SELECTED POST-GRADUATE EDUCATION, CERTIFICATIONS AND DIPLOMATES
| 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 components. 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 Present | | | | | Medical-Legal Ethical Relationships, Documentation and Legal Testimony, Report writing for legal cases, the 4 corners of a narrative and documenting damages with understanding defense medical documentation and consistent reporting of bodily injuries. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY 2024 | | | | | Medical-Legal Ethical Relationships, Documentation and Legal Testimony, Part 2, Understanding report writing and the types of medical reports required for court inclusive of diagnosis, prognosis and treatment plans with requirements of reporting causality and permanency. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY 2024 | | | | | Medical-Legal Ethical Relationships, Documentation and Direct Testimony, Organizing your documentation and understanding all collaborative documentation and how it fits into your diagnosis, prognosis and treatment plan, Understanding the nuances of the functional losses of your patients related to their bodily injuries, Academy of Chiropractic, Post-Doctoral Division. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY 2024 | | | | | Medical-Legal Ethical Relationships, Documentation and Direct Testimony Part 2, Utilizing demonstrative documentation in direct examination and communicating the results of your care concurrently with the written documentation and reporting an accurate diagnosis for all images. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY 2024 | | | | | Medical-Legal Ethical Relationships, Documentation and Direct Testimony Part 3, The evaluation, interpretation and reporting of collaborative medical specialists results and concluding an accurate diagnosis inclusive of all findings and reviewing all images to ensure an accurate diagnosis. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY 2024 | | | | | Medical-Legal Ethical Relationships, Documentation and Direct Testimony Part 4, Determininig and documenting disabilities and impairments inclusive of loss of enjoyment of life and duties under duress and the evaluation and validation of pain and suffering. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY 2024 | | | | | Medical-Legal Ethical Relationships, Documentation and Cross Examination Testimony, Reporting your documentation factually and staying within the 4 corners of your medical report and scope of practice inclusive of understanding how your credentials allow you to report your documentation. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY 2024 | | | | | Medical-Legal Ethical Relationships, A Documentation Relationship Between the Doctor and Lawyer, The level of organization required in a medical-legal case that accurately reflects the bodily injuries of your patients and the time constraints in rendering an accurate report. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY 2024 | | | | | Medical-Legal Ethical Relationships, Report Writing and Preparing for a Legal Case, Reviewing the facts of the case inclusive of your documentation, the defense medical examiner, medical specialists and the attorney to ensure accurate and consistent reporting. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY 2024 | | | | | Medical-Legal Ethical Relationships, Report Writing and Preparing for a Legal Case, Creating demonstrative evidence, visuals of your patient's bodily injuries inclusive of x-rays, MRI's, CAT Scans and electrodiagnostic findings, the spinal biomechanics of herniated disc with ipsilateral findings and contralateral symptomatology. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY 2024 | | | | | Ethical Financial Relationships with Attorneys, Ethical financial relationship with lawyers and the documentation needed from the provider to define the relationship. Assignments, release of records, right to receive information, explaining statutes of limitations and document exchange are detailed. Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2024 | | | | | Legality of Assignments, assignment of rights and benefits. What that means in a contemporary clinical practice and how to ensure you have the legal authority to bill and collect based on necessary documentation. Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2024 | | | | | Ethical Medical-Legal Financial Relationships, Part 1, Detailing what an ethical relationship is for the doctor and attorney. It describes the differences in ethics for a lawyer and doctor and what constitutes a licensure violation in both practices. It also details how to ensure your documentation supports ethical relationships. Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2024 | | | | | Ethical Financial Relationships, Part, Managing cases where lawyers are unethical and understanding the Rules of Professional Conduct mandated for lawyers nationally. It helps you creates business systems to manage these types for cases and work within the framework of the laws in each state to ensure compliance. Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2024 | | | | | Documentation Required to Ensure a Reasonable Conclusion to a Case with an Attorney, The “Rules of Professional Conduct” as mandated by license for lawyers and further defines documentation required for a doctor to use with cases involving lawyers. It also details the necessary documentation needed for a doctor to provide in detailing injuries to patients in an evaluation and management encounter and a final narrative for the courts. Academy of Chiropractic Post-Doctoral Division, Long Island, NY 2024 | | | | | 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 – 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 | | | | | 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 – 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 | | | | | Stroke Anatomy and Physiology: Brain Vascular Anatomy, The anatomy and physiology of the brain and how blood perfusion effects brain function. A detailed analysis of the blood supply to the brain and the physiology of ischemia. [Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards>, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021 | | | | | 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 in stroke inclusive of diabetes, coagulopathy, acquired and hereditary deficiencies. [Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards], ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021 | | | | | Stroke Principles of Treatment an Overview for the Primary Care Provider, Stroke type and treatments performed by vascular specialists. The goals of treatment with the physiology of the infarct and penumbra zones and the role of immediate triage in the primary care setting. Detailing the complications of stroke and future care in the chiropractic, primary care or manual medicine clinical setting. [Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards], ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021 | | | | | 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. ,.[Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards], ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021 | | | | | 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, PACE Recognized by the Federation of Chiropractic Licensing Boards, Academy of Chiropractic, Post-Doctoral Division,, Long Island, NY, 2021 | | | | | 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, PACE Recognized by the Federation of Chiropractic Licensing Boards, Academy of Chiropractic, Post-Doctoral Division,, Long Island, NY, 2021 | | | | | 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, PACE Recognized by the Federation of Chiropractic Licensing Boards, Academy of Chiropractic, Post-Doctoral Division, , Long Island, NY, 2021 | | | | | 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, PACE Recognized by the Federation of Chiropractic Licensing Boards, Academy of Chiropractic, Post-Doctoral Division, , Long Island, NY, 2021 | | | | | 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, PACE Recognized by the Federation of Chiropractic Licensing Boards, Academy of Chiropractic, Post-Doctoral Division,, Long Island, NY, 2021 | | | | | The Basics of Orthopedic Testing, 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: 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 – Mechanical Response of Damaged Human Cervical Spine Ligaments, discussion
of the biomechanical properties of cervical spinal ligaments under sub-failure loads. Ligaments
discussed were the Anterior Longitudinal Ligament, Posterior Longitudinal ligament and the
Ligamentum Flavum. Deformations exceeding physiological limitations were presented and reviewed.
Grade I and Grade II injuries were outlined and discussed. Presentation included observed ligamentous
injury significantly compromising ligament ability to give tensile support within physiological spinal
motion. Findings were clinically correlated to long term sequalae in Alteration of Motion Segment
Integrity and the AMA Guides to the Evaluation of Permanent Impairment 5th and 6th Editions. 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 | | | | | 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, 2021 | | | | | Hospital Based Spine Care Qualified, Credentialed in hospital protocols, emergency room protocols, acute and chronic patient triage inclusive of MRI spine interpretation, spinal biomechanical engineering, head trauma, concussion, mild traumatic and traumatic brain injuries. Co-credentialed through the ACCME (Accreditation Council for Continuing Medical Education), Cleveland University – Kansas City and the Academy of Chiropractic, Long Island, New York, 2021, Long Island, NY, 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, 2021 | | | | | 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, 2021 | | | | | 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, 2021 | | | | | Accident Reconstruction: Research, Causality and Bodily Injury, Delta V issues correlated to injury and mortality, side impact crashes and severity of injuries, event data recorder reports correlated to injury, frontal impact kinematics, crash injury metrics with many variables and inquiries related to head restraints Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2021 | | | | | 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. It covers the neurophysiology of axons and dendrites along with the myelin and function of saltatory for conduction. This section goes into depth into explaining the sodium and potassium pump’s function in action potentials. Cleveland University - Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2021 | | | | | Nerve Conduction Velocity (NCV) Part 1, Discusses 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, 2021 | | | | | Nerve Conduction Velocity (NCV) Part 2, Covers a continuation of 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, 2021 | | | | | Needle Electromyogram (EMG) Studies, Covers what EMG do 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. It covers 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, 2021 | | | | | Electrodiagnostic (EMG/NCV) Overview and Clinical Grand Rounds, A complete overview of what EMG and NCV procedures, results, diagnoses and documentation. It covers 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, 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. N 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. 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 – 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 | | | | | 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 | | | | | 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. 