracture, dislocation and functional loss are also detailed in relation to impairment ratings. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018 | | | | | Mild Traumatic Brain Injury/Traumatic Brain Injury/Concussion, Deferentially diagnosing mild traumatic brain injury vs. traumatic brain injury and the clinical and imaging protocols required to conclude an accurate diagnosis for head trauma. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2018 | | | | | MRI Clinical Application, Trends in hospital and emergent care in the healthcare delivery system inclusive of policies, hospital staffing and current care paths for mechanical spine issues. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post-Doctoral Division, PACE Recognized by The Federation of Chiropractic Licensing Boards, Long Island, NY, 2018 | | | | | Medical-Legal-Insurance Documentation, Accurate and compliant documentation of history and clinical findings inclusive of functional losses, loss of activities of daily living, duties under duress and permanent loss of enjoyment of life. Prognosing static vs. stable care, gaps in care both in the onset and in the middle of passive care with a focus on detailed diagnosing. The integration of chiropractic academia, the court system and the insurance reimburser’s requirements for complete documentation. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2018 | | | | | Stroke Anatomy and Physiology: Brain Vascular Anatomy, The anatomy and physiology of the brain and how blood perfusion effects brain function. A detailed analysis of the blood supply to the brain and the physiology of ischemia. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018 | | | | | Stroke Anatomy and Physiology: Stroke Types and Blood Flow, Various types of stroke identifying ischemia, hypoperfusion, infarct and penumbra zones and emboli. Cardiac etiologies and clinical features as precursor to stroke with associated paradoxical emboli and thrombotic etiologies. Historical and co-morbidities that have etiology in stroke inclusive of diabetes, coagulopathy, acquired and hereditary deficiencies. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018 | | | | | Stroke Principles of Treatment an Overview for the Primary Care Provider, Stroke type and treatments performed by vascular specialists. The goals of treatment with the physiology of the infarct and penumbra zones and the role of immediate triage in the primary care setting. Detailing the complications of stroke and future care in the chiropractic, primary care or manual medicine clinical setting. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018 | | | | | Clinical Evaluation and Protocols for Identifying Stroke Risk, The neurological history and examination for identifying stroke risks with a focus on supra and infratentorial regions, upper and lower motor lesions, cranial nerve signs, spinal cord pathology, motor and sensory pathology and gait abnormalities. Examining genetic and family histories along with dissection risk factors. Stroke orthopedic testing and clinical guidelines pertaining to triage for the primary care provider. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018 | | | | | Utilization of Research in the Clinical setting, Utilizing peer reviewed scientific literature in creating a diagnosis, prognosis and treatment plan for the chronic and acute patient. How to implement and stay current on techniques and technology in healthcare. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards],Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2018 | | | | | Triaging the Trauma and Non-Trauma Patients, Utilizing detailed history and examination findings to determine the best care path for the patient. Clinical factors in determining the timelines for advanced imaging in both the trauma and non-trauma patients. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2018 | | | | | Medical-Legal Ethical Relationships, Documentation and Legal Testimony, Report writing for legal cases, the 4 corners of a narrative and documenting damages with understanding defense medical documentation and consistent reporting of bodily injuries Academy of Chiropractic, Post-Doctoral Division, PACE approved of the Federation of Chiropractic Licensing Boards, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2018 | | | | | Medical-Legal Ethical Relationships, Documentation and Legal Testimony, Part 2, Understanding report writing and the types of medical reports required for court inclusive of diagnosis, prognosis and treatment plans with requirements of reporting causality and permanency Academy of Chiropractic, Post-Doctoral Division, PACE approved of the Federation of Chiropractic Licensing Boards, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2018 | | | | | Medical-Legal Ethical Relationships, Documentation and Direct Testimony, Organizing your documentation and understanding all collaborative documentation and how it fits into your diagnosis, prognosis and treatment plan, Understanding the nuances of the functional losses of your patients related to their bodily injuries Academy of Chiropractic, Post-Doctoral Division, PACE approved of the Federation