Adam Shafran DC , C.I.C.E.
1216 MEMORIAL PARKWAY NW, Huntsville, AL, 35801
Phone: 256-469-7740
Fax: 256-469-7739
dradamshafran@gmail.com
https://ihurtdoc.com
SELECTED OCCUPATIONAL HISTORY
Director/Owner, North Alabama Spine & Rehab, Huntsville and Decatur, Alabama, 2013 - Present
Director, Millar Chiropractic, Madison, Alabama, 2006 - 2013
Director/Owner, Neighborhood Fitness, Alpharetta, GA, 1999 - 2006
Chiropractor, Mlaver Medical Clinic, Dunwoody, Georgia, 1997 - 1999
Director/Owner, Speed Tennis, Atlanta, Georgia, 1996 - 1999
Director/Owner, Contemporary Chiropractic, Atlanta, Georgia, 1994 - 1996
EDUCATION AND LICENSURE
Doctor of Chiropractic, Licensed in the State of Alabama, License # 2178, 2006-Present
Doctor of Chiropractic, Licensed in the State of Georgia, License # 5098, 1993-Present
Doctor of Chiropractic, Licensed in the State of New Jersey, License # 4428, 1993-1999
Doctor of Chiropractic, Licensed in the State of Pennsylvania, License # 005327, 1993-2000
Doctorate of Chiropractic, Life Chiropractic College, Marietta, Georgia, 1993
National Board of Chiropractic Examiners, Part I, 1991
National Board of Chiropractic Examiners, Part II, 1991
National Board of Chiropractic Examiners, Part III, 1992
Bachelor of Science in Exercise Science, Rutgers University, New Brunswick, New Jersey, 1989

SELECTED POST-GRADUATE EDUCATION, CERTIFICATIONS AND DIPLOMATES

Primary Spine Care 17, Current and Future Trends in Documentation, Evidence-Based demonstrative documentation for creating successful patient-centered collaborative care. Using "reputation building" through effective documentation to develop relationships, , Evidence-Based demonstrative documentation for creating successful patient-centered collaborative care. Using "reputation building" through effective documentation to develop relationships with MD PCPs, MD Specialists, ERs, and Urgent Care Centers. Using demonstrative evidence will eradicate the Non-Specific Back Pain "Dogma,” allowing chiropractic utilization to increase based on the evidence. Diplomate, Academy of Chiropractic Post-Doctoral Division, Cleveland University Kansas City, Chiropractic and Health Sciences, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,, Long Island, New York, 2025
MRI Spine Ancillary Tumor Detection and Advanced Imaging Stroke Detection, Spinal imaging techniques to assess spinal structures and detect abnormalities. The sequences also identify ancillary findings such as renal, ovarian, extradural, and intradural tumors. Careful evaluation of spinal MRIs can reveal critical pathologies beyond musculoskeletal issues. Analyzing the morphology of the abdominal aorta to determine potential stroke risks Certification in Primary Spine Care 17, Cleveland University Kansas City, Chiropractic and Health Sciences, 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, New York, 2025
Analyzing Spinal Pathobiomechanics, Identifying and diagnosing spinal segmental lesions in the facet, joint capsules involving ligamentous mechanoreceptors, and spinal proprioceptors. The central segmental motor control mechanism with upper motor neuron involvement with disparate efferent effects and demonstrative diagnostic tools to differentially diagnose the primary lesion. The statistical outcome of treating biomechanical spinal lesions Certification in Primary Spine Care 17, . Cleveland University Kansas City, Chiropractic and Health Sciences, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Science, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2025
Spinal Biomechanical Pathology, Identifying and diagnosing spinal segmental lesions in the facet, joint capsule involving ligamentous mechanoreceptors, and spinal proprioceptors. The central segmental motor control mechanism with upper motor neuron involvement with disparate efferent effects and demonstrative diagnostic tools to differentially diagnose the primary lesion. The statistical outcome of treating biomechanical spinal lesions. Certification in Primary Spine Care 17, Cleveland University Kansas City, Chiropractic and Health Sciences, 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, New York, 2025
Advanced Credential Reporting, creating a professional bio and CV, essential for establishing credibility in the medical-legal field. Incorporating outcome statistics from cases helps demonstrate your work's real-world impact, especially in the medical legal arena. Getting published in the National Institutes of Health (NIH) using research, peer review, and adherence to scientific standards and enhances your reputation by validating your work within the healthcare community and increasing your authority in the healthcare community field. Certification in Primary Spine Care 17, Cleveland University Kansas City, Chiropractic and Health Sciences, 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, New York, 2025
