Mark Lesko DC , FSBT
2013 Wells Branch Pky Suite 104, Austin, TX, 78728
Phone: 512-835-6077
Fax: 512-835-6079
drmarklesko@sbcglobal.net
http://austintexashealth.com
SELECTED OCCUPATIONAL HISTORY
Clinic Director, Practioner, Community Health & Rehab Centre, Austin, Texas, 1992 - Present
Graduate Medical Educator, Academy of Chiropractic, Long Island, New York, 2018 - Present
Clinic Director , Hall Chiropractic, Austin, Texas, 1989 - 1992
Clinic Director, United Chiropractic, Austin, Texas, 1988 - 1989
EDUCATION AND LICENSURE
Doctor of Chiropractic, Licensed in the State of Texas, License # 4597, 1987-Present
Doctorate of Chiropractic, Parker College of Chiropractic, Cum Laude, Dallas, Texas, 1986
Internship, Parker College Outpatient Clinic, Dallas, Texas, 1985 - 1986
National Board of Chiropractic Examiners, Part I, 1986
National Board of Chiropractic Examiners, Part II, 1986
National Board of Chiropractic Examiners, Physiotherapy, 1986
Undergraduate Studies in Pre-Chiropractic, Ramapo College of New Jersey, Mahwah, New Jersey, 1981 - 1983

SELECTED POST-GRADUATE EDUCATION, CERTIFICATIONS AND DIPLOMATES

Clinical Grand Rounds – T11 Spinal Fracture, a case review of traumatically induced T11 vertebral body fracture post motor vehicle collision. A detailed review of patient history, neurologic examination, plain film radiographs and advanced imaging studies were discussed. Comparison of Modic 1 and Modic 2 changes on T1 and T2 weighted MRI were reviewed, discussed and comparted to plain film images and CT scan images. Interprofessional communication both verbally and through proper evidence-based documentation was emphasized and discussed. Academy of Chiropractic, Post-Doctoral Division, PACE approved of the Federation of Chiropractic Licensing Boards, Cleveland University-Kansas City, College of Chiropractic, , Buffalo, New York, 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, PACE approved of the Federation of Chiropractic Licensing Boards, Cleveland University-Kansas City, College of Chiropractic, , Buffalo, New York, 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, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University- Kansas City, College of Chiropractic, , Buffalo, New York, 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, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University- Kansas City, College of Chiropractic, , Buffalo, New York, 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. Recognized by the PACE Program for the Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post-Doctoral Division, Buffalo, New York, 2019
Clinical Grand Rounds – 14 mm Cervical Disc Herniation with Spinal Cord Compression, A case review of traumatically induced 14 mmm acute cervical intervertebral disc extrusion with inferior migration resulting in severe right lateral canal stenosis, foraminal stenosis and spinal cord impingement. A detailed review of physical examination findings, neurological evaluation, MRI images and surgical triage was presented. Interprofessional communication both verbally and through proper evidence-based documentation was emphasized and discussed Academy of Chiropractic, Post-Doctoral Division, PACE approved of the Federation of Chiropractic Licensing Boards, Cleveland University-Kansas City, College of Chiropractic, , Buffalo, New York, 2019
Documentation, Carrier Mandates and How the Guide ER and Lawyer Referrals, Documenting electrodiagnostics, concussion and disc pathology as reflective of clinical findings when collaborating with medical specialists in private practice and hospital settings or in the medical-legal arena. Ensuring complete documentation in the evaluation and management process for both the initial and re-evaluation processes Academy of Chiropractic Post-Doctoral Division, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University- Kansas City, College of Chiropractic, , Long Island, New York, 2019
Forensic Documentation-Report Writing, Report writing in a medical-legal case inclusive of causality, bodily injury, persistent functional loss and restrictive sequela from trauma. Demonstratively documenting bodily injury utilizing models, graphs and patient image of x-ray and advanced imaging. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, New York, 2019
Forensic Documentation-Demonstrative Documentation, Demonstratively reporting spinal biomechanics failure and spinal compensation. How in a medical-legal environment to ethically report pre-existing injuries vs causally related current injuries and what is permissible in a legal proceeding Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, New York, 2019
Forensic Documentation-Reporting Direct Opinions, Causality, bodily injury and persistent functional losses documented and reported in a medical-legal environment as your direct opinion. Avoiding hearsay issues to ensure ethical relationships Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, New York, 2019
Forensic Documentation-Initial, Final and Collaboritive Reporting, Preparing demonstrative documentation in a medical-legal case ensuring that you are familiar with all other treating doctor's reports. Correlating your initial and evaluation and management (E&M) report and your follow-up E&M reports with the narrative upon maximum medical improvement documenting continuum of care Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, New York, 2019
Forensic Documentation-Qualifications and Preperation of Documentation, How to prepare your documentation for courtroom testimony and ensuring your qualifications are documented properly on an admissible, professional curriculum vitae. How to include indexed peer-reviewed literature in medical-legal documentation Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, New York, 2019
Forensic Documentation- Reporting Patient History and Credentials, Preparing patient history in a medical-legal case based upon your initial intake forms and understanding the work, social, academic, household and social activities of your patient. Understanding and explaining your doctoral and post-doctoral credentials in the courtroom Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, New York, 2019
Forensic Documentation-Reporting Chiropractic Care and Injured Anatomy, Preparing demonstrative documentation in a medical-legal case to report the bodily injuries of your patients, inclusive of loss of function and permanent tissue pathology Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, New York, 2019
Forensic Documentation-Reporting Temporary vs. Permanent Issues, Preparing documentation in a medical-legal case ensuring that you can communicate permanent vs. temporary functional losses and permanent vs. temporary tissue pathology. How to maintain and explain ethical relationships in medical-legal cases Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, New York, 2019
Forensic Documentation- Reporting Bodily Injury, How to report bodily injury and functional losses as supported by your credentials in a medical-legal case. Clinically correlating causality and permanent tissue pathology as sequela to trauma Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, New York, 2019
Forensic Documentation-Record Review and Documentation Reporting, How to report records of collaborative treating doctors and communicating your scope of practice in the management of your case. How to ethically report your role as a doctor in medical-legal cases Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, New York, 2019
Electrodiagnostics: Electromyogram/Nerve Conduction Velocity (EMG/NCV), Diagnosis & Interpretation: Anatomy and Physiology of Electrodiagnostics:, An in-depth review of basic neuroscience-anatomy and physiology dermatomes and myotomes to both the upper and lower extremities and the neurophysiology of axons and dendrites along with the myelin and function of saltatory conduction. The sodium and potassium pump's function in action potentials Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, New York, 2019
Electrodiagnostics: Electromyogram/Nerve Conduction Velocity (EMG/NCV), Diagnosis & Interpretation: Nerve Conduction Velocity (NCV) Part 1:, Nerve conduction velocity testing, the equipment required and the specifics of motor and sensory testing. This section covers the motor and sensory NCV procedures and interpretation including latency, amplitude (CMAP) physiology and interpretation including the understanding of the various nuances of the wave forms Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, New York, 2019
