SELECTED POST-GRADUATE EDUCATION, CERTIFICATIONS AND DIPLOMATES
| Spinal Biomechanics and Anatomical Pathology Grand Rounds, Three cases involving challenging diagnostic presentations, including myelopathy, lumbar spine tumor, and late-stage spontaneous abortion, were presented. MRI and plain film imaging studies and the role of the diagnostic workup as well as spinal biomechanics were discussed, including the clinical presentation and symptomatology. The importance of an accurate diagnostic workup, including studies for patient presentation and ligament laxity with past medical history records, was also discussed. Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2024 | | | | | Grand Rounds – Chiropractic Management – Differential Diagnosis Intervertebral Disc, Facet Joint, Sacroiliac Joint and Hip, detailed necessity of creating a differential diagnosis was presented
and emphasized. Review of the gold standard in imaging avascular necrosis of the hip was presented with
focus on delineation between intervertebral disc, spinal facet joint, sacroiliac joint and hip was
presented. Overlapping referral patterns was shown and reviewed in detail. Diagnosis and causation of
avascular necrosis in the hip was presented with emphasis on non-traumatic etiology. Surgical vs nonsurgical management was discussed. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards – PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences, 2023 | | | | | Grand Rounds – Chiropractic Management – Lumbar Intervertebral Disc Extrusion, – analysis and
review of T1, T2 and STIR MRI images with specific discussion on the presence of inflammatory fluid and
migration of intervertebral disc material. Communication with spine surgeon was emphasized with
particular focus on verbal reporting and clinical documentation. Interprofessional communication
pitfalls were outlined and presented. Medical necessity of advanced imaging was presented with clinical
correlation of orthopedic and neurological examination findings was detailed. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards – PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences, 2023 | | | | | Spine Management Grand Rounds Internet Live and recorded Regularly Scheduled Series – Chiropractic Utilization of X-ray in Clinical Practice, eview of field doctor response statistics regarding utilization of x-ray in clinical practice was presented. Guest author was interviewed outlining the basis and rationale for the academic paper reviewed. Discussion surrounding the use of x-ray for both anatomical contraindications to care (red flags) and assessment of biomechanical parameters was presented. Literature supporting the conservative co-management of spinal biomechanical abnormalities within the greater healthcare system was emphasized. Evidence based practice was outlined with particular focus on the utilization of x-ray in the management of the chiropractic patient. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards – PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences , 2023 | | | | | Spine Management Grand Rounds Internet Live and recorded Regularly Scheduled Series – Chiropractic Management – Prostate Cancer Mimicking Hip Pain, outline of a patient presenting with hip pain to a chiropractic clinic was presented. A complete history of non-response to conservative interventions was detailed. Failure of non-steroidal anti-inflammatory medication, physiotherapy and acupuncture was discussed. Further workup including the ordering of plain film radiography and advanced imaging was presented with detailed clinic and scientific rationale. Emphasis was placed on nine other similar cases published in the literature with the patient having no prior history of cancer or boney metastasis prior to evaluation in the chiropractic office. Review of processes pertaining to patient history taking, physical examination, response to past care and utilization of imaging modalities to arrive at an accurate diagnosis was underscored. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards – PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences, 2023 | | | | | Spine Management Grand Rounds Internet Live and recorded Regularly Scheduled Series – anatomy & biomechanics of the sacroiliac joint – review of the anatomical structure of the sacroiliac joint was presented including ligamentous and cartilaginous compone, Mechanical movement and restrictions were discussed and correlated to the surrounding anatomy. Review of causes of the sacroiliac joint as a source of pain was outlined. Differences in boney structure including cortical bone thickness and muscular overlay were detailed. Differentiation of different ligaments supporting the sacroiliac joint and the primary restraint of anatomical movement was presented including the posterior, sacrotuberous, sacrospinous, anterior, interosseus and iliolumbar ligaments. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards – PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences, 2023 | | | | | Grand Rounds – Chiropractic Management – Multiple Spine Injuries – , analysis of patients presenting with multiple spinal injuries post trauma was presented. Overview of ligamentous, intervertebral disc and cartilage injuries was reviewed. Discussion of clinical symptoms and correlation to objectified injury was discussed. Interprofessional collaboration with emphasis on clinical indications for the chiropractic adjustment, need for medical specialist referral, necessity of advanced imaging modalities such as MRI/CT and course of care was outlined and reviewed. Hallmark signs of ligamentous injury such as mid-line tenderness was detailed. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards – PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences , 2023 | | | | | Spine Management Grand Rounds Internet Live and recorded Regularly Scheduled Series – RAND Center for Collaborative Research, discussion and review of the RAND Corporation’s Center for Collaborative Research in Complementary and Integrative Health (CIH), established in 2020. Outline of the responsibilities of a profession were presented including development of continued knowledge related to the profession that has an influence on the lives of the public. Details of the collaboration and sharing of financial, epidemiological, statistical, and public health professionals within a consortium of academic institutions. Presentation of objectives of CIH including maintaining guidance and support to chiropractic college institutions, training for investigators and the improvement of funding competitiveness through increased scale and reduced transaction costs of research was reviewed National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards – PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences, 2023 | | | | | Spine Management Grand Rounds Internet Live and recorded Regularly Scheduled Series – Diagnosis and Management of Lumbar Spinal Stenosis, review of MRI as the gold standard for the diagnosis of lumbar stenosis (LSS) with emphasis on plain film radiograph’s historical limited role in 3-D diagnosis. Analysis of a convolutional neural network (CNN) for the diagnosis of severe lumbar stenosis using radiography was presented. Discussion of gradient weighted class activation mapping (Grand-CAM) was reviewed. Overview of the algorithm trained by a CNN to identify LSS on radiographs which showed high diagnostic accuracy and its application as a possible triage tool was presented. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards – PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences , 2023 | | | | | Spine Management Grand Rounds Internet Live and recorded Regularly Scheduled Series – Diagnosis and Management of Seronegative Spondyloarthropathies, review of the clinical diagnosis of seronegative spondyloarthropathy was presented with attention paid to the two most common types, ankylosis spondylitis and psoriatic arthritis. Details regarding a complete physical examination assessing for swelling, redness and reduced range of motion were presented along with focus on enthesitis and spinal mobility. Overview of the HBLA-27 allele and generic risk association was presented. Details associated with radiographic evidence of seronegative spondyloarthropathies were discussed including sacroiliac joint sclerosis and vertebral hyperostosis. Interprofessional management with rheumatology was emphasized. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards – PACE, State University of New York at Buffalo, 2023 | | | | | Spine Management Grand Rounds Internet Live and recorded Regularly Scheduled Series – Pathophysiology of Craniocervical Arterial Dissection, detailed review of the anatomical structure and layers of the arterial wall was presented including the tunica externa, intima, and adventitia. Discussion of intimal tearing and thrombus formation was provided focused on hypoxic clinical patient presentations. Diagnostic angiography as the gold standard was presented. Clinical presentation of craniocervical arterial dissection was reviewed with past medical history such as genitive connective tissue disorders such as fibromuscular dysplasia, Ehlers-Danlos, Marfan, and Loeys-Dietz syndromes. Delineation between musculoskeletal and vascular manifestations of head/neck pain was presented and outlined with particular attention being given to hypoxic clinical presentations. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards – PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences, 2023 | | | | | Primary Spine Care 14: Case Management and Documentation , Spinal Biomechanics in Clinical Practice, The utilization of X-Ray digitization to diagnose spinal biomechanical pathology and analyzing trends in healthcare when triaging mechanical spine pain. The role of credentials in interprofessional collaboration. 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, Long Island, NY, 2023 | | | | | Primary Spine Care 14: Case Management and Documentation , MRI Spine Sequence Acquisition and Interpretation, The understanding and utilization of T1, T2, STIR, Proton Density, FSE, GRE imagine sequencing for conclusive diagnosing of fracture, tumor, infection, and disc pathology. Identifying herniation, protrusion, bulge, extrusion-migrated, and extrusion-fragments on MRI images. 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, Long Island, NY, 2023 | | | | | Primary Spine Care 14: Case Management and Documentation , Spinal Disc Microanatomy, The understanding of the human spinal discal elements; annulus, nucleus pulposis, cartilaginous end plates inclusive of the neurology, visualization, differentiation from the neonate to adults. The understanding of the etiology of Modic changes on MRI and how spinal biomechanics are altered 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, Long Island, NY, 2023 | | | | | Primary Spine Care 14: Case Management and Documentation - Interprofessional Collaboration on Mechanical Back Pain in Clinical Practice, , Triaging neurologically compromised cases in conjunction with positive MRI images, and collaboratively managing cases with neurosurgeons in clinical practice. Post-operative management of spinal cases through full recovery 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, Long Island, NY, 2023 | | | | | Primary Spine Care 14: Case Management and Documentation - Spinal Biomechanical Engineering Analytic,, The analytics of spinal biomechanical engineering utilizing X-Ray digitizing for Alteration of Motion Segment Integrity and biomechanical pathology. Determining laxity of ligaments in connective tissue pathology and the long-term negative sequels of the 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, Long Island, NY, 2023 | | | | | Primary Spine Care 14: Case Management and Documentation - Demonstrative Reporting of MRI Spinal Disc Pathology, The diagnosis, and reporting of spinal disc bulges, herniations, protrusions, extrusions, and fragments. Reporting varices, Modic 1, 2, and 3, posterior longitudinal, interspinous, and intertransverse ligament. Reporting the ligamentum Flavum and epidural fat as a space-occupying lesion . 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, Long Island, NY, 2023 | | | | | Spine Management Grand Rounds Internet Live and Recorded Regularly Scheduled Series – Pathophysiology of Intermedullary Spinal Cord Tumors – Part 1 , discussion of Intermedullary Spinal Cord Tumors (IMSCT) was presented with details regarding astrocytoma, hemangioblastoma and ependymomas. Review of specific characteristics of each of and their visualization on T1, T2 and STIR MRI images was presented. Clinical manifestations were emphasized including neck and back pain with details surrounding interprofessional communication with the neurosurgeon presented. Emphasis was additionally placed on early diagnosis and aggressive management with the spine surgeon. Intermedullary spinal cord metastasis was detailed and presented in the context of the neck and back pain patient National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards – PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences, 2023 | | | | | Spine Management Grand Rounds Internet Live and Recorded Regularly Scheduled Series – Pathophysiology of Intermedullary Spinal Cord Tumors – Part 2 , review of interprofessional communication with the neurosurgeon and primary care physician in patients with IMSCT was presented. Intraoperative ultrasonography as a surgical adjunct to assist in the location and measurement of IMSCT was outlined. Importance of delineation of tumor versus normal tissue was described and emphasized. Surgical considerations for removal were outlined and correlated to operative outcomes. Specific surgical technique was presented and outlined in an evidenced based systematic review. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards – PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences , 2023 | | | | | Spine Management Grand Rounds Internet Live and recorded Regularly Scheduled Series – Pathophysiology of Intradural Extramedullary Spinal Cord Tumors, common intradural extramedullary tumors were reviewed including meningioma, schwannoma and their association with neurofibromatosis. Specific characteristics, locations and symptomatic pain patterns were presented. Correlation of symptom manifestation with imaging characteristics was detailed and emphasized. MRI findings reviewed included T1 and T2 weighted images. Interprofessional communication was emphasized particularly with the primary care physician and spine surgeon. Emphasis was placed on schwannoma and radiculopathic symptoms due to dorsal sensory nerve involvement. Additional tumor types such as myxopapillary ependymoma and paraganglioma were outlined with specific attention paid to their involvement with the Caudia equina. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards – PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences, 2023 | | | | | Spinal Biomechanics and Anatomical Pathology Grand Rounds. Chiropractic Diagnosis and Management of Motor Vehicle Crash Injuries,, review of the ligament, biomechanical and neurologic implications of a chronic cervical spine conditions, age dating cervical spine pathology and acute cervical spine injury including cervical spinal cord edema. The methods to determine stability and co-management with medical specialists was reviewed. Identification of the biomechanical ligament injury associated with the structural compromise, disc herniation with traumatic annular fissures and triage for neurosurgical consultation was reviewed ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division,, Buffalo, NY, 2023 | | | | | Spine Management Grand Rounds Internet Live and recorded Regularly Scheduled Series – Magnetic Resonance Imaging Diagnosis of Demyelinating Diseases, detailed review of the most common demyelinating diseases including multiple sclerosis, neuromyelitis optica spectrum disorder (NMOSD), acute disseminated encephalomyelitis (ADEM) and myelin oligodendrocyte glycoprotein (MOG) encephalomyelitis was presented. Specific findings on advanced imaging such as MRI were presented to ensure a timely and accurate diagnosis. MRI roles including diagnosis, imaging biomarkers and the monitoring of pharmacological side-effects were listed and discussed. Characteristic lesions of demyelinating disease were presented and listed in detail with a specific focus on the T1, T2 weighted images and sagittal FLAIR was presented. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards – PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences , 2023 | | | | | Spine Management Grand Rounds Internet Live and recorded Regularly Scheduled Series – Risk Factors for Intervertebral Disc Pathology –, a comprehensive review of the risk factors associated with intervertebral disc pathology. Detailed focus on acute versus chronic injury as well as genetic and environmental factors on intervertebral disc pathology was presented. Review of the classical theory of aging and progressive wear and tear was outlined and contrasted to acute traumatic injury. Intervertebral disc anatomy was reviewed and correlated to MRI based grading systems for degenerative intervertebral disc disease. Proper interprofessional communication to both the medical and legal professions was emphasized with a focus on known scientific analysis National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards – PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences , 2023 | | | | | Spine Management Grand Rounds Internet Live and recorded Regularly Scheduled Series Characteristics of TMJ disc, meniscus and IVD tissue , a comprehensive review of the common histological characteristics in the temporomandibular disc, meniscus and intervertebral disc was presented. A particular perspective on tissue engineering was provided with emphasis on biomechanical properties. Overview of cell sources, scaffolding and stimuli was presented in the context of tissue engineering and therapeutic approaches to degeneration in those particular tissues. Focus was on similarity and differences between these fibrocartilage discs in terms of their similarities and their differences. ational Spine Management Group, LLC, Federation of Chiropractic Licensing Boards – PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences, 2023 | | | | | Spinal Biomechanics and Anatomical Pathology Grand Rounds. , The long-term clinical outcomes of chronic LBP with hypermobility due to ligament laxity was reviewed with evidenced based literature. Potential interventions and their expected outcomes were presented 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, NY, 2023 | | | | | Spine Management Grand Rounds Internet Live and recorded Regularly Scheduled Series Medical Legal Opinions – evidence-based workflows, a detailed review of the process to effectively render a medical legal opinion on the causality, bodily injury and persistent functional loss of a traumatically injured spine patient. Focus was on clinical correlation of the mechanism of action, patient history, physical examination, imaging films/studies and persistent functional loss. Emphasis was placed on interprofessional communication and differentially diagnosis pre-existing conditions versus those that are acutely present post injury. Segmental spinal analysis of intervertebral disc and arthritic pathology was presented. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards – PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences, 2023 | | | | | Spine Management Grand Rounds Internet Live and recorded Regularly Scheduled Series – Biomechanical Changes and Degenerative Disc Disease , detailed presentation on the biomechanical effects of intervertebral disc degeneration on the human cervical spine. Review of relevant anatomy including vertebral bodies, healthy intervertebral disc, degenerative intervertebral disc, spinal nerves, spinal cord, spinal ligaments, and facet joints was outlined. Structural changes were correlated to biomechanical alterations with a detailed focus on the C5-6 segment of the spine. Aberrant facet joint loading was discussed and correlated to intervertebral disc disease and alternations in normal motion and acceleration of spinal arthritis. Certification in National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards – PACE, State University of New York a, 2023 | | | | | Spinal Biomechanics and Anatomical Pathology Grand Rounds. The concept of whole person impairment was reviewed., The utilization of the AMA Guides to Permanent Impairment and how to accurately determine the appropriate percentage as also reviewed. A comparison of the 5th and 6th edition of the AMA guides was reviewed. ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2023 | | | | | Spine Management Grand Rounds Internet Live and recorded Regularly Scheduled Series – Magnetic Resonance Imaging of the Enthesis – detailed presentation on magnetic resonance imaging of the enthesis., Description of the function of the enthesis ranges of ligaments and tendons and the lack of conventional MRI protocols to properly visualize them was presented. Review of tissues that are MRI visible and those that are MRI invisible was outlined. Parameters of MRI visible tissue that have short T2s and rapid MR signal decay were detailed. Tendons and ligaments with T2s of 4-10 ms were outlined as being able to be distinguished only with short TE gradient echo sequences and the requirement of tissues with T2s of .5-2ms and less than 100us requiring UTE sequences. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards – PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences, 2023 | | | | | Triage and Compliance, Documentation and Diagnosing, , Creating care paths using clinical examination and advanced diagnostics to formulate care paths including collaborative care. Documenting and diagnosing spinal biomechanical lesions, disc pathology from MRI including, but limited to herniations, bulges, extrusions, sequestrations and non-disc spinal lesions from varices and neoplastic space occupying lesions. Academy of Chiropractic Post-Doctoral Division, , Long Island, NY, 2023 | | | | | Spinal Biomechanics and Anatomical Pathology Grand Rounds, The diagnosis of acute spinal ligament injury and the resulting segmental hypermobility was discussed and reviewed. The chronic sequela of untreated biomechanical pathology was also reviewed. ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2023 | | | | | Spine Management Grand Rounds Internet Live and recorded Regularly Scheduled Series – Vertebral Artery Anatomy and Pathologic Injury , in-depth review of the anatomical course of the vertebral artery in the cervical spine with specific emphasis on the V1, V2, V3 and V4 segments and their anatomic boundaries. Specific epidemiology of Cervical Artery Dissection (CAD) was presented and outlined. Risk factors for CAD such as atherosclerosis, inflammation, and genetic tissue disorders such as Marfans and Ehlers-Danlos Syndromes were detailed. Clinical symptoms of CAD were presented such as Horner’s Syndrome, cerebral ischemia, vertigo, and nausea were presented. Detailed review of hemodynamic versus thromboembolic causes of ischemia post CAD were reviewed. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards – PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences, 2023 | | | | | Spine Management Grand Rounds Internet Live and recorded Regularly Scheduled Series – Diagnosis and Referral of Cauda Equina Syndrome, detailed overview of the anatomy of the lumbar spine and surrounding neurological systems was presented and outlined. Clinical symptoms and risks of clinical progress where discussed. Upper vs lower motor neuron lesions were reviewed and correlated to cauda equina syndrome. The difference between suspected and confirmed cauda equina syndrome was detailed and explained. Emphasis was placed on early intervention and emergency surgical referral in patients with cauda equina syndrome. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards – PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences , 2023 | | | | | Spine Management Grand Rounds Internet Live and recorded Regularly Scheduled Series – Interprofessional Care with the Primary Care Physician , detailed overview of the needs of the primary care physician and the diagnosis and management of mechanical spine pain. Discussion of peer-reviewed medically indexed research studies supporting chiropractic in the pain management phase of care is presented. Specific statistics in the reduction of opioid prescription refills particularly in older and injured patients were presented. Complaint reporting and consistent communication was outlined and reviewed with particularly emphasis on clinical workflows within the practice environment. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards – PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences, 2023 | | | | | Spine Management Grand Rounds Internet Live and recorded Regularly Scheduled Series –Lumbar Kyphosis Post Multi-Level Fusion, detailed review of a case of impaired spinal biomechanics post lumbar fusion. Discussion related to a multi-level lumbar spina fusion in a 65-year-old female patient and residual lower extremity radiculopathy was presented. Analysis of influence of right sided knee replacement and subsequent right sided neuropathy post-surgery was outlined. Progression of spinal symptoms cranially to include neck pain and bilateral hand paresthesia was discussed. Detailed review of upper and lower extremity EMG/NCV findings, lumbar MRI, cervical MRI and plain film radiographs were presented. Clinical correlation to anatomical versus biomechanical causes of extremity paresthesia was discussed with detailed analysis of lumbar neuroforamen and pelvic incidence. Spinal compensation in the cervical spine related to lumbar biomechanical pathology was presented. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards – PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences , 2023 | | | | | Spinal Biomechanics and Anatomical Pathology Grand Rounds, The diagnosis of acute and chronic spinal ligament laxity and spinal joint instability was discussed along with the application to spine surgical planning and pain management procedures. ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2023 | | | | | Spinal Biomechanics and Anatomical Pathology Grand Rounds, Medical-legal reporting of diagnosis of acute versus chronic disc and ligament injury and the tools necessary for accurate diagnosis, prognosis, exacerbation, or aggravation. How to build a reputation for ethical and accurate medical legal reporting was also reviewed. ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2023 | | | | | Spine Management Grand Rounds Internet Live and recorded Regularly Scheduled Series – Histochemical and Traumatic Causes of Degenerative Disc Disease -, Detailed review of the tenants of degenerative disc disease in the human spine. A review of metabolic factors including bone and cartilage remodeling, lipid metabolism and oxidative stress within the disc was presented. Outline of adverse biomechanical factors including levels of modic changes, reaction to microtrauma and responses to increased mechanical stresses due to loss of sagittal and coronal spinal balance. Discussion reviewing biochemical factors such as innate and adaptive immunity, inflammation and low-grade discitis were presented. Emphasis was placed on individual risk factors such as smoking and weight gain. Genetic factors were discussed and correlated to environmental risk factors for degenerative disc disease. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards – PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences, 2023 | | | | | Primary Spine Care 15: 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. Academy of Chiropractic Post-Doctoral Division, , Long Island, NY, 2023 | | | | | Primary Spine Care 15; 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. Academy of Chiropractic Post-Doctoral Division, , Long Island, NY, 2023 | | | | | Primary Spine Care 15; 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. Academy of Chiropractic Post-Doctoral Division, , Long Island, NY, 2023 | | | | | Primary Spine Care 15; 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. Long Island, NY, 2023 | | | | | Primary Spine Care 15; 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. Academy of Chiropractic Post-Doctoral Division, , Long Island, NY, 2023 | | | | | Primary Spine Care 15; 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 Academy of Chiropractic Post-Doctoral Division, , Long Island, NY, 2023 | | | | | Primary Spine Care 15; 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. Academy of Chiropractic Post-Doctoral Division, , Long Island, NY, 2023 | | | | | Primary Spine Care 15; 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. Academy of Chiropractic Post-Doctoral Division, , Long Island, NY, 2023 | | | | | Diagnosis and Management of Vertebral Osteomyelitis, review of the causes of vertebral osteomyelitis
