Steven Cohen, DC B.S.

This program was initiated by the American Medical Association to help standardize impairment ratings throughout the country. This was developed to enable a physician in any part of the country to examine and evaluate a patient with the same accuracy as would a physician in another section of the country, both physicians consequently producing an impairment rating either identical or within a few percentage points of each other, on the same patient. Dr, Stanley Kaplan, Certification, Logan College of Chiropractic Post Doctoral Education, St. Louis, MI, 2003.

The understanding and utilization of the protocols and parameters of the AMA Guide to the Evaluation of Permanent Impairment 6th Edition. Spine, neurological sequlla, migraine, sexual dysfunction, sleep and arousal disorders, station and gait disorders and consciousness are detailed for impairment rating. Herniated Discs, radiculopathy, fracture, dislocation and functrional loss are also detailed in relation to impairment ratings.

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.

An extensive understanding of the physcis involved in the transferrence 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.

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.

MRI interpretation, physiology, history and clinical indications, Bone Scan interpretation, physiology and clincal indications, x-ray clinical 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-Electronystagmosgarphy (V-ENG) interpretation, protcols and clinical indications for the trauma patient.

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

Understanding the necessity for accurate documentation, diagnosis and clinical correlation to the injury when reporting injuries in the medical-legal community. Documenting the kinesiopatholy, myopatholgy, neuropathology, pathophysiology in both a functional and structural paradigm.

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.

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.

MRI interpretation of bulged, herniated, protruded, extruded sequestered and fragmented disc pathologies in etiology and neurological sequellae in relationship to the spinal cord and spinal nerve roots.

MRI interpretation of bone, intradural, extradural, cord and neural sleeve lesions. Tuberculosis, drop lesions, metasasis, ependymoma, schwanoma and numerous other spinal related tumors and lesions.

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.

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 sequellae.

Manipulation under anesthesia uses a combination of specific short lever manipulations, passive stretches and specific articular and postural kinesthetic maneuvers in order to break up fibrous adhesions and scar tissue around the spine and surrounding tissue.

Understanding the operating room during Manipulation Under Anesthesia.

Acupuncture is an ancient Chinese practice that can be traced back for at least 2,500 years. The general theory of acupuncture is that specific patterns of energy flow through the body and are essential for health. The Chinese call this energy Qi, and it is the balancing of Qi that promotes health. Acupuncture is most commonly known as small, sterile needles inserted into specific locations in the skin. Modern acupuncture also uses a variety of other treatment modalities, including acupressure, electro-acupuncture, herbs, laser, nutrition counseling, magnets, cupping, and moxibustion.

American Academy of Medical Legal Professionals