Age-Dating Herniated Disc via MRI and X-Ray, , Utilizing the evidence in the literature to age-dating spinal herniated discs and trauma. Including interpreting X-rays, MRIs in T1, T2, STIR and Fat Saturation sequences, and other imaging alongside understanding the evidence of joint pathology. Being able to collaborate with physicians or as a medical-legal expert. Accurate age-dating helps establish a prognosis for patient recovery. The process must be grounded in evidence-based rationale to ensure reliability. Mastering this skill enhances both clinical decision-making and legal credibility. Certification in Primary Spine Care 17, Cleveland University Kansas City, Chiropractic and Health Sciences, 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, New York, 2025
Clinical Grand Rounds in Primary Spine Care,, Clinical Grand Rounds for a case involve assessing disc, ligament, and spinal pathology. The process includes establishing a diagnosis, determining the prognosis, and developing a treatment plan. Special attention is given to conditions such as cord edema, myelomalacia, myelopathy, and tethered cords. Utilizing follow-up examinations as a step in crucial in refining the diagnosis and treatment approach. Adjustments to the treatment plan are made as new clinical findings emerge. This ensures that patient care remains dynamic and responsive to evolving spinal conditions Certification in Primary Spine Care 17, Cleveland University Kansas City, Chiropractic and Health Sciences, 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, New York, 2025
Cervical Impairment Rating – AMA Guides to the Evaluation of Permanent Impairment, 5th and 6th Editions, Spring 2025 Completed expert-level training in the diagnostic evaluation of Alteration of Motion Segment Integrity (AOMSI) in the cervical spine using AMA Guides (5th and 6th Editions). Emphasis was placed on the application of objective criteria including >3.5 mm of translational motion and >11° of angular rotation to identify functional segmental instability. The program detailed the biomechanical rationale for these thresholds and instructed on standardized methods for identifying ligamentous damage based on motion segment behavior. Proficiency was demonstrated in integrating radiographic findings into the impairment rating process and using motion analysis to support clinical and legal documentation. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program 2025, Buffalo, New York, 2025
Cervical Impairment Rating – AMA Guides to the Evaluation of Permanent Impairment, 5th and 6th Editions , Cervical Impairment Rating – AMA Guides to the Evaluation of Permanent Impairment, 5th and 6th Editions National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program 2025, Buffalo, New York, 2025
Cervical Impairment Rating – AMA Guides to the Evaluation of Permanent Impairment, 5th and 6th Editions , Spring 2025 Participated in an intensive educational module addressing the legal, regulatory, and procedural implications of AOMSI analysis in trauma care. Learned how to apply objective measurements to support causation, permanency, and impairment in personal injury and workers’ compensation cases. Instruction included strategies for achieving Frye admissibility of digital motion analysis tools, the legal standards for expert witness qualification, and the use of calibrated systems for forensic-level imaging evaluation. Participants were trained to construct defensible reports and testify to clinical findings with biomechanical validity, reinforcing their credibility in litigation settings. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program 2025, Buffalo, New York, 2025
