Adam Rodnick DC , FSBT, FACMUAP, CICE
2685 Union Lake Rd, Commerce Township, MI, 48382
Phone: 248-366-6378
Fax: 248-366-6386
rodnickchiropracticclinic@gmail.com
http://rodnickchiropractic.com
SELECTED OCCUPATIONAL HISTORY
Clinic Director , Rodnick Chiropractic Clinic, Commerce , Michigan , 2008 - Present
Assistant Clinic Director , Rodnick Chiropractic Clinic , Midland , Michigan , 2006 - 2016
Assistant Clinic Director, Rodnick Chiropractic Family Center, Clare, Michigan , 2006 - 2016
Assistant Clinic Director , Rodnick Chiropractic Life Center , Saginaw , Michigan , 2007 - 2016
Internship , Life University Outpatient Clinic , 2004 - 2006
EDUCATION AND LICENSURE
Doctor of Chiropractic, Licensed in the State of Michigan, License # 2301009274, 2006-Present
National Board of Chiropractic Examiners, Part I,
National Board of Chiropractic Examiners, Part II, 2006
National Board of Chiropractic Examiners, Part III, 2006
National Board of Chiropractic Examiners, Part IV, 2007
Undergraduate in Delta College, Saginaw, Michigan, 2003
Undergraduate in Northwood University, Midland, Michigan, 2001
Bachelor in Science, Excelsior College, Albany , New York , 2006
Doctor in Chiropractic, Life University , Marietta, Georgia, 2006

SELECTED POST-GRADUATE EDUCATION, CERTIFICATIONS AND DIPLOMATES

Orthopedic Testing: Clinical Grand Rounds, how to integrate orthopedic testing in the clinical setting utilizing both simple and complex patient scenarios. It includes potential stroke, or vertebrobasilar insufficient patients and understanding the nuances in a clinical evaluation with orthopedic testing as a critical part of the evaluation and screening process. How to integrate orthopedic testing in the clinical setting utilizing both simple and complex patient scenarios. It includes potential stroke, or vertebrobasilar insufficient patients and understanding the nuances in a clinical evaluation with orthopedic testing as a critical part of the evaluation and screening process. Diplomate, Academy of Chiropractic Post-Doctoral Division, Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo , New York , 2024
Orthopedic Testing: Lumbar Spine, Integration of lumbar orthopedic testing in the clinical setting to develop a differential diagnosis. Utilizing radiographic and advanced imaging inclusive of MRI and CAT scan findings to verify tissue pathology suspected by orthopedic testing conclusions and developing a treatment plan as sequelae. Diplomate, Academy of Chiropractic Post-Doctoral Division, Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo , New York , 2024
Orthopedic Testing: Principles, Clinical Application and Triage, Integration of orthopedic testing in the clinical setting to develop a differential diagnosis. Utilizing radiographic and advanced imaging inclusive of MRI and CAT scan findings to verify tissue pathology suspected by orthopedic testing conclusions and developing a treatment plan as sequelae. Diplomate, Academy of Chiropractic Post-Doctoral Division, Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo , New York , 2024
Orthopedic Testing: Cervical Spine, Integration of cervical orthopedic testing in the clinical setting to develop a differential diagnosis. Utilizing radiographic and advanced imaging inclusive of MRI and CAT scan findings to verify tissue pathology suspected by orthopedic testing conclusions and developing a treatment plan as sequelae. Diplomate, Academy of Chiropractic Post-Doctoral Division, Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo , New York , 2024
Required Elements for 100% Reimbursement, Diagnosing Active, Sequella, and Subsequent encounter codes for connective tissue pathology. The documentation elements required for 99202, 99203, 99204, and 99205. Developing ethical financial relationships for reimbursement in the medical-legal community and the documentation required. Using laws, regulations, and case law in contemporary practice to manage cases. Academy of Chiropractic Post-Doctoral Division, Cleveland University Kansas City, Long Island , New York , 2024
Templates and Shortcuts in Diagnosing and Documentation, Documenting basics of diagnosing bodily injuries vs. pain, and the correct utilization of active vs. sequella coding. Diagnosing the radiation of pain and ensuring etiology is diagnosed and not solely the effect of the pathology. Documenting pathologies with the understanding of relative weights of the ICD. Academy of Chiropractic Post-Doctoral Division, PACE Approved for The Federation of Chiropractic Licensing Boards, Long Island , New York , 2024
Templates and Shortcuts in Diagnosing and Documentation, Understanding spinal biomechanical engineering and biomechanical pathologies to correctly diagnose and document according to demonstrative validation of the specific connective tissue injuries. Considering outcomes studies in spinal analytics when concluding an accurate diagnosis, prognosis, and treatment plan. The safe use of X-rays when utilizing digitizing tools to conclude an accurate biomechanical diagnosis. Academy of Chiropractic Post-Doctoral Division, PACE Approved for The Federation of Chiropractic Licensing Boards, Long Island , New York , 2024
Templates and Shortcuts in Diagnosing and Documentation, Utilization of Federal Daubert admissibility standards when documenting the utilization of tools, devices, and modalities in treatment. The applicability of research meeting Federal and state requirements for the necessity of treatment in clinical practice. How a doctor's credentials lead to better outcomes, and resolve many issues based on the knowledge attained while earning the credentials. Academy of Chiropractic Post-Doctoral Division, PACE Approved for The Federation of Chiropractic Licensing Boards, Long Island , New York , 2024
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 10 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 11 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 13 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