of Chiropractic Licensing Boards, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2018 | | | | | Medical-Legal Ethical Relationships, Documentation and Direct Testimony Part 2, Utilizing demonstrative documentation in direct examination and communicating the results of your care concurrently with the written documentation and reporting an accurate diagnosis for all images Academy of Chiropractic, Post-Doctoral Division, PACE approved of the Federation of Chiropractic Licensing Boards, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2018 | | | | | Medical-Legal Ethical Relationships, Documentation and Direct Testimony Part 3, The evaluation, interpretation and reporting of collaborative medical specialists results and concluding an accurate diagnosis inclusive of all findings and reviewing all images to ensure an accurate diagnosis Academy of Chiropractic, Post-Doctoral Division, PACE approved of the Federation of Chiropractic Licensing Boards, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2018 | | | | | Medical-Legal Ethical Relationships, Documentation and Direct Testimony Part 4, Determining and documenting disabilities and impairments inclusive of loss of enjoyment of life and duties under duress and the evaluation and validation of pain and suffering Academy of Chiropractic, Post-Doctoral Division, PACE approved of the Federation of Chiropractic Licensing Boards, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2018 | | | | | Medical-Legal Ethical Relationships, Documentation and Cross Examination Testimony, Reporting your documentation factually and staying within the 4 corners of your medical report and scope of practice inclusive of understanding how your credentials allow you to report your documentation Academy of Chiropractic, Post-Doctoral Division, PACE approved of the Federation of Chiropractic Licensing Boards, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2018 | | | | | Medical-Legal Ethical Relationships, A Documentation Relationship Between the Doctor and Lawyer,, The level of organization required in a medical-legal case that accurately reflects the bodily injuries of your patients and the time constraints in rendering an accurate report Academy of Chiropractic, Post-Doctoral Division, PACE approved of the Federation of Chiropractic Licensing Boards, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2018 | | | | | Medical-Legal Ethical Relationships, Report Writing and Preparing for a Legal Case, Reviewing the facts of the case inclusive of your documentation, the defense medical examiner, medical specialists and the attorney to ensure accurate and consistent reporting Academy of Chiropractic, Post-Doctoral Division, PACE approved of the Federation of Chiropractic Licensing Boards, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2018 | | | | | Medical-Legal Ethical Relationships, Report Writing and Preparing for a Legal Case Part 2, Creating demonstrative evidence, visuals of your patient's bodily injuries inclusive of x-rays, MRI's, CAT Scans and electrodiagnostic findings, the spinal biomechanics of herniated disc with ipsilateral findings and contralateral symptomatology Academy of Chiropractic, Post-Doctoral Division, PACE approved of the Federation of Chiropractic Licensing Boards, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2018 | | | | | Interprofessional Spine Care , an evidence-based approach to the trauma patient, this seminar includes current trends in spine pain management in the Primary Care setting, a detailed review of the negative impact of mechanical spine pain on current primary care offices and the management of systemic internal medicine disease. Current trends in spinal pain management in Interventional Pain Management and the specific approaches were outlined by reviewing current peer-reviewed indexed research. Discussion on collaborative patient care and expectations from patient referral and current barriers to Interprofessional communication were outlined and discussed. Contemporary trends in spinal pain management in orthopedic and neurosurgery surgery were reviewed along with the criteria for effective and necessary referral to surgical providers. New trends in collaborative care and intervention utilizing a full spine model to ensure enhanced surgical outcomes where presented and reviewed. Pain Management pathways in Spinal Manipulation, mechanism of action at the peripheral and central nervous system level were outlined. Interprofessional communication between Primary Care, Medical Specialty and Surgeons was organized and reviewed with documentation protocols to ensure Evidence Based Care paths and Patient Centered Care is at the forefront of daily patient care. Spinal Manipulation research, evidence-based reviews and discussion of proper patient selection, outcomes measurement and interprofessional communication where presented in case study format. ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Buffalo, NY, 2018 | | | | | Whiplash Advanced Topics: The Fundamental Science, Requisite and comprehensive biomechanics knowledge for forensic experts. Whiplash and brain injuries: the real reasons they are on the rise.