Spring 2025 Participated in an intensive educational module addressing the legal, regulatory, and procedural implications of AOMSI analysis in trauma care. Learned how to apply objective measurements to support causation, permanency, and impairment in per, Spring 2025 Completed advanced instruction in the technical and clinical components of flexion-extension radiograph acquisition for AOMSI assessment. Focused on the avoidance of common errors such as poor patient effort, non-neutral positioning, and improper sagittal plane alignment. Emphasized the impact of these variables on the validity of diagnostic motion measurements and provided structured protocols for improving reproducibility and clarity in radiographic imaging. Gained hands-on guidance in instructing imaging facilities, refining standard operating procedures, and improving diagnostic yield for motion-based cervical spine pathology. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program 2025, Buffalo, New York, 2025
Lumbar Spine Instability and AOMSI: Clinical, Imaging, and Legal Perspectives, Focused on the evaluation of lumbar spinal instability through the application of Alteration of Motion Segment Integrity (AOMSI). Emphasized biomechanical principles and radiographic criteria for identifying translational (>4.5 mm) and angular motion abnormalities (>15°–25°, depending on segment) using flexion-extension radiographs. Included instruction on the use of these findings in accordance with the AMA Guides to the Evaluation of Permanent Impairment, 5th Edition (Range of Motion model) and 6th Edition (Diagnosis-Based Impairment model), with application to trauma documentation, impairment rating, and surgical triage Diplomate, PACE Program 2025, National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program 2025, Buffalo, New York, 2025
Advanced Imaging and Biomechanical Principles of Lumbar AOMSI, Addressed radiographic protocols for flexion-extension motion studies, measurement reproducibility, and standardization of lumbar instability thresholds. Included comprehensive review of key lumbar stabilizing ligaments (ALL, PLL, interspinous, supraspinous, ligamentum flavum, facet capsules) and their role in post-traumatic motion segment failure. Emphasized detection of overt instability and early translational micro-movements (≥1 mm), integrating clinical biomechanics with AMA Guides to the Evaluation of Permanent Impairment, 5th and 6th Editions. Diplomate, PACE Program 2025, National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program 2025, Buffalo, New York, 2025
Medical-Legal Application of Lumbar AOMSI in Disability and Causation Analysis, Provided training in interpretation and documentation of lumbar segmental instability for personal injury, workers’ compensation, and disability claims. Included objective validation of motion abnormalities and application of radiographic findings to causation analysis, permanency evaluations, and impairment ratings under the AMA Guides to the Evaluation of Permanent Impairment, 5th and 6th Editions. Emphasized preparation of records and testimony meeting Frye and Daubert evidentiary standards. Diplomate, PACE Program 2025, National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program 2025, Buffalo, New York, 2025
Impairment Rating and Radiologic Interpretation of Lumbar Segmental Instability, Provided instruction in the interpretation of functional radiographs and their integration into the impairment evaluation process. Emphasized application of translational and angular thresholds established in the AMA Guides to the Evaluation of Permanent Impairment, including the 5th Edition’s Range of Motion model and the 6th Edition’s Diagnosis-Based Impairment framework. Included literature review of cadaveric biomechanical studies by Yoganandan, Ivancic, and Chazal, and use of AOMSI findings in permanent impairment documentation, clinical triage, and medico-legal reporting Diplomate, PACE Program 2025, National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program 2025, Buffalo, New York, 2025
SPINE BIOMECHANICS, RADIOLOGY & TRAUMA, Welcome and Strategic Orientation of the Program - An expanded overview establishing the scientific direction and operational philosophy of the meeting, emphasizing the integration of advanced biomechanical analysis, neuro-orthopedic science, and imaging frameworks to elevate spine-care assessment. Addressed the transition from symptom-based evaluation toward measurement-driven methodologies that enhance diagnostic reproducibility and interdisciplinary communication. Reviewed unified terminology, dynamic imaging applications in motion-based pathology, and structural methods for aligning clinical workflows with emerging evidence standards. Diplomate, PACE Program , National Spine Management Group, Medical Metrics Inc, Federation of Chiropractic Licensing Boards, PACE Program 2025, Houston, TX, 2025
