SELECTED POST-GRADUATE EDUCATION, CERTIFICATIONS AND DIPLOMATES
| National Spine Management Conference South – Role of a Spine Management Physician, Outline and overview of what a Spine Management Physician is, and the present day need in healthcare.
Details relating to the Doctor of Chiropractic filling that role with specific discussion related to WHY
physical therapy, nurse practitioners or physician assistants are unable to fill this position. Overview of
a spine manager’s role in the evaluation and triage of non-operative spine patients was presented.
Introduction to the diagnosis of non-specific spine pain was outlined with focus on the needs of primary
care, pain management and spinal surgeons. National Spine Management Group, LLC, Parker
University, Alabama State Board of Chiropractic Examiners, Kentucky Board of Chiropractic, Louisiana
State Board of Chiropractic Examiners, Texas Board of Chiropractic Examiners, Florida Board of
Chiropractic Medicine, Arizona Board of Chiropractic Examiners, Federation of Chiropractic Licensing
Boards – PACE. 2023 | | | | | National Spine Management Conference South – Moving From a Curative Model of Spine Care, A comprehensive look at the history of spinal care, degenerative changes and both regional and
global spinal compensation. Outline the spine as a whole organ system that must be monitored in relation
to physical activity, lifestyle, and traumatic patient history was discussed and presented. Application of
spine management principles mirroring internal medicine disorders was presented and reviewed. Specific
peer reviewed medically index research was presented outlining initial criteria for determining medical
necessity of supportive spine care. National Spine Management Group, LLC, Parker University, Alabama
State Board of Chiropractic Examiners, Kentucky Board of Chiropractic, Louisiana State Board of
Chiropractic Examiners, Texas Board of Chiropractic Examiners, Florida Board of Chiropractic
Medicine, Arizona Board of Chiropractic Examiners, Federation of Chiropractic Licensing Boards –
PACE. 2023 | | | | | National Spine Management Conference South – Interprofessional Communication with Primary Care Physicians, - Research trends and working with primary care physicians was outlined.
Focus on the conservative management of spinal conditions, aiding the primary care clinic and working
to prevent unnecessary escalation of care. Reduction in opioid utilization and reduced surgery trends will
be discussed. Research documenting modulation of pain at the central nervous system level with the
chiropractic adjustment was presented. Application to real world scenarios including evaluation and
management documentation was reviewed. Details of effective communication were presented including
phone call, email, fax, and text messaging within the HIPAA compliance environment was discussed.
National Spine Management Group, LLC, Parker University, Alabama State Board of Chiropractic
Examiners, Kentucky Board of Chiropractic, Louisiana State Board of Chiropractic Examiners, Texas
Board of Chiropractic Examiners, Florida Board of Chiropractic Medicine, Arizona Board of Chiropractic
Examiners, Federation of Chiropractic Licensing Boards – PACE. 2023 | | | | | National Spine Management Conference South – Interprofessional Communication with Pain Management Physicians, - Chiropractic diagnosis of spinal ligament pathology will be discussed in the
context of co-management with pain management specialists. Specific review of the role of a fellowship
trained interventional pain management physician in your community will be presented. Review of
epidural steroid injection, medial branch block and spinal ablation will be presented in the context of
when and how to refer. National Spine Management Group, LLC, Parker University, Alabama State
Board of Chiropractic Examiners, Kentucky Board of Chiropractic, Louisiana State Board of Chiropractic
Examiners, Texas Board of Chiropractic Examiners, Florida Board of Chiropractic Medicine, Arizona
Board of Chiropractic Examiners, Federation of Chiropractic Licensing Boards – PACE. 2023 | | | | | National Spine Management Conference South – Interprofessional Communication with the Spine Surgeon, - Spinal sagittal balance and spine surgery research trends will be reviewed.
Chiropractic’s role in the conservative management of spinal biomechanics pre-surgery and post-surgery
will be outlined. Terminology and documentation requirements will be presented. National Spine
Management Group, LLC, Parker University, Alabama State Board of Chiropractic Examiners, Kentucky
Board of Chiropractic, Louisiana State Board of Chiropractic Examiners, Texas Board of Chiropractic
Examiners, Florida Board of Chiropractic Medicine, Arizona Board of Chiropractic Examiners,
Federation of Chiropractic Licensing Boards – PACE 2023 | | | | | National Spine Management Conference South – Anatomy and Physiology of the Healthy Intervertebral Disc, Anatomy of the healthy intervertebral disc and its nerve supply will be reviewed. A
brief overview of the biochemical structure of the intervertebral disc will be presented. The role of the
intervertebral disc as a spinal stabilizer and its influence on facet joint function will be outlined. Specific
attention will be given to radiologic vocabulary such as intervertebral disc herniation, extrusion,
sequestration, and traumatic annular tears. MRI samples will be provided demonstrating 2023 | | | | | National Spine Management Conference South – Anatomy and Physiology of the Degenerated Intervertebral Disc, Anatomy of the degenerative intervertebral disc and its nerve supply will be
reviewed. An overview of the biochemical process of intervertebral disc degeneration will be outlined.
Specific attention will be given to the Pfirrmann Scale and radiographic terms such as desiccation,
intervertebral disc bulge and degenerative annular tears. 2023 | | | | | National Spine Management Conference South – Basic Spinal Biomechanical Modeling, Basic spinal biomechanical principles will be reviewed including sagittal spinal alignment and
coronal positioning in relation to the spinal facet joints. Research trends including symptomatic vs
asymptomatic spinal parameters will be presented in the context of the Doctor of Chiropractic as the
portal of entry spine care provider. 2023 | | | | | National Spine Management Conference South – Spinal Ligament Histological Structure and Function, Histology of ligament structure and function will be presented. Microanatomy and the wound
repair process will be discussed. Structural deficits post ligament injury will be presented and reviewed.
Anatomical positioning of ligamentous structures will be outlined with specific attention to the spinal
enthesis and the difference between an enthesophyte and osteophyte in spinal degeneration. 2023 | | | | | National Spine Management Conference South – Spinal Ligament Traumatic Pathology, Ligament pathology as a source of persistent spinal pain and dysfunction will be outlined and reviewed.
Objectifying ligament injury will be presented, and context will be provided using plain film radiographs
and MRI examples. Focus on facet capsules and interspinous ligament will be central to the discussion. 2023 | | | | | National Spine Management Conference South – Compliance and Documentation, Review of
federal documentation guidelines with specific focus on CPT coding for initial and re-evaluation visits.
Detailed outcomes of documentation audits by insurance carriers, regulator and special investigators will
be presented in a case study format. Emphasis will be placed interprofessional communication and
compliance. 2023 | | | | | National Spine Management Conference South – Trends in Chiropractic Research, Review
and discussion of 2022/2023 research supporting the chiropractic profession and the
doctor of chiropractor as a spine care manager. Specific papers will be presented related to the pain
management, corrective, and health maintenance phases of chiropractic care. Overview of current and
future research trends will be demonstrated. 2023 | | | | | Certified Independent Chiropractic Examiners , American Board of Independent Medical Examiners (ABIME) is incorporated as a national quality assurance board. It ensures uniformity of standards and competency of physicians performing Independent Evaluations. ABIME’s board of well-known experts from multiple disciplines regulates its application and examination process to identify qualified independent
examiners. This course provided comprehensive training on how to conduct superior independent chiropractic examination, write comprehensive, accurate reports, interpret relevant workers’ compensation, civil litigation, and disability law, and provide credible, defensible testimony.
American Board of Independent Medical Examiners , Marshall University , Charlotte , North Carolina , 2023 | | | | | Advanced MRI and X-Ray Documentation in Clinical Practice, Interpreting and utilizing X-ray and MRI findings in creating demonstrative documentation. Advanced identification of spinal disc lesions, herniations, bulges, protrusion, extrusion, and fragmentations through computer graphics. Identification and demonstrative documentation of vertebral motor unit pathology and reporting demonstratively using computer graphics. Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island , New York , 2023 | | | | | Advanced MRI Interpretation in Clinical Practice, Utilization of thin slice acquisitions with T2 Fat suppressed, STIR, proton density, T1 and T2 sequencing for advanced identification of spinal disc lesions, herniations, bulges, protrusion, extrusion, and fragmentations. Better visualization of intradural and extradural lesions, neoplasms, and infections. Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island , New York , 2023 | | | | | Ethics in Clinical Practice, Ethical, collaborative relationships with medical PCPs and specialists using advanced documentation and accurate reporting of imaging and advanced imaging. Creating a collegial relationship when conflicts arise in concluding accurate diagnosis to allow consensus and the evidence to determine final diagnosis Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island , New York , 2023 | | | | | Spinal CAT Scan Interpretation, Understanding the utilization of CAT Scan slicing and the reformatting when using bone and soft tissue windows. Correlating MRI to CAT Scan when either creates an unclear conclusion to render a complete image of the morphology of the indeterminate pathology. Understanding the physics of CAT Scan and the radiation levels with different types of CAT Scan technology. Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island , New York , 2023 | | | | | Connective Tissue/Strain Sprain Pathology, Understanding the morphology and physiology of connective tissue at the cellular and extra-cellular levels in building a foundation to understanding the function and interaction of ligaments, tendons, muscles, and bones, Identifying connective tissue pathology and the repair process with a foundation of r permanent aberrant sequella. Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island , New York , 2023 | | | | | Advanced Spinal Biomechanical Engineering, Understanding the concepts of normal vs. pathological movement of vertebral motor units in accurately concluding diagnosis on biomechanical pathology when considering excessive motion. An evidence-based approach to determining translation, angular deviation and rotations beyond pathobiomechanical limitations in the spine. Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island , New York , 2023 | | | | | Trends in Spinal Care, An evidence-based approach to concluding accurate diagnosis, prognosis, and treatment plan, Eradicating the non-specific back pain dogma utilizing X-ray digitizing based on literature standards, Creating treatment plans with identifying the primary spinal lesions using evidence-based tools. Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island , New York , 2023 | | | | | Documentation in Clinical Practice, Understanding and including all historical elements; current history, past history, family history, and social history when documenting a 99201, 99202, 99203, 99204, and 99205. The application of time as the prime element as per Medicode in coding examinations and re-examination with face to face, review of records and the time necessary to document in an electronic health record. Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island , New York , 2023 | | | | | Documenting Clinical Findings and Diagnosis, Correlating clinical findings with x-ray and advanced imaging to conclude and accurate diagnosis, prognosis and treatment plan. The utilization of demonstrative documentation in diagnostic testing to visualize pathology in the trauma and non-trauma case. Cleveland University – Kansas City, Academy of Chiropractic post-Doctoral Division
Long Island, New York, 2022 | | | | | Case Management, Documentation, and Diagnosis, Clinically correlating history and clinical findings to biomechanical connective tissue pathology and advanced imaging with herniated, protrude, extruded, and bulging discs. Triaging trauma and chronic patients based upon clinical presentation and testing results. Cleveland University Kansas City, College of Chiropractic, Academy of Chiropractic Post-Doctoral Division. Long Island, New York, 2022 | | | | | Certified Personal Trainer , Met all the requirements of the American Council on Exercise to develop and implement personalized exercise programs.
American Council on Exercise, 2022 | | | | | Imaging, Case and Strain/Sprain Reporting, Documentation, and coding for x-ray and MRI reports, and patient education, Connective tissue pathology as sequella to trauma and diagnosing of ligament laxity and strain-sprain in conjunction with biomechanical lesions of the human spine.The demonstrative reporting of spinal biomechanical lesions and the subsequent creation of treatment plans. Cleveland University Kansas City, College of Chiropractic, , Long Island NY , 2022 | | | | | National Spine Management West Conference 2022 - Preparing for Litigation – it starts with your documentation, outline of updated compliant reporting of the patient encounter
within E/M evaluations, daily progress notes, goal setting and interprofessional management/referral was
presented. Medical legal hurdles were explained and the impact of documentation on court room
presentations was demonstrated. Overview of objective evidence in the diagnosis and management of
traumatically injured patients was presented. National Spine Management Group, LLC, Federation of
Chiropractic Licensing Boards, PACE. 2022 | | | | | National Spine Management West Conference 2022 - How Jurors Determine Damage Awards- the importance of Anchors, discussion and review of litigation award Anchors and
their influence on the chiropractic practice and documentation of functional losses due to spinal injury
was outlined. Courtroom processes and review of testimony was presented. Consensus driven diagnosis
and case management was emphasized. Objectification of bodily injury and its relation to short and
long-term functional losses was presented. National Spine Management Group, LLC, Federation of
Chiropractic Licensing Boards, PACE. 2022 | | | | | National Spine Management West Conference 2022 - The Future of Spinal Biomechanics, Review of essential biomechanical parameters in the human spine was presented.
Emphasis was placed on their clinical application, patient outcomes and communication with the spine surgeon when applicable. Pre and post-surgical case management was reviewed in the context of peer-
reviewed medically indexed literature. A look to the future of interprofessional spine care between the chiropractor and the surgeon was presented. National Spine Management Group, LLC, Federation of
Chiropractic Licensing Boards, PACE. 2022 | | | | | National Spine Management West Conference 2022 - Spine Management and the Future of Spine Care, Discussion of the role of a spine manager in the daily treatment of spine
patients was presented. Emphasis was placed on the understanding of the roles of other providers in the
care paradigm including interventional pain management, spine surgery and rehabilitation professionals.