was presented including findings on patient subjective complaint and objective findings on physical
examination. Differentiation between plain film radiographs, T1, T2, Flair and STIR weighted imaging
was presented and discussed. Associated clinical findings including infections in adjacent areas including
intervertebral discitis areas was presented. Causes of osteomyelitis including past surgical procedure,
frequent injections, infection in an adjacent tissue, IV drug use and long-term corticosteroid use were
presented. Anterior elements of the functional motor unit were outlined as the primary location of
osteomyelitis. Correlation clinically to difficulties in identifying this clinical entity in its early stages was
reviewed. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards - PACE. State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, 2022 | | | | | Diagnosis and Management of Lumbar Arachnoiditis, outline of the causes of arachnoiditis in the
human spine was presented. Specific focus was on a case of lumbar arachnoiditis involving the cauda
equina evidenced on T1, T2 sagittal and axial MRI. Treatment options and lack of curative interventions
was presented. Relevant anatomy of the lumbar spine including cauda equina, conus medullaris, filum
terminale, dura mater, pia mater and arachnoid mater were reviewed in detail. Review of arachnoiditis
and chiropractic adjustment were discussed as well as interprofessional coordination of care with
interventional pain management and surgical consultation. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards - PACE. State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences , 2022 | | | | | Diagnosis and Management of Lumbar Disc Herniation, case review of traumatically
induced 10mm L5-S1 intervertebral disc extrusion was presented. Correlation of neurological
examination including testing of myotomes, dermatomes and deep tendon reflexes was
presented. Detailed review of sagittal T1, sagittal T2, axial T1, axial T2 as well as STIR images were
presented. Clinical referral for surgical consultation was outlined and clinical rationale was
presented. Review of the different between anatomical and functional sources of pain were outlined
with a focus on biomechanical parameters such as pelvic incidence. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards - PACE. State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, 2022 | | | | | Diagnosis and Management of Anterior Sacral Contusion, overview and discussion of
contusion of the anterior sacral ala in an elite college cross-country runner. Physical examination
outlining range of motion, neurological and orthopedic examination was reviewed and correlated to the
subjective complaint of right sided lower back pain. Misdiagnosis was presented and long-standing
symptoms resulting in possible cessation of play for this athlete. Discussion of interprofessional
communication with the neuroradiologist and subsequent MRI order with slices through the anterior
sacrum was reviewed and presented. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards - PACE. State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, 2022 | | | | | 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. Academy of Chiropractic post-Doctoral Division, NY, 2022 | | | | | Diagnosis and Management of Persistent Spine Pain, overview and discussion of spinal anatomy
including intervertebral discs, ligaments, spinal nerves, spinal cord, and facet capsule was
presented. Emphasis was placed on differential diagnosis, physical examination and clinical correlation
of injury mechanism and patient complaint. Specific outline of facet joint injury and joint effusion was
demonstrated and discussed using T1, T2 and STIR weighted MRI scans of the lumbar spine with specific
attention paid to the right L3 facet joint. Interprofessional communication in documentation and referral
for interventional pain management consulting was presented with emphasis on facet or medial branch
block injections. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards – PACE, State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, 2022 | | | | | Spinal Biomechanical Engineering and Sagittal Balance of the Spine, discussion of spine care in terms of
engineering principles was presented. Biomechanical parameters such as pelvic incidence, sacral slope,
pelvic tilt, and sagittal balance were outlined and presented. Spinal curvature and load distribution was
presented mathematically and outlined using full spine plain film radiography. Comparative anatomy
between primates and humans as well as humans of different ages was presented as examples of spinal
compensation. Spinal rehabilitative principles was provided in group discussion National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards – PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences, 2022 | | | | | Diagnosis and Management of Synovial Cyst of the Spine –, review and outline of the diagnosis and
management of a spinal synovial cyst was presented. Discussion surrounding patient history, physical
examination and advanced imaging findings was outlined. Structure and appearance of synovial cyst on
T1 and T2 weighted MRI was presented, and the benign nature of these lesions was
reviewed. Indications for specialist referral and patient centered management raging from watchful
waiting to surgical intervention due to neurologic compromise was reviewed. Advanced imaging
differences between plain film radiographs, CT and MRI was outlined and discussed. MRI signal on T2
weighted image in relation to cerebral spinal fluid was highlighted Spine Management Group, LLC, Federation of Chiropractic Licensing Boards – PACE, State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences –, 2022 | | | | | Diagnosis and Management of Schwannoma, discussion of a case pertaining to
traumatically induced pathology to the spine of a 59-year-old female. Outline of
pathological reflexes and detailed physical examination best practices. Review of
important imaging included CT axial, CT sagittal and CT coronal views as well as T2
FSE sagittal, T2 FSE axial and STIR Sagittal MRI studies were reviewed and clinically
correlated. Relevant cervical and lumbar spinal anatomy in in the sagittal, axial and
coronal planes was detailed on MRI and CT studies. Interprofessional communication
with the spine surgeon was presented and review of surgical intervention including
ACDF (anterior cervical discectomy and fusion) procedure to the patient’s cervical
spine. Spine Management Group, LLC, Federation of Chiropractic Licensing Boards - PACE. State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, 2022 | | | | | Clinical Grand Rounds – Chiropractic Management and the Carotid Space – outline and discussion of the anatomical boundaries of the carotid space was presented., Review of the aortic arch, brachiocephalic trunk, common carotid, carotid
bifurcation, internal carotid, external carotid, Circle of Willis, and vertebral artery
pathways was demonstrated. Review of correlation of patient history, physical
examination and findings on advanced imaging was presented. Clinical review of
dysphagia and odynophagia were presented and discussed clinically in the context of
the physical examination and patient pain patterns. Vascular anomalies and their
general asymptomatic presentation were emphasized. Etiology of arterial dissections
was outlined with emphasis on differentiating spontaneous versus traumatic
characterization. Advanced imaging of carotid space pathology was presented with
catheter angiography demonstrated as the gold standard. Spine Management Group, LLC, Federation of Chiropractic Licensing Boards – PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences, 2022 | | | | | Chiropractic Diagnosis and Management of Acute Spinal Ligament Injury, eview of the ligament injury thresholds, methods of diagnosis utilization of SITR pulse Sequence MRI as the gold standard for evaluating the age of and pathophysiology was discussed and presented. Biomechanical assessment of hypermobility associated with ligament laxity was presented along with the specific ligament involved in the clinical picture. When and how to triage to medical specialist was reviewed. Review of the four columns of vertebral architecture was detailed. ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022 | | | | | Clinical Grand Rounds – Chiropractic Spine Management and Pain Categorization, review of
published categorization of pain generation by the International Association for the Study of
Pain including nociceptive, neuropathic and nociplastic sources. Discussion on the history and
relevance of the Delphi process of conducting consensus-based research was presented. Origins
of nociceptive, neuropathy and nociplastic sources of pain was outlined including non-neural
tissue, the somatosensory nervous system as well as the categorization of pain syndromes with
non-specific findings on physical examination and imaging studies. Review of the importance of
quantitative testing, clinical examination and clinical correlation was presented and related to
the academic approach to the categorization of pain. Spine Management Group, LLC,
Federation of Chiropractic Licensing Boards PACE, State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, 2022 | | | | | Clinical Grand Rounds – Atlanto-axial Pannus with and without rheumatoid arthritis, detailed
overview of the anatomy and mechanics of the Atlanto-axial space in both diagrams and MRI
studies. Overview of the clinical and laboratory diagnosis of rheumatoid arthritis and MRI as
the imaging modality of choice for pannus formation in the upper cervical spine. Discussion on
pannus formation being more common in non-rheumatoid arthritis patients. Overview of
theories relating pannus formation to spinal instability at the C1-2 joint and identification of
pannus as a common trait in the elderly. Spine Management Group, LLC, Federation of Chiropractic Licensing Boards – PACE, State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, 2022 | | | | | Clinical Grand Rounds – Understanding Surgical Approaches and Techniques, overview of Lumbar Interbody Fusion (LIF) as an established treatment for a range
of spinal disorders such as degenerative pathologies, trauma, infection, and
neoplasm was presented. Mechanical techniques and implant processes were
discussed. Rage of LIF approaches was outlined including posterior lumbar interbody
fusion (PLIF), transforaminal lumbar interbody fusion (TLIF or MI-TLIF), oblique
lumbar interbody fusion/anterior to psoas (OLIF/ATP), anterior lumbar interbody
fusion (ALIF), lateral lumbar interbody fusion (LLIF). Review of Minimally Invasive
Surgery (MIS) was discussed and detailed. Spine Management Group, LLC, Federation of Chiropractic Licensing Boards – PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences, 2022 | | | | | Clinical Grand Rounds – Chiropractic Management of Head and Neck Trauma, review of types of tissue injured in head and neck trauma including muscle,
nerve, intervertebral disc, ligament, spinal cord, vertebral body, artery, or vein was
presented. Clinical correlation of mechanism of injury, patient history, subjective
complaint, physical examination, advanced imaging findings and electrodiagnostic
testing was emphasized. Interprofessional communication and review of any
diagnostic dilemmas was reviewed. Spinal compressive radiculopathy versus acute
nerve injury without prolonged compression was presented. Differential diagnosis
between ligament, intervertebral disc and nerve pathology was outlined in depth and
presented. Emphasis was presented on spinal nerve manifestations of ligament
injury in the cervical spine. Spine Management Group, LLC, Federation of Chiropractic Licensing Boards – PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences, 2022 | | | | | Clinical Grand Rounds – Chiropractic and the MS Patient –, review of prodromal
symptoms relating to the typical presentation of the multiple sclerosis patient as a
novel update in clinical diagnosis. Recognition of subtle symptoms was
emphasized. Multiple sclerosis as the leading cause of neurological disability in
young adults was outlined and the importance of early recognition and prompt
intervention. Overview of prodromal symptom trends occurring years before full
symptoms appear and emphasis was placed on the Doctor of Chiropractic as a front-
line provider it their recognition, clinical referral pathways were discussed. Spine Management Group, LLC, Federation of Chiropractic Licensing Boards – PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences, 2022 | | | | | Clinical Grand Rounds – Chiropractic Spine Management – MRI Sequences and Imaging Acquisition, detailed discussion of MRI physics and imaging acquisition sequences in clinical
practice. Thorough review of image intensity definitions and the correlation to tissue type
including nerve, cerebral spinal fluid, muscle, bone, ligament, and tendon. Overview of fat
suppression techniques including STIR and FLARE utilization and clinical necessity. Discussion of
sequence categories including Proton Density, T1, T2 and Diffusion Weighted was presented.