2021 | | | | | 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 | | | | | 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, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2020 | | | | | 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, 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 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, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2020 | | | | | 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, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2020 | | | | | Documentation and Reporting for the Trauma Victim, Understanding the necessity for accurate documentation and diagnosis utilizing the ICD-10 and the CPT to accurately describe the injury through diagnosis. Understanding and utilizing state regulations on reimbursement issues pertaining to healthcare. Cleveland University - Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2020 | | | | | 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, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2020 | | | | | Evaluation and Management, An overview of the evaluation and management process inclusive of utilizing electronic medical records to conclude evidenced-based conclusions with the utilization of macros. The importance of adhering to an academic standard and considering co-morbidities. Cleveland University - Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2020 | | | | | Evaluation and Management, Concluding a chief complaint, history and what needs to be considered in a physical examination., This covers in dept the required elements for chief complain, history of present illness, review of systems, and past, family, and/or social history. This module also covers the following components of a physical examination: observation, palpation, percussion, and auscultation. Cleveland University - Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2020 | | | | | Evaluation and Management, Coding and Spinal Examination, Detailing 99202-99205 and 99212-99215 inclusive of required elements for compliant billing. It reviews the elements for an extensive review of systems, cervical and lumbar anatomy and basic testing. The course also covers the basics of vertebra-basilar circulation orthopedic assessment. Cleveland University - Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2020 | | | | | Evaluation and Management, Neurological Evaluation, Reviewing complete motor and sensory evaluation inclusive of reflex arcs with an explanation of Wexler Scales in both the upper and lower extremities. The course breaks down testing for upper and lower motor neuron lesions along with upper and lower extremity motor and sensory testing examinations. Cleveland University - Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2020 | | | | | Evaluation and Management, Documenting Visit Encounters, Forensically detailing the S.O.A.P. note process for visit encounters and discussing the necessity for clinically correlating symptoms, clinical findings and diagnosis with the area(s) treated. It also details how to modify treatment plans, diagnosis, document collaborative care and introduce test findings between evaluations. Cleveland University - Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2020 | | | | | Evaluation and Management, Case Management and Treatment Orders, This module discusses how to document a clinically determined treatment plan inclusive of both manual and adjunctive therapies. It discusses how to document both short-term and long-term goals as well as referring out for collaborative care and/or diagnostic testing. It also includes how to prognose your patient and determine when MMI (Maximum Medical Improvement) has been attained. 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 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 of Analysis, MRI interpretation sequencing of the cervical, thoracic and lumbar spine inclusive of T1, T2, STIR and 3D gradient studies to ensure the accurate diagnosis of the region visualized. 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 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, 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 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 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 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 | | | | | 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 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 | | | | | 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 | | | | | Credentialed in MRI Interpretation, 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 2: Spinal Trauma Pathology, Morphology of healthy and traumatized connective tissue and the permanency implication of adhesions, spinal disc morphology in the healthy and pathological patient as sequella to trauma in relationship to bulges, herniations, protrusions, extrusions and sequestrations. Aberrant spinal biomechanics and negative sequella to trauma. Cleveland University – Kansas City, Academy of Chiropractic, Setauket, NY, 2020 | | | | | Primary Spine Care 2: Utilizing Research in Trauma, The ability of your electronic health records to convey tissue pathology while documenting case studies, field experiments, randomized trials and systematic literature reviews, Introducing evidence based macros in documentation to support the literature and necessity of care. Cleveland University - Kansas City, Academy of Chiropractic Post-Doctoral Division, Setauket, NY, 2020 | | | | | Primary Spine Care 2: Chiropractic Evidence, Analyzing segmental pathology, adjusting vs. mobilization with cervicogenic headaches, Opioid alternatives and case management of mechanical spine pain based upon outcome studies. Cleveland University - Kansas City, Academy of Chiropractic Post-Doctoral Division, Setauket, NY, 2020 | | | | | Primary Spine Care 2: Chiropractic Spinal Adjustment Central Nervous System Processing, Literature reviews of mechanoreceptor, proprioceptor and nociceptor stimulation of later horn gray matter with periaqueductal stimulation affecting the thalamus and cortical regions with efferent distribution in disparate regions of the body in both pain and systemic stimulation. Cleveland University - Kansas City, Academy of Chiropractic Post-Doctoral Division, Setauket, 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, 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 | | | | | Spinal Biomechanical Engineering: Full Spine Digital Analysis, Digitalizing and analyzing the full spine images to diagnose pathobiomechanics as sequellae to trauma in relation to ligamentous failure and disc and vertebral pathology as sequellae. 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 | | | | | Spinal Trauma Pathology, Triage and Connective Tissue Injuries and Wound Repair, Triaging the injured and differentially diagnosing both the primary and secondary complaints. Connective tissue injuries and wound repair morphology focusing on the aberrant tissue replacement and permanency prognosis potential. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, 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 | | | | | 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 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 | | | | | 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 | | | | | 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. 2013 | | | | | 2023 National Spine Management Conference South – Role of a Spine Management Physician - , Outline and overview of what a Spine Management Physician is, and the present day need in healthcare. Details relating to the Doctor of Chiropractic filling that role with specific discussion related to WHY physical therapy, nurse practitioners or physician assistants are unable to fill this position. Overview of a spine manager’s role in the evaluation and triage of non-operative spine patients was presented. Introduction to the diagnosis of non-specific spine pain was outlined with focus on the needs of primary care, pain management and spinal surgeons. National Spine Management Group, LLC, Parker University, Alabama State Board of Chiropractic Examiners, Kentucky Board of Chiropractic, Louisiana State Board of Chiropractic Examiners, Texas Board of Chiropractic Examiners, Florida Board of Chiropractic Medicine, Arizona Board of Chiropractic Examiners, Federation of Chiropractic Licensing Boards – PACE, 2013 | | | | | 2023 National Spine Management Conference South – Moving From a Curative Model of Spine Care , A comprehensive look at the history of spinal care, degenerative changes and both regional and global spinal compensation. Outline the spine as a whole organ system that must be monitored in relation to physical activity, lifestyle, and traumatic patient history was discussed and presented. Application of spine management principles mirroring internal medicine disorders was presented and reviewed. Specific peer reviewed medically index research was presented outlining initial criteria for determining medical necessity of supportive spine care. National Spine Management Group, LLC, Parker University, Alabama State Board of Chiropractic Examiners, Kentucky Board of Chiropractic, Louisiana State Board of Chiropractic Examiners, Texas Board of Chiropractic Examiners, Florida Board of Chiropractic Medicine, Arizona Board of Chiropractic Examiners, Federation of Chiropractic Licensing Boards – PACE, 2023. 2013 | | | | | 2023 National Spine Management Conference South – Interprofessional Communication with Primary Care Physicians, Research trends and working with primary care physicians was outlined. Focus on the conservative management of spinal conditions, aiding the primary care clinic and working to prevent unnecessary escalation of care. Reduction in opioid utilization and reduced surgery trends will be discussed. Research documenting modulation of pain at the central nervous system level with the chiropractic adjustment was presented. Application to real world scenarios including evaluation and management documentation was reviewed. Details of effective communication were presented including phone call, email, fax, and text messaging within the HIPAA compliance environment was discussed. National Spine Management Group, LLC, Parker University, Alabama State Board of Chiropractic Examiners, Kentucky Board of Chiropractic, Louisiana State Board of Chiropractic Examiners, Texas Board of Chiropractic Examiners, Florida Board of Chiropractic Medicine, Arizona Board of Chiropractic Examiners, Federation of Chiropractic Licensing Boards – PACE, 2023. 2013 | | | | | 2023 National Spine Management Conference South – Interprofessional Communication with Pain Management Physicians , Chiropractic diagnosis of spinal ligament pathology will be discussed in the context of co-management with pain management specialists. Specific review of the role of a fellowship trained interventional pain management physician in your community will be presented. Review of epidural steroid injection, medial branch block and spinal ablation will be presented in the context of when and how to refer. National Spine Management Group, LLC, Parker University, Alabama State Board of Chiropractic Examiners, Kentucky Board of Chiropractic, Louisiana State Board of Chiropractic Examiners, Texas Board of Chiropractic Examiners, Florida Board of Chiropractic Medicine, Arizona Board of Chiropractic Examiners, Federation of Chiropractic Licensing Boards – PACE, 2023. 2013 | | | | | 2023 National Spine Management Conference South – Interprofessional Communication with the Spine Surgeon , Spinal sagittal balance and spine surgery research trends will be reviewed. Chiropractic’s role in the conservative management of spinal biomechanics pre-surgery and post-surgery will be outlined. Terminology and documentation requirements will be presented. National Spine Management Group, LLC, Parker University, Alabama State Board of Chiropractic Examiners, Kentucky Board of Chiropractic, Louisiana State Board of Chiropractic Examiners, Texas Board of Chiropractic Examiners, Florida Board of Chiropractic Medicine, Arizona Board of Chiropractic Examiners, Federation of Chiropractic Licensing Boards – PACE, 2023. 2013 | | | | | 2023 National Spine Management Conference South – Anatomy and Physiology of the Healthy Intervertebral Disc , Anatomy of the healthy intervertebral disc and its nerve supply will be reviewed. A brief overview of the biochemical structure of the intervertebral disc will be presented. The role of the
intervertebral disc as a spinal stabilizer and its influence on facet joint function will be outlined. Specific
attention will be given to radiologic vocabulary such as intervertebral disc herniation, extrusion,
sequestration, and traumatic annular tears. MRI samples will be provided demonstrating. . National Spine Management Group, LLC, Parker University, Alabama State Board of Chiropractic Examiners, Kentucky Board of Chiropractic, Louisiana State Board of Chiropractic Examiners, Texas Board of Chiropractic Examiners, Florida Board of Chiropractic Medicine, Arizona Board of Chiropractic Examiners, Federation of Chiropractic Licensing Boards – PACE, 2023.