Interprofessional communication techniques were presented with a focus on diagnosis and management in a patient centered environment. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, PACE. 2022 | | | | | National Spine Management West Conference 2022 - Fellowship Training and the Chiropractic Literature, Overview of current literature-based examples of the evolution of
chiropractic graduate education was presented. The need for clinical rotations, interprofessional
communication and patient advocacy was detailed. Future training modules including learner outcome
assessments and educational pathways were also outlined. Detailed review of the medical model of
graduate education was detailed and explained with a pathway for chiropractic academic growth
outlined. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, PACE. 2022 | | | | | National Spine Management West Conference 2022 - Communicating with the Spine Surgeon, Detailed review of the scientific literature supporting interprofessional collaboration
between the spine surgeon and the Doctor of Chiropractic was presented. Emphasis on updated needs of
the spine surgeon with focus on the understanding of pre and post-surgical chiropractic care. Literature
updates and documentation requirements were discussed. Specific talking points are provided for
telecommunication with the spine surgeon. National Spine Management Group, LLC, Federation of
Chiropractic Licensing Boards, PACE. 2022 | | | | | National Spine Management West Conference 2022 - Communicating with the Pain Management Physician, Review of the scientific literature supporting interprofessional
collaboration with the interventional pain management physician was outlined. Updates and review of
the chiropractic scientific literature in relation to pain management mechanisms of the chiropractic
adjustment were presented. Documentation and interprofessional referral, communication and
telecommunication talking points for daily practice was outlined. National Spine Management Group,
LLC, Federation of Chiropractic Licensing Boards, PACE. 2022 | | | | | National Spine Management West Conference 2022 - Communicating with the Primary Care Physician, Review of literature supporting interprofessional communication at the
primary care level was presented. Literature outlining interprofessional communication and the needs of the primary care physician was discussed. Efficient reporting and communication points were reviewed.
Chiropractic interaction with primary care physicians from a clinical perspective were outlined with an
emphasis on supportive relationships. National Spine Management Group, LLC, Federation of
Chiropractic Licensing Boards, PACE. 2022 | | | | | National Spine Management West Conference 2022 - Communication with Physical Therapy – the untapped potential, Discussion on developing a collaborative relationship with
physical therapy and its effect on outcomes and community-based care was outlined. Supportive scientific literature presenting the interaction between spinal biomechanics and supervised rehabilitative
techniques was reviewed. Outcomes and interprofessional communication techniques were discussed
with an emphasis on interprofessional referral and support of both professions. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, PACE. 2022 | | | | | National Spine Management West Conference 2022 - Interprofessional referral and pathways, Review and outline of complete workflows for patient evaluation, documentation and triage when clinically indicated were detailed. Efficiency and accuracy of interprofessional
communication was presented in terms of the needs of the patient, pain management physician, spine
surgeon, physical therapist, and primary care physician. Evidence based triage workflows were discussed and detailed with emphasis on preventing unnecessary escalation of care in spine pain patients was presented. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, PACE. 2022 | | | | | National Spine Management West Conference 2022 - Communicating with the Lawyer – Disc Injuries, Discussion of the medical-legal implications of injuries to the intervertebral
disc was presented. Clinical correlation to mechanism of injury, objective physical examination findings,
results of advanced imaging and persistent functional loss were reviewed. Medical legal discussion of anatomy of intervertebral disc herniation, degenerative bulge, annular tear, and their relationship to
nerve supply in terms the legal community can understand was detailed. National Spine Management
Group, LLC, Federation of Chiropractic Licensing Boards, PACE. 2022 | | | | | National Spine Management West Conference 2022 - Communicating with the Lawyer – AOMSI, Discussion of the medical-legal implications of injuries to the ligaments of the
human spine was presented. Clinical correlation to mechanism of injury, objective physical examination
findings, results of advanced imaging and persistent functional loss were reviewed. Medical legal discussion of the anatomy of spinal ligaments in the normal, degenerative, and traumatically injured
spine was presented. Details of nerve supply to ligaments and the mechanism of scar tissue formation
through the wound repair process was provided. National Spine Management Group, LLC, Federation of
Chiropractic Licensing Boards, PACE. 2022 | | | | | National Spine Management West Conference 2022 - Communicating with the Lawyer – Low Speed Collisions, Discussion of the medical-legal implications of injuries sustained as a result of a low speed/impact collision resulting in minimal property damage was outlined. Clinical
correlation to the low-speed mechanism of injury, objective physical examination findings, results of advanced imaging and persistent functional loss was reviewed. Medical legal discussion related to the
correlation between impact forces and human spinal tolerance with particular attention being given to
pre-existing degenerative spinal conditions was presented. National Spine Management Group, LLC,
Federation of Chiropractic Licensing Boards, PACE. 2022 | | | | | National Spine Management West Conference 2022 - Anatomy of a Narrative Report – departing from gimmicks, Presentation on the flow of clinical information into the medical-legal format used by adjusters, attorneys, judges, jurors, and law clerks was provided. Key indicators of
persistent functional loss such as physical examination findings, global and segmental range of motion,
advanced imaging findings and results of electrodiagnostic testing were outlined. Direct discussion on
where in a narrative report these findings are to be written with an emphasis on patient assessment and
expert opinion. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards,
PACE. 2022 | | | | | National Spine Management West Conference 2022 - Advanced Imaging Protocols – update of the science of MRI, Detailed review of common MRI sequences for spine
imaging will be presented including T1, T2 and STIR in the sagittal and axial planes was presented.
Additional sequences such as Proton Density, Diffusion Weighted and Dixon was detailed and reviewed.
Particular attention was given to ordering contrast medium in a spine care practice. National Spine
Management Group, LLC, Federation of Chiropractic Licensing Boards, PACE. 2022 | | | | | National Spine Management West Conference 2022 - Spine Care Leadership – educating the medical community , Overview of spine care leadership and the processes of creating an
Evidence-Based, Patient Centered reputation in your community was discussed. Focus on structuring a
medical community outreach program, what topics to include and the process of building support was
detailed. This section outlined the differences between the various stakeholders in the medical community
including nurses, physician assistants, physicians, and administrative support staff was discussed.
National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, PACE. 2022 | | | | | National Spine Management West Conference 2022 - Spine Care Leadership - educating the legal community, Overview of spine leadership and the process of creating a positive medical-legal provider reputation in your community was presented. Focus on structuring a legal
community outreach program, what topics to include and the process of building support was detailed.
This section outlined the differences between the various stakeholders in the legal community including
adjusters, paralegals, lawyers, law clerks and judges was detailed. National Spine Management Group,
LLC, Federation of Chiropractic Licensing Boards, PACE. 2022 | | | | | National Spine Management West Conference 2022 - Compliance and Documentation – practice pitfalls 101, Detailed review of compliance parameters within clinical
documentation with emphasis on detailed efficient processes was presented. Pitfalls common to clinical
practice was demonstrated with practical, office ready solutions to ensure proper workflows, compliance,
and efficiency were outlined. Whole practice documentation modeling was discussed including the use of
a scribe. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, PACE. 2022 | | | | | National Spine Management West Conference 2022 - Updated Chiropractic Science Research, Review and discussion of 2021/2022 research supporting the chiropractic profession and the doctor of chiropractor as a spine care manager was outlined. Specific papers were presented
related to the pain management, corrective, and health maintenance phases of chiropractic care. Overview of current and future research trends were demonstrated in relation to the pain management
phase, corrective care phase and health maintenance phase of chiropractic management. National Spine
Management Group, LLC, Federation of Chiropractic Licensing Boards, PACE. 2022 | | | | | Spine Management Clinical Workflows, in-depth review and discussion of the Doctor of Chiropractic as a
Spine Management Physician with specific focus on the diagnosis and management of spine pain of
mechanical origin. Details were outlined in relation to triage of anatomical causes of spine pain such as
fracture, tumor, infection. National Spine Management Group, Cleveland University Kansas City,
Chiropractic and Health Sciences, Federation of Chiropractic Licensing Boards, Buffalo, New York, Lehi, Utah, 2021 | | | | | Pain Management and the Chiropractic Adjustment, Current peer reviewed indexed research
demonstrating the chiropractic adjustment’s effect on the central nervous system and pain threshold was
outlined and reviewed. Anatomical review and contemporary supportive research were discussed. Details
of central nervous system response to the chiropractic adjustment was reviewed and demonstrated.
National Spine Management Group, Cleveland University Kansas City, Chiropractic and Health Sciences,
Federation of Chiropractic Licensing Boards, Buffalo, New York, Lehi, Utah, 2021 | | | | | Corrective Spinal Care and Chiropractic Case Management, Current peer reviewed indexed research
demonstrating the chiropractic adjustment’s effect on the biomechanical structure of the human spine
during the corrective/rehabilitative phase of care. Basic outline of biomechanical parameters in
symptomatic and asymptomatic patients was reviewed with particular focus on pathobiomechanics in
chiropractic practice. National Spine Management Group, Cleveland University Kansas City, Chiropractic
and Health Sciences, Federation of Chiropractic Licensing Boards, Buffalo, New York, Lehi, Utah, 2021 | | | | | Health Maintenance Care and Chiropractic Case Management, Current peer reviewed indexed research
demonstrating the chiropractic adjustment’s effect on the maintenance of the human spine. Details of
indexed research reviewing Chiropractic’s role in the reduction of narcotic utilization and decreased
absenteeism from work due to disability. Communicating Health Maintenance Care to the medical
profession and the public was emphasized. National Spine Management Group, Cleveland University
Kansas City, Chiropractic and Health Sciences, Federation of Chiropractic Licensing Boards, Buffalo, New York, Lehi, Utah, 2021 | | | | | Evidence Based Clinical Reporting, overview of current CPT and ICD-10 coding guidelines pertaining to
the evaluation and management of spine pain patients was presented. Timed codes, relevant diagnosis
related to injured tissue was presented. Specific discussion of proper format of the Assessment portion of
clinical documentation was presented. Review of the difference between daily progress notes and
Evaluation and Management [E/M] reporting was provided. National Spine Management Group,
Cleveland University Kansas City, Chiropractic and Health Sciences, Federation of Chiropractic Licensing
Boards, Buffalo, New York, Lehi, Utah, 2021 | | | | | Cervical Spine Clinical Workflows, detailed review of workflows of a thorough patient history and
identification of clinical red flags related to relative and absolute contraindications to chiropractic care was
presented. Outline of neurological examination including pathological reflexes present during spinal cord
compression, cervical stenosis and cervical myelomalacia was discussed. Normal vs abnormal
measurement of range of motion objectifying spinal dysfunction was presented. Specific orthopedic
testing related to specific muscle, nerve or intervertebral disc injury was discussed. Review of
interprofessional triage and imaging decision tree was outlined with specific focus on the pain
management physician and spinal surgeon. National Spine Management Group, Cleveland University
Kansas City, Chiropractic and Health Sciences, Federation of Chiropractic Licensing Boards, Buffalo, New York, Lehi, Utah, 2021 | | | | | Lumbar Spine Clinical Workflows, detailed review of workflows of a thorough patient history and
identification of clinical red flags related to relative and absolute contraindications to chiropractic care was
presented. Outline of neurological examination including pathological reflexes present during cervical and
lumbar stenosis was discussed. Normal vs abnormal measurement of range of motion objectifying spinal
dysfunction was presented. Specific orthopedic testing related to muscle, nerve or intervertebral disc
injury was discussed. Review of interprofessional triage and imaging decision tree was outlined with
specific focus on the pain management physician and spinal surgeon. National Spine Management
Group, Cleveland University Kansas City, Chiropractic and Health Sciences, Federation of Chiropractic
Licensing Boards, Buffalo, New York, Lehi, Utah, 2021 | | | | | Interprofessional Clinical Documentation for the Primary Care Physician, contemporary techniques to
best communicate chiropractic care to the Primary Care Physician was discussed and presented.
Analysis of the depth and scope of communication was emphasized with direct focus on the proper
documentation management system including demographic sheet, imaging reports, most recent
evaluation and management reports. Discussion of appropriate timing for phone consultation was
presented. National Spine Management Group, Cleveland University Kansas City, Chiropractic and
Health Sciences, Federation of Chiropractic Licensing Boards, Buffalo, New York, Lehi, Utah, 2021 | | | | | Clinical Documentation for the Spine Surgeon, contemporary techniques to best communicate
chiropractic care to the spine surgeon was discussed and presented. Analysis of the depth and scope of
communication was emphasized with direct focus on the proper documentation management system
including demographic sheet, imaging reports, most recent evaluation and management reports.
Discussion of appropriate timing for phone consultation was presented. National Spine Management
Group, Cleveland University Kansas City, Chiropractic and Health Sciences, Federation of Chiropractic
Licensing Boards, Buffalo, New York, Lehi, Utah, 2021 | | | | | Clinical Documentation for the Pain Management Physician, contemporary techniques to best
communicate chiropractic care to the pain management physician was discussed and presented.
Analysis of the depth and scope of communication was emphasized with direct focus on the proper
documentation management system including demographic sheet, imaging reports, most recent
evaluation and management reports. Discussion of appropriate timing for phone consultation was
presented. National Spine Management Group, Cleveland University Kansas City, Chiropractic and
Health Sciences, Federation of Chiropractic Licensing Boards, Buffalo, New York, Lehi, Utah, 2021 | | | | | Clinical Documentation for Attorney, contemporary techniques to best communicate chiropractic care
and permanent injury to the personal injury attorney was discussed and presented. Analysis of the depth
and scope of communication was emphasized with direct focus on the proper documentation
management system including diagnosis, response to treatment, causality and persistent functional loss
was outlined. Discussion of appropriate timing for phone consultation was presented. National Spine
Management Group, Cleveland University Kansas City, Chiropractic and Health Sciences, Federation of
Chiropractic Licensing Boards, Buffalo, New York, Lehi, Utah, 2021 | | | | | Spinal Biomechanical Engineering, detailed presentation of the progression of laboratory-based
biomechanics into the clinical realm was outlined. Evidence based review of Pelvic Incidence and other
sagittal balance parameters was presented. Regional sagittal balance and communication with the spine
surgeon in the spine management practice was reviewed. Specific discussions were related to spinal
sagittal balance and the non-surgical spine pain patient and correlated to the Corrective Care Phase of
Chiropractic Care. Outline of the future of full spine biomechanical modeling was presented in relation to
symptomatic and asymptomatic patients. National Spine Management Group, Cleveland University
Kansas City, Chiropractic and Health Sciences, Federation of Chiropractic Licensing Boards, Buffalo, New York, Lehi, Utah, 2021 | | | | | Objectifying the Biomechanical Spine Lesion, review of ligament laxity and alternation of motion
segment integrity was presented with specific correlation to the AMA Guides to the Evaluation of
Permanent Impairment 5 th and 6 th Education. Correlation to bodily injury, causality and persistent
functional losses in the personal injury patient and communication with the attorney was outlined.