Overview of Flow Sensitive sequences was briefly presented. Spine Echo (SE), Gradient Echo
(GE), Inversion Recovery (IR) and Echoplanar Imaging (EPI) were outlined and contrasted in
clinical context. Requirements for MRI examination were reviewed. Updated information was
presented on MERGE imaging in the cervical spine. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards – PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences, 2022 | | | | | Clinical Grand Rounds – Chiropractic Spine Management – Role of Diagnostic Injections in Spinal Disorders, Review and discussion of objective data derived from ordering diagnostic
spinal injections. Patient triage in relation to facet joint injury, ligament laxity, radiculopathy,
herniation of the intervertebral disc and sacroiliitis was outlined. Patient injury data from
physical examination, provocative testing and diagnostic imaging was correlated clinically with
response to diagnostic block after appropriate referral to medical specialty. The sacroiliac joint
as an underdiagnosed source of chronic lower back pain was outlined. Review of gold standard
for diagnosis of sacroiliitis, fluoroscopy-guided block was presented. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards – PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences, 2022 | | | | | Clinical Grand Rounds – Chiropractic Management of a L5-S1 Lumbar Disc Extrusion, review
of objective muscle weakness as the primary indication for surgical interventions in patients
with intervertebral disc herniations and extrusions was presented. Discussion of parameters for
physical examination findings to warrant ordering advanced imaging and surgical consultation.
Overview of rationale for evaluation of spinal central canal in patients with abnormal
neurological findings was reviewed. Duties of a Spine Management PhysicianTM in the diagnosis
and co-management of patients with intervertebral disc extrusions was outlined. Clinical
correlation and coordination of care was detailed including timing of advanced imaging order
and surgical referrals. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards – PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences , 2022 | | | | | Chiropractic Diagnosis and Management of Degenerative Lumbar Spondylolisthesis, A review of the ligament, biomechanical and neurologic implications of a degenerative lumbar spondylolisthesis was presented. The methods to determine stability and co-management with medical specialists was reviewed. Identification of the biomechanical compensations associated with the structural compromise was reviewed ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022 | | | | | Clinical Grand Rounds – Degenerative versus Acute Intervertebral Disc Pathology, review of the scientific and validated process for evaluating degenerative disc disease in the human spine was reviewed. Detailed analysis of differentiating between acute and chronic changes was emphasized.
Overview and discussion of advanced imaging as well as plain film radiographs with dynamic views was
presented. Review in detail of the Pfirrmann scale and it’s association with intravertebral disc degeneration was presented including all Pfirrmann grades with illustrative reference. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards – PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences, 2022 | | | | | Clinical Grand Rounds – Trial Testimony and the Spine Management Patient, discussion and
presentation of the trial process and requirements of both the treating physician and expert physician was
outlined. Emphasis was placed on detailed preparation of case flow and objective demonstrable findings.
Review of courtroom proceedings including witness and expert testimony was included. Expert versus
treating physician requirements were presented. Emphasis was placed on thorough evaluation and
narrative reporting processes to prepare for court room questioning. Specific review of illustration of
demonstrative evidence was outlined. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards – PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences, 2022 | | | | | Clinical Grand Rounds – Intervertebral Disc Nomenclature and Morphology, discussion of
intravertebral disc morphology was presented and reviewed. Correlation between morphological and
ideological findings was presented. Detailed review of spondylosis deformans, intravertebral
osteochondrosis, intravertebral disc herniation and bulge was outlined. Specific detail was placed on
changes in disc morphology due to ligament injury in the human spine. Clinical correlation of disc
herniation versus disc bulge was presented. Overview and detailed analysis of types of annular tearing in
the desk was presented with an emphasis on the delineation between clinical findings and findings on
advanced imaging National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards – PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences, 2022 | | | | | Clinical Grand Rounds – Acute vs Chronic Radial Fissures – Diagnosis and Management, outline
of morphological presentations of concentric, radial and transverse fissures within the annulus fibrosus
of the intervertebral disc. Consensus driven definitions were presented as outlined by recommendations
of the combined task forces of the North American Spine Society, American Society of Spine Radiology,
and American Society of Neuroradiology. Modified Dallas Classification of annular fissures was reviewed
and outlined. Specific correlation to annular fissure type and intervertebral disc morphology was
detailed. Specific correlative factors linking annular fissures with acute and chronic injury was presented
and reviewed National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards – PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences, 2022 | | | | | Chiropractic Diagnosis of ligament injury to the upper cervical region was presented, The methods and tools to determine injury to the Occipital-Atlanto and Atlanto-Axial ligaments were presented. Correlation to mechanism of injury and medical legal reports were reviewed. The AO standards for spinal instability was presented ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, 2022 | | | | | Clinical Grand Rounds – x-ray dosage, sagittal balance and surgery success rates, – discussion
related to millisievert and cumulative effective dose was presented. Outline of the definition and research
process of achieving Minimal Clinical Important Difference in spine surgery was discussed. CED levels
below 100mSv was reviewed and compared to patients receiving multiple plain film
radiographs. Discussion and relation of spinal biomechanics, sagittal balance, utilization of spine
radiographs and MRI to working with the neurosurgeon was outlined. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards – PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences, 2022 | | | | | Grand Rounds – Indications and Absolute/Relative Contraindications to Chiropractic Care –, review of inclusion criteria accompanying modification of chiropractic treatment plan due to an absolute
or relative contraindication to chiropractic care. Examples of clinical rationale, physical examination
findings and proper diagnoses were provided. Review of the definitions of both relative and absolute
contraindications to chiropractic care, specific details on referral to medical specialty were provided.
Analysis of regional contraindications and treatment in adjacent regions were provided and discussed.
The keys to understanding indications to care were detailed including the patient interview, review of
medical records, diagnosis, and spinal examination findings. Review of most common reasons for
chiropractic license violations were presented including application of the chiropractic adjustment to a
contraindicated condition, failing to refer in the presence of a contraindication, failure to properly
evaluate the patient to determine if a contraindication is present and failing to properly document the
patient encounter. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards – PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences, 2022 | | | | | Grand Rounds – Chiropractic Management and Patient Triage –, review and discussion on the
beginning of patient triage at phone intake was presented and related to the physical examination, review
of diagnostic imaging and diagnosis. Detailed discussion of proper triage protocols including physical
examination findings, plain film radiographs, MRI, diagnosis, and response to care was
presented. Evidence based utilization of advanced imaging protocols was detailed including presence of
neurological deficit non-response to care, increase in radicular symptoms and spinal instability on plain
film imaging. Overview of interprofessional communication during triage including last E/M report,
imaging reports, specialist referral, and demographic sheet was presented. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards – PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences, 2022 | | | | | Grand Rounds – Chiropractic Management – MRI Lumbar Spine – axial anatomy, detailed review of anatomical structures on the axial slices of lumbar spine MRI were presented. Musculature presented included gluteus medius, psoas major, multifidus, iliacus, lumbar paraspinals and quadratus lumborum in both the T1 and T2 axial sequences. Traversing vs exiting spinal nerves were contrasted and
compared to cervical spine. Neurological structures such as conus medullaris, caudia equina, filum terminale, ventral and dorsal nerve roots were identified. Visualization and discussion of benefit of T2 axial sequences in the identification of facet joint pathology was presented. Emphasis was placed on the
structure and morphology of the intervertebral disc and spinal ligaments including anterior longitudinal
ligament, posterior longitudinal ligament, facet capsule, interspinous, supraspinous, intertransverse and iliolumbar were detailed. Location and anatomical structure of the sacroiliac joint was presented and discussed. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards – PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences, 2022 | | | | | Grand Rounds – Chiropractic Management – CT Lumbar Spine Anatomy, detailed review of
anatomical structures in the axial, sagittal and coronal planes of CT of the lumbar spine. Musculature
presented included gluteus medius, psoas major, multifidus, iliacus, lumbar paraspinals and quadratus
lumborum in both the T1 and T2 axial sequences. Emphasis was placed on the structure and morphology
of the hard tissues of the spine with particular focus on the facet joints and pars interarticularis.