Evolution of Quantitative Diagnostic Imaging in Spine Care , Comprehensive review of technological and scientific advancements transforming quantitative spine imaging, including the maturation of translational and angular displacement metrics, reduction of examiner variability, and development of computational image-processing systems. Discussed reproducibility research, multi-modality dataset integration (MRI, CT, dynamic studies), and structured pathways that enhance surgical planning, objectivity, and medico-legal defensibility through measurable biomechanical data. Diplomate, PACE Program 2025, National Spine Management Group, Medical Metrics Inc., Federation of Chiropractic Licensing Boards, PACE Program 2025, Houston, TX, 2025
Biomechanical Principles of the Spine – Foundations for Modern Functional Assessment , Detailed analysis of segmental biomechanics including multi-planar motion, viscoelastic ligament behavior, facet-mediated load distribution, and stiffness gradients. Examined translational shear forces, rotational coupling, posterior ligament complex interactions, and collagen microstructure contributions to mechanical signatures. Linked foundational biomechanics to diagnostic interpretation, early instability detection, micro-failure identification, and aberrant movement analysis in traumatic and degenerative states. Diplomate, PACE Program 2025, National Spine Management Group, Medical Metrics Inc., Federation of Chiropractic Licensing Boards, PACE Program 2025, Houston, Texas, 2025
Panel: Defining Spinal Instability – Historical Models, Measurable Parameters & Clinical Impact , Multidisciplinary panel evaluating classic and modern frameworks of spinal instability including displacement thresholds, ligament elongation mechanics, capsular insufficiency, and load-dependent failure patterns. Discussed diagnostic limitations of static imaging and demonstrated how dynamic measurement clarifies ambiguous presentations. Integrated predictive validity, treatment stratification, progression risk, and biomechanical interpretation for both conservative and surgical pathways. Diplomate, PACE Program 2025, National Spine Management Group, Medical Metrics Inc., Federation of Chiropractic Licensing Boards, PACE Program 2025, Houston, Texas, 2025
Integrative Interpretation of Functional Spinal Imaging for Clinical Decision-Making , Exploration of functional imaging modalities—kinematic radiography, motion-sensitive MRI, quantitative movement studies—as unified frameworks across disciplines. Included motion-pattern recognition, segmental stiffness abnormalities, recruitment sequencing, and translation of mechanical findings into conservative, interventional, and surgical decisions. Highlighted structured reporting systems that enhance communication and support defensible documentation. Diplomate, PACE Program 2025, National Spine Management Group, Medical Metrics Inc., Federation of Chiropractic Licensing Boards, PACE Program 2025, Houston, Texas, 2025
Panel: Multidisciplinary Coordination in Spine Care – Case-Based Integration Models, Case-based review of integrated workflows across chiropractic, physical therapy, orthopedics, neurosurgery, and pain management. Demonstrated functional imaging correlations with MRI findings, diagnostic synchronization, reduction of redundancy, and timing optimization for interventions. Highlighted standardized mechanical thresholds as tools for escalation decisions and improved continuity in complex case management. Diplomate, PACE Program 2025, National Spine Management Group, Medical Metrics Inc., Federation of Chiropractic Licensing Boards, PACE Program 2025, Houston, Texas, 2025
Optimizing Referral Relationships – Clinical and Communication Strategies , Scientific analysis of how objective diagnostic data strengthens referral pathways between conservative providers and surgical or interventional specialists. Covered evidence-based justification, documentation standards, predictive indicators, and communication models that enhance interdisciplinary acceptance. Reviewed common hurdles and data-driven solutions that improve referral efficiency and treatment continuity. Diplomate, PACE Program 2025, National Spine Management Group, Medical Metrics Inc., Federation of Chiropractic Licensing Boards, PACE Program 2025, Houston, Texas, 2025