Attention was paid to the differences between vertebral body translation and angular motion deficits
between adjacent motor units was presented. Specific details on measurement tools and analysis of the
injured cervical and lumbar spines were discussed. National Spine Management Group, Cleveland
University Kansas City, Chiropractic and Health Sciences, Federation of Chiropractic Licensing Boards, Buffalo, New York, Lehi, Utah, 2021 | | | | | Specialty Research in Pain Management – Clinical and Procedural – Growth of Interventional Pain Management Techniques and Current Trends in Pharmacological Management of Neuropathic Pain., ESI comparison to gabapentin in lumbosacral radicular pain – current trends and future progress
of pain management interventions. Mode of action, required dosage, advantages and side effects profiles
of currently available pharmacological approaches. National Spine Management Group, Federation of
Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship
with the State University of New York at Buffalo, Jacobs School of Medicine, Buffalo, New York, 2021 | | | | | Specialty Research in Pain Management – Clinical and Procedural – Therapeutic Effects of Spinal Injection Therapy, Facet, medial branch blocks, prolotherapy and epidural interventions utilization
within the Medicare population, effectiveness on lumbar central canal stenosis with and without steroids
and effect on prevention of spinal surgery, herniated disc, fibromyalgia and chronic musculoskeletal
pain. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland
University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at
Buffalo, Jacobs School of Medicine, Buffalo, New York, 2021 | | | | | Specialty Research in Pain Management – Clinical and Procedural – Adverse Events Associated with Injection Therapy, transforaminal and interlaminar epidural steroid injections, anesthesia
technical considerations, effects on cervical radiculopathy midline versus paramedian approaches and
perineurial injection of autologous conditioned serum. Review of FDA risk assessment.
National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University
College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo,
Jacobs School of Medicine, Buffalo, New York, 2021 | | | | | Specialty Research in Pain Management – Clinical and Procedural – Correlation of MRI Findings and Injection Outcomes, MODIC Changes on MRI and effectiveness of facet injection, facet joint
signal change on MRI with fat suppression comparison with SPECT/CT. Discussion of Modic 1, 2 and 3
with correlation of clinical outcomes and patient selection criteria. National Spine Management Group,
Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME
Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, Buffalo, New York, 2021 | | | | | Specialty Research in Pain Management – Clinical and Procedural – Therapeutic Effects of Botulinum Toxin and Dry-Needling in Myofascial Pain Syndrome, cost effectiveness, patient
response and triage of therapeutic interventions. Physiological review of trigger point etiology and
clinical presentation of acute and chronic pain. Functional response of intervention including relief and
recurrence. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland
University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at
Buffalo, Jacobs School of Medicine, Buffalo, New York, 2021 | | | | | Specialty Research in Pain Management – Clinical and Procedural – Systematic Review Technical Considerations in Cervical Epidural Analgesia, Chemical blockage of cervical nerve roots, review of
anatomical structures and correlation with MRI imaging. Blockage effects on the respiratory, circulatory
and neurological systems. Review of cervical epidural space (CES) borders and variants in patient
population. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland
University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at
Buffalo, Jacobs School of Medicine, Buffalo, New York, 2021 | | | | | Specialty Research in Pain Management – Clinical and Procedural – Trends in opioid analgesic abuse and mortality in the USA, Evaluation of Opioid Pain Management in Injured Children, assessment of opioid reporting in Veteran Affairs, Emergency visitation in pediatric injury, pain
management and adoption of best practices. Trends in use of prescription opioid medication using
RADARS (Research Abuse, Diversion and Addiction Related Surveillance System), comparison between
legitimate pharmacy channels and diversion and abuse. Opioid use prevalence and incidents in Veteran
Affairs, new prescriptions or long-term conversion and relationship to persistent growth in opioid use.
National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University
College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo,
Jacobs School of Medicine, Buffalo, New York, 2021 | | | | | Specialty Research in Pain Management – Clinical and Procedural – Electrodiagnostic Testing, Transforaminal Epidural Steroid Injection, Intra-articular Facet Joint Injection, Spinal Manipulation Post-Epidural Injection–, Needle EMG, active versus chronic denervation in lumbar,
cervical spinal pathologies and differential diagnosis of spinal stenosis and intervertebral disc
herniation. Systematic review of facet joint injections, clinical trials and conservative therapy in lower
back pain. Results of spinal manipulation post-epidural injection in the cervical spine. National Spine
Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of
Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs
School of Medicine, Buffalo, New York, 2021 | | | | | Specialty Research in Pain Management – Clinical and Procedural – Radiofrequency Ablation and outcome measures - medication, function and pain in relation to pain of spinal origin., Medial
Branch Block as prognostic tool prior to lumbar facet radiofrequency denervation. Clinical comparison
disc herniation, disc bulge, cervical and lumbar radiculopathy. Diagnosis and patient triage correlation
to anatomical spine structures. Long, short term risk factors and outcomes in radiofrequency ablation.
National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University
College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo,
Jacobs School of Medicine, Buffalo, New York, 2021 | | | | | Specialty Research in Pain Management – Clinical and Procedural – Role of Cannabinoids in Pain Management, review of pharmacological, botanical or synthetic origins of cannabinoids. Mechanism
of action in alleviation of pain including analgesic, anti-inflammatory effects, modular actions on
neurotransmitters and interactions with prescribed or endogenous opioids. National Spine Management
Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic,
ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, Buffalo, New York, 2021 | | | | | Specialty Research in MRI Physics – The Hardware – magnet types including permanent, resistive and superconducting magnets., Volume RF, surface, quadrature and phase array coils and other
hardware necessary for the generation of MRI imaging. National Spine Management Group, Federation
of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint
Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, Buffalo, New York, 2021 | | | | | Specialty Research in MRI Physics – Physics of Image Generation 1, magnetization, excitation,
relaxion, acquisition, computing and display. T1 relaxion and relaxation curves, T2 relaxation, phase and
phase coherence, T2 relaxion curves. National Spine Management Group, Federation of Chiropractic
Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the
State University of New York at Buffalo, Jacobs School of Medicine, Buffalo, New York, 2021 | | | | | Specialty Research in MRI Physics – Physics of Image Generation 2, gradient coils, signal coding
including slice encoding gradient, phase encoding gradient, Frequency encoding gradient. Gradient
specifications and slice thickness. Filling k-space, k-space symmetry and k-space filling technique.
National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University
College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo,
Jacobs School of Medicine, Buffalo, New York, 2021 | | | | | Specialty Research in MRI Physics – Physics of Image Generation 3, pulse sequences, spine echo
sequences including multi-slicing and multi-echo sequencing. T1, T2, proton density contrast and their
applications. Turbo spine echo, fast advanced spine echo (HASTE) sequence and gradient echo
sequence. Inversion recovery sequence including STIR and FLAIR sequence. Choosing the right
sequence pros and cons, T1, T2 and PD parameters. National Spine Management Group, Federation of
Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship
with the State University of New York at Buffalo, Jacobs School of Medicine, Buffalo, New York, 2021 | | | | | Specialty Research in MRI Physics – Physics of Image Generation – technical parameters and artifacts, repetition time, echo time, flip angle, inversion time, number of acquisitions, matric and field
of view. Slice thickness, slice gap, phase encoding direction 1 and direction 2 and relation to bandwidth.
Motion artifact, para-magnetic artifact, phase wrap artifact, susceptibility artifact, clipping artifact,
spine and zebra artifacts. Effects on image quality and acquisition. National Spine Management Group,
Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME
Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, Buffalo, New York, 2021 | | | | | 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. National Spine
Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs
School of Medicine, Buffalo, New York, 2021 | | | | | Specialty Research in Neuroradiology – syringomyelia, fluid dynamics and spinal cord motion, scoliosis curve patters and syrinx characteristics versus Chiari I malformation. Normal MRI appearance
and motion artifacts related to cerebral spinal fluid motion related phenomena and common appearances
on MRI imaging. Syrinx wall and fluid motion and correlation to cardiac cycle with comparison between
systolic and diastolic presentations. National Spine Management Group, Federation of Chiropractic
Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the
State University of New York at Buffalo, Jacobs School of Medicine, Buffalo, New York, 2021 | | | | | Specialty Research in Neuroradiology – Spinal Biomechanics, Thoracolumbar Deformity and Surgical Outcomes, full spine analysis, adjacent spinal biomechanics and its impact on surgical
outcomes. Sagittal alignment pelvis to cervical spine and association with kyphosis and lordosis
mechanical positioning. National Spine Management Group, Federation of Chiropractic Licensing
Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State
University of New York at Buffalo, Jacobs School of Medicine, Buffalo, New York, 2021 | | | | | Specialty Research in Neuroradiology – MRI and EMG comparison in denervated muscle diagnosis, lumbar spine pathology and age in relation to paraspinal muscle size and fatty infiltration. Fatty
degeneration of paraspinal muscle in degenerative lumbar kyphosis and CT versus MRI digital analysis.
Positive correlations with edema on MRI and fibrillations, positive sharp waves, denervation and the
level of reduced recruitment pattern. National Spine Management Group, Federation of Chiropractic
Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the
State University of New York at Buffalo, Jacobs School of Medicine, Buffalo, New York, 2021 | | | | | Specialty Research in Neuroradiology – association between annular tear and disc degeneration, high intensity zone (HIZ) in lumbar disc and association to annular fissure on MRI. Identification of duel
HIZ and its relationship to acute inflammation and calcified tissue and its association with discogenic
pain patterns. Influence of phenotype, population size and inclusion sequence. T1, T2 and STIR imaging
comparison and correlation. National Spine Management Group, Federation of Chiropractic Licensing
Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State
University of New York at Buffalo, Jacobs School of Medicine, Buffalo, New York, 2021 | | | | | Specialty Research in Neuroradiology – degenerative cervical myelopathy, paraspinal muscle
morphology, clinical symptoms and functional status. Review of fatty infiltration, asymmetry findings and
correlation with clinical symptoms and functional scores. Review of complex anatomical arrangement of
superficial and deep muscle layers in the cervical spine, correlation to MRI findings. National Spine
Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of
Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs
School of Medicine, Buffalo, New York, 2021 | | | | | Specialty Research in Neuroradiology – MRI Neurography, Diffuse Tensor Imaging (DTI), diagnostic accuracy and fiber tracking in spinal cord compression. Review of spinal cord structural
integrity, peripheral neuropathy and correlation to diffuse tensor imaging findings. Comparison in
combining DTI with T2 and T2 alone and its value in magnetic resonance neurography. National Spine
Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of
Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs
School of Medicine, Buffalo, New York, 2021 | | | | | Specialty Research in Neuroradiology – Nomenclature and Classification of Lumbar Disc Pathology , modified Pfirrmann grading system and lumbar disc degeneration. Consensus driven description of intervertebral disc nomenclature including intervertebral disc bulge, herniation, protrusion, broad based disc herniation, extrusion and sequestration. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine Buffalo, New York, 2021 | | | | | Specialty Research in Neuroradiology – MRI evaluation of intradural tumor, neuroimaging of spinal tumors and correlation to histological study. Determining method of choice for evaluation, review of numerous types of intradural-extramedullary masses including meningioma and schwannoma. Signal intensities, contrast enhancement patterns, presence of cysts and other key differentiation findings of spinal cord tumors. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine Buffalo, New York, 2021 | | | | | 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. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine Buffalo, New York, 2021 | | | | | Specialty Research in Neuroradiology – MRI Characteristics of Lumbar Facet Synovial Cyst, formation characteristics of synovial cyst, relation to degenerative changes in spinal facet joints as demonstrated on MRI. Pre and post-surgical procedural MRI were reviewed and compared. Surgical management and subsequent resection were demonstrated. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine Buffalo, New York, 2021 | | | | | Specialty Research in Neuroradiology – Variability in MRI Diagnostic Error Rates, in depth review of quality of MRI imaging and comparison to consistent MRI diagnosis between facilities. Errors of interpretation in the study examinations were considered and presented. Impact of radiological diagnosis, location of MRI study and reading radiologist and impact on treatment choice and clinical outcomes. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine Buffalo, New York, 2021 | | | | | Specialty Research in Orthopedic Extremity Surgery – Wrist Anatomy and Osseous Kinematics, normal kinematics using biplanar radiographic model were reviewed. Discussion of extensive database of carpal bone anatomy and kinematics from a large number of healthy subjects. 3-D motion of each bone was calculated for each wrist position and discussed. Database constructed including high-resolution surface models, measures of bone volume and shape, and the 3-D kinematics of each segmented bone. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine Buffalo, New York, 2021 | | | | | Specialty Research in Orthopedic Extremity Surgery – Normal Motion of the Shoulder and Glenohumeral Instability, normal motion of the shoulder joint compared with clinical implications of glenohumeral joint instability including surgical recommendations. Review and overview of the anatomy of the glenohumeral joint, emphasis on instability based on the current literature. Description of detailed anatomy and anatomical variants of the glenohumeral joint associated with anterior and posterior shoulder instability. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine Buffalo, New York, 2021 | | | | | Specialty Research in Orthopedic Extremity Surgery – Orthopedic Testing and Shoulder Pathology Diagnosis, use of orthopedic special tests (OSTs) to diagnose shoulder pathology and clinical examination. Review OST clusters, examination of methodology and illustration of their use in arriving at a pathology-based diagnosis. Discussion of examination of the biceps tendon and clinical relevance. Review of SLAP lesion and shoulder impingement syndrome were reviewed. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine Buffalo, New York, 2021 | | | | | Specialty Research in Orthopedic Extremity Surgery – Electrodiagnostic Testing and Carpal Tunnel Syndrome, Review of the most common mononeuropathy in the human body. Relationship between clinical findings, neurological examination and electrodiagnostic testing in the diagnosis of carpal tunnel syndrome. Acute and chronic symptoms including progression of the disorder were reviewed. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine Buffalo, New York, 2021 | | | | | Specialty Research in Orthopedic Extremity Surgery – Current Concepts in Elbow Disorders, Detailed anatomy of osseus, ligamentous and muscular structure of the elbow was reviewed. Common disease of elbow disorders and their treatment was discussed. Lateral epicondylitis and medial collateral ligament injury of the elbow were outlined. Rheumatoid arthritis, posttraumatic osteoarthritis, and elderly patients with comminuted distal humeral fractures. Surgical design and technique were outlined. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine Buffalo, New York, 2021 | | | | | Specialty Research in Orthopedic Extremity Surgery – Differentiating Cervical Spine from Shoulder Pathology , anatomical review of cervical spine and glenohumeral joint focus on similarities and differences. Cervical disorders masking shoulder pain, cervical radiculopathy, cervical spondylotic myelopathy, facet and discogenic pain patterns were outlined. Details of shoulder pathology parsonage-tuner syndrome, subscapular neuropathy and thoracic outlet were presented. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine Buffalo, New York, 2021 | | | | | Specialty Research in Orthopedic Extremity Surgery – MRI of the Shoulder and Shoulder Girdle, review of MRI analysis of scapular fracture. Detailed review of scapular function rehabilitation and training on chronic pain syndromes. Reliability of magnetic resonance imaging versus arthroscopy for the diagnosis and classification of superior glenoid labrum anterior to posterior lesions. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine Buffalo, New York, 2021 | | | | | Specialty Research in Orthopedic Extremity Surgery -Cataloging Movements of the Ankle, Hip and Spine , Review Standardization and Terminology Committee (STC) of the International Society of Biomechanics (ISB) and classification of joint kinematics. Standard for the local axis system in each articulating bone is generated and presented. Rationale for international standards among researchers was presented. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine Buffalo, New York, 2021 | | | | | Specialty Research in Orthopedic Extremity Surgery -Cataloging Movements of the Shoulder, Elbow, Wrist and Hand, Review Standardization and Terminology Committee (STC) of the International Society of Biomechanics (ISB) and classification of joint kinematics. Standard for the local axis system in each articulating bone is generated and presented. Rationale for international standards among researchers was presented. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine Buffalo, New York, 2021 | | | | | Specialty Research in Orthopedic Extremity Surgery – MRI and Diagnosis of Shoulder Disorders, normal and abnormal shoulder anatomy as viewed on MRI was presented. Review and presentation of MRI in the diagnosis and treatment of brachial plexus injury. Discussion of preganglionic avulsions and muscular denervation. Comparison of CT myelography to MRI myelography were outlined. Enhanced three dimensional T1 high-resolution isotropic volume excitation MR in the evaluation of shoulder pathology. Comparison with two-dimensional enhanced T1 fat saturation MRI were discussed. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine Buffalo, New York, 2021 | | | | | Specialty Research in Orthopedic Extremity Surgery – Clinical Evaluation of Upper and Lower Extremity Pathology , review of relevant anatomy in shoulder, elbow, wrist, hip, knee and ankle was presented. Physical examination including orthopedic, neurological and range of motion testing was presented and compared with findings on MRI results. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine Buffalo, New York, 2021 | | | | | Specialty Research in Orthopedic Spine Surgery – Fusion Surgery and Lumbar Stenosis, efficacy of fusion and decompression surgery in patients with lumbar spinal stenosis. Review of degenerative spondylolisthesis and patient selection criteria. Discussion of correlation of MRI, CT findings and clinical evaluation. Review of sedimentation sign on MRI and indications of prognostic factors. Surgery versus nonsurgical treatment outlined and outcomes discussed. Compensation for lumbar spinal stenosis and clinical sagittal plane deformity was presented. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine Buffalo, New York, 2021 | | | | | Specialty Research in Orthopedic Spine Surgery – Posterior Lumbar Interbody Fusion and Adjacent Segment Degeneration (ASD) , adjacent segment degeneration as major consequence of spinal fusion. Review of occurrence and location with correlation between surgical outcomes were discussed. Discussion of age, BMI and pre-existing stenosis in cranial adjacent segment as risk factors. ASD prevalence in radiographic evidence between cranial and caudal segments were reviewed. Presentation of risk factors and pre-operative radiological features. Facet sagittalization and tropism were discussed. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine Buffalo, New York, 2021 | | | | | Specialty Research in Orthopedic Spine Surgery – Morbidity and Mortality Predictions in Spinal Surgery, Review of the Charlson Comorbidity Index (CCI) and the American Society of Anesthesiologist (ASA) Physical Status Classification System. Review of index outcomes and relation to costs of care. Discussion of index rating and likelihood of complications. Review of classification system in cerebral spinal fluid (CSF) leaks. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine Buffalo, New York, 2021 | | | | | Specialty Research in Orthopedic Spine Surgery – Spondylolisthesis, clinical and radiographic classifications, classification system that considers disc space height, sagittal alignment and translation,
and the absence or presence of unilateral or bilateral leg pain was discussed. Detailed review of
spondylolisthesis etiology, clinical presentation and imaging findings was reviewed. Review of inter and
interobserver reliabilities of radiographic and clinical criteria. Review of consensus driven treatment
options for degenerative spondylolisthesis presented. Transforaminal Lumbar Interbody Fusion (TLIF)
in degenerative disc disease with associated spondylolisthesis grade I was reviewed and correlated.
National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University
College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo,
Jacobs School of Medicine, Buffalo, New York, 2021 | | | | | Specialty Research in Orthopedic Spine Surgery – Sagittal Alignment and Spinal Surgery, Clinical Outcomes and Follow up, discussion of outcomes and sagittal alignment in single unilateral
transforaminal lumbar interbody fusion (TLIF). Detailed review of surgical TLIF procedure and
associated mid and long-term clinical outcomes. Discussion and presentation of influence of pelvic
incidents and lumbar lordosis mismatch and post-operative residual symptoms. Analysis of adjacent
segment disease following fusion. National Spine Management Group, Federation of Chiropractic
Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the
State University of New York at Buffalo, Jacobs School of Medicine, Buffalo, New York, 2021 | | | | | Specialty Research in Orthopedic Spine Surgery – Complications and Outcomes in Adult Spinal Deformity Surgery, review of surgical approaches and complications in correction of adult spinal
deformity. Relevance of age, comorbidities, blood loss, osteoporosis and smoking were discussed.
Discussion of Cobb Angle, Sagittal Vertical Axis, Pelvic Tilt, Thoracic Kyphosis were reviewed and
examined in relation to transpsoas lateral interbody fusion (LIF), percutaneous pedicle screw (PPS),
transforaminal lumbar interbody fusion (TLIF). Comparison between minimally invasive and
traditionally open procedures was provided and reviewed. Discussion of minimally invasive surgery
options were emphasized and outcomes reviewed with correlation to diagnosis and procedural coding.
National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University
College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo,
Jacobs School of Medicine, Buffalo, New York, 2021 | | | | | Specialty Research in Orthopedic Spine Surgery – Surgical Interventions in Lumbar Disc Herniation, review of differences in surgical treatment of recurrent lumbar disc herniation. Clinical
correlation between plain film radiography, MRI studies and clinical presentation were reviewed. Data
on frequency in management of recurrent lumbar intervertebral disc herniations presented. Duration of
symptoms and influence of patient outcomes in sciatica patients undergoing micro-discectomy and
decompressions. National Spine Management Group, Federation of Chiropractic Licensing Boards,
Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of
New York at Buffalo, Jacobs School of Medicine, Buffalo, New York, 2021 | | | | | Specialty Research in Orthopedic Spine Surgery – Length of Stay in Lumbar Spinal Surgery, discussion on epidemiology of lumbar surgery outcomes and hospital stay. Correlation to clinical
presentation and comorbidities were reviewed. Outline of decompression and instrumental fusion in the
lumbar spine. Review of costs of lumbar surgery, trends in hospital stay and costs both on a cumulative
and daily basis. Comparison of the nationwide inpatient sample and national surgical quality
improvement program databases for lumbar spine fusion procedures was reviewed and presented.
National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University
College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo,
Jacobs School of Medicine, Buffalo, New York, 2021 | | | | | Specialty Research in Orthopedic Spine Surgery – Pre-Surgical Planning and Implant Design, 3-D
printing and surgical planning discussion a variety of historical materials in the creation of patient
specific implants based on unique individual anatomy. Historical trends in the creation of prosthetics
with 3-D modeling software using neuroimaging data. Review of treatment complex spinal pathologies
and surgical planning was discussed. Outline of current and future barriers to global implementation and
commercialization was reviewed. National Spine Management Group, Federation of Chiropractic
Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the
State University of New York at Buffalo, Jacobs School of Medicine, Buffalo, New York, 2021 | | | | | Specialty Research in Orthopedic Spine Surgery – Spine Surgery Procedures in Medical Specialty Training, discussion of current spine surgery training including fellowship programming in the United
States. Accreditation Council for Graduate Medical Education (ACGME) cases logs were reviewed and
discussed. Variability of procedures within programs and between medical specialty programs were
outlined. Differential utilization between orthopedic and neurosurgical fellows was reviewed. National
Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of
Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs
School of Medicine, Buffalo, New York, 2021 | | | | | Specialty Research in Orthopedic Spine Surgery – Cerebral Spinal Fluid Dynamics, Central Nervous System Pathology and Intracranial Hypotension, pathophysiology and various craniospinal
disorders. Directional phase contrast MRI (4D Flow) was reviewed along with the anatomical and
physiological properties of cerebral spinal fluid. Specific disorders such as Alzheimer’s disease,
hydrocephalus, Chiari Malformation and syringomyelia. Clinical correlation of CSF dynamics to
understanding disease process was reviewed including normal and abnormal flow patterns. Recent
advancements in fluid flow studies were outlined and presented. Signal intensity changes on MRI study in
cervical spondylotic myelopathy was discussed and compared to normal parameters. Fluid dynamics
patterns within syringomyelia and Chiari malformation was discussed and correlated to MRI findings
and clinical presentations. Spinal microsurgical exploration surgery and resultant CSF leak and
spontaneous intractable intracranial hypotension was reviewed and its pathoanatomical presentation
outlined. Review of the natural and surgical history of Chiari malformation Type I in pediatric
population and clinical correlation with MRI studies. National Spine Management Group, Federation of
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Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship
with the State University of New York at Buffalo, Jacobs School of Medicine, Buffalo, New York, 2021 | | | | | Specialty Research in Neurosurgery – Anatomy and Physiology of the Blood Brain Barrier, Review
of consequences of alterations in homeostatic control of the neuronal environment. Discussion of blood
flow alterations and altered vessel permeability as determinants in the pathophysiology of brain injury.
Review present day literature on the anatomy, development and physiological mechanisms of the
blood–brain barrier. The blood brain barrier’s role in the maintenance of the extracellular environment.
Vascular anatomy of the spinal cord was review in relation to the physiology of the neural environment.
National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University
College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo,
Jacobs School of Medicine, Buffalo, New York, 2021 | | | | | Specialty Research in Neurosurgery – Spinal Cord Anatomy, Physiology and Vascular Reactivity, detailed review of the blood supply of the spinal cord, anatomy of the vascular system and physiology of
blood flow. Pathophysiology of various conditions including Thoracic Aortic Occlusion and Spinal Cord
Injury were discussed with specific relation to risk of neurological deficit. Severity and duration as an
effect was reviewed and correlated clinically. Cerebral circulation and aging, discussion of effects on
cognitive functioning and cerebrovascular disease in aging. National Spine Management Group,
Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME
Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, Buffalo, New York, 2021 | | | | | Specialty Research in Neurosurgery – Upper Cervical Spine Anatomy and Cerebral Spinal Fluid Flow, MRI flow imaging and computational fluid dynamics in healthy patients with Chiari
Malformations. Review of abnormal cerebral spinal fluid flow oscillations and their effects on healthy
patients. Discussion of nonlaminar complex spatial and temporal variations with associated pressure
waves and pressure gradients causing syringomyelia, headaches and other clinical manifestations in
Chiari I malformation. Microsurgical anatomy and internal architecture of brainstem in 3D images and
surgical considerations. CSF hydrodynamic changes, spinal cord injury and development of post
traumatic syringomyelia (PTSM). Impact of spinal cord nerve roots and denticulate ligaments on
cerebral fluid dynamics in the cervical spine was reviewed and discussed. National Spine Management
Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic,
ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, Buffalo, New York, 2021 | | | | | 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
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dural sac on MRI studies, review of classification systems and the consideration of impingement of neural
tissue. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland
University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at
Buffalo, Jacobs School of Medicine, Buffalo, New York, 2021 | | | | | Specialty Research in Neurosurgery – Anatomy of Circle of Willis, Cerebral Arteries and Stroke Etiology, discussion of stroke by embolism, source and cause in diagnosis and long-term treatment.
Review of complex nature of embolus transport and its relation to etiology. Image based hemodynamics
with discrete particle dynamics in relation to the distribution of emboli across the various cerebral
arteries. Detailed anatomy of Circle of Willis reviewed and discussed with particular focus on size/inertia
dependent trends in embolus distribution to the brain, distribution of cardiogenic versus aortogenic
emboli among anterior, middle and posterior cerebral arteries, left versus right brain preference in
cardio-embolus and aortic emboli transport and source-destination relationship for embolisms affecting
the brain. Detailed review of the microsurgical anatomy of the posterior cerebral artery in three
dimensional images. National Spine Management Group, Federation of Chiropractic Licensing Boards,
Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of
New York at Buffalo, Jacobs School of Medicine, Buffalo, New York, 2021 | | | | | Specialty Research in Neurosurgery – Stroke Therapy, Implementation and Cost-Effectiveness, review of endovascular therapy in addition to standard care in acute ischemic vessel occlusion stroke.