Location and anatomical structure of the sacroiliac joint was presented and discussed. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards – PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences, 2022 | | | | | 2023 Demonstrative Documentation Requirements, Analyzing the requirements in anatomical diagnostic imagery to communicate spinal pathology. Integrating technology, clinical findings, and advanced graphic tools to communicate a diagnostic conclusion 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, 2022 | | | | | MRI Spine Advanced Clinical Case Grand Rounds, Clinical case review of MRI including intra and extra-dural findings inclusive of the disc and vascular anatomical lesions. Differentially diagnosing central cord lesions, and spinal cord vascular lesions in both acute trauma and degenerative presentations 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, 2022 | | | | | Non-Specific Spine Pain, Chiropractic and Outcomes, Analyzing neuro-biomechanical pathological lesions defines primary spinal lesions and removes the dogma of non-specific back pain. Creating evidence-based demonstrative documentation in the creation of treatment plans 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, 2022 | | | | | Spinal Tumor MRI Interpretation, Diagnosing and documenting: Ependymoma, Astrocytoma, Hemangioblastoma, Lipoma, Meningioma, Neurofibroma, Schwannoma, Myxopapillary Ependymoma. 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, 2022 | | | | | Demonstrative Narrative and Evaluation and Management Report Writing, Clinical record-keeping, why write clinical notes, the importance of context, what to include in a clinical note, tips for better clinical documentation, basic legal considerations, open clinical notes, how to keep documentation efficient. 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, 2022 | | | | | Age-Dating Ligament/Connective Tissue Physiology and Pathology, Utilizing pain patterns, the high signal in the annulus, high signal outside the annulus, Modic changes, disc height, vacuum disc, sclerosis, Phirrman rating, facet edema, and previous MRIs to determine the chronicity of pathology., Master-Class in ligaments; anatomy, physiology, vascularization, neurological innervation, tissue repair, and how they all relate to clinical practice. Ligament pathology correlating to the mechanisms of patho-neuro-biomechanical lesions (vertebral subluxation complex). Also, how ligaments play a critical role in the chiropractic spinal adjustment and in defining the chiropractic spinal adjustment mechanisms 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, 2022 | | | | | Clinical Grand Rounds in Biomechanics, Digitizing, and Advanced Imaging, Case reviews concluding and accurate diagnosis, prognosis, and treatment plan utilizing evidence-based instrumentation and algorithms. Using demonstrative reporting of case findings to collaborate with co-treating physicians 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, 2022 | | | | | Medical-Legal Documentation, A documentation discussion on meeting the requirements of the courts, carriers, and licensure boards in complete and accurate reporting. Ensuring the diagnosis, prognosis, and treatment plan are demonstratively documented 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, 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 Academy of Chiropractic, 2022 | | | | | Grand Rounds – Chiropractic Management – MRI Cervical Spine – Axial Anatomy, detailed
review of anatomical structures on the axial slices of cervical spine MRI were presented. Musculature
presented included sternocleidomastoid, splenius cervicis, splenius capitus, logus capitus, longus colli
and semispinalis capitis in both the T1 and T2 axial sequences. Traversing vs exiting spinal nerves were
contrasted and compared to cervical spine. Neurological structures such as the spinal cord, ventral and
dorsal nerve roots were identified. Visualization and discussion of benefit of T2 axial sequences in the
identification of facet joint pathology was presented. Emphasis was placed on the structure and
morphology of the intervertebral disc and spinal ligaments including anterior longitudinal ligament,
posterior longitudinal ligament, facet capsule, interspinous, supraspinous, intertransverse and alar
ligaments were detailed. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards – PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences, 2022 | | | | | Spinal Biomechanics and Clinical Case Management Effects of Ligament Injury, The long-term clinical outcomes of chronic hypermobility due to ligament laxity was reviewed. Potential interventions and their expected outcomes were presented York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022 | | | | | Spinal Biomechanics and Clinical Case Management Age Dating Spine Injury, Chiropractic diagnosis of acute disc and ligament injury and the tools necessary for accurate diagnosis, prognosis, and treatment planning. Ethical and accurate medical legal reporting was also reviewed ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022 | | | | | Spinal Biomechanics and Clinical Case Management Interprofessional Collaboration, Interprofessional collaboration including co-management, triage, and referral to medical specialists along with record keeping and documentation sharing with pain management and surgical specialties was reviewed. Clinical indications for surgical consultations were presented ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022 | | | | | 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. 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, NY, 2021 | | | | | 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. 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, NY, 2021 | | | | | 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 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, NY, 2021 | | | | | 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 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, NY, 2021 | | | | | 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 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, NY, 2021 | | | | | Clinical Grand Rounds – Nomenclature and Morphology of Intervertebral Disc Pathology, updated
review and demonstration of intervertebral disc nomenclature related to intervertebral disc
degeneration, trauma and other pathology. Specific attention paid to the agreed upon nomenclature
between the Combined Task Forces of the North American Spine Society, American Spine Society,
American Society of Spine Radiology and American Society of Neuroradiology. Details were provided in
comparison to intervertebral disc herniation and intervertebral disc degeneration. Radial fissures were
reviewed and outlined including circumferential, transverse and radial pathology and its anatomical
relation to the intervertebral disc. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, 2021 | | | | | Clinical Grand Rounds – Biomechanical Compensation and Intervertebral Disc Extrusion, detailed review of MRI documented lumbar disc extrusion measuring 12mm including STIR, T1 and T2
sagittal and axial images. Presentation of radiographic biomechanical analysis outlining sagittal
alignment and vertebral body rotations. Discussion of co-management of spinal pathology while
considering both the biomechanical and anatomical components of spine pain. Radiographic review
included lateral neutral, lateral flexion, lateral extension and AP views. Clinical correlation and
discussion of pre and post-surgical care was outlined. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, 2021 | | | | | Interprofessional Hospital Based Spine Care, Trends in hospital and emergent care in the healthcare delivery system inclusive of policies, hospital staffing and current care paths for mechanical spine issues. , Cleveland University Kansas City, Academy of Chiropractic, 2021 | | | | | Clinical Grand Rounds – Differentiating Degenerative vs Traumatic Cervical Spondylolisthesis, outline of
spondylolisthesis clinical work up in the presence of spine pain including plain film dynamic radiographs,
regional MRI study and assessment of alteration of motion segment integrity of specific spinal
segments. Review of the correlation of present segmental degenerative changes such as loss of disc
height, osteophyte formation, ligament ossification and facet joint hypertrophy and its association to
pre-existing spondylosis was presented. Detailed discussion of past and present medical history including
past traumatic events was emphasized. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, 2021 | | | | | Clinical Grand Rounds – Classification of Degenerative Cervical Disc Disease, review of a
radiographic rating system for objective assessment of intervertebral disc degeneration in the cervical
spine. The degree of degeneration was organized based on loss of disc height, formation of osteophytes
and the presence of diffuse sclerosis of adjacent vertebral bodies. Specific details of assessment were
outlined and presented. Comparison of plain film radiographs to cadaver specimens was demonstrated
and discussed. Review of interobserver validity of the grading system between observers was
presented. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, 2021 | | | | | Clinical Grand Rounds – Facet Joint Thresholds and Alteration of Motion Segment Integrity, discussion
of the predominant mode of joint loading of the cervical facet joints during whiplash injury related to
retraction tension on the facet joint capsule. Review of shear forces, translation of the inferior and
superior facet joint as well as injury risk due to excessive stretching of spinal ligaments was presented.
Overview and discussion of mechanical trauma to ligament tissue and subsequent microstructural
damage not visibly detected was outlined. Threshold for microstructural changes during retraction,
reduced ligament stiffness and unrecovered strain was discussed in detail. Individual response to facet
joint capsule response supported in the medical literature was presented. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, 2021 | | | | | Clinical Grand Rounds – Advanced Imaging Upper Cervical Spine and Documentation, Discussion and
review of ligament injury in the upper cervical spine. Focus was on missed diagnosis due to a lack of
imaging and interprofessional communication. Discussion of upper cervical anatomy including occipital
condyles, C1/C2 articulation in both MRI, plain film and CT scanning was presented using imaging slides.
Clinical documentation was reviewed with particular attention paid to clinical documentation errors form
other providers. Discussion on case management and interprofessional communication to correct
documentation errors was emphasized. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, 2021 | | | | | Clinical Grand Rounds – Biomechanical Analysis in Patient Crash Injuries, Detailed review of the
difference between biomechanical and biomedical analysis of injuries was presented. Outline of
necessity of the use of properly credentialed biomechanical and crash investigation professionals in the
diagnosis, management and reporting of crash injuries. Review of specific research related to forces
during Activities of Daily Living and those sustained in a crash were presented. Details of a proper
biomechanical analysis were discussed and specific review of a biomedical report omitting the
mathematical calculations needed to determine force and injury potential was presented. Additional
review of methods needed to determine expertise of the biomechanist or accident investigation was
discussed. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, 2021 | | | | | Clinical Grand Rounds – Chiropractic Professional Liability Litigation, Discussion of thirty years of jury
verdict data was reviewed and presented. Focus was on the rationale for claims against Doctor of
Chiropractic and overall decisions rendered by jury pools. Outlining the risk factors associated with overly
aggressive treatment, failure to diagnose and lack of interprofessional referral when medical necessary
was presented with statistics. Comparison between chiropractic management and surgical management
were outlined and detailed. Detailed analysis of causality versus correlation was presented and
discussed. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, 2021 | | | | | Trends in Spinal Healthcare, Analyzing spinal healthcare trends in both utilization and necessity and understanding the marketplace and how a clinical excellence level 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, NY, 2021 | | | | | MRI Spine Interpretation Advanced Diagnosis, 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, T1, T2, STIR and Proton-Density weighted evaluation to diagnose spine form MRI accurately. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2021 | | | | | Spinal Biomechanical Engineering Analytics and Case Management, Utilizing spinal mensurating algorithms to conclude a pathobiomechanical vs. normal spine in the absence of anatomical pathology. Clinically correlating a history and physical examination findings to x-ray biomechanical results in creating an accurate diagnosis, prognosis, and treatment plan. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2021 | | | | | MSK Extremity Radiological Interpretation, Utilizing both MRI and x-ray to diagnose 1) Arthritis - Inflammatory and Degenerative, 2) Advanced cartilage assessment, 3) Rotator Cuff Tears, 4) Labral tears (shoulder and hip), 5) Tendon injuries and degeneration, 6) Meniscal tears, 7) Ligamentous injuries, 8) Common fractures, 9) Sports-related injury patterns, 10) Plantar fasciitis. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2021 | | | | | Demonstrative Medical-Legal Documentation, The narrative report. How to effectively create medical-legal documentation and what the courts look for. Making your "4-Corner" (narrative) report demonstrable and build a reputation as an evidence-based provider. The step-by-step minutiae of building a report. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2021 | | | | | Managing Non-Anatomical Spine Pain, Treatment modalities centered upon "best-outcomes" in an evidence-based model considering chiropractic vs. physical therapy and chiropractic vs. medicine. Considerations of disability, pain reduction, functional improvement, drugs utilized, and side-effects are all considered. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2021 | | | | | Clinical Grand Rounds–Inter-professional Communication with the Personal Injury Attorney, review of the outlined of the initial and re-evaluation E/M
reporting in an injured patient. Discussion targeted compliant reporting and
interprofessional communication with the attorney. Specific methods of ensuring
compliant reporting were discussed and outlined. Statutory language, permanency
determination and impairment were presented and reviewed in contact of the final
narrative report. Emphasis was placed on the objectification of persistent functional
loss and causal relationship in the personal injury patient. Supporting medical
evidence of intervertebral disc pathology including disc herniation, disc bulge and
annular tear was provided. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, 2021 | | | | | Clinical Grand Rounds – Prevalence of Spinal Degeneration, discussion of the clinical
occurrence of spinal degenerative conditions such as Diffuse Skeletal Hyperostosis
(DISH), central stenosis, foraminal stenosis, degenerative disc disease and
osteoporosis was presented. Advanced imaging and plain film radiological utilization
in the diagnosis of spinal degermation was outlined and reviewed. Acute versus
degenerative conditions in the spine were reviewed and detailed in relation to
traumatic and non-traumatic events. Consensus driven parameters in the
identification and rating of degenerative change severity was discussed. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, 2021 | | | | | Clinical Grand Rounds – Diagnosis of Lumbar Facet Syndrome, overview of the most
common pain syndrome in the lumbar spine including societal burdens was
presented. Discussion of facet joint arthrosis being the most frequent facet joint pathology in
the human spine. Outline of level of correlation between clinical symptoms, physical
examination findings and degenerative spinal conditions was discussed. Presentation of
diagnostic facet block and the medical necessity of such a referral when indicated was
outlined. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, 2021 | | | | | Clinical Grand Rounds – Patient Triage –, testing and physical examination
workflows – evidence-based evaluation of the spine pain patient was
outlined and presented. Thorough review of criteria for ordering plain film
and advanced imaging was discussed and demonstrated. Clinical rationale
for ordering electrodiagnostic testing and patient referral criteria overview
was demonstrated. EMR and documentation workflows were discussed, and
efficiency protocols were outlined and applied to evidence based physical
examination procedures with and without a medical scribe. Details of reevaluations and clinical outcomes were reviewed and discussed. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences , 2021 | | | | | Clinical Grand Rounds – Types of Annular Fissures on Advanced and Plain Film Imaging –, detailed review of the structure and function of the human intervertebral disc was presented
including annulus fibrosis, nucleus pulposus, cartilaginous endplate and sharpey’s
fibers. Diagrams as well as MRI images were outlined and reviewed in both the cervical and
the lumbar spines with particular focus on the difference between degenerative and
traumatically induced changes. High intensity zone (HIZ) as a characteristic of injury to the
posterior aspect of the annulus fibrosis best visualized on T1 sagittal MRI images. Detailed
comparison of axial and sagittal T1, T2 and STIR images was outlined, discussed, and
reviewed. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, 2021 | | | | | Clinical Grand Rounds – Pelvic Incidence, Chiropractic and the Spine Surgeon, detailed analysis of the historical publication of Pelvic Incidence as a integral part of
sagittal spinal balance. Inter-professional communication with the surgeon using peer
reviewed medically indexed biomechanical parameters was outlined and
presented. Functional interaction between the spine and pelvis was demonstrated
and discussed. Components of Pelvic Incidence, sacral slope, pelvic tilt and femoral
heads were reviewed and demonstrated on plain film radiographs. Specific updated
research regarding spinal pelvic balance and pelvic incidence measurements was
provided. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, 2021 | | | | | 2021 Spine Management Conference – West – The Spine Management Physician, discussion of
the Spine Management Physician concept utilizing supportive evidence was presented. Outline of trends in spinal pain management versus a curative model was discussed. Credentials,
training, and triage methods were demonstrated for the Doctor of Chiropractic to increase proficiency in spine management. Scientific evidence supporting the need for a portal of entry physician dedicated to spine management oversight was outlined. Key differences between Spine Management Physician and Primary Spine Care were discussed. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Cleveland University of Health Sciences, College of Chiropractic, Kansas City, 2021 | | | | | 2021 Spine Management Conference – West, Chiropractic Evidence – Pain Management Care
– outline of neurological mechanisms of central nervous system modulation of pain in the
human body was demonstrated. Specific peer-reviewed, medically indexed evidence was
presented starting with 2012 Systematic Review outlining spinal manipulation’s effectiveness in
pain management. Current evidence as well as future trends were discussed and presented.