SCHOLARLY PRESENTATIONS

(2019, October). Guest Clinical Instructor,Lower Extremity Biomechanics & The Management of Common Lower Extremity Injuries, Michigan Association of Chiropractors Fall Convention.
(2019, August). Clinical Instructor, Improving patient outcomes with co-management of the Neuroasurgeon and Chiropractor, Nuvasive Medical device company .
(2018, April). Clinical Instructor and Medical Legal Speaker, Your Client is Our Patient Musculoskeletal Collaborative
(2017, January). Clinical Instructor, Chicago, Ill Structural fingerprint and biomechanical assessment, Foot Levelers Inc.
(2015, February). Michigan Brain Injury Association Wayne-Oakland Support Guest Speaker
(2015, February). Michigan Brain Injury Association Oakland County Support Guest Speaker
(2015, October). St. Mary's Hospital Livonia continuing Education speaker for EMT's and PAs on orthopedic and neurological evaluation

SELECTED TEACHING/INSTRUCTING/LECTURING/CONSULTING

Clinical Instructor, Manipulation Under Anesthesia , Cornerstone Professional Education, Flint, Michigan, 2018- Present
Speaker , Roosevelt Elementary Assembly and PTA , 2013-
Canterbury on the Lake Nursing and Assisted Living home, Proper lifting , 2013-
State of Michigan Worksafe Program Speaker American Plastic toys, 2012- 2014
Guest Speaker , Dorsey Medical assistant School Waterford , Waterford , 2012- Present
Guest Speaker, Dorsey Medical Assistant School, Farmington Hills, 2012- Present
Guest Speaker, Ross Medical Assistant School Canton , 2011- Present
Guest Speaker, Ross Medical Assistant School Brighton , 2011- Present
Guest Speaker, NGK Spark Plugs , 2011- 2013
Canterbury in the Lake Nursing and Assisted Living home, Proper Lifting , 2010- 2015
Akebono Corporation , 2010-
Southside Church of God , 2009-
Macedonia Missionary Baptist Church , 2009- 2015
Shelving and Rack Supply Company, Proper Lifting , 2009-
Child Time Learning Center, Stress Management , 2009-
Speaker, Arbonne International District Meeting , 2008-
Speaker, Tri City Nutrition , 2008-
Speaker, Milford Park Place , 2008-
Speaker , Young Detroit Builders , 2008-
Host, " Ask the Chiropractor" Television Show, Waterford , Michigan , 2008- Present
State of Michigan Worksafe Program Colonial Villa Assisted Living, 2007-
Speaker , Nottingham Palace Back Safety , 2007-
Speaker , Saginaw Pines Stress Management , 2007-
Speaker, Edgewood Assisted Living Back Safety , 2007-
Speaker, Helping Hand Back Safety , 2007-
Speaker, Caring Place Proper Lifting , 2007-
Speaker , Colonial Villa Assisted Living Stress Management , 2007-
Speaker, Mothers of Multiple Stress and the Immune System , 2007-
Speaker, Tendercare Nursing Home Stress Management , 2007-
Speaker , Tendercare Nursing Home Back Safety , 2007-
Speaker , Midland Cancer Services Prostate Caner Support Group , 2007-
Speaker, Consumer Energy Job Safety , 2007-
Speaker , Saginaw Public School System Transportation Department , 2007-
Speaker , Michigan Association of Chiropractic, District 2 , 2007- 2009
Speaker, Meridian High School , 2007-
Master of Ceremonies , First Annual Spirit of Life University Fundraiser Luncheon , 2006-
State of Michigan Worksafe Program Hutamaki Factory , 2006-
Life University Student Night Seminar , 2006-
Host, " Ask the Chiropractor" Midland Community Television , 2006- 2008