Comparison in National Institutes of Health Stroke Score (NIHSS) score, symptom onset, Alberta Stroke
Program Early CT Score (ASPECTS) and occlusion location. Considerations in acute management and
revascularization of tandem occlusions in acute ischemic stroke with literature review. Discussion of
Transcirculation Pipeline embolization device deployment as a rescue technique. National Spine
Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of
Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs
School of Medicine, Buffalo, New York, 2021 | | | | | Specialty Research in Neurosurgery – Surgical Approaches and Outcomes in Spine Surgery 1, review of historical interventions, multilevel decompression and instrumented fusion in reduction of
neural compression and spinal column stabilization. Discussion of morbidity and mortality in relation to
surgical procedures. The use of the modified fragility index to predict 30-day morbidity and mortality
from spine surgery. Differences in patient selection for minimally invasive versus open surgical
procedures, and review of post-surgical outcomes. Morbidity, mortality and health care costs for patients
undergoing spine surgery following ACGME resident duty-reform. National Spine Management Group,
Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME
Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, Buffalo, New York, 2021 | | | | | Specialty Research in Neurosurgery – Surgical Approaches and Outcomes in Spine Surgery 2, Predisposing factors for dural tears in lumbar spine surgery including degenerative conditions, prior
surgery and age related indicators were reviewed. Discussion and review of re-admission rages in spine
surgery through metanalysis and systematic review. Bibliometric study of the most important minimally
invasive (MIS) spine surgery papers including Level III and IV studies with focus on moving toward Level
I and Level II. National Spine Management Group, Federation of Chiropractic Licensing Boards,
Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of
New York at Buffalo, Jacobs School of Medicine, Buffalo, New York, 2021 | | | | | Specialty Research in Emergency Medicine – Emergency Medicine and Spine Pain, review of lack
of guidelines for the management of lower back pain in the ED. Frequency of lower back pain visitation
in the emergency department including environmental/sociocultural dimensions and
physical/psychospiritual dimensions were reviewed. Discussion of utilization of significant healthcare
resources with complete description of lower back pain characteristics, health services use in non-urgent
lower back pain patients presenting to the ED. Managing spine pain in the ED using usual and customary
medical intervention. Extent of appropriate CT and MRI scans in the hospital setting, accessibility
reviewed in conjunction with presented national data. National Spine Management Group, Federation of
Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship
with the State University of New York at Buffalo, Jacobs School of Medicine, Buffalo, New York, 2021 | | | | | Specialty Research in Emergency Medicine – Medication Usage and Motor Vehicle Accidents, review of ADHD medication utilization and motor vehicle accident data and frequency of motor vehicle
accident sin this specific patient population. Review of the prevalent and preventable cause of morbidity
and mortality among patients and concepts of restricting based on prognostic factors. National Spine
Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of
Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs
School of Medicine, Buffalo, New York, 2021 | | | | | Specialty Research in Emergency Medicine – Emergency Department Imaging Perspectives, review of imaging protocols among a spectrum of clinical indications, perspective on aging populations
and clinical complexity. Review of CT, MRI, plain film imaging and ultrasound and their relationships to
internal medicine and musculoskeletal disorders examined on an emergency basis through patient
generated national survey data. Details of specific contexts in which imaging has become concentrated
and targeted efforts for optimization of utilization. considerations of utilization of CT in the emergency
department and evaluation to increasing trends. Review of quality improvements in imaging utilization.
Comparison between pediatric and adult imaging protocols and trends. Discussion and analysis of
“Choose Wisely” recommendations and creating of guideline/policy/clinical pathways in New England
EDs. MRI utilization in pediatric ED reviewed and analyzed. National Spine Management Group,
Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME
Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, Buffalo, New York, 2021 | | | | | Specialty Research in Emergency Medicine – Cauda Equina Syndrome and Other Emergent Conditions, traumatic injuries to the thoracolumbar spine and overall impact on emergency services.
Discussion of exact definitions of Conus Medullaris Syndrome (CMS) and Cauda Equina Syndrome
(CES). Diagnosis in acute phase and radiological findings clinically correlating with physical
examination findings. Parameters for spinal regions of traumatic injury were presented and reviewed.
Case presentations for neck and spine were included and reviewed with particular focus on differential
diagnosis and case uniqueness. National Spine Management Group, Federation of Chiropractic Licensing
Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State
University of New York at Buffalo, Jacobs School of Medicine, Buffalo, New York, 2021 | | | | | Specialty Research in Emergency Medicine – Emergency Medicine Residency Curriculum, review
of Ohio State University Emergency Medicine Residency Program Musculoskeletal Emergencies
Curriculum. Outline of the significant nature of musculoskeletal emergency presentations to ED. Details
in the training required to master clinical experience, self-directed learning and small group didactics.
Case study reviews and discussion was presented with particular focus on infection vs non-infections and
traumatic vs non-traumatic presentations in ED. National Spine Management Group, Federation of
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Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship
with the State University of New York at Buffalo, Jacobs School of Medicine, Buffalo, New York, 2021 | | | | | Specialty Research in Emergency Medicine – Opioid vs Non-Opioid Medications in the Emergency Department, discussion of limited evidence of long-term outcomes of opioids with non-opioid
medication for chronic pain. Literature review on effectiveness for opioid interventions. Discussion of
alternative recommendations, evidence demonstrating lack of benefit and poor long term outcomes.
Variation in physician opioid prescriptions discussed. Patterns of opioid initiation at first visits for pain
in the ED in the United States including frequency and dosage. Emergency Department data concerning
the persistent pain after motor vehicle accidents and comparison between opioid and NSAID prescribed
in the ED. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland
University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at
Buffalo, Jacobs School of Medicine, Buffalo, New York, 2021 | | | | | Specialty Research in Emergency Medicine – Concussion and Repeat ED visits, review of patients
presenting to ED with concussion with re-visitation within 72 hours. Mechanism of injury including
closed head injury, assault, fall and motor vehicle accidents discussed. Epidemiological evidence
presented regarding number of visitations, characteristics and care paths reviewed. Discussion of
adoption of a more comprehensive discharge plan to further prevent repeat visits was outlined. National
Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of
Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs
School of Medicine, Buffalo, New York, 2021 | | | | | Specialty Research in Emergency Medicine – CDC Epidemiology of ED Visits in the United States, Adults Over 65 and Motor Vehicle Accidents, Evaluation of data from the National Hospital
Ambulatory Medical Care Survey and frequency of ED visitation. Percentage of visits requiring hospital
admission was reviewed along with patterns of need for critical care. Review of imaging ordering
statistics and clinical diagnosis was discussed. Details of primary and secondary ED diagnosis presented
in relation to sprain/strain, contusion and spinal pathology including herniated intervertebral disc,
facture and spinal cord compression. National Spine Management Group, Federation of Chiropractic
Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the
State University of New York at Buffalo, Jacobs School of Medicine, Buffalo, New York, 2021 | | | | | Specialty Research in Emergency Medicine – National Hospital Ambulatory Medical Care Survey, a review of the current representative data on ambulatory care visits to hospital emergency departments
in the United States. Demographics, residence, insurance class, chief complaint with focus on traumatic
injury, diseases of the nervous and musculoskeletal systems were outlined. National Spine Management
Group, Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic,
ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, Buffalo, New York, 2021 | | | | | Specialty Research in Emergency Medicine – Lower Back Pain and Emergency Room Visits, detailed analysis of impact of lower back pain on ED globally. First systematic review of the trends in the
literature including lower back pain as significant complaint and the variables in its definition.
Discussion of the proper diagnosis and triage of lower back pain and its current impact on ED
management was reviewed. National Spine Management Group, Federation of Chiropractic Licensing
Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State
University of New York at Buffalo, Jacobs School of Medicine, Buffalo, New York, 2021 | | | | | Specialty Research in Emergency Medicine – Spinal Cord Injury without Radiographic Abnormality (SCIWORA) in Adults –, case reports – detailed review of Spinal Cord Injury without
Radiographic Abnormality was presented. Syndrome of post traumatic myelopathy demonstrable on MRI
with no evidence of osseous injury on plain film or CT scan. Reporting of incidence was included with
detailed discussion of case presentations, accurate diagnoses and triage was reviewed. National Spine
Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of
Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs
School of Medicine, Buffalo, New York, 2021 | | | | | Specialty Research in Emergency Medicine – CDC Traumatic Brain Injury Data – Related Emergency Department Visits, Hospitalizations, Deaths – United States, 2007 and 2013, traumatic
brain injury, short and long term adverse clinical outcomes, death and disability reviewed and compared
based on CDC data over a 7 year period. Mechanism of causation including motor vehicle accidents,
falls and assault. Public health recommendations and interpretation of data was presented. National
Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of
Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs
School of Medicine, Buffalo, New York, 2021 | | | | | Specialty Research in Emergency Medicine, CDC Data, Trends in Emergency Department Visits for
Ischemic Stroke and Transient Ischemic Attack – relationship between stroke and statistical cause of
death, type of stroke and prognosis related to recurrence was discussed. Specific definitions of ischemic
stroke, transient ischemic attack with etiology and relationship to emergency visits were outlined and
presented. National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland
University College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at
Buffalo, Jacobs School of Medicine, Buffalo, New York, 2021 | | | | | Specialty Research in Emergency Medicine – US Emergency Department Use by Children, pediatric utilization of emergency medicine resources, description of trends on a national basis. Detailed
analysis of specific demographics including race and resident status were reported and reviewed.
Discussion in allocation of resources including insurance class and coverage were reviewed. Anticipated
expansion of Medicaid was considered and reviewed. Estimates of nonurgent ED visits by children were
presented and discussed. National Spine Management Group, Federation of Chiropractic Licensing
Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State
University of New York at Buffalo, Jacobs School of Medicine, Buffalo, New York, 2021 | | | | | Specialty Research in Primary Care and Internal Medicine – Supply of Chiropractic Care and Visits to Primary Care Physicians for Neck and Back Pain, discussion of primary care visits and
lower back pain. Expenditures and contributions to disability data. Discussion of supply of chiropractic
care in context of visits for lower back pain and primary care physicians. Estimated national impact of
primary care visits and expenditures was outlined with a focus on chiropractic’s assistance in managing
lower back pain. Defining an “episode” of lower back pain and relationship to collection of
epidemiological data. National Spine Management Group, Federation of Chiropractic Licensing Boards,
Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of
New York at Buffalo, Jacobs School of Medicine, Buffalo, New York, 2021 | | | | | Specialty Research in Primary Care and Internal Medicine – Safety of Chiropractic Care in Lower Back Pain and Migraine Headaches, review of adverse events associated with chiropractic care in the
treatment of migraine. Outline of a prospective 3-armed, single-blinded, placebo RCT. Discussion of
transient and mild events following chiropractic intervention. Randomized clinical trials and meta-
analysis reviewed and discussed relating to the diagnosis and management of lower back pain including
adverse event reporting. Risk of injury to the head, neck or trunk following an office visit for chiropractic
spinal manipulation, as compared to office visit for evaluation by primary care physician.
National Spine Management Group, Federation of Chiropractic Licensing Boards, Cleveland University
College of Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo,
Jacobs School of Medicine, Buffalo, New York, 2021 | | | | | Specialty Research in Primary Care and Internal Medicine – Chiropractic and Pain Management in Primary Care, evaluation of the analgesic effects of spinal manipulation on both healthy and pain
inflicted patients. Discussion of evidence of increased in pressure pain thresholds in musculoskeletal
pain at both local and remote sites. Detailed knowledge of patient population regarding demographics
and socioeconomic factors as well as disease-specific characteristics. Suggestion that lower back pain
should not be seen as benign and self-limiting with focus on management. Describe the communication
system surrounding the management of chronic pain from the perspectives of allopathic providers,
acupuncture and chiropractor providers, and chronic musculoskeletal pain patients. Chiropractic
manipulative treatment (CMT) association with lower healthcare costs among multiply-comorbid
Medicare beneficiaries with an episode of chronic low back pain was reviewed. National Spine
Management Group, Federation of Chiropractic Licensing Boards, Cleveland University College of
Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs
School of Medicine, Buffalo, New York, 2021 | | | | | Specialty Research in Primary Care and Internal Medicine – Perceptions of Chiropractic Care, demographic review of data on the perceptions of chiropractic care. Review of patient interest,
trustworthiness, costs and frequency of visits was discussed. Nationally representative survey to compare
characteristics and use of survey respondents with positive and negative perceptions of DCs and
chiropractic care. Positive perceptions of DCs were more common than those for chiropractic care. US
adults generally perceive DCs in a positive manner. Describe the preferences of older adults for low
back pain co-management by MDs and DCs and identify their concerns for receiving care under such a
treatment model. National Spine Management Group, Federation of Chiropractic Licensing Boards,
Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of
New York at Buffalo, Jacobs School of Medicine, Buffalo, New York, 2021 | | | | | 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 back. Discussion and development of an integrated care pathway for
doctors of chiropractic, primary care providers, and mental health professionals who manage veterans
with low back pain, with or without mental health comorbidity, within Department of Veterans Affairs
health care facilities. Support for the inclusion of chiropractic care as a component of multidisciplinary
health care for low back pain, as currently recommended in existing guidelines with a focus on US
Service Members. Discussion of availability of chiropractic care to military healthcare systems, referral
and interprofessional communication models. National Spine Management Group, Federation of
Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship
with the State University of New York at Buffalo, Jacobs School of Medicine, Buffalo, New York, 2021 | | | | | Specialty Research in Primary Care and Internal Medicine – Effects of Chiropractic Care Combined with Medical Care, First Contact and Provider Type, differences in outcomes, patient
satisfaction, and related healthcare costs in spinal, hip, and shoulder pain patients who initiated care
with medical doctors (MDs) vs those who initiated care with doctors of chiropractic (DCs). Pain of
musculoskeletal origin and epidemiology of reduced productivity. Comparison of data on health
outcomes, patient satisfaction, and related healthcare costs in patients consulting differing first-contact
care providers for musculoskeletal pain. National Spine Management Group, Federation of Chiropractic
Licensing Boards, Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the
State University of New York at Buffalo, Jacobs School of Medicine, Buffalo, New York, 2021 | | | | | Specialty Research in Primary Care and Internal Medicine – Integrating Chiropractic Care into Primary Care and Private Sector Healthcare Facilities, suggestion of a diverse role for chiropractors
within conventional health care facilities. Discussion of chiropractic’s effectiveness for managing
musculoskeletal disorders, particularly spine-related pain and disability. Descriptions of doctors of
chiropractic who work in nongovernmental, private sector health care settings in the United States.