Neurological downregulation was discussed including afferent and efferent neurological
pathways regulated by the dorsal horn of the spinal cord. Interprofessional communication and
compliant documentation of the pain management phase of care was emphasized. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Cleveland University of Health Sciences, College of Chiropractic, Kansas City, 2021 | | | | | 2021 Spine Management Conference – West, Chiropractic Evidence – Corrective Care –
specific trends in the biomechanical assessment of the human spine were provided and
discussed. Emphasis was placed on the transfer of laboratory based biomechanical science and
clinical utilization of biomechanical parameters in the diagnosis and correction of spinal
biomechanical pathology. Peer reviewed medically indexed publications defining symptomatic
vs asymptomatic were presented and discussed. Sagittal alignment and its relation to pelvic
incidence was reviewed in relation to asymptomatic parameters. Interprofessional
communication relating to biomechanical stabilization and spinal rehabilitation was outlined
and reviewed. Review of a regional versus whole spine model of spine management was
presented emphasizing the needs of the patient, primary care physician, pain management
physician and spine surgeon. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Cleveland University of Health Sciences, College of Chiropractic, Kansas City, 2021 | | | | | 2021 Spine Management Conference – West – Physical Examination Workflows, Cervical Spine
– detailed review of cervical spinal physical examination with emphasis on clinical triage
between anatomical and biomechanical sources of spine pain. Neurological evaluation of the
neck and surrounding structures was reviewed including pathological reflexes, assessment of
vascular compromise and myelopathic findings. Detailed patient screening was stressed and its
correlation to physical examination, red flags and relative vs absolute contraindications to
chiropractic care was presented. Patient positioning and efficient processes were reviewed and
demonstrated. Details relating to cervical spine and orthopedic testing was discussed. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Cleveland University of Health Sciences, College of Chiropractic, Kansas City, 2021 | | | | | 2021 Spine Management Conference – West – Physical Examination Workflows, Thoracic and
Lumbar Spine and Pelvis – outlines of thoracic, lumbar and pelvis physical examination were
presented. Neurological evaluation of the lumbar spine and surrounding structures was
reviewed including pathological reflexes, assessment of cauda equina syndrome and triage
processes for neurologically compromised patients. Detailed screening was stressed and its
correlation to physical examination, red flags and relative vs absolute contraindications to
chiropractic care was reviewed. Patient positioning and efficient processes was reviewed and
demonstrated. Details relating to lumbar spine and pelvic orthopedic testing was discussed. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Cleveland University of Health Sciences, College of Chiropractic, Kansas City, 2021 | | | | | 2021 Spine Management Conference – West – Interprofessional Communication and Reporting, review of electronic health record workflows were presented and discussed with emphasis on
CPT compliant and efficient reporting. The importance of communication with the patient’s
other healthcare providers was outlined and discussed. Specific needs of the primary care
physician, pain management physician and spine surgeon were outlined and reviewed. Details
of simplified vocabulary and necessity of thoroughness were emphasized. Administrative
workflows ensuring regular and continued communication of clinical documentation was
provided. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Cleveland University of Health Sciences, College of Chiropractic, Kansas City, 2021 | | | | | 2021 Spine Management Conference – West – Patient Communication , – communication
techniques were discussed with emphasis on patient comprehension to increase compliance and
reduce patient anxiety. Details were presented on simplification of complex medical
terminology to ensure understanding at the initial visitation as well as throughout the patient’s
care plan. Conversational interaction and dissemination of health information at the
appropriate comprehension level was provided. Proper reporting and interprofessional
communication were emphasized in a wholistic approach to supporting the patient’s needs National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Cleveland University of Health Sciences, College of Chiropractic, Kansas City, 2021 | | | | | 2021 Spine Management Conference – West – Intervertebral Disc Morphology, detailed
discussion of the morphological descriptions of intervertebral disc pathology in the cervical,
thoracic, and lumbar spine was presented. Differential diagnosis of disc bulge, herniation,
protrusion, extrusion, and sequestration were presented. Attention was given to the five grades
of annular fissure associating circumferential, radial, and transverse morphology. High intensity
zone (HIZ) was discussed in detail as well as its correlation to acute inflammatory fluid. Specific
MRI images were presented and correlated to consensus driven definitions of intervertebral disc
pathology. Pre-existing degenerative changes in the human spine such as disc osteophyte
complex, spondylosis, increased innervation of the intervertebral disc and endplate changes
were discussed and correlated to acute findings on MRI. In depth discussion of the difference
between morphology and etiology of intervertebral disc pathology was outlined. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Cleveland University of Health Sciences, College of Chiropractic, Kansas City, 2021 | | | | | 2021 Spine Management Conference – West – Ligamentous Response to Traumatic Injury, anatomical review of spinal ligaments including nerve supply and formation of scar tissue post
injury was presented. Function and histological composition were detailed and clinically
correlated to physiological thresholds. Injury thresholds were also outlined and compared to the
AMA Guides to the Evaluation of Permanent Impairment 5th and 6th edition. Detailed review of
radiographic findings in the cervical and lumbar spine in the presence of ligamentous injury was
reviewed and presented. Clinical criteria supporting the diagnosis of ligament injury and
ligament laxity including patient history, physical examination, radiographic findings, and
advanced imaging was presented. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Cleveland University of Health Sciences, College of Chiropractic, Kansas City, 2021 | | | | | 2021 Spine Management Conference – West – Causality and Spinal Ligamentous Injury, detailed outline of acute versus chronic spine injury findings were presented. Reliable grading
systems for phases of spinal degeneration was reviewed and discussed. Scientifically validated
measuring process for intervertebral disc height and the 5 Grades of spinal degeneration
proposed by Kettler were outlined. Specific discussion was presented in the differential
diagnosis of ligament laxity due to degenerative process and acute ligamentous injury in the
functional spinal unit with specific examples of radiographic and advanced imaging findings.
Clinical correlation with Modic I, Modic II and Modic III endplate changes including cadaver
specimens was presented. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Cleveland University of Health Sciences, College of Chiropractic, Kansas City, 2021 | | | | | 2021 Spine Management Conference – West – Differential Spinal Tissue and Spinal Injury Triage, review of spinal tissue types and their response to physical stress and injury was presented.
Prognostic factors in patient management were presented in relation to injury to spinal
musculature, nerve tissue, ligamentous tissue, intervertebral disc, and bone. Tissue based
triage, patient and interprofessional communication was emphasized and stressed. N National National Spine Management Group, LLC - Copyright 2021 4 Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Cleveland University of Health Sciences, College of Chiropractic, Kansas City, 2021 | | | | | 2021 Spine Management Conference – West – Innervation of Spinal Structures, specific
reviewed of the anatomical innervation of pain generating structures in the human spine was
presented. Scientific chronology of nerve supply discovery was presented and discussed.