Electrodiagnostics: Electromyogram/Nerve Conduction Velocity (EMG/NCV), Diagnosis & Interpretation: Nerve Conduction Velocity (NCV) Part 2: , Compound motor action potentials (CMAP) and sensory nerve action potentials (SNAP) testing and interpretation including the analysis and diagnosis of the wave forms. It also covers compressive neuropathies of the median, ulnar and posterior tibial nerves; known as carpal tunnel, cubital tunnel and tarsal tunnel syndromes. This section offers interpretation algorithms to help understand the neurodiagnostic conclusions. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, New York, 2019
Electrodiagnostics: Electromyogram/Nerve Conduction Velocity (EMG/NCV), Diagnosis and Interpretation: Needele Electromyogram (EMG) Studies:, The EMG process, inclusive of how the test is performed and the steps required in planning and electromyographic study. This covers the spontaneous activity of a motor unit action potential, positive sharp waves and fibrillations. The insertional activity (both normal and abnormal), recruitment activity in a broad polyphasic presentation and satellite potentials. This covers the diagnosing of patterns of motor unit abnormalities including neuropathic demyelinated neuropathies along with acute myopathic neuropathies. This section also covers the ruling out of false positive and false negative results Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, New York, 2019
Electrodiagnostics: Electromyogram/Nerve Conduction Velocity (EMG/NCV), Diagnosis & Interpretation: Overview of EMG and NCV Procedures, Results, Diagnoses and Documentation, The clinical incorporation of electrodiagnostic studies as part of a care plan where neuropathology is suspected. It also covers how to use electrodiagnostics in a collaborative environment between the chiropractor as the primary spine care provider and the surgeon, when clinically indicated. This section covers sample cases and helps conclude an accurate treatment plan based upon electro-neurodiagnostic findings when clinically indicated Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, New York, 2019
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 Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2019
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 Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2019
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 Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2019
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. Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2019
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. . Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine,, Buffalo , New York, 2019
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 Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2019
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 Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2019
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 . Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine,, Buffalo, New York, 2019
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 Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2019
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 . Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2019
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 . Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2019
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 Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New Yoirk, 2019
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 . Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2019
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 Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2019
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 Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2019
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 . Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2019
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 Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2019
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 . Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2019
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 Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2019
Specialty Research in Orthopedic Spine Surgery – Pre-Surgical Planning and Implant Design – 3-D , 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 . Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2019
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 Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2019
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 Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2019
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. Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2019
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 . Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2019
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 . Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2019
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. . Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2019
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 Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2019
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 Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2019
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 . Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2019
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 . Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2019
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 . Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2019
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 Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2019
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 Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2019
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. . Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2019
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 Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2019
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 . Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2019
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 . Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2019
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 . Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2019
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 Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2019
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 . Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2019
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 Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2019
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 Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2019
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 . Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2019
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 Academy of Chiropractic, State University of New York at Buffalo, Jacobs School of Medicine, Buffalo, New York, 2019
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 Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2019
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 physic Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2019
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 reviewe Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2019
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 . Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2019
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 Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2019
Specialty Research in Primary Care and Internal Medicine – Effects of Chiropractic Care Combined with Medical Care, First Contact and Provider Typ, – 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 muscuoloskeletal 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 Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2019
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 . Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2019
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 Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2019