Shared electronic health records, face-to-face informal consultations methods for interprofessional
communication. National Spine Management Group, Federation of Chiropractic Licensing Boards,
Cleveland University College of Chiropractic, ACCME Joint Sponsorship with the State University of
New York at Buffalo, Jacobs School of Medicine, Buffalo, New York, 2021 | | | | | 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., American College of
Physicians (ACP) developed this guideline to present the evidence and provide clinical recommendations
on noninvasive treatment of low back pain. Systematically review the current evidence on non-
pharmacologic therapies for acute or chronic non-radicular or radicular low back pain. Comparative
benefits of non-pharmacological therapies in acute/subacute low back pain including exercise, spinal
manipulation, lumbar supports, acupuncture, laser, ultrasound and traction. Discussion of first and
second line therapies with reduction in opioid prescription. National Spine Management Group,
Federation of Chiropractic Licensing Boards, Cleveland University College of Chiropractic, ACCME
Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine, Buffalo, New York, 2021 | | | | | Fellowship – Spinal Biomechanics and Trauma, National Spine Management Group. Recognized by Cleveland University College of Chiropractic. Approved for Continuing Medical Education [ACCME] – State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences Buffalo, New York, 2021 | | | | | Documentation and Coding, CPT Coding Guidelines for Initial and Established Patients with particular attention paid to Patient History, Review of Systems, Social and Family History, Physical Examination, and Medical Decision making. Specific differences in coding levels and required elements for a 99202-99203-99204-99205, and a 99212-99213-99214-99215. Academy of Chiropractic Post-Doctoral Division, Cleveland University-Kansas City Long Island, New York, 2021 | | | | | Demonstrative Documentation and Ethical Relationships, Pathways to improve coordination of care, and interprofessional communication with collaborating physicians. Maintaining ethical relationships in the medical-legal community through documentation and communication of demonstrable diagnosis, prognosis, and treatment plans. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City Long Island, New York, 2021 | | | | | MRI Spine Interpretation, Clinical case review of MRI’s including sagittal, axial, T1, T2, STIR, and proton density sequences. Identified will be the vertebrate, spinal cord, discs, nerve roots, thecal sac, posterior longitudinal ligament, epidural veins, and fat saturation pulses. Pathology will include bulges, herniations, protrusions, extrusions, myelomalacia, cord edema, and schmorl’s nodes. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City Long Island, New York, 2021 | | | | | Spinal Biomechanical Engineering Clinical Grand Rounds, Case reviews utilizing E/M, MRI, and x-ray mensuration report to conclude an accurate diagnosis, prognosis, and treatment plan. Common diagnosis requiring interprofessional collaboration with a discussion of diagnostic dilemmas and proper communication methods. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City Long Island, New York, 2021 | | | | | Spinal Biomechanical Engineering Clinical Grand Rounds, Case reviews utilizing E/M, MRI, and x-ray mensuration report to conclude an accurate diagnosis, prognosis, and treatment plan. Common diagnosis requiring interprofessional collaboration with a discussion of diagnostic dilemmas and proper communication methods. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City Long Island, New York, 2021 | | | | | Advanced Chiropractic Billing and Coding Seminar , CPT updates and documentation requirements, Understanding ICD 10 codes Certification in Advanced Chiropractic Billing and Coding, Diplomate, H.J. Ross Company; Sam Collins, DC, Life University, Live Synchronous; On-line, 2021 | | | | | Documentation Demonstrative and Compliance, Documentation, Demonstrative and Compliance, Elements of Evaluation and Management codes 99202-99203-99204-99205, inclusive of complexity of management and time components. Demonstrative documentation of spinal-related pain generators; spinal cord, thecal sac, myelomalacia, spinal nerve root insult, connective tissue, recurrent meningeal nerves. Academy of Chiropractic Post-Doctoral Division, Cleveland University Kansas City, Chiropractic and Health Sciences
Long Island , New York, 2021 | | | | | Ethics and Regulations in Human Research, Certification toward performing research and getting institutional review board approval regarding research at the University level. Michigan State University, East Lansing , Michigan , 2020 | | | | | Overview of Human Research Protection , Certification in protecting rights and privacy regarding human research at the University level. Michigan State University , East Lansing , Michigan , 2020 | | | | | MRI History and Physics , MRI History and Physics, Magnetic fields, T1 and T2 relaxations, nuclear spins, phase encoding, spin echo, T1 and T2 contrast, magnetic properties of metals and historical perspective of the creation of NMR and MRI. Cleveland University- Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral
Division. Buffalo, New York , 2020 | | | | | MRI Spine Anatomy and Protocols , MRI Spine Anatomy and Protocols, Normal anatomy of axial and sagittal views utilizing T1, T2 3D gradient and STIR sequences of imaging. Standardized and desired protocols in views and sequencing of MRI examination to create an accurate diagnosis in MRI. Cleveland University- Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division. Buffalo, New York , 2020 | | | | | MRI disc Pathology and Spinal Stenosis, MRI interpretation of bulged, herniated, protruded, extruded, sequestered and fragmented disc pathologies in etiology and neurological sequelae in relationship to the spinal cord and spinal nerve roots. Cleveland University- Kansas City, ACCME Joint Providership with State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division. Buffalo , New York, 2020 | | | | | MRI Spinal Pathology, MRI interpretation of bone, intradural, extradural, cord and neural sleeve lesions. Tuberculosis, drop lesions, metastasis, ependymoma, schwannoma and numerous other spinal related tumors and lesions. Cleveland University- Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division. Buffalo , New York , 2020 | | | | | MRI Methodology of Analysis , MRI interpretations sequencing of the cervical, thoracic and lumbar spine inclusive of T1, T2, STIR and 3D gradient studies to ensure the accurate diagnosis of the region visualized. Cleveland University- Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division. Buffalo, New York , 2020 | | | | | MRI Clinical Application, The Clinical application of the results of space occupying lesions. Disc and tumor pathologies and clinical indications of manual and adjustive therapies in the patient with spinal nerve root and spinal cord insult as sequelae. Cleveland University, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division. Buffalo, New York, 2020 | | | | | MRI Disc Overview & Imaging Protocols , MRI Protocols Clinical Necessity, MRI slices, views, T1, T2, STIR axial, stacking, FFE, FSE and sagittal imaging. Clinical indication for the utilization of MRI and pathologies of disc in both trauma and non-trauma sequalae, including bulge, herniation, protrusion, extrusion and sequestration. Cleveland University- Kansas City, ACCME inJoint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division. Buffalo , New York , 2020 | | | | | MRI Interpretation of Lumbar Bulges/Degeneration Disc Disease , MRI Interpretation of Lumbar Degeneration/Bulges, MRI slices, views, T1, T2, STIR axial, stacking FFE, FSE and sagittal imaging in the interpretation of lumbar degeneration. With the co-morbidities and complications of stenosis, pseudo-protrusions, cantilevered vertebrate, schmorl's nodes and herniations. Central canal and cauda equina compromise interpretation with management. Cleveland University- Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division. Buffalo , New York , 2020 | | | | | MRI Interpretation of Lumbar Herniated Disc , MRI Interpretation of Lumbar Herniation's, MRI slices, views, T1, T2, STIR, axial, stacking FFE, FSE and sagittal imaging in the interpretation of lumbar herniation's. With the co-morbidities and complications of stenosis, pseudo-protrusions, cantilevered vertebrate, schmorl's nodes and herniations. Morphology of lumbar disc pathologies of central and lateral herniations, protrusions, extrusions, sequestration, focal and broad based herniations are defined and illustrated. Central canal and cauda and cauda equina compromise interpretation with management. Cleveland University- Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division. Buffalo, New York , 2020 | | | | | MRI Interpretation of Cervical Bulges/Degenerative disc Disease, 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, pseduo-protusions, cantilevered vertebrate, Schmorls nodes and herniation's. Spinal cord and canal compromise interpretation with management. Cleveland University- Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division. Buffalo , New York , 2020 | | | | | MRI Interpretation of Cervical Herniated Disc , MRI Interpretation of Cervical Herniations, MRI slices, views, T1, T2, STIR Axial, FFE, FSE and sagittal images in the interpretation of lumbar herniations. With the co-morbidities and complications of stenosis, pseudo-protrusions, cantilevered vertebrate, Schmorl's nodes and herniation's protrusions, extrusions, sequestration, focal and broad based herniations are defined and illustrated. Spinal cord and canal compromise interpretation with management. Cleveland University- Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division. Buffalo, New York , 2020 | | | | | Virtual Grand Rounds , MRI Interpretation of Degenerative Spine and disc Disease with Overlapping Traumatic Insult to Both Spine and Disc, MRI slice, views, T1, T2, STIR Axial, FFE, FSE and sagittal images in the interpretation of degenerative spondyloesthesis, spinal canal stenosis, Modic type 3 changes, central herniation's, extrusions, compression's, nerve root compression's, neurosurgical, physical medicine perspective. Cleveland University- Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division. Buffalo, New York, 2020 | | | | | Chiropractic Care for Concussion & Post-Concussion Syndrome , Diagnosis of concussion and post concussion syndrome. Hx and symptoms including light sensitivity, dizziness, anxiety, concentration, cranial nerve evaluation, dysdiadochokinesia. Excitatory phase; electrical storm and the over burning of ATP creating energy deficit. Buffalo Treadmill test for returning to activity. Treatment including Brain-tap, Normatec, Neural infinity, Kinetisense. This program is approved by the Michigan Board of Chiropractic under Chiropractic Administrative Rule 338.12041(2)(b). Birmingham , Michigan , 2020 | | | | | Part 1-Module #1: Spinal Biomechanical Engineering: Cartesian Coordinate System, Spinal Biomechanical Engineering: Cartesian System, The Cartesian Coordinate System from the history to the application in the human body. Explanation of the x, y and z axes in both translation and rotations (thetas) and how they are applicable to human biomechanics. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, New York , 2020 | | | | | Part 1-Module #2: Spinal Biomechanical Engineering: Cervical Pathobiomechanics, Spinal Biomechanical Engineering: Cervical Pathobiomechanics, Spinal biomechanical engineering of the cervical and upper thoracic spine. This includes the normal and pathobiomechanical movement of both the anterior and posterior motor units and normal function and relationship of the intrinsic musculature to those motor units. Nomenclature in reporting normal and pathobiomechanical findings of the spine. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division Buffalo , New York , 2020 | | | | | Part 1-Module #3: Spinal Biomechanical Engineering: Lumbar Pathobiomechanics, Spinal Biomechanical Engineering: Lumbar Pathobiomechanics, Spinal biomechanical engineering of the lumbar spine. This includes the normal and pathobiomechanical movement of both the anterior and posterior motor units and normal function and relationship of the intrinsic musculature to those motor units. Nomenclature in reporting normal and pathobiomechanical findings of the spine. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division Buffalo, New York, 2020 | | | | | Part 1-Module #4: Spinal Biomechanics in Trauma, Spinal Biomechanics in Trauma, To utilize whiplash associated disorders in various vectors of impact and whiplash mechanisms in determining pathobiomechanics. To clinically correlate annular tears, disc herniations, fractures, ligament pathology and spinal segmental instability as sequalae to pathobiomechanics from trauma. The utilization of digital motion x-ray in diagnosing normal versus abnormal facet motion along with case studies to understand the clinical application. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division Buffalo , New York , 2020 | | | | | Part 2-Module #1: Spinal Biomechanical Engineering & Organizational Analysis, Spinal Biomechanical Engineering & Organizational Analysis, Integrating spinal biomechanics and pathobiomechanics through digitized analysis. The comparison of organized versus disorganized compensation with regional and global compensation. Correlation of the vestibular, occular and proprioceptive neurological integration in the righting reflex as evidenced in imaging. Digital and numerical algorithm in analyzing a spine. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division Buffalo , New York , 2020 | | | | | Part 2-Module #2: Spinal Biomechanical Engineering: Cervical Digital Analysis, Spinal Biomechanical Engineering: Cervical Digital Analysis, Digitizing and analyzing the cervical spine in neutral, flexion and extension views to diagnose pathobiomechanics. This includes alteration of motion segment integrity (AMOSI) in both angular and translational movement. Ligament instability/failure/pathology are identified all using numerical values and models. Review of case studies to analyze pathobiomechanics using a computerized/numerical algorithm. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division Buffalo , New York, 2020 | | | | | Part 2-Module #4: Spinal Biomechanical Engineering: Full Spine Digital Analysis, Spinal Biomechanical Engineering: Full Spine Digital Analysis, Digitalizing and analyzing the full spine images to diagnose pathobiomechanics as sequalae to trauma in relation to ligamentous failure and disc and vertebral pathology as sequalae. This includes anterior and posterior vertebral body elements in rotational analysis with neutral, left and right lateral bending in conjunction with gate analysis. Ligament instability/failure/pathology is identified all using numerical values and models. Review of case studies for analysis of pathobiomechanics using a computerized/numerical algorithm along with corrective guidelines. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division Buffalo, New York , 2020 | | | | | Part 2-Module #3: Spinal Biomechanical Engineering: Lumbar Digital Analysis, Spinal Biomechanical Engineering: Lumbar Digital Analysis, Digitalizing and analyzing the lumbar spine images to diagnose pathobiomechanics. This includes anterior and posterior vertebral body elements in rotational analysis with neutral, left and right lateral bending in conjunction with gate analysis. Ligament instability/failure/pathology is identified all using numerical values and models. Review of case studies for analysis of pathobiomechanics using a computerized/numerical algorithm along with corrective guidelines. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division Buffalo , New York , 2020 | | | | | Module 1: Diagnostic dilemmas and connective tissue Morphology, Spinal Trauma Pathology, Triage and Connective Tissue Injuries and Wound Repair, Triaging the injured and differentially diagnosing both the primary and secondary complaints. Connective tissue injuries and wound repair morphology focusing on the aberrant tissue replacement and permanency prognosis potential. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division Buffalo, New York, 2020 | | | | | Module 2: Ligament anatomy and injury research and spinal kinematics, Spinal Trauma Pathology, Ligament Anatomy and Injury Research and Spinal Kinematics, Spinal ligamentous anatomy and research focusing on wound repair, future negative sequelae of abnormal tissue replacement and the resultant aberrant kinematics and spinal biomechanics of the spine. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division Buffalo, New York , 2020 | | | | | Module 3: Spinal Biomechanics, Central Nervous System and Spinal Disc Nomenclature, Spinal Trauma Pathology, Spinal Biomechanics, Central Nervous System and Spinal Disc Nomenclature, The application of spinal biomechanical engineering models in trauma and the negative sequelae it has on the central nervous system inclusive of the lateral horn, periaqueductal grey matter, thalamus and cortices involvement. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division Buffalo , New York , 2020 | | | | | Module 4: Biomechanics of Traumatic Disc Bulge and Age Dating Herniated Disc Pathology, Spinal Trauma Pathology, Biomechanics of Traumatic Disc Bulge and Age Dating Herniated Disc Pathology, The biomechanics of traumatic disc bulges as sequelae from trauma and the comorbidity of ligamentous pathology. Age-dating spinal disc pathology in accordance with Wolff’s Law. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division Buffalo, New York, 2020 | | | | | Module 5: Spinal trauma pathology, clinical grand rounds, Spinal Trauma Pathology, Clinical Grand Rounds, The review of case histories of mechanical spine pathology and biomechanical failures inclusive of case histories, clinical findings and x-ray and advanced imaging studies. Assessing comorbidities in the triage and prognosis of the injured. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division Buffalo, New York , 2020 | | | | | Module 6: Spinal trauma pathology, Research and documentation Review, Spinal Trauma Pathology, Research Perspectives, The review of current literature standards in spinal trauma pathology and documentation review of biomechanical failure, ligamentous failure and age-dating disc pathology. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division Buffalo , New York, 2020 | | | | | Impairment Rating, Impairment Rating, The understanding and utilization of the protocols and parameters of the AMA Guide to the Evaluation of Permanent Impairment 6th Edition. Spine, neurological sequelae, migraine, sexual dysfunction, sleep and arousal disorders, station and gait disorders and consciousness are detailed for impairment rating. Herniated discs, radiculopathy, fracture, dislocation and functional loss are also detailed in relation to impairment ratings. Cleveland University - Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division Buffalo , New York, 2020 | | | | | Module 1: Terms, Concepts & Definitions, Accident Reconstruction: Terms, Concepts and Definitions, The forces in physics that prevail in accidents to cause bodily injury. Quantifying the force coefficients of vehicle mass and force vectors that can be translated to the occupant and subsequently cause serious injury. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division Long Island , New York , 2020 | | | | | Module 2: Causality, Bodily Injury, Crumple Zones, Force & Critical Documentation, Accident Reconstruction: Causality, Bodily Injury, Negative Acceleration Forces, Crumple Zones and Critical Documentation, Factors that cause negative acceleration to zero and the subsequent forces created for the vehicle that get translated to the occupant. Understanding critical documentation of hospitals, ambulance reports, doctors and the legal profession in reconstructing an accident. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division Long Island , New York , 2020 | | | | | Module 3: Skid Marks, Time, Distance, Velocity & Speed Formulas, Accident Reconstruction: Skid Marks, Time, Distance, Velocity, Speed Formulas and Road Surfaces, The mathematical calculations necessary utilizing time, distance, speed, coefficients of friction and acceleration in reconstructing an accident. The application of the critical documentation acquired from an accident site. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division Long Island , New York , 2020 | | | | | Module 4: Research, Causality & Bodily Injury, Accident Reconstruction: Research, Causality and Bodily Injury, Delta V issues correlated to injury and mortality, side impact crashes and severity of injuries, event data recorder reports correlated to injury, frontal impact kinematics, crash injury metrics with many variables and inquiries related to head restraints. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division Long Island , New York , 2020 | | | | | Mild Traumatic Brain Injury/Traumatic Brain Injury Concussion (MTBI), Mild Traumatic Brain Injury/Traumatic Brain Injury/Concussion, Differentially diagnosing mild traumatic brain injury vs. traumatic brain injury and the clinical and imaging protocols required to conclude an accurate diagnosis for head trauma. Cleveland University - Kansas City, Academy of Chiropractic Post-Doctorial Division Long Island , New York , 2020 | | | | | Primary Spine Care, Chiropractic as the First Option for Spine, A Literature-Based Standard, Utilizing clinical findings in conjunction with advanced imaging and electrodiagnostic findings in managing collaborative relationships with medical specialists. Applying a literature standard to care to ensure conservative care as the first option. Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division Long Island , New York , 2020 | | | | | Primary Spine Care , Chiropractic as the First Option for Spine, A Literature-Based Standard, Managing spinal related cases based upon MRI findings of herniations, bulges, protrusion, extrusions (comminuted and fragmented) utilizing thin-sliced acquisition protocols. When to consider ordering T1, T2, Short Tau Inversion Radiant, proton density and Dixon sequencing for spinal related pathology. Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division Long Island , New York , 2020 | | | | | Primary Spine Care , Chiropractic as the First Option for Spine, A Literature-Based Standard, Creating literature-based documentation inclusive of history and a clinical examination that encompasses causality, diagnosis, prognosis and treatment plans. Ensuring the whole person impairment ratings are consistent with contemporary literature. Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division Long Island , New York , 2020 | | | | | Primary Spine Care, Chiropractic as the First Option for Spine, A Literature-Based Standard, Spinal biomechanical engineering models related to pathobiomechanics and literature-based standards in creating an accurate diagnosis, prognosis, and treatment plan. Determining impairment ratings based upon alteration of motion segment integrity utilizing motion-imaging, and creating demonstrable evidence for continued treatment plans. Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division Long Island , New York, 2020 | | | | | Module #1: Spinal Disc and Ligament: Neurology and Pathology , Neurology of Ligament Pathology- Normal Morphology and Tissue Damage, Connective tissue morphology, embryology and wound repair as sequalae to trauma. Full components of strain-sprain models and permanency implications with wound repair and osseous aberration with aberrant structural integrity. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic Long Island , New York , 2020 | | | | | Module #2: Spinal Disc and Ligament; Neurology and Pathology , Neurology of Ligament Pathology- Spinal Biomechanics and Disc Pathology, Disc pathology as sequala to trauma; herniation, extrusion, protrusion, sequestration and how the spinal unit as one system creates homeostasis to balance the pathology. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic Long Island , New York , 2020 | | | | | Module #3: Spinal Disc and Ligament; Neurology and Pathology , Neurology of Ligament Pathology- Neurological Innervation, The peripheral and central innervation of the disc and spinal ligaments of the dorsal root ganglion, spinal thalamic tracts, periaqueductal gray areas innervating the Thalamus and multiple regions of the brain. The efferent neurological distribution to disparate areas of the spine to create homeostatis until tetanus ensues creating osseous changes under the effect of Wolff's Law. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island , New York , 2020 | | | | | Neuroradiology Mini-Fellowship, MRI Spine Interpretation, Robert Peyster MD, Neuroradiologist, Professor of Radiology and Neurology, Chief Division of Neuroradiology, State University of New York at Stony Brook, School of Medicine, Federation of Chiropractic Licensing Boards, Stony Brook NY, 2013Neuroradiology Mini-Fellowship, MRI Spine Interpretation, Robert Peyster MD, Neuroradiologist, Professor of Radiology and Neurology, Chief Division of Neuroradiology, State University of New York at Stony Brook, School of Medicine, Cleveland University Kansas City, Stony Brook, New York , 2020 | | | | | Diagnosing Webinar, Diagnosing and Case Management, The requirements for diagnosing based upon in an initial evaluation and management encounter ranging from a 99202 – 99205 that includes comorbidities, non-musculoskeletal, and sequalae to injury diagnosis. Academy of Chiropractic Post-Doctoral Division, Cleveland University- Kansas City. Long Island , New York, 2020 | | | | | Diagnosing Webinar, Diagnosing and Case Management, The requirements for diagnosing imaging inclusive of static x-rays, biomechanical x-rays, and MRI. Documenting the clinical findings of disc bulge, herniation, protrusion, extrusion, and fragmentation. Coding, diagnosing, and documenting individual treatment encounters in the clinical setting. Academy of Chiropractic Post-Doctoral Division, Cleveland University - Kansas City Long Island , New York, 2020 | | | | | Post-Coronavirus PI Practice Strategy with Lawyers and MDs: Where MRI, Colossus and Documentation Fits, Documentation, MRI Necessity and Trends in Spinal Treatment Protocols, Correlating history and a thorough clinical evaluation in determining the necessity for x-ray and MRI evaluations in the trauma and non-trauma patient. Considering whole spine patho-biomechanics in formulating treatment plans and long-term supportive care. Documentation requirements in transitioning from telemedicine to in-office care. Academy of Chiropractic Post-Doctoral Division, PACE Approved for the Federation of Chiropractic Licensing boards,Cleveland University Kansas City
Long Island , New York, 2020 | | | | | Module 1-Stroke Anatomy and Physiology Part 1, Stroke Anatomy and Physiology: Brain Vascular Anatomy, The anatomy and physiology of the brain and how blood perfusion effects brain function. A detailed analysis of the blood supply to the brain and the physiology of ischemia. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division Buffalo, New York , 2020 | | | | | Module 2-Stroke Anatomy and Physiology Part 2, Stroke Anatomy and Physiology: Stroke Types and Blood Flow, Various types of stroke identifying ischemia, hypoperfusion, infarct and penumbra zones and emboli. Cardiac etiologies and clinical features as precursor to stroke with associated paradoxical emboli and thrombotic etiologies. Historical and co-morbidities that have etiology instroke inclusive of diabetes, coagulopathy, acquired and hereditary deficiencies. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division Buffalo, New York , 2020 | | | | | Module 3-Stroke Principles of Treatment an Overview for the Primary Care Provider, Stroke Principles of Treatment an Overview for the Primary Care Provider, Stroke type and treatments performed by vascular specialists. The goals of treatment with the physiology of the infarct and penumbra zones and the role of immediate triage in the primary care setting. Detailing the complications of stroke and future care in the chiropractic, primary care or manual medicine clinical setting. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division Buffalo, New York , 2020 | | | | | Module 4-Clinical Evaluation & Protocols for Identifying Stroke Risk, Clinical Evaluation and Protocols for Identifying Stroke Risk, The neurological history and examination for identifying stroke risks with a focus on supra and infratentorial regions, upper and lower motor lesions, cranial nerve signs, spinal cord pathology, motor and sensory pathology and gait abnormalities. Examining genetic and family histories along with dissection risk factors. Stroke orthopedic testing and clinical guidelines pertaining to triage for the primary care provider.Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division Buffalo, New York , 2020 | | | | | Fellowship in the American College of MUA Physicians (FACMUAP), Thw American Association of Manipulation Under Anesthesia Providers (AAMUAP). Diplomate, Robert C. Gordon, D.C., FRCCM, FACMUAP Executive Director, Marvin Bleiberg, M.D., FACMUAP Chairman, 2020 | | | | | Academy of Chiropractic- Active Trauma Team Member, 2020 | | | | | Ramping Up Your Practice Post-Covid 19, A Quick Solution Based on Your Documentation & Clinical Excellence, Utilizing your documentation to accurately reflect the Evaluation and Management code billed. Inclusive of a complete current, past history, previous care, and a full review of systems. The management of post-traumatic cases in a collaborative environment in a literature-based standard. Academy of Chiropractic Post-Doctoral Division, Cleveland University Kansas City. Long Island , New York , 2020 | | | | | Ramping Up Your Practice Post-Covid 19, A Quick Solution Based on Your Documentation & Clinical Excellence, A case study of managing a patient where the MRI was inaccurate based upon literature standards and the collaboratively working through a system in triaging an extruded disc patient from psychological support to appropriate surgical care. Academy of Chiropractic Post-Doctoral Division, Cleveland University Kansas City Long Island , New York , 2020 | | | | | Medical-Legal-Insurance Documentation, Medical-Legal-Insurance Documentation, Accurate and compliant documentation of history and clinical findings inclusive of functional losses, loss of activities of daily living, duties under duress and permanent loss of enjoyment of life. Prognosing static vs. stable care, gaps in care both in the onset and in the middle of passive care with a focus on detailed diagnosing. The integration of chiropractic academia, the court system and the insurance reimbursor's requirements for complete documentation. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral.