Increased innervation of the degenerating interverbal disc was presented and supported with
contemporary scientific evidence. Spinal ligamentous structures as pain generating entities
were also reviewed including anterior longitudinal ligament, posterior longitudinal ligament,
supraspinous ligament, interspinous ligament and facet capsule. Clinical correlation to patient
history, physical examination and imaging findings was emphasized with specific discussion on
interprofessional triage and patient management. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Cleveland University of Health Sciences, College of Chiropractic, Kansas City , 2021 | | | | | Clinical Grand Rounds – Chiropractic Management of Chronic Spine Pain, Discussion of
chronic spine pain as a Public Health issue and Chiropractic’s role in its diagnosis and
management. Epidemiological statistics of chronic pain sufferers consulting Doctors of
Chiropractic in the United States was presented. Outline of a spinal function and
preventative model as opposed to a curative process was presented and reviewed. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, 2021 | | | | | Clinical Grand Rounds – Diagnosis of Ossification of Anterior Longitudinal Ligament, – discussion of the
different types of Ossification of Anterior Longitudinal Ligament (OALL) including Segmental, Continuous
and Mixed in the sagittal plane. Review of axial classification including Flat, Nodular and Globular was
presented. Anatomy of spinal ligaments including the anterior and posterior longitudinal ligament and
their attachments was outlined. Context of dysphagia, its progression, symptoms and need for referral
was reviewed and outlined. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, 2021 | | | | | Clinical Grand Rounds – Aberrant Spinal Motion and Degenerative Disc Disease, – research analysis of
mechanic factors as etiology of intervertebral disc degeneration. Review of spinal tissue mechanics and
their relation to mechanical stress was discussed and corelated to abnormal changes in the structure and
composition of the intervertebral disc. Detailed discussion of ingrowth of pain transmitting nerve fibers
into degenerative intervertebral discs and their relationship to acute and chronic pain was
presented. Clinical correlation between congenital malformations of the spine, including scoliosis,
kyphosis, spina bifida, spondylolysis and Klippel Feil syndrome), accidental back injury or ligament injury,
occupational exposure and causing aberrant mechanical loading of lumbar spine, and intervertebral disc
degeneration visible on T1, T2 and STIR MRI, sagittal and axial sequences was presented National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, 2021 | | | | | Clinical Grand Rounds – Cervical Spinal Alignment and Knee Replacement Revision Rates, Review of the most common cervical spinal sagittal alignment parameters and their relationship
to interprofessional communication was presented. Discussion of rationale for knee
replacement revision surgery including aseptic loosening, fracture and prosthetic joint infection
was reviewed. Specific statistical review on revision surgery and effective treatment of endstage knee osteoarthritis was presented. Details of evidence-based research outlining patients
with cervical degenerative disorders having a higher rate of total knee replacement revisions
than those without degenerative changes. Analysis of the benefit of radiographic studies
looking at the mechanical relationship between the cervical spine and knee composition was
outlined and reviewed iversity of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences –, 2021 | | | | | Clinical Grand Rounds – Chiropractic Management of Cervical Disc Herniation –, – clinical differences
between etiology and morphology were reviewed and presented. Outline of patient history, physical
examination including neurological and orthopedic evaluation as well as criteria for ordering and reading
advanced imaging such as MRI and CT were presented. Plain film static and dynamic radiographic
studies were reviewed. Patient centered; consensus driven clinical diagnosis including interprofessional
communication was presented. Specific anatomical location of cervical intervertebral disc herniation
was presented and correlated to neurological findings on physical examination. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences , 2021 | | | | | 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, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University- Kansas City, Long Island, NY, 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, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University- Kansas City, Long Island, NY, 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, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University- Kansas City, Long Island, NY, 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, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University- Kansas City, Long Island, NY, 2021 | | | | | Clinical Grand Rounds – Chiropractic Management of Lumbar Disc Herniation, review of the
pathogenesis and morphological presentation of lumbar intervertebral disc herniation. Outline of
patient history, physical examination including neurological and orthopedic evaluation as well as criteria
for ordering and reading advanced imaging such as MRI and CT were presented. Plain film static and
dynamic radiographic studies were reviewed. Patient centered; consensus driven clinical diagnosis
including interprofessional communication was presented. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, 2021 | | | | | Clinical Grand Rounds – Chiropractic Management of Cervical Facet Syndrome –, review of the
pathogenesis and morphological presentation of cervical facet syndrome. Outline of patient history,
physical examination including neurological and orthopedic evaluation as well as criteria for ordering
and reading advanced imaging such as MRI and CT were presented. Discussion involving ligamentous
structures such as interspinous ligament, supraspinous ligament and facet capsules was presented. Plain
film static and dynamic radiographic studies were reviewed as well as specific sclerotogenous referrals
patterns of facet mediated pain. Patient centered; consensus driven clinical diagnosis including
interprofessional communication was presented, specific presentation relating to diagnostic medial
branch blocks and pain management referral was emphasized. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards - PACE. State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, 2021 | | | | | Clinical Grand Rounds – Chiropractic Management of Cervical Radiculopathy, characterization of
cervical radiculopathy in terms of neurological dysfunction including compression and inflammation of
the spinal nerves was reviewed. Cervical spondylosis and intervertebral disc herniation as causative
factors were presented and discussed. Conservative care as well as surgical intervention were presented
and correlated to response to care and clinical findings. Outline of patient history, physical examination
including neurological and orthopedic evaluation as well as criteria for ordering and reading advanced
imaging such as MRI and CT were presented. Plain film static and dynamic radiographic studies were
reviewed. Patient centered; consensus driven clinical diagnosis including interprofessional
communication was presented. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, 2021 | | | | | Clinical Grand Rounds – Chiropractic Management of Lumbar Facet Syndrome, discussion of the clinical
presentation of lumbar facet syndrome with specific attention paid to the pathogenesis and differential
diagnosis of lumbar disc herniation, disc bulge and radiculopathy. Review of patient history, mechanism of
injury, physical examination including neurological and orthopedic evaluation as well as criteria for ordering
and reading advanced imaging such as MRI and CT were presented. Discussion involving ligamentous
structures such as interspinous ligament, supraspinous ligament and facet capsules was presented. Plain film
static and dynamic radiographic studies were reviewed as well as specific sclerotogenous referrals patterns of
facet mediated pain. Patient centered; consensus driven clinical diagnosis including interprofessional
communication was presented, specific presentation relating to diagnostic medial branch blocks and pain
management referral was emphasized. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards - PACE. State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, 2021 | | | | | Clinical Grand Rounds – Chiropractic Management of Cervical Myelopathy, review of all relevant spinal
anatomy in the cervical and lumbar spine including vertebral bodies, central canal, neuroforamen,
ligamentum flavum, anterior and posterior longitudinal ligaments, facet capsule, interspinous ligament,
supraspinous ligament and spinal cord anatomy. Review of spinal cord anatomy included white and
gray matter, ventral and dorsal nerve roots, spinal nerve including the dura mater, arachnoid mater and
pia mater. Specific review of patient history, mechanism of injury, physical examination including
neurological and orthopedic evaluation as well as criteria for ordering and reading advanced imaging
such as MRI and CT were presented in relation to cervical myelopathy, spinal cord compression and
myelomalacia. Patient centered; consensus driven clinical diagnosis including interprofessional
communication was presented, specific presentation relating to diagnostic outcomes and management.
Attention was given to MRI and CT myelogram in both the uncomplicated and complicated patient National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards - PACE. State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, 2021 | | | | | Clinical Grand Rounds – Chiropractic Diagnosis and Management of Cervical Ligament Laxity, detailed
outline of injury thresholds of the anterior longitudinal, posterior longitudinal and ligamentum flavum
was presented. Review of structural and physiological properties relating to stress/strain curve of the
above ligaments. Outline of the toe region, linear region and failure region was
demonstrated. Transversely isotropic material properties of spinal ligaments was included and
correlated to chiropractic care and impairment rating using the AMA Guides to the Evaluation and
Management 5th and 6th editions National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards - PACE. State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, 2021 | | | | | Diagnosis and Management of Post-Surgical Cervical Facet Syndrome, – a case of
persistent and worsening neck and left shoulder pain post-surgical fusion was presented. Pre and post
plain film and advanced imaging slides were reviewed and correlated clinically to left sided mid-scapular
pain. Physical examination including orthopedic and neurological testing was discussed in correlation to
presenting symptoms. Differential diagnosis of radiculopathy, radiculitis, discogenic pain, scapular
myofascial syndrome and thoracic intersegmental dysfunction was presented. Cervical facet joint
referral patterns were reviewed and outline of referral for diagnostic facet joint block was
discussed. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards - PACE. State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, 2021 | | | | | Chiropractic Diagnosis and Management of Non-Specific Spine Pain, outline and discussion of the
mechanical origins of spine pain emphasizing common biomechanical parameters was
presented. Review of chiropractic-based maintenance care in the management of patient centered spine
pain was introduced. Introduction of a Spine Management Physician was presented outlining the
natural history of spine pain in the human population. Interprofessional communication and case
management was emphasized with focus on societal burden of mismanagement was
presented National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards - PACE. State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, 2021 | | | | | Chiropractic Diagnosis and Management of Whiplash Disorder, – outline and discussion of Whiplash as a
mechanism of injury with particular focus on damage to underlying tissue structures. Review of anatomy,
with specific focus on surrounding muscular, supraspinous ligament, interspinous ligament, spinal nerve,
spinal cord, facet capsule and dorsal/ventral nerve roots was presented. Clinical correlation to imaging
studies and its influence on management of the Whiplash patient was reviewed. Focused attention was
paid to Whiplash as a mechanism of injury and not a complete diagnosis. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards - PACE. State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, 2021 | | | | | Chiropractic Diagnosis and Management of the Post-Surgical Patient, - outline and analysis of spinal
biomechanical parameters in a whole spine model of care in the post-surgical analysis of the spine pain
patient. Review of the details of measuring Pelvic Incidence and discussion of history of its analysis in
relation to sagittal balance and vertebral body rotation was discussed. Outline of movement from a
regional model of spine care to a full spine model was presented particularly in the context of pain
management strategies post-surgery. Analysis of the components of the post-surgical patient including
muscle movement patterns, segmental mobility, spinal curvature and rotation in the coronal, sagittal
and axial planes was presented. Interprofessional communication and co-management was
emphasized. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards - PACE. State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences , 2021 | | | | | Chiropractic Diagnosis and Management of the Pre-Surgical Patient, outline and analysis of spinal
biomechanical parameters in a whole spine model of care. Review of the details of measuring Pelvic
Incidence and discussion of history of its analysis. Outline of movement from a regional model of spine
care to a full spine model was presented. Analysis of the components of the pre-surgical patient
including muscle movement patterns, segmental mobility, spinal curvature and rotation in the coronal,
sagittal and axial planes was presented. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards - PACE. State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences –, 2021 | | | | | Chiropractic Diagnosis and Management of Lumbar Ligament Laxity –, detailed outline of injury
thresholds of the anterior longitudinal, posterior longitudinal and ligamentum flavum was presented in
the lumbar spine. Review of structural and physiological properties relating to stress/strain curve of the
above ligaments. Outline of the toe region, linear region and failure region was
demonstrated. Transversely isotropic material properties of spinal ligaments was included and
correlated to chiropractic care and impairment rating using the AMA Guides to the Evaluation and
Management 5th and 6th editions. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards - PACE. State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, 2021 | | | | | 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, NY, 2020 | | | | | MRI History and Physics, Magnetic fields, T1 and T2 relaxations, nuclear spins, phase encoding, spin echo, T1 and T2 contrast, magnetic properties of metals and the historical perspective of the creation of NMR and MRI. 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, NY, 2020 | | | | | MRI Spinal Anatomy and Protocols, Normal anatomy of axial and sagittal views utilizing T1, T2, 3D gradient and STIR sequences of imaging. Standardized and desired protocols in views and sequencing of MRI examination to create an accurate diagnosis in MRI. 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, NY, 2020 | | | | | MRI Disc Pathology and Spinal Stenosis, MRI Disc Pathology and Spinal Stenosis, MRI interpretation of bulged, herniated, protruded, extruded, sequestered and fragmented disc pathologies in etiology and neurological sequelae in relationship to the spinal cord and spinal nerve roots. 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 , NY, 2020 | | | | | MRI Spinal Pathology, MRI interpretation of bone, intradural, extradural, cord and neural sleeve lesions. Tuberculosis, drop lesions, metastasis,
ependymoma, schwanoma and numerous other spinal related tumors and lesions 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 , NY, 2020 | | | | | MRI Methodology and Analysis, MRI interpretation sequencing of the cervical, thoracic and lumbar spine inclusive of T1, T2, STIR and 3D gradient
studies to ensure the accurate diagnosis of the region visualized 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 , NY, 2020 | | | | | MRI Clinical Application, The clinical application of the results of space occupying lesions. Disc and tumor pathologies and the clinical indications of
manual and adjustive therapies in the patient with spinal nerve root and spinal cord insult as sequellae 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 , NY, 2020 | | | | | MRI Protocols Clinical Necessity, MRI slices, views, T1, T2, STIR axial, stacking, FFE, FSE and sagittal images. Clinical indication for the utilization
of MRI and pathologies of disc in both trauma and non-trauma sequellae, including bulge, herniation, protrusion, extrusion and sequestration ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences and Academy of Chiropractic Post Doctoral Division, Los Angeles, CA, 2020 | | | | | MRI Interpretation of Cervical Herniations, MRI slices, views, T1, T2, STIR Axial, FFE, FSE and sagittal images in the interpretation of lumbar
herniations. With the co-morbidities and complications of stenosis, pseudo-protrusions, cantilevered vertebrate, Schmorl's nodes and herniations.