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. Cleveland University Kansas City, Chiropractic and Health Sciences, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2019
Neurology of Spinal Biomechanics, Understanding normal spinal biomechanics and the neurotransmitters required for homeostasis. The interconnected role of Pacinian Corpuscles, Ruffini Corpuscles, Golgi Organ Receptors, Nociceptors, Proprioreceptors and Mechanoreceptors in maintaining sagittal and axial alignment in the presence of mechanical pathology. Cleveland University Kansas City, Chiropractic and Health Sciences, Academy of Chiropractic Post-Doctoral Division,, Long Island, New York, 2019
MRI Age-Dating of Herniated Discs,, The literature, academic and clinical standards to age-date herniated discs. The clinical correlation of the pain patterns with advanced imaging findings of bone edema, spurs based upon the Piezoelectric effect for remodeling, high signal on T2 weighted images, Vacuum Discs and disc heights in determining the time frames of the etiology of spinal disc pathology. Cleveland University Kansas City, Chiropractic and Health Sciences, Academy of Chiropractic Post-Doctoral Division,, Long Island, New York, 2019
Creating Ethical Collaboritive 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 be considered in a medical-legal environment. Cleveland University Kansas City, Chiropractic and Health Sciences, Academy of Chiropractic Post-Doctoral Division,, Long Island, New York, 2019
Central Innervation of Spinal Biomechsanical Engineering,, Understanding the lateral and ventral horn's innervations of Pacinian Corpuscles, Ruffini Corpuscles, Golgi organ Receptors, Nociceptors, Proprioceptors and Mechanoreceptors and the pathways through the spinal thalamic tracts through the peraqueductal region, the Thalamus into the Occipitol, pre-frontal, sensory and motor cortexes and then efferently back through the Thalamus to disparate regions in creating spinal homeostasis. Cleveland University Kansas City, Chiropractic and Health Sciences, Academy of Chiropractic Post-Doctoral Division,, Long Island, New York, 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 discal structures vs. adhesions on postoperative advanced imaging. MRI interpretation of herniated, circumferential bulges, focus bulges, protruded, extruded, comminuted, sequestered and fragmented discs. When to consider a neurosurgical consultation based upon the correlation of imaging and clinical findings. Cleveland University Kansas City, Chiropractic and Health Sciences, Academy of Chiropractic Post-Doctoral Division,, Long Island, New York, 2019
Computerized Mensuration of Spinal Biomechanical Pathology, Understanding the algorithmic interpretation of spinal biomechanical pathology in a 3-D model and creating treatment plans, impairment ratings and teaching models based upon the vertebral motor unit angles. Determining sagittal and axial alignments in creating a normative baseline for treatment goals and outcomes Academy of Chiropractic Post-Doctoral Division, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University- Kansas City, College of Chiropractic, , Long Island, New York, 2019
Neurosurgical-Chiropractic Collaboration on Spinal Pathology, Utilizing x-ray, MRI and other modalities of advanced imaging in conjunction with spinal biomechanical failure and clinical evaluation to collaboratively create treatment protocols for patients in both the operative and non-operative cases. Determining the boundaries of scope of care for both the chiropractor and neurosurgeon based upon a definitive diagnosis of the mechanical vs. an anatomical lesion Academy of Chiropractic Post-Doctoral Division, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University- Kansas City, College of Chiropractic, , Long Island, New York, 2019
Documentation and Ethics in Medical-Legal Relationships, Creating ethical relationships based upon accurate documentation reflective of the casually related condition of the injured. Ensuring accepted credentials of the doctor based upon Voir Dire standards reflected in an admissible curriculum vitae. How to present demonstrative documentation in the courts reflective of the patient’s pathology Academy of Chiropractic Post-Doctoral Division, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University- Kansas City, College of Chiropractic, , Long Island, New York, 2019
Coding, Documentation and Compliant Coding, Ensuring the correct codes are utilized in an evaluation and management encounter. The correct elements are utilized to support the level of E&M coded along with a self-audit program to ensure ethical billing occurs. Guidelines for history of present illness, primary complaint, review of systems, family, social and past histories are discussed and how to document the same Academy of Chiropractic Post-Doctoral Division, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University- Kansas City, College of Chiropractic, , Long Island, New York, 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, PACE approved of the Federation of Chiropractic Licensing Boards, Cleveland University-Kansas City, College of Chiropractic, , Buffalo, New York, 2019
Evidenced Based Care in a Collaborative Setting; Primary Spine Care 5, A literature based model for collaborating with hospitals, medical primary care providers and specialists. Reviewing the documentation requirements to communicate the diagnosis, prognosis and treatment plans with medical entities and having the evidence as a basis for those recommendations, Academy of Chiropractic Post-Doctoral Division, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University- Kansas City, College of Chiropractic, , Long Island, New York, 2018
Current Literature Standards of MRI Spine Intepretation; Primary Spine Care 5, MRI Spine Interpretation of the spine. , How to triage a trauma and non-trauma with advanced imaging and document the necessity. We will also cover the basics of MRI Spine Interpretation inclusive of all types of herniations, bulges, Academy of Chiropractic Post-Doctoral Division, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University- Kansas City, College of Chiropractic,, Long Island, New York, 2018
Spine Brain Connection in Pain Pathways; Primary Spine Care 5, MRI Spine The spine-brain connection in managing chronic pain patients. , Understanding how chronic pain negatively effects brain morphology and potential pathology as sequella. The role of chiropractic in preventing the loss of gray matter and the most recent evidence as outlined in indexed peer reviewed literature over the last 10 years verifying chiropractic’s role, Academy of Chiropractic Post-Doctoral Division, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University- Kansas City, College of Chiropractic, , Long Island, New York, 2018
Bio-Neuro-Mechanical Mechanism of the Chiropractic Spinal Adjustment; Primary Spine Care 5, The biological, neurological and mechaincal mechanisms and pathways from the thrust to the lateral horn and brain connection and how the brain processes the chiro, Care paths of chiropractic and physical therapy from an outcome basis, Academy of Chiropractic Post-Doctoral Division, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University- Kansas City, College of Chiropractic, , Long Island, New York, 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, New York, 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, New York, 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, New York, 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, New York, 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, New York, 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, New York, 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, New York, 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, New York, 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, New York, 2018
Medical-Legal Ethical Relationships, Report Writing and Preparing for a Legal Case,, Creating demonstrative evidence, visuals of your patient's bodily injuries inclusive of x-rays, MRI's, CAT Scans and electrodiagnostic findings, the spinal biomechanics of herniated disc with ipsilateral findings and contralateral symptomatology, Academy of Chiropractic, Post-Doctoral Division, PACE approved of the Federation of Chiropractic Licensing Boards, Cleveland University-Kansas City, College of Chiropractic, , Long Island, New York, 2018
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 prot, 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, New York, 2018
Documenting Trauma and Non-Trauma Cass and Triaging Disc Pathology, History, past history, risk factors and review of systems in developing a differential diagnosis. The utilization of spinal MRI in concluding and accurate diagnosis, prognosis and treatment plan for disc pathology, Academy of Chiropractic, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University, Kansas City Chiropractic and Health Sciences,, Austin, Texas, 2018
Documentation of the Trauma and Non-Trauma Case, Documenting primary and associated complaints, past history, allergies, medications, review of systems, previous treatment, family-social medical histories, previous tests and results, history or previous injuries and illnesses, on the job questionnaire, auto accident questionnaire, vital examination, neurological examination, orthopedic testing, test orders, prognosis and treatment plans. A detailed review of current CPT coding requirements for the proper documentation of E/M visits to properly code for billable patient services. Focused attention was paid to the performance of comprehensive patient history, physical examination, review of systems as well as determining the level of clinical decision making. Analysis of a properly organized E/M report was reviewed to demonstrate proper organization and language use. Academy of Chiropractic Post-Doctoral Division, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University- Kansas City, College of Chiropractic, , Long Island, New York, 2018
Interprofessional Reporting and Case Documentation, analysis of case flow, patient chart organization and EMR workflows to optimize the success and satisfaction of the patient encounter, feasibility of accurate and timely documentation as well as strategies to provide timely interprofessional clinical communication. Focus was provided on patient, primary care and medical specialty communication beginning at the initial visitation all the way through to the release from care. An internal compliance review to ensure complete documentation based upon the E/M level billed Academy of Chiropractic Post-Doctoral Division, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University- Kansas City, College of Chiropractic, , Long Island, New York, 2018
Connective Tissue Pathology, Spinal Biomechanics as Sequella to Trauma, MRI Spine Interpretation, Ordering Protocols & Triaging the Injured, The latest research on the 6 ways to age-date disc herniations and bulges from trauma inclusive of disc pathology nomenclature. MRI ordering protocols, inclusive of Dixon format and fat-suppressed images. The neurology and pathology of connective tissue and the sequella of trauma at the biomechanical level leading to bio-neuro-mechanical failure. Contemporary “evidenced-based building blocks” for triaging and in a collaborative environment. Cleveland University Kansas City, Chiropractic and Health Sciences, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2018
Spinal Biomechanical Engineering Digitizing, integrating automated mensuration into creating treatment plans and determining maximum medical improvement. A literature-based study of normal vs. abnormal motor until function. Determining ligamentous laxity, alteration of motion segment integrity and pathological stress units and whole person impairments based upon the literature and academic standards. Cleveland University Kansas City, Chiropractic and Health Sciences, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2018
Science of the Chiropractic Spinal Adjustment and Vertebral Subluxation, The literature-based definitions of both the mechanisms the chiropractic adjustment and how it affects the central nervous system in pain pathways and systemic issues that is the arbiter for normal vs. abnormal function. The “physiological mechanisms” of how the chiropractic spinal adjustment affects the peripheral and central nervous systems. Subluxation degeneration/Wolff’s Law will be detailed from a literature perspective combined with the mechanism of subluxation (bio-neuro-mechanical lesion). A literature perspective why “long-term” chiropractic care is clinically indicated as usual and customary to effectuate demonstrable biomechanical changes in the spine. An evidenced-based perspective of why physical therapy is a poor choice for spine as a 1st referral option for any provider inclusive of the literature Cleveland University Kansas City, Chiropractic and Health Sciences, Academy of Chiropractic Post-Doctoral Division,, Long Island, New York, 2018
Documentation, Collaboration, and Primary Spine Care,, An academic basis for documentation that is usual and customary across professions in collaborative care. Maintaining ethical medical-legal relationships based upon Voir Dire and Duabert standards with ensuring a “4-corners” inclusive report. Ensuring Primary Care Status based upon an academic standards Cleveland University Kansas City, Chiropractic and Health Sciences, Academy of Chiropractic Post-Doctoral Division,, Long Island, New York, 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, New York, 2018
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 . Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine,, Buffalo, New York, 2018
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 . Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, Buffalo, New York, 2018
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. Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, Buffalo, New York, 2018
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. Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, Buffalo, New York, 2018
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 Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, Buffalo, New York, 2018
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 Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, Buffalo, New York, 2018
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 Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2018
Specialty Research in Pain Management – Clinical and Procedural – Electrodiagnostic Testing, Transforaminal Epidural Steroid Injection, Intra-articular Facet Joint Injection, Spinal Manipulation Post-Epidural Injectio, 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 Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2018
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 Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2018
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 . Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine,, Buffalo, New York, 2018
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 Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2018
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 . Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, Buffalo, New York, 2018
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 Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2018
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 . Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine,, Buffalo, New York, 2018
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 Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2018
Specialty Research in Neuroradiology – radiographic evolution of a Schmorl’s node , 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 . Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine,, Buffalo, New York, 2018
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 . Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2018
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 . Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2018
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. Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2018
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 . Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine,, Buffalo, New York, 2018
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 Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2018
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 . Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine,, Buffalo, New York, 2018
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 . Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2018
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 Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2018
Specialty Research in Neuroradiology – Spinal Cord Compression, Myelomalacia, MRI Imaging and Clinical 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 . Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine,, Buffalo, New York, 2018
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 Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2018
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 Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, , Buffalo, New York, 2018
Primary Spine Care Qualified, This qualification includes graduate chiropractic education in healthy and traumatically altered spinal morphology inclusive of osseous, connective tissue and neurological structure, function and pathology. This certifies you are qualified in assessing predictive models in spinal biomechanics and devising engineering paradigms for treatment plans to maximize spinal homeostasis in an evidence based conclusion. In addition, this qualification acknowledges your expertise in triaging the injured and coordinating collaborative care from the trauma through the conclusion of rehabilitation. Academy of Chiropractic Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, New York, 2017
Spinal Biomechanical Engineering: Lumbar Pathobiomechanics, Spinal biomechanics 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 Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017
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 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 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 Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017
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 Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017
Spinal Biomechanical Engineering: Cervical Pathobiomechanics, Spinal biomechanics 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 Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017
Impairment Ratings, Duties Under Duress and Loss of Enjoyment Factors, Topics included, but were not limited to: How to Properly Document MMI, How to Properly Document Impairment Rating and Proper Documentation of Duties Under Duress and Loss of Enjoyment Factors Mathis PI Institute, Austin, Texas, 2017
Minor Impact Soft Tissue, Topics included, but were not limited to: Carrier Segmentation of Claims Involving Low property Damage. Mathis PI Institute, Austin, Texas, 2017
Evidence Based Spine Care: Epidemiology of spine care, the opiod epidemic and spinal manipulation for pain management, Functional neuroanatomy and neurochemistry of pain perception, including descending modulation of pain in the central nervous system. Review of specific research outlining spinal manipulations influence on the central nervous system in the spine patient. Clinical assessment and inter professional communications relating to the diagnosis and management of the mechanical spine pain patient. Academy of Chiropractic, Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards , Dallas, Texas, March, 2017
Evidence Based Spine Care: Spinal biomechanics and response to trauma. Detailed review of spinal instability, mechanical spine trauma and global spinal biomechanical balance, The influence of spinal sagittal curvature, pelvic incidence, sacral slope and pelvic tilt on conservative and surgical care outcomes. Clinical correlation with radiographic and advanced imaging findings specific to the spine pain patient. Academy of Chiropractic, Academy of Chiropractic, recognized by the PACE Program of the Federation of Chiropractic Licensing Boards , Dallas, Texas, March, 2017
Evidence Based Spine Care: Coordination of care and clinical documentation associated with interprofessional communication, Focus on the safety of chiropractic management of the spine patient and review of research related to specific phases of care, acute intervention, corrective care and health maintenance care were reviewed. Documentation and workflows related to an inter-professional team approach focusing on compliance and delivery in the modern practice environment. Academy of Chiropractic, Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards , Dallas, Texas, March, 2017
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. Texas Chiropractic College or Pace Recognized by The Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post Doctoral Division, Long Island, New York, 2017
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. Texas Chiropractic College or Pace Recognized by The Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post Doctoral Division, Long Island, New York, 2017
Crash Dynamics and It's 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. Texas Chiropractic College or Pace Recognized by The Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post Doctoral Division, Long Island, New York, 2017
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. Texas Chiropractic College or Pace Recognized by The Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post Doctoral Division, Long Island, New York, 2017
Neurodiagnostic Testing Protocols, Physiology and Indications for the Trauma Patient, Electromyography (EMG), Nerve Conduction Velocity (NCV), Somato Sensory Evoked Potential (SSEP), Visual Evoked Potential (VEP), Brain Stem Auditory Evoked Potential (BAER) and Visual Electronystagmosgraphy (V-ENG) interpretation, protocols and clinical indications for the trauma patient. Texas Chiropractic College or Pace Recognized by The Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post Doctoral Division, Long Island, New York, 2017
Documentation and Reporting for the Trauma Victim, Understanding the necessity for accurate documentation and diagnosis utilizing the ICD-10 and the CPT to accurately describe the injury through diagnosis. Understanding and utilizing state regulations on reimbursement issues pertaining to healthcare. Texas Chiropractic College or Pace Recognized by The Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post Doctoral Division, Long Island, New York, 2017
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, my-pathology, neuropathology and pathophysiology in both a functional and structural paradigm. Texas Chiropractic College or Pace Recognized by The Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post Doctoral Division, Long Island, New York, 2017
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 PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017
MRI Spinal Anatomy and Protocols, Normal anatomy of axial and saggital 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. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017
MRI Disc Pathology and Spinal Stenosis, MRI interpretation of bulged, herniated, protruded, 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 Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017
MRI Spinal Pathology, MRI interpretation of bone, intradural, extradural, cord and neural sleeve lesions, Tuberculosis, drop lesions, metastasis, ependymoma, schwanoma and numerous other spinal related tumors and lesions. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017
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. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017
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 Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017
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 Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017
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 vertebrae, Schmorel's nodes and herniations. Central canal and caudal equina compromise interpretation with management. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017
MRI Interpretation of Lumbar Herniations, MRI slices, views, T1, T2, STIR axial, stacking, FFE, FSE and sagittal images in the interpretation of stenosis, pseudo-protrusions, cantilevered vertebrae, Schmorel'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 and cauda-equina compromise interpretation with management. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017
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 vertebrae, Schmorel'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 Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017
MRI Interpretation of Cervical Herniations, MRI slices, views,T1, T2, STIR axial, FFE, FSE and sagittal images in the interpretation of cervical herniations. With the co-morbidities and complications of stenosis, pseudo-protrusions, cantilevered vertebrae, Schmorel's nodes and herniations. Morphology of cervical disc pathologies of central and lateral herniations, protrusions, extrusions, sequestration, focal and broad based herniations are defined and illustrated. Spina cord and canal compromise interpretation with management. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017
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 thecae 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 Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017
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 (AOMSI) 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 Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017
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 Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017
Spinal Biomechanical Engineering: Lumbar Digital Analysis, Digitizing and analyzing the lumbar spine imaged to diagnose pathobiomechanics. This includes anterior and posterior vertebral body elements in rotational analysis with neutral, left and right lateral bending in conjunction with gait 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 Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017
Spinal Biomechanical Engineering: Full Spine Digital Analysis, Digitizing and analyzing the full spine imaged 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 Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017
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 Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017
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 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 Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017
Spinal Trauma Pathology: Spinal Biomechanics, Central Nervous System and Spinal Disc Nomenclature, The application of spinal biomechanics 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 Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017
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 Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York., 2017
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 Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017
Spinal Trauma Pathology: Research Perspectives, The current literature standards in spinal trauma pathology and documentation review of bio mechanical 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 Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017
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, New York, 2017
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, New York, 2017
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 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, New York, 2017
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, New York, 2017
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, dislocationa, 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 Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017
Head Trauma, Brain Injury and Concussion, brain and head physiology, brain mapping and pathology as a sequella to trauma. traumatic brain injury, mild traumatic brain injury, axonal shearing, diffuse axonal injury and concussion are detailed in etiology and clinically. Clinical presentation, advanced diagnostic imaging and electro diagnostics are detailed in analysis to create a differential diagnosis. Balance disorders that often occur as a result of trauma are also explored from clinical presentation to advanced imaging and differential diagnosis. Texas Chiropractic College or Pace Recognized by The Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post Doctoral Division, Long Island, New York, 2017
Patient Intake, History and Physical Examination, Determining the etiology of the patient's complaints in a traumatic or non-traumatic scenario. Analyzing the patient's past history and review of systems along with the performance of a complete orthopedic, neurological and clinical examination to correlate both past, current and causality issues to formulate an accurate diagnosis, prognosis and treatment plan. There is an emphasis on triaging 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, New York, 2017
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 Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017
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 Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017
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 Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017
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 Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017
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 Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017
Stroke Anatomy and Physiology: Stroke Types and Blood Flow, Various types of stroke identifying ischemia, hypo profusion, 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 Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017
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 Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017
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 chord 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 Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017
Connective Tissue Spinal Disc Permanant Pathology, Herniated, bulged, protruded and extruded discs, etiology and morphology. Age - dating disc pathology inclusive of Modic changes, piezoelectric effect, Wolff's Law and radicular clinical presentation Academy of Chiropractic Post-Doctoral Division, Texas Chiropractic College Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards , Long Island, New York, 2017
Connective Tissue Pathology and Research, Primary Spine Care, Utilization in spinal models considering the opiod abuse and various spinal models in contemporary health care. Care paths for mechanical spine pain and the evidence for conservative chiropractic care Academy of Chiropractic Post-Doctoral Division, Texas Chiropractic College Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards , Long Island, New York, 2017
Bio-Neuro-Mechanical Lesions and Spine Care, Primary Spine Care, Mechanoreceptor, proprioceptor, nociceptor innervation and control of the spinal system with central nervous system action and interaction. The integration of the pain processing network and the HPA Axis (hypothalamus, adrenal and pituitary) with the chiropractic spinal adjustment Academy of Chiropractic Post-Doctoral Division, Texas Chiropractic College Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards , Long Island, New York, 2017
Ethics, Documentation and Research, Primary Spine Care, Maintaining ethical Interprofessional relationships based upon an evidenced based practice inclusive of triage, diagnostics and reporting. Creating thorough documentation that reflects your complete findings encompassing descriptive ICD-10 codes and concludes the presence or absence of pathology Academy of Chiropractic Post-Doctoral Division, Texas Chiropractic College Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards , Long Island, New York, 2017
Primary Spine Care - Credentials and Knowledge Base, The credentials and knowledge based from an academia perspective when cooperatively treating in a collaborative environment inclusive of understanding pathology and mechanical spine issues Texas Chiropractic College Graduate Doctoral Program, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2017
Primary Spine Care - Spinal Biomechanical Engineering and MRI Spine Interpretation, Integrating Spinal Biomechanics Engineering and MRI Spine Interpretation into a primary spine care model, inclusive of necessity and acquisition protocols. A comprehensive review of the latest evidence in documenting mechanical issues Academy of Chiropractic Post-Doctoral Division, Texas Chiropractic College Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards , Long Island, New York, 2017
Primary Spine Care - Hospital Administration, Triage, Clinical Requirements and Collaboritive Relationships with Medical Specialists, Understanding hospital and medical specialist's care paths for mechanical spine pathology and integrating the doctor of chiropractic in the hospital and allopathic treatment protocols Academy of Chiropractic Post-Doctoral Division, Texas Chiropractic College Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards , Long Island , New York, 2017
Primary Spine Care - Contemporary Spine Research and Documentation, Central nervous system connection and the thalamus, hypothalamus connection in both ascending and descending central pathways with neurological-endocrine implications that have the mechanisms to be a component of Schizophrenia, Dementia and Alzheimers with a linear relationship to the chiropractic spinal adjustment and chronic pain Academy of Chiropractic Post-Doctoral Division, Texas Chiropractic College Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards , Long Island, New York, 2017
Collision Reconstruction & Biomechanical Engineering Part 2, analyzing the integration of collision reconstruction and spinal biomechanics utilizing a mathematical model. understanding the model and transference of energy from the bullet car to the target car to the occupant to aberrant spinal biomechanics Academy of Chiropractic Post-Doctoral Division, Texas Chiropractic College Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards , Long Island, New york, 2017
Collision Reconstruction & Biomechanical Engineering Part 2, Understanding the mathematical models required to analyze a collision and create coefficients of forces transferred in a collision that effect the automobile and the occupant Academy of Chiropractic Post-Doctoral Division, Texas Chiropractic College Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards , Long Island, New York, 2017
Collision Reconstruction & Biomechanical Engineering Part 3, calculation worksheets in the mathematical models required to analyze a collision and create coefficients of forces transferred in a collision that effect the automobile and the occupant Academy of Chiropractic Post-Doctoral Division, Texas Chiropractic College Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards , Long Island, New York, 2017
Collision Reconstruction & Biomechanical Engineering Part 4, An analysis of vehicle parts and construction design that contribute to the energy translated to the human body and spine inclusive of seatbelts, airbags, bumpers, event data recorders, tires, axles and auto frames Academy of Chiropractic Post-Doctoral Division, Texas Chiropractic College Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards , Long Island, New York, 2017
Collision Reconstruction & Biomechanical Engineering Part 5, When correlating crash to injury, inspecting the vehicle for evidence of damage to verify causality and extent of malformation of the vehicle beyond that of the outer shell of the vehicle Academy of Chiropractic Post-Doctoral Division, Texas Chiropractic College Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards , Long Island, New York, 2017
Collision Reconstruction & Biomechanical Engineering Part 6, Newton's laws of inertia and the determinant calculations required based upon the action of the vehicle and how spinal biomechanics are effected. Analyzing the vehicle and accident site to reconstruct the actions of the car to create a model Academy of Chiropractic Post-Doctoral Division, Texas Chiropractic College Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards , Long Island, New York, 2017
Collision Reconstruction & Biomechanical Engineering Part 7, Reconstructing and calculating minimal speed and velocity as injury and damage factors based upon skid marks considering coefficients of friction based upon various road surfaces Academy of Chiropractic Post-Doctoral Division, Texas Chiropractic College Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards , lond Island, New York, 2017
Collision Reconstruction & Biomechanical Engineering Part 8, Reconstructing and calculating speed and velocity as injury and damage factors based upon yaw marks considering coefficients of friction based upon various road surfaces Academy of Chiropractic Post-Doctoral Division, Texas Chiropractic College Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards , Long Island, New York, 2017
Collision Reconstruction & Biomechanical Engineering Part 9, Coefficients of momentum and calculating plastic vs. elastic deformation. Direction of forces as mathematical determinants of collision and resultant bodily injury forces Academy of Chiropractic Post-Doctoral Division, Texas Chiropractic College Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards , Long Island, New York, 2017
Collision Reconstruction & Biomechanical Engineering Part 10, Coefficients of acceleration, negative acceleration and G-forces in collisions that contribute to vehicular and bodily injuries. Analyzing time, speed and weight of bullet and target automobiles to reconstruct the energy of a collision and injury potential Academy of Chiropractic Post-Doctoral Division, Texas Chiropractic College Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards , Long Island, New York, 2017
Collision Reconstruction & Biomechanical Engineering Part 11, The osseous and ligamentous structures that are subject to pathology in bodily injury. The pathological reaction of connective tissue when it exceeds its paraphysiological limits and the bio-neuro-mechanical changes the connective tissue undergoes as sequel to trauma Academy of Chiropractic Post-Doctoral Division, Texas Chiropractic College Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards , Long Island, New York, 2017
Collision Reconstruction & Biomechanical Engineering Part 12, Energy and momentum coefficients and data utilized as determinants and error ranges in calculations. Considering the stiffness of the vehicle, air bag function and formulation of timing in it's release point and injury potential to facial and spinal structures Academy of Chiropractic Post-Doctoral Division, Texas Chiropractic College Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards , Long Island, New York, 2017
Collision Reconstruction & Biomechanical Engineering Part 13, Mathematical worksheet reviewing kinetic and work energy, momentum, acceleration and G-forces in numerically quantifying a collision, the energy created to deform an automobile and the transference of forces creating connective tissue pathology and altered spinal biomechanics Academy of Chiropractic Post-Doctoral Division, Texas Chiropractic College Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards , Long Island, New York, 2017
Collision Reconstruction & Biomechanical Engineering Part 14, Analyzing a sample accident (case 1) utilizing all the vehicle, road surface combining standardized calculation variables in reconstructing an accident and the resultant energy considered for connective tissue pathology and resultant aberrant spinal biomechanics Academy of Chiropractic Post-Doctoral Division, Texas Chiropractic College Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards , Long Island, New York, 2017
Collision Reconstruction & Biomechanical Engineering Part 15, Analyzing a sample accident (case 2) utilizing all the vehicle, road surface combining standardized calculation variables in reconstructing an accident and the resultant energy considered for connective tissue pathology and resultant aberrant spinal biomechanics Academy of Chiropractic Post-Doctoral Division, Texas Chiropractic College Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards , Long Island, New York, 2017
Collision Reconstruction & Spinal biomechanical Engineering Part 16, Analyzing a sample accident (case 3) utilizing all the vehicle, road surface combining standardized calculation variables in reconstructing an accident and the resultant energy considered for connective tissue pathology and resultant aberrant spinal biomechanics Academy of Chiropractic Post-Doctoral Division, Texas Chiropractic College Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards , Long Island, New York, 2017
MRI Spine Interpretation and Spinal Biomechanics, Bulging, herniated, protruded and extruded disc contemporary nomenclature, analysis and differential diagnosis. Connective tissue physiology and pathology with aberrant biomechanics permanent sequelae Texas Chiropractic College, Academy of Chiropractic, Melville, New York, 2017
Contemporary Literature in Spinal Biomechanics,, Normal vs. pathological biomechanics spinal motion both in a single motor unit and coupling actions. Interdisciplinary approach to mechanical spine issues and evidenced based care paths TexasChiropractic College, Academy of Chiropractic, Melville, New York, 2017
Documentation of Spinal Trauma, Interdisciplinary approaches in documentation of spinal related injuries inclusive of connective tissue disorders and biomechanics failure. Clinically correlating history, imaging, advanced imaging and clinical findings to conclude an accurate diagnosis, prognosis and treatment plan Texas Chiropractic College, Academy of Chiropractic, Melville, New York, 2017
Contemporary Literature of The Chiropractic Spinal Adjustment, The bio-neuro-mechanical scientific foundation of spina lesion and the neurological pathways, both in the lower and upper motor neuron pathways. The autonomic sequella of the vertebral subluxation and the effects of the correction and maintenance of those lesions Teas Chiropractic College, Academy of Chiropractic, Melville, New York, 2017
Primary Spine Care 2: Spinal Trauma Pathology, Morphology of healthy and traumatized connective tissue and the permanency implication of adhesions, spinal disc morphology in the healthy and pathological patient as sequella to trauma in relationship to bulges, herniations, protrusions, extrusions and sequestrations. Aberrant spinal biomechanics and negative sequella to trauma Texas Chiropractic College, Academy of Chiropractic, Setauket , New York, 2017
Primary Spine Care 2: Utilizing Research in Trauma, The ability of your electronic health records to convey tissue pathology while documenting case studies, field experiments, randomized trials and systematic literature reviews, Introducing evidence based macros in documentation to support the literature and necessity of care. Texas Chiropractic College, Academy of Chiropractic, Setauket, New York, 2017
Primary Spine Care 2: Chiropracitc Evidence, nalyzing segmental pathology, adjusting vs. mobilization with cervicogenic headaches, Opioid alternatives and case management of mechanical spine pain based upon outcome studies Texas Chiropractic College, Academy of Chiropractic, Setauket, New York, 2017
Primary Spine Care 2: Chiropractic Spinal Adjustment Central Nervous System Processing, Literature reviews of mechanoreceptor, proprioceptor and nociceptor stimulation of later horn gray matter with periaqueductal stimulation affecting the thalamus and cortical regions with efferent distribution in disparate regions of the body in both pain and systemic stimulation Texas Chiropractic College, Academy of Chiropractic, Setauket, New York, 2017
Hospital Based Spine Care Qualified, Credentialed in hospital protocols, emergency room protocols, acute and chronic patient triage inclusive of MRI spine interpretation, spinal biomechanical engineering, head trauma, concussion, mild traumatic and traumatic brain injuries co-credentialed through the ACCME (Accreditation Council for Continuing Medical Education) Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Texas Chiropractic college and PACE recognized by The Federation of State Licensure Boards and the Academy of Chiropractic, Long Island, New York, 2017
PI Secrets: Understanding Colossus and Defending Minor Impact Soft Tissue Injuries, Subject matter includes, but is not limited to: relationship of vehicle crush and inertial injuries to include discussion of peer reviewed literature that demonstrates that there is no relationship between vehicle damage and occupant injury. Also covered were carrier segmentation and cost containment strategies including Minor Impact Soft Tissue. Lincoln College of Postprofessional,Graduate & Continuing Education, National University of Health Sciences , Austin , Texas, 2016
Healthy Aging, Topics discussed included, but were not limited to: treatment protocols to address inflammation utilizing 635nm Erchonia Lasers. Erchonia, New Orleans, Louisianna, 2015
Optimizing Musculoskelatal Health, Topics include research and protocols for cold laser treatment and nutritional protocols for treating musculoskeletal sports injuries Erchonia, Houston , Texas, 2015
Personal Injury: Coding, compliance & Documentation., Texas Chiropractic Association, San Antonio, Texas, 2015
Take Aim at Chronic Pain, Topics included, but were not limited to: clinical application of Low Level Laser in treatment of chronic pain. Also discussed was peer reviewed literature and FDA clearances for Erchonia lasers. Erchonia, Jackson, Mississippi, 2015
Spinal Ligament Injury Specialist, Course topics in this 4 week, 25 module course included, but were not limited to: radiology protocols to properly diagnose spinal ligament injury, Computerized Radiographic Mensuration Analysis, Alteration of Motion Segment Integrity, AMA Guides to Permanent Impairment and Disability and how to perform impairment ratings utilizing DRE method in AMA Guides 5th & 6th edition. Certification in Spinal Ligament Injury Specialist, Diplomate, American Spinal Injury & Impairment Consultants, Austin, Texas, 2015
PI and Mastery of Colossus, Topics covered in this 19 module course include, but were not limited to: History of Colossus, Value Drivers, Clinical Instability and Spinal Ligament Injury, Traumatic Brain Injury, Imaging Protocols, Objective Documentation, Low Speed Impact & MIST Research, Documenting Causation, Compliance and Documenting Medical Necessity, Rehabilitation Protocols. Certification in Colossus & Personal Injury, Diplomate, Personal Injury Institute, Dallas, Texas, 2015
Clinical Mastery of the Low Level Laser, Topics included, but were not limited to: clinical protocols and research for use of Low Level Laser Therapy. Also discussed were FDA Clearances for Low Level Laser. Northwestern Heath Sciences University Departmentnt of Continuing Education, Dallas , Texas, 2014
Jurisprudence, Risk Management, Ethics & Medicare, Texas Chiropractic Association, Austin, Texas, 2014
Chiropractic Grand Rounds & Collabaritive Care, Texas Chiropractic Association, Austin, Texas, 2013
Jurisprudence, Risk Management, Ethics and Medicare, Texas Chiropractic Association, Austin, Texas, 2013
Chiropractic Biophysics - Cervical Structural Rehab, National University of Health Sciences, Kansas City, Missouri, 2013
Fellowship Spinal Biomechanics and Trauma - Candidate, Cleveland University Kansas City, Chiropractic and Health Sciences, Academy of Chiropractic Post-Doctoral Division, 2013
Medicare, Topics include, but are not limited to: Proper Treatment and Documentation Protocols required for Medicare Compliance. Texas Chiropractic Association, Austin, Texas, 2012
Total Practice Integration - A Wholistic Approach to Patient Care., Texas Chiropractic Association, Austin, Texas, 2011
Basic Laserology, Topics included, but were not limited to: Introduction to Basic Science behind 635nm Low Level Laser Therapy, Basic Treatment Protocols, FDA Clearances for Low Level Laser Therapy. Northwestern Heath Sciences University Departmentnt of Continuing Education, Austin , Texas, 2010
Chiropractic Biophysics - Neurology, Life University, Phoenix, Arizona, 2009
Chiropractic Biophysics - Lumbar Rehab, Life University, Dallas , Texas, 2008
Chiropractic Law IV, Texas Chiropractic Association, Austin, Texas, 2008
Chiropractic Biophysics - Cervical Rehab, Cleveland Chiropractic College, Dallas, Texas, 2007
Chiropractic Biophysics - Cervical Rehab, Cleveland Chiropractic College, Phoenix, Arizona, 2006
Interventional Procedures, Texas Chiropractic Association, Austin, Texas, 2006
Chiropractic Biophysics - Drop Table Adjusting, Cleveland Chiropractic College, Marietta, Geogia, 2006
Chiropractic Biophysics - Instrument Adjusting, Cleveland Chiropractic College, Dallas, Texas, 2006
Chiropractic Biophysics - Lumbar Rehab, National University of Health Sciences, Charlotte, North Carolina, 2005
Insurance Coding and Documentation, Texas Chiropractic College, Austin, Texas, 2004
MRI Imaging of The Extremities, Texas Chiropractic Association, Austin, Texas, 2004
Chiropractic Biophysics - X-Ray and Posture, National University of Health Sciences, Costa Mesa, California, 2004
Diplomat, Diplomate, National Board of Chiropractic Examiners, 1986

SELECTED TEACHING/INSTRUCTING/LECTURING/CONSULTING

Instructor, Clinical Spinal Biomechanics and Rehabilitation in Primary and Specialty Medicine, A review of current trends in spine care including anatomical vs biomechanical etiology of spine pain, opioid analgesic trends and effectiveness with a particular focus on the diagnosis and case management of spine patients from the clinical entry point t, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, , Austin, Texas, 2018- Present

SELECTED MEMBERSHIPS

Texas Chiropractic association, Member, 2017 - Present
Academy of Chiropractic, 2017 - Present
Academy of Chiropractic , Active Trauma Team Member, 2017 - Present
Carl W. Parker Committee for Scholastic Excellence, Member, 1986 - Present

SELECTED HONORS AND AWARDS

Excellence In Trauma Spine Care, Academy of Chiropractic Post Doctoral Division, PACE Recognized by The Federation of Chiropractic Licensing Boards, 2017
Carl W. Parker Committee for Scholastic Excellence, Parker College of Chiropractic, 1986