Long Island , New York , 2020 | | | | | Pathobiomechanics And Documentation Webinar, Pathobiomechanics and Documentation, CPT Coding Guidelines for Initial and Established Patients with particular attention paid to Patient History, Review of Systems, Social and Family History, Physical Examination, and Medical Decision making. Specific differences in coding levels and required elements for a 99202-99203-99204-99205. Academy of Chiropractic Post-Doctoral Division, Cleveland University Kanas City. Long Island , New York, 2020 | | | | | Using Documentation and Ethical Relationships, Pathways to improve coordination of care, and interprofessional communication with collaborating physicians. Maintaining ethical relationships in the medical-legal community through documentation and communication of demonstrable diagnosis, prognosis and treatment plans. Academy of Chiropractic Post-Doctoral Division, Cleveland University Kansas City, Long Island , New York, 2020 | | | | | Spinal Biomechanical Engineering Clinical Application, History of clinical biomechanics with an emphasis on the diagnosis and management of spine pain of mechanical/functional origin. Evidence-based symptomatic vs. asymptomatic parameters using peer-reviewed medical index literature. Computerized mensuration analysis of spinal biomechanical pathology. Comparison of demonstrable spinal biomechanical failure on imaging to clinical evaluation and physical examination. Academy of Chiropractic Post-Doctoral Division, Cleveland University Kansas City, Long Island Long Island , New York , 2020 | | | | | Spinal Biomechanical Engineering Clinical Grand Rounds, , Case reviews utilizing E/M, MRI, and x-ray mensuration report to conclude an accurate diagnosis, prognosis, and treatment plan. Common diagnosis requiring interprofessional collaboration with a discussion of diagnostic dilemmas and proper communication methods. Academy of Chiropractic Post-Doctoral Division, Cleveland University Kansas City Long Island , New York, 2020 | | | | | Primary Spine Care 10: Chiropractic Spine Management Webinar, Trends in Spinal Healthcare, Analyzing spinal healthcare trends in both utilization and necessity and understanding the marketplace and how a level of clinical excellence is reflected in a doctors' documentation and credentials. Treatment pathways in triaging spinal pathobiomechanics. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City Long Island , New York , 2020 | | | | | MRI Spine Interpretation, An evidence-based understanding of time-related etiology of disc pathology considering the American Society of Neuroradiology's designation of protrusion, extrusion, and sequestration of spinal discs, Considering the signal intensity of discs in age-dating pathology and acquisition protocols for advanced spinal imaging. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island , New York , 2020 | | | | | Spinal Biomechanics, A Literature Perspective, An evidenced-based model for spinal biomechanical engineering and pathobiomechanics considering the pathophysiological limits in translations, angular deviation, and rotational planes. Utilizing the Cartesian system in plotting vertebral points to demonstratively conclude an accurate diagnosis, prognosis and biomechanical treatment plan with the consideration of long-term care in the non-specific mechanical spine pain patient when necessary. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City Long Island , New York , 2020 | | | | | Case Management of Mechanical Spine Pathology, Clinical Grand Rounds of herniated, protruded, extruded, sequestered, and bulging discs. Differentially diagnosing vascular vs. mechanical spinal lesions and the necessity for urgent vascular, neurological intervention, Collaborating in a team environment utilizing a neuroradiologist, electrophysiologist, and neurosurgeon with the chiropractor as the primary spine care provider. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City Long Island , New York , 2020 | | | | | MRI of the spine: Essentials for the Spine Specialist , Define and recognize the normal MRI anatomy of the cervical, thoracic, and lumbar spine. Recognize and understand the rationale for use of the most common MRI pulse sequences used in the spine. Describe the most commonly seen pathologic findings in the cervical, of the spine thoracic and lumbar spine. Utilize a systematic approach to evaluate MRI Safety systematic Review of MRI Imaging Studies, MRI Anatomy of the Spine and Normal Variants, MRI of the Cervical Spine, Occipitocervical Imaging and Pathology, Magnetic Resonance Imaging of the Lumbar Spine Tumors of the Spine, Magnetic Resonance Imaging of the Pediatric Spine, Correlation of MRI with Other Imaging Modalities, Advanced Techniques in the Spine MRI. North America Spine Society, The North America Spine Society is accredited by the Accreditation Council of Continuing Medical Education. , 2019 | | | | | DynaROM Evaluation , Performing the test, How to read dynarom graphs. Muscle guarding and ROM interpretation, dynamic EMG: X-axis time/Y-axis microvolts, ROM graph: X-axis time/ Y-axis degree of ROM. Interpretation basics, Plan vs. Asymmetrical motion. Evaluation of the Lumbar spine and the importance of lateral flexion first. Evaluation of the Cervical spine and the importance of lateral flexion and rotation. Irritability and establishing acute vs. chronic. David Marcarian MyoVision soft tissue injury assessment training , 2019 | | | | | Incorporating Mechanical Diagnosis in Spine Care: What every Spine Clinician should Know Webinar, This activity has been planned and implemented in accordance with the Essentials and Standards of the Accreditation Council for Continuing Medical Education(ACCME). The North America spine Society is accredited by the ACCME to provide continuing medical education for physicians and takes responsibility for the content, quality and scientific integrity of the CME activity 2019 | | | | | The Art & Science of the Physical Examination Online Course, The North American Spine society designates this enduring material for a maximum of 10.25 "AMA PRA Category 1 Credits". Physicians should claim only the credits commensurate with the extent of their participation in the activity. North American Spine Society , 2019 | | | | | Trends in Spinal Treatment , Migration of spinal care for mechanical spine tissues from hospitals and medical specialists to trauma qualified chiropractors based upon published outcomes. Utilizing imaging studies in spinal biomechanics, pain and clinical outcomes to determine a conclusive diagnosis, prognosis, and treatment plan for triaging in a collaboration Cleveland University Kansas city, Chiropractic and Health Science, Academy of Chiropractic Post-Doctoral Division , Long Island , New York , 2019 | | | | | Neurology of Spine Biomechanics , Understanding the normal of spinal biomechanics and the neurotransmitters required for homeostasis. the interconnected role of Pacinian Corpuscles, Ruffini Corpuscles, Golgi Organ Receptors, Nociceptors, Proprioreceptors and Mechancoreceptors in maintaining sagittal and axial alignment in the presence of mechanical pathology. Cleveland University Kansas City, Chiropractor 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-dating herniated discs. The clinical correlation the pain patters with advanced imaging finings of bone edema. spurs based upon the Piezoelectric effect of remodeling, high signal on T2 weighted images, Vacuum Discs and disc heights in determining the time frames of the etiology of the disc pathology. Cleveland University Kansas City, Chiropractic and Health Sciences , Academy of Chiropractic Post-Doctoral Division , Long Island , New York , 2019 | | | | | Central Innervation of Spinal Biomechanical Engineering, Understanding the lateral and ventral horn's innovation of Pacinian Corpuscles, Ruffini Corpuscles, Golgi Organ Receptors, Nociceptors, Proprioreceptors and Mechancoreceptors and the pathways through the spinal thalamic tracts through the periaqueductal region, the Thalamus into the Occipital, pre-frontal, sensory and motor cortexes and the efferently back through the Ruffini Corpuscles, Golgi Organ Receptors, Nociceptors, Prorioreceptors and Mechancoreceptors. 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 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 bugles, focal bugles, 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 | | | | | Module #1: Personal Injury 101 Triaging and reporting while maintaining ethical medical-legal Relationships, Neurodiagnostic, Imaging Protocols and Pathology of the Trauma Patient, AN in-depth understanding of the protocols in triaging and reporting the clinical findings of the trauma patient. Maintaining ethical relationships with the medical-legal community. Cleveland University Kansas City, Chiropractic and Health Sciences , Academy of Chiropractic Post-Doctoral Division , Long Island , New York , 2019 | | | | | Module #2: Physical Examination & Documentation for the Trauma Patient , Diagnostics, Risk Factors, Clinical Presentation and Triaging the Trauma Patient, An extensive understanding of the injured with clinically coordinating history, physical findings and when to integrate neurodiagnostics. An understanding on how to utilize emergency room records in creating an accurate diagnosis and the significance of "risk factors'' in spinal injury. Cleveland University Kansas City, Chiropractic and Health Sciences , Academy of Chiropractic Post-Doctoral Division , Long Island , New York , 2019 | | | | | Module #3: Crash Dynamics and Its Relationship to Causality , Crash Dynamics and Its Relationship to Causality, An extensive understanding of the physics involved in the transference of energy from the bullet car to the target car. This includes G's of force, newtons, gravity, energy, skid marks, crumple zone, spring factors, event data recorded and the graphing of the movement of the vehicle before, during and after the crash. Determining the clinical correlation of forces and bodily injury. Cleveland University Kansas City, Chiropractic and Health Sciences , Academy of Chiropractic Post-Doctoral Division , Long Island , New York , 2019 | | | | | Module #4: MRI, Bone Scan and X-Ray Protocols, Physiology and Indications for the Trauma Patient , MRI, Bone Scan and X-Ray Protocols, Physiology and Indications for the Trauma Patient, MRI interpretation, physiology, history and clinical indications, bone scan interpretations, physiology and clinical indications, x-ray clinical indications for the trauma patient. Cleveland University Kansas City, Chiropractic and Health Sciences , Academy of Chiropractic Post-Doctoral Division , Long Island , New York , 2019 | | | | | Module #5: Neurodiagnostics Testing: EMG/NCV, VEP, BRAER, V-ENG, and SSEP, Clinical Indications and Interpretations , Neurodiganostic Testing Protocols, Physiology and Indications for the Trauma Patients, Electromography (EMG), Nerve Conduction Velocity (NCV), Somato Sensory Evoked Potential (SSEP), Visual Evoked Potential (VEP), Brain Stem Auditory Evoked Potential (BAER), and Visual-Electronystamosgraphy (V-ENG) interpretation, protocols and clinical indications for the trauma patient. Cleveland University Kansas City, Chiropractic and Health Sciences , Academy of Chiropractic Post-Doctoral Division , Long Island , New York , 2019 | | | | | Module #6 Documentation and Working within Your State Laws to Ensure Compliant Paperwork and Reimbursement , Documentation and Reporting for the trauma victim, Understanding the necessity for accurate documentation and diagnosis utilizing the ICD-9 and the CPT to accurately describe the injury through diagnosis. Understanding and utilizing state regulations on reimbursement issues pertaining to healthcare. Cleveland University Kansas City, Chiropractic and Health Sciences , Academy of Chiropractic Post-Doctoral Division , Long Island , New York , 2019 | | | | | Module #7 Strategic Plan Documenting Clinically Correlated Bodily Injury to Causality , Understanding the necessity for accurate documentation, diagnosis and clinical correlation to the injury when reporting injuries in the medical-legal community. Documenting the kinesiopathology , myopathology, neuropathology, and pathopgysiology in both a functional structural paradigm. Cleveland University Kansas City, Chiropractic and Health Sciences , Academy of Chiropractic Post-Doctoral Division , Long Island , New York , 2019 | | | | | Module 1:, Traumatic Brain Injury and Concussion Overview: This section is an in-depth overview of traumatic brain injury in concussion. It discusses that all brain injuries are traumatic and dispels the myth of a “mild traumatic brain injury.” Also, this covers triage protocols and the potential sequela of patients with traumatic brain injuries. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division Long Island , New York , 2019 | | | | | Module 2:, Head Trauma and Traumatic Brain Injury Part 1: This section discusses gross traumatic brain injuries from trauma and significant bleeding with both epidural and subdural hematomas. There are numerous case studies reviewed inclusive of neurosurgical intervention and postsurgical outcomes. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division Long Island , New York, 2019 | | | | | Module 3:, Head Trauma and Traumatic Brain Injury Part 2: This section continues with multiple case studies of gross traumatic brain injuries from trauma requiring neurosurgical intervention and also discusses recovery sequela based upon the significance of brain trauma. This module also concludes with concussion protocols in traumatic brain injury short of demonstrable bleeding on advanced imaging. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division Long Island , New York , 2019 | | | | | Module 4:, Concussion And Electroencephalogram Testing: This this section covers concussion etiology and cognitive sequela where gross bleeding has not been identified on advanced imaging. It discusses the significance of electroencephalogram testing in determining brain function and pathology (if present). This module also covers the understanding of waveforms in electroencephalogram testing in both normal and abnormal scenarios. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island , New York , 2019 | | | | | Module 5:, Concussion And Electroencephalogram Testing Pathological Results: This module covers amplitude, conduction and conduction delays as sequela to traumatic brain injury to diagnose concussion and traumatic brain injury in the absence of gross bleeding and advanced imaging. This section covers electroencephalograms and event-related potentials which measures the brain response that is a direct result of specific sensory or motor events. It is a stereotype electrophysiological response to a stimulus and provides a noninvasive means of evaluating brain function. In this module multiple case studies are discussed with ensuing triage protocols pending the results. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division Island Long, New York , 2019 | | | | | Creating Ethical Collaborative and Medical-Legal Relationships , Understanding the timely triage necessities based upon clinical and imaging outcome and the documentation required for collaborative physicians to continue care. Ensuring that the documentation is complete, reflective of the services rendered and clear for third party consideration in an admissible format to consider in a medical-legal environment. Cleveland University Kansas City, Chiropractic and Health Sciences , Academy of Chiropractic Post-Doctoral Division , Long Island , New York , 2018 | | | | | Functional Movement Training FMT , Advanced Instrument Assisted Soft Tissue Mobilization(IASTM) Course introduces the concept of mechanical gliding of skin, fascia and nerve. It also presents of neuro-sensory pain modulation via Instrument Assisted Soft Tissue Mobilization. IASTM tools are designed to be used with very gentle applications of force, aggressive techniques with heavy pressure are no longer required. the anatomy, physiology and neurology of myofascial soft tissue is presented, along with a review of concepts of interlayer connective tissue gliding during normal human movement. 2018 | | | | | Kinesio Taping Assessment, fundamental and advanced consents and techniques , Science, assessment and application techniques of the Kinesio Taping Method. Lecture Tutorials of the history, science and theory of stimulus transmission through skin and resulting therapeutic benefit across efferent and afferent systems is reviewed. Corrections for Epidermis, Dermis, Fascia, Space, and Muscle in case study format are presented. Lecture and demonstration by the instructor, then participants perform the Manual Assessment and Movement Assessment. Discussion of the assessment flow charts to determine correct applications and general progression of treatment clinically. Lori Robinson OTR/CKTI, Kinesio University , Ann Arbor , Michigan , 2017 | | | | | Manipulation Under Anesthesia, Anatomy of the disc and facets as the motion unit with considerations to the use of anesthesia ( Use of the N. American Society and Am Radiological Society guidelines for disc pathology)
Anatomy of the extra spinal articulations as they pertain to the MUA/MAM arena (overview of the shoulder; the wrist; the knee; and the foot and ankle) Muscle physiology- the Science of Stretch (M Alter; F. Kotlke) Understanding barriers of resistance (as these change from office environment; R. Gordon, Chapter 5) Overview of Neurology as it pertain to MUA (R. Francis, Chapter 2, Textbook) Pain management as it pertains to the MUA/MAM environment ( Giordano, Chapter 3, Textbook) , Pathomechanics of MUA (R. Francis, Chapter 2, Textbook) Mechanism of injury and environment change following injury (Use of Mensana Low Back evaluation form), Histological considerations for stretching during the MUA/MAM procedure (chapter 2, Textbook), Movement science, kinesiology and restriction as it pertains to the MUA/MAM environment ( R. Gordon, studies in human movement) Robert C. Gordon, DC and Donald T. Alosio, DC, Southern California University of Health Sciences, Dept of Professional Studies , Warren , Michigan , 2017 | | | | | Certificate of course completion in Manipulation under Anesthesia, Didactic, and Clinical Training , Understanding the science of MUA, understanding the use of MUA/MAM in the clinical setting, understanding the reason for moving the patient to the MUA/MAM arena, overview of the protocols for the technique workshops, overview of the clinical procedure portion of the course, overview of the importance of post care, overview of the importance of documentation, overview of protocols for working with third party payers. Donald T. Alosio Jr. DC Southern California University of Health Sciences, Buffalo, New York , 2016 | | | |
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