SELECTED PUBLICATIONS

Rodnick, A. (2021). Early Diagnosis and Treatment of Stress Injury and Pending Spondylolisthesis in the Young Athlete. Early Diagnosis and Treatment of Stress Injury and Pending Spondylolisthesis in the Young Athlete,
Rodnick, A. (2020). Orthotics Out of Pocket . The American Chiropractor , 42(26 - 30.
Rodnick, A. (2019). NBA star Kevin Durant's Injury; . a look at biomechanics and treating calf, Achilles tendon injuries: Chiropractic Economics ,
Rodnick, A. (2019). When Pain Interferes with Daily Life. Planter Fasciitis The American Chiropractic ,
Rodnick, A., Rodnick, P. (2010). Resolution of Childhood Nocturnal Enuresis Following Subluxation-Based Chiropractic Care: A Retrospective Case Report . Journal of Pediatric, Maternal & Family Health Chiropractic , 2010(

SELECTED ADVANCED EDUCATION

SELECTED MEMBERSHIPS

Michigan Association of Chiropractic District III Vice President, 2022 - Present
ReviewWorks, Physician Advisory Panel, 2022 - Present
Michigan Association of Chiropractors , Insurance Relations Committee, 2021 - Present
MIBAC Michigan Back Collaborative (Henry Ford Hospital & Blue Cross Blue Shield of Michigan), Physician Champion Committee Member, 2021 - Present
Oakland Physician Network Service , 2020 - Present
The American Association of Manipulation Under Anesthesia Providers (AAMUAP) , 2020 - Present
Academy of Chiropractic , 2019 - Present
Royal Oak Surgery Center, credential with privilege , 2018 - Present
North American Spine Society , 2018 - Present
Lake Surgery Center, credential with privileges , 2017 - Present
American Surgical Center, credential with privileges , 2017 - Present
Michigan Surgical Hospital, credentialed with privileges , 2016 - Present
Life University Adjunct Faculty , 2012 - Present
Gerson Lehrman group council member , 2009 - Present
Business Network International , 2007 - Present
Michigan Association of Chiropractic Member , 2005 - Present
International Chiropractors Association Member, 2005 - Present
Michigan Association of Chiropractic District III President , 2018 - 2021
Dorsey Schools Advisory board , 2015 - 2017
Blue Cross Blue Shield of Michigan Provider Organization Chiropractic Workgroup , 2014 - 2017
Ross Medical Education Center Brighton Michigan Advisory Board , 2013 - 2015
President Business Network International Commerce Chapter , 2010 - 2010
Maximized Living Inc. Client , 2006 - 2009
Founder of Business Network International Commerce Chapter , 2008 - 2008
World Chiropractic Alliance Member , 2003 - 2008
Federation of Straight Chiropractic Organization Member, 2004 - 2007
President International Chiropractic Association Student Chapter , 2005 - 2006
President Delta Sigma Chi Fraternity of Straight Chiropractic , 2005 - 2006
President Jewish Chiropractic Club Life University , 2005 - 2006
Vice President Delta Sigma Chi Fraternity of Straight Chiropractic , 2004 - 2005
Corresponding Secretary Delta Sigma Chi Fraternity of Straight Chiropractic , 2004 - 2004
Recording Secretary Delta Sigma Chi Fraternity of Straight Chiropractic , 2003 - 2003

SELECTED HONORS AND AWARDS

Business Network International Midland Chapter Notable Networker, October 2007
Business Network International Midland Chapter Referral Award, Nov and Dec 2007
America's Top Chiropractors , 2015-2016
Hour Detroit Top Chiropractors , 2012-2019
Business Network International Commerce Chapter Notable Network Award , 2011-2016
Michigan Worksafe Program Top 5 Presenter , 2009-2016
Delta Sigma Chi Fraternity of Chiropractic Brother of the Year, 2006
Life University Alumni Association Scholarship of Excellence , 2006

SELECTED COMMUNITY SERVICE

Housing the Homeless at Temple Israel in West Bloomfield, MI to provide treatment to the homeless and less fortunate individuals , West Bloomfield, Michigan, 2012 - 2018
Philanthropic Mission to Provide Healthcare, China, Michigan, 2005 - 2005
Philanthropic Mission to Provide Healthcare, China, Michigan, 2003 - 2003
Philanthropic Mission to Provide Healthcare, China, Michigan, 2001 - 2001
Philanthropic Mission to Provide Healthcare, Panama, Florida, 1999 - 1999