morphology of lumbar disc pathologies of central and lateral herniations, protrusions, extrusions, sequestration, focal and broad based herniations
are defined and illustrated. Spinal cord and canal compromise interpretation with management ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences and Academy of Chiropractic Post Doctoral Division, Los Angeles, CA, 2020 | | | | | MRI Interpretation of Lumbar Bulges/Degenerative Disc Disease , MRI Interpretation of Lumbar Degeneration/Bulges, MRI slices, views, T1, T2, STIR axial, stacking, FFE, FSE and sagittal images in the interpretation of lumbar degeneration. With the co-morbidities and complications of stenosis, pseudo-protrusions, cantilevered vertebrate, Schmorl/'s nodes and herniations. Central canal and cauda equina compromise interpretation with management. 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, NY, 2020 | | | | | MRI Interpretation of Lumbar Herniated Discs, MRI Interpretation of Lumbar Herniations, MRI slices, views, T1, T2, STIR axial, stacking, FFE, FSE and sagittal images in the interpretation of lumbar herniations. With the co-morbities and complications of stenosis, pseudo-protrusions, cantilevered vertebrate, Schmorl/'s nodes and herniations. Morphology of lumbar disc pathologies of central and lateral herniations, protrusions, extrusions, sequestration, focal and broad based herniations are defined and illustrated. Central canal and cauda equina compromise interpretation with management. . 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, NY, 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, NY, 2020 | | | | | MRI Disc Overview & Imaging Protocols , MRI Protocols Clinical Necessity, MRI slices, views, T1, T2, STIR axial, stacking, FFE, FSE and sagittal images. Clinical indication for the utilization of MRI and pathologies of disc in both trauma and non-trauma sequellae, including bulge, herniation, protrusion, extrusion and sequestration. 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, NY, 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, pseudo-protrusions, cantilevered vertebrate, Schmorl/'s nodes and herniations. 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, NY, 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, pseudo-protrusions, cantilevered vertebrate, Schmorl/'s nodes and herniations. 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, NY, 2020 | | | | | MRI Interpretation of Cervical Herniated Discs, MRI Interpretation of Cervical Herniations, MRI slices, views, T1, T2, STIR Axial, FFE, FSE and sagittal images in the interpretation of lumbar herniations. With the co-morbidities and complications of stenosis, pseudo-protrusions, cantilevered vertebrate, Schmorl/'s nodes and herniations. morphology of lumbar disc pathologies of central and lateral herniations, protrusions, extrusions, sequestration, focal and broad based herniations are defined and illustrated. Spinal cord and canal compromise interpretation with management. 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, NY, 2020 | | | | | Virtual Grand Rounds, MRI Interpretation of Degenerative Spine and Disc Disease with Overlapping Traumatic Insult to Both Spine and Disc, MRI slices, views, T1, T2, STIR Axial, FFE, FSE and sagittal images in the interpretation of degenerative spondylolesthesis, spinal canal stenosis, Modic type 3 changes, central herniations, extrusions, compressions, nerve root compressions, advanced spurring and thecal sac involvement from an orthopedic, emergency room, chiropractic, neurological, neurosurgical, physical medicine perspective. 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, NY, 2020 | | | | | Electrodiagnostics: Electromyogram/Nerve Conduction Velocity (EMG/NCV), Diagnosis & Interpretation, Anatomy and Physiology of Electrodiagnostics: An in-depth review of basic neuro-anatomy and physiology dermatomes and myotomes to both the upper and lower extremities and the neurophysiology of axons and dendrites along with the myelin and function of saltatory for conduction. The sodium and potassium pump’s function in action potentials. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2020 | | | | | Electrodiagnostics: Electromyogram/Nerve Conduction Velocity (EMG/NCV), Diagnosis & Interpretation, Nerve Conduction Velocity (NCV) Part 1: Nerve conduction velocity testing, the equipment required and the specifics of motor and sensory testing. This section covers the motor and sensory NCV procedures and interpretation including latency, amplitude (CMAP) physiology and interpretation including the understanding of the various nuances of the wave forms. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2020 | | | | | Electrodiagnostics: Electromyogram/Nerve Conduction Velocity (EMG/NCV), Diagnosis & Interpretation, Nerve Conduction Velocity (NCV) Part 2: Compound motor action potentials (CMAP) and sensory nerve action potentials (SNAP) testing and interpretation including the analysis and diagnosis of the wave forms. It also covers compressive neuropathies of the median, ulnar and posterior tibial nerves; known as carpal tunnel, cubital tunnel and tarsal tunnel syndromes. This section offers interpretation algorithms to help understand the neurodiagnostic conclusions. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2020 | | | | | Electrodiagnostics: Electromyogram/Nerve Conduction Velocity (EMG/NCV), Diagnosis & Interpretation: Needle Electromyogram (EMG) Studies, The EMG process, inclusive of how the test is performed and the steps required in planning and electromyographic study. This covers the spontaneous activity of a motor unit action potential, positive sharp waves and fibrillations. The insertional activity (both normal and abnormal), recruitment activity in a broad polyphasic presentation and satellite potentials. This covers the diagnosing of patterns of motor unit abnormalities including neuropathic demyelinated neuropathies along with acute myopathic neuropathies. This section also covers the ruling out of false positive and false negative results. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2020 | | | | | Electrodiagnostics: Electromyogram/Nerve Conduction Velocity (EMG/NCV), Diagnosis & Interpretation, Overview of EMG and NCV Procedures, Results, Diagnoses and Documentation. The clinical incorporation of electrodiagnostic studies as part of a care plan where neuropathology is suspected. It also covers how to use electrodiagnostics in a collaborative environment between the chiropractor as the primary spine care provider and the surgeon, when clinically indicated. This section covers sample cases and health conclude and accurate treatment plans based upon electro-neurodiagnostic findings when clinically indicated. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2020 | | | | | 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 sequellae to injury diagnosis. Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2020 | | | | | Diagnosing and Case Management, The requirements for diagnosing imaging inclusive of static x-rays, biomechanical x-rays, and MRI. Documenting the clinical findings of disc bulge, herniation, protrusion, extrusion, and fragmentation. Coding, diagnosing, and documenting individual treatment encounters in the clinical setting. Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2020 | | | | | 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, NY, 2020 | | | | | 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, NY, 2020 | | | | | 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, NY, 2020 | | | | | 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 sequellae to pathobiomechanics from trauma. The utilization of digital motion x-ray in diagnoising 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, NY, 2020 | | | | | 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, NY, 2020 | | | | | 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, NY, 2020 | | | | | 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 rotatioal 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, NY, 2020 | | | | | Triaging and reporting while maintaining ethical medical-legal relationships, Neurodiagnostics, Imaging Protocols and Pathology of the Trauma Patient, An in-depth understanding of the protocols in triaging and reporting the clinical findings of the trauma patient. Maintaining ethical relationships with the medical-legal community. Cleveland University - Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2020 | | | | | Physical Examination & Documentation for the Trauma Patient, Diagnostics, Risk Factors, Clinical Presentation and Triaging the Trauma Patient, An extensive understanding of the injured with clinically coordinating the history, physical findings and when to integrate neurodiagnostics. An understanding on how to utilize emergency room records in creating an accurate diagnosis and the significance of "risk factors" in spinal injury. 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, Long Island, NY, 2020 | | | | | Crash Dynamics and Its Relationship to Causality, Crash Dynamics and Its Relationship to Causality, An extensive understanding of the physics involved in the transference of energy from the bullet car to the target car. This includes G's of force, newtons, gravity, energy, skid marks, crumple zones, spring factors, event data recorder and the graphing of the movement of the vehicle before, during and after the crash. Determining the clinical correlation of forces and bodily injury. 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, Long Island, NY, 2020 | | | | | MRI, Bone Scan and X-Ray Protocols, Physiology and Indications for the Trauma Patient, MRI, Bone Scan and X-Ray Protocols, Physiology and Indications for the Trauma Patient, MRI interpretation, physiology, history and clinical indications, bone scan interpretation, physiology and clinical indications, x-ray clinical indications for the trauma patient. 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, Long Island, NY, 2020 | | | | | Neurodiagnostics Testing: EMG/NCV, VEP, BAER, V-ENG and SSEP, Clinical Indications and Interpretation, Neurodiagnostic Testing Protocols, Physiology and Indications for the Trauma Patient, Electromyography (EMG), Nerve Conduction Velocity (NCV), Somato Sensory Evoked Potential (SSEP), Visual Evoked Potential (VEP), Brain Stem Auditory Evoked Potential (BAER) and Visual-Electronystagmosgraphy (V-ENG) interpretation, protocols and clinical indications for the trauma patient. 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, Long Island, NY, 2020 | | | | | 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, 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, Long Island, NY, 2020 | | | | | Strategic Plan, Documenting Clinically Correlated Bodily Injury to Causality, Understanding the necessity for accurate documentation, diagnosis and clinical correlation to the injury when reporting injuries in the medical-legal community. Documenting the kinesiopathology, myopathology, neuropathology, and pathophysiology in both a functional and structural paradigm. 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, Long Island, NY, 2020 | | | | | 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, NY, 2020 | | | | | Spinal Trauma Pathology, Triage and Connective Tissue Injuries and Wound Repair, 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, NY, 2020 | | | | | 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, NY, 2020 | | | | | 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, NY, 2020 | | | | | 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, NY, 2020 | | | | | 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, NY, 2020 | | | | | 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, NY, 2020 | | | | | 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, NY, 2020 | | | | | 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, NY, 2020 | | | | | 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, NY, 2020 | | | | | 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, NY, 2020 | | | | | 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, NY, 2020 | | | | | 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, NY, 2020 | | | | | 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, Long Island, NY, 2020 | | | | | 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, NY, 2020 | | | | | Neurology of Ligament Pathology, Spinal Biomechanics and Disc Pathology, Disc pathology as sequella 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, NY, 2020 | | | | | 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, NY, 2020 | | | | | 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, NY, 2020 | | | | | 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, NY, 2020 | | | | | 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, NY, 2020 | | | | | 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, NY, 2020 | | | | | Primary Spine Care 10: Chiropractic Spine Management, 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, NY, 2020 | | | | | Primary Spine Care 10: Chiropractic Spine Management, 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, NY, 2020 | | | | | Primary Spine Care 10: Chiropractic Spine Management, 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, NY, 2020 | | | | | Primary Spine Care 10: Chiropractic Spine Management, 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, NY, 2020 | | | | | 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 Kansas City, Long Island, NY, 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, NY, 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, NY, 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, NY, 2020 | | | | | 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, NY, 2020 | | | | | Manipulation under anesthesia, consists of a series of mobilization, Chiropractic manipulation, stretching, and traction procedures performed while the patient receives anesthesia (usually general anesthesia or moderate sedation). Manipulation is intended to break up fibrous and scar tissue to relieve pain and improve range of motion. Certification in Manipulation Under Anesthesia, National University of health sciences, Los Angeles, CA, 2001 | | | |
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