The minimal property damage = minimal injury risk myth exposed. In-depth analysis of brain, neck, and cervical spine trauma mechanisms. Soft tissue injuries: a comprehensive and cutting edge analysis. All clinical syndromes and conditions resulting from whiplash (WAD/CAD). What forensic experts need to know about the various pain syndromes. Risk assessment: the fundamental key to modern forensic practice. Southern California University of Health Sciences, Spine Research Institute of San Diego, Inc., Orlando, FL, 2017 | | | | | Management Principles in Personal Injury and Forensic Documentation, In-depth training on all aspects of management of trauma, from beginning to end; a comprehensive primer on crash reconstruction.
Auto crash reconstruction in low speed crashes: critical knowledge for today's forensic practitioners.
Historical documentation in personal injury and forensic medicine applications.
Comprehensive physical examination of whiplash and traumatic brain injury.
Special laboratory methods, such as the S-100 protein.
The latest radiographic examination methods and analysis techniques.
CT examination of brain and soft tissue injuries.
MRI examination of brain and soft tissue injuries; latest techniques.
Special diagnostic imaging modalities (SPECT, PET, fMRI, MRA, VF, etc.); how and when to use
Electrodiagnostics (EMG, sEMG, SSEP, VEP, etc…); how and when to use.
Rendering a diagnosis/impression in the personal injury or forensic setting; pearls and pitfalls.
Soft tissue healing times and implications for successful case management.
The state of the injury and implications for case management.
Designing a treatment plan and living with guidelines.
Important applications of activities of daily living; optimizing outcomes.
Chiropractic manipulation, deep tissue massage, and PT Modalities for best outcomes. Southern California University of Health Sciences, Spine Research Institute of San Diego, Inc., Orlando, FL, 2017 | | | | | Principles of Impairment Rating and Forensics Reporting , Critical documentation from day 1; What every personal injury and forensic expert needs to know.
The fundamental of expository, scientific writing you were never taught; common dos and don'ts.
The essential craft of narrative report preparation from A-Z; style, strategy, methods, organization, and common pitfalls.
Incorporating outcomes assessment and disability instruments into your reports (SCL-90-R, Oswestry, Roland-Morris,
Rivermead PCS, and more).
The application of AMA guidelines in personal injury and forensic practice.
Modern guidelines and best practices (Presley Reed, Mercy, QTF, ACOEM, Croft); How they are commonly abused and how and when to use them correctly.
Critical rebuttal methods and strategies in today's modern forensic practice.
Special software applications: managing data, information, graphics; saving time. Southern California University of Health Sciences, Spine Research Institute of San Diego, Inc., Orlando, FL, 2017 | | | | | Medicolegal Fundamentals for Practitioners and Forensic Experts, Essentials of documentation and records keeping; what you need vs. what you don't
Medical photography; when and how to use it and incorporate it.
Taking the pain out of depositions, arbitrations, and testifying in court.
Preparing for the classic cross-examination strategies.
Critical differences between chiropractic and medical approaches that literally make or break a case.
Using evidence effectively; models, charts, diagrams, photos, movies, and more.
Daubert and Frye rules; how they affect your testimony and how they can exclude opposing experts.
Disabusing the MIST myth; Colossus.
Learned treatises and reliable authorities; other federal rules of evidence experts should know. Southern California University of Health Sciences, Spine Research Institute of San Diego, Inc., Orlando, FL, 2017 | | | | | MRI Spine Interpretation, 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 sequelae to osseous issues, herniation pathology and protrusion, extrusion, migrated and sequestered variations. Clinical scenarios as a sequelae to disc and pre-existing pathologies Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2015 | | | |
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