Pseudoarthrosis Assessment Using Functional and Radiologic Correlation Techniques , Review of diagnostic complexities in identifying non-union and failed fusion. Covered micro-motion thresholds, structural bone-integrity assessment, hardware load signatures, functional variability vs true non-union, and implications for revision surgery. Integrated dynamic studies with CT and MRI analysis to improve diagnostic resolution and patient-specific treatment planning. Diplomate, PACE Program 2025, National Spine Management Group, Medical Metrics Inc., Federation of Chiropractic Licensing Boards, PACE Program 2025, Houston, Texas, 2025
Facet Capsule Anatomy, Physiology & Role in Segmental Instability , Detailed discussion of capsular ligament neurophysiology, mechanoreception, nociception, and proprioceptive control. Reviewed elongation injury mechanics, rotational and shear vulnerability, inflammatory cascades, and chronic capsular laxity leading to segmental instability. Correlated imaging markers such as capsular hypertrophy, fibrosis, and facet spacing alterations with mechanical failure states. Diplomate, PACE Program 2025, National Spine Management Group, Medical Metrics Inc., Federation of Chiropractic Licensing Boards, PACE Program 2025, Houston, Texas, 2025
Vertical Instability & Complex Spinal Motion Disorders – Case-Based Analysis , - In-depth analysis of vertical shear instability, altered axial load transfer, annular deformation patterns, endplate mechanics, and multi-level ligamentous compromise. Demonstrated complex motion signatures—segmental recruitment delay, aberrant stiffness ratios, directional preference abnormalities—and integrated findings with neuromusculoskeletal examination, imaging, and treatment pathway determination. Diplomate, PACE Program 2025, National Spine Management Group, Medical Metrics Inc., Federation of Chiropractic Licensing Boards, PACE Program 2025, Houston, Texas, 2025
AOMSI – Objective Ligament Injury Assessment in Variable Diagnostic Environments , Scientific review of Alteration of Motion Segment Integrity criteria, including tensile failure physics, viscoelastic tissue deformation, and posterior ligament complex compromise. Expanded discussion on radiographic variability, gray-zone cases, and advanced imaging correlations that improve repeatability and medico-legal defensibility in ligament-injury assessment. Diplomate, PACE Program 2025, National Spine Management Group, Medical Metrics Inc., Federation of Chiropractic Licensing Boards, PACE Program 2025, Houston, Texas, 2025
Personal Injury Case Adjudication – Transition From Narrative to Measurable Biomarkers , Comprehensive review contrasting subjective symptom-driven assessments with objective mechanical and imaging-derived biomarkers. Discussed recall bias, examiner variability, and the superiority of quantifiable intersegmental motion data, correlated structural findings, and reproducible functional deviations. Highlighted applications for impairment rating, prognosis modeling, and legal defensibility. Diplomate, PACE Program 2025, National Spine Management Group, Medical Metrics Inc., Federation of Chiropractic Licensing Boards, PACE Program 2025, Houston, Texas, 2025
Panel: PI Use Cases – Clinical & Subclinical Mechanical Failure Patterns , Exploration of overt and subtle ligamentous microfailure, segmental coordination abnormalities, compensatory recruitment, and sensitization phenomena. Addressed challenges in correlating symptoms with imaging, detection of hidden dysfunctions, and communication of complex mechanical findings to adjusters, attorneys, and courts. Diplomate, PACE Program 2025, National Spine Management Group, Medical Metrics Inc., Federation of Chiropractic Licensing Boards, PACE Program 2025, Houston, Texas, 2025
Radiology Frontiers – Integrated Imaging, Ligament Evaluation & Computational Interpretation, Expanded lecture on ligament visualization advancements in MRI, CT osseous integrity assessment, dynamic imaging innovations, and computational interpretation tools. Reviewed multi-modality integration, pattern recognition, and challenges in characterizing ligament injury with conventional static imaging alone. Diplomate, PACE Program 2025, National Spine Management Group, Medical Metrics Inc., Federation of Chiropractic Licensing Boards, PACE Program 2025, Houston, Texas, 2025
Advanced Neuroimaging & Microstructural Brain Analysis , Comprehensive scientific review of diffusion-based imaging, tract integrity quantification, microstructural signal deviations, and their relevance in traumatic, inflammatory, and metabolic brain injuries. Discussed scanner-variability constraints, white-matter susceptibility to shear injury, and correlations with cognitive and vestibular deficits. Diplomate, PACE Program 2025, National Spine Management Group, Medical Metrics Inc., Federation of Chiropractic Licensing Boards, PACE Program 2025, Houston, Texas, 2025
Circulating Biomarkers in Traumatic Brain Injury , Expanded coverage of GFAP, UCH-L1, neurofilament light chain, tau isoforms, and S-100 proteins. Included diagnostic windows, decay kinetics, assay variability, pathophysiology of biomarker release, and combined multi-marker approaches that enhance differentiation of acute vs residual injury states. Diplomate, PACE Program 2025, National Spine Management Group, Medical Metrics Inc., Federation of Chiropractic Licensing Boards, PACE Program 2025, Houston, Texas, 2025
Clinical Interpretation of Advanced Neuroimaging – Functional & Medico-Legal Insights , Translation of microstructural imaging findings into functional neurological interpretations. Reviewed region-specific tract disruption, network dysregulation (default-mode, salience, frontoparietal), and integration of neurocognitive testing. Discussed implications for prognosis, treatment selection, and legal documentation. Diplomate, PACE Program 2025, National Spine Management Group, Medical Metrics Inc., Federation of Chiropractic Licensing Boards, PACE Program 2025, Houston, Texas, 2025
Digital Software Tools for Clinical Documentation & Diagnostic Enhancement , Discussion of modern software-enabled documentation, diagnostic templating, automated annotation, dataset integration, and error-reduction strategies. Reviewed clinical workflow optimization, multi-modal information harmonization, and medico-legal implications of precision documentation. Diplomate, PACE Program 2025, National Spine Management Group, Medical Metrics Inc., Federation of Chiropractic Licensing Boards, PACE Program 2025, Houston, Texas, 2025
Precision Calibration in Radiographic Measurement – Modern Digital Approaches , Detailed review of calibration science, geometric distortion modeling, magnification correction, parallax reduction, and calibration-marker methodology. Discussed measurement accuracy, reproducibility standards, cross-facility consistency, and calibration’s role in biomechanical interpretation and research validity. Diplomate, PACE Program 2025, National Spine Management Group, Medical Metrics Inc., Federation of Chiropractic Licensing Boards, PACE Program 2025, Houston, Texas, 2025
Panel: AI/ML in Spine Care – Emerging Opportunities & Limitations , Multidisciplinary analysis of supervised/unsupervised learning models, predictive analytics, feature extraction, pattern recognition, dataset bias, and validation requirements. Reviewed clinical applications in triage, outcome prediction, and automated structural abnormality identification, along with regulatory and medico-legal considerations. Diplomate, PACE Program 2025, National Spine Management Group, Medical Metrics Inc., Federation of Chiropractic Licensing Boards, PACE Program 2025, Houston, Texas, 2025
Consulting Services for Surgical Providers – Interpretation, Reporting & Payer Interactions , Expanded lecture on advanced imaging correlation, mechanical threshold interpretation, surgical readiness assessment, preauthorization optimization, payer justification frameworks, and structured reporting that improves clarity and reduces denial rates. Highlighted medico-legal defensibility in surgical determinations. Diplomate, PACE Program 2025, National Spine Management Group, Medical Metrics Inc., Federation of Chiropractic Licensing Boards, PACE Program 2025, Houston, Texas, 2025
Consulting Services for Non-Surgical Providers – Documentation, Trial Preparation & Impairment Review , Detailed exploration of consulting value for conservative providers, including diagnostic enhancement, documentation precision, deposition preparation, trial communication, impairment rating methodology, and bridging the clinical-legal divide through objective biomechanical analysis. Diplomate, PACE Program 2025, National Spine Management Group, Medical Metrics Inc., Federation of Chiropractic Licensing Boards, PACE Program 2025, Houston, Texas, 2025
Enhanced Medico-Legal Documentation Through Objective Findings & Coding Standards , Highly detailed session on ICD/CPT precision, AMA impairment thresholds, anatomical correlation, and high-fidelity documentation structures. Reviewed the impact of incomplete documentation on payer disputes, legal outcomes, and clinical clarity, and provided best-practice strategies for defensible reporting. Diplomate, PACE Program 2025, National