2013 | | | | | 2023 National Spine Management Conference South – Anatomy and Physiology of the Degenerated Intervertebral Disc , Anatomy of the degenerative intervertebral disc and its nerve supply will be reviewed. An overview of the biochemical process of intervertebral disc degeneration will be outlined. Specific attention will be given to the Pfirrmann Scale and radiographic terms such as desiccation, intervertebral disc bulge and degenerative annular tears. . National Spine Management Group, LLC, Parker University, Alabama State Board of Chiropractic Examiners, Kentucky Board of Chiropractic, Louisiana State Board of Chiropractic Examiners, Texas Board of Chiropractic Examiners, Florida Board of Chiropractic Medicine, Arizona Board of Chiropractic Examiners, Federation of Chiropractic Licensing Boards – PACE, 2023. 2013 | | | | | 2023 National Spine Management Conference South – Basic Spinal Biomechanical Modeling , Basic spinal biomechanical principles will be reviewed including sagittal spinal alignment and
coronal positioning in relation to the spinal facet joints. Research trends including symptomatic vs
asymptomatic spinal parameters will be presented in the context of the Doctor of Chiropractic as the
portal of entry spine care provider. . National Spine Management Group, LLC, Parker University, Alabama State Board of Chiropractic Examiners, Kentucky Board of Chiropractic, Louisiana State Board of Chiropractic Examiners, Texas Board of Chiropractic Examiners, Florida Board of Chiropractic Medicine, Arizona Board of Chiropractic Examiners, Federation of Chiropractic Licensing Boards – PACE, 2023.
2013 | | | | | 2023 National Spine Management Conference South – Spinal Ligament Histological Structure and Function , Histology of ligament structure and function will be presented. Microanatomy and the wound
repair process will be discussed. Structural deficits post ligament injury will be presented and reviewed.
Anatomical positioning of ligamentous structures will be outlined with specific attention to the spinal
enthesis and the difference between an enthesophyte and osteophyte in spinal degeneration. . National Spine Management Group, LLC, Parker University, Alabama State Board of Chiropractic Examiners, Kentucky Board of Chiropractic, Louisiana State Board of Chiropractic Examiners, Texas Board of Chiropractic Examiners, Florida Board of Chiropractic Medicine, Arizona Board of Chiropractic Examiners, Federation of Chiropractic Licensing Boards – PACE, 2023.
2013 | | | | | 2023 National Spine Management Conference South – Spinal Ligament Traumatic Pathology , Ligament pathology as a source of persistent spinal pain and dysfunction will be outlined and reviewed. Objectifying ligament injury will be presented, and context will be provided using plain film radiographs and MRI examples. Focus on facet capsules and interspinous ligament will be central to the discussion. . National Spine Management Group, LLC, Parker University, Alabama State Board of Chiropractic Examiners, Kentucky Board of Chiropractic, Louisiana State Board of Chiropractic Examiners, Texas Board of Chiropractic Examiners, Florida Board of Chiropractic Medicine, Arizona Board of Chiropractic Examiners, Federation of Chiropractic Licensing Boards – PACE, 2023. 2013 | | | | | 2023 National Spine Management Conference South – Compliance and Documentation , Review of federal documentation guidelines with specific focus on CPT coding for initial and re-evaluation visits. Detailed outcomes of documentation audits by insurance carriers, regulator and special investigators will be presented in a case study format. Emphasis will be placed interprofessional communication and compliance. . National Spine Management Group, LLC, Parker University, Alabama State Board of Chiropractic Examiners, Kentucky Board of Chiropractic, Louisiana State Board of Chiropractic Examiners, Texas Board of Chiropractic Examiners, Florida Board of Chiropractic Medicine, Arizona Board of Chiropractic Examiners, Federation of Chiropractic Licensing Boards – PACE, 2023. 2013 | | | | | 2023 National Spine Management Conference South – Trends in Chiropractic Research , Review and discussion of 2022/2023 research supporting the chiropractic profession and the
doctor of chiropractor as a spine care manager. Specific papers will be presented related to the pain
management, corrective, and health maintenance phases of chiropractic care. Overview of current and
future research trends will be demonstrated. . National Spine Management Group, LLC, Parker University, Alabama State Board of Chiropractic Examiners, Kentucky Board of Chiropractic, Louisiana State Board of Chiropractic Examiners, Texas Board of Chiropractic Examiners, Florida Board of Chiropractic Medicine, Arizona Board of Chiropractic Examiners, Federation of Chiropractic Licensing Boards – PACE, 2023. 2013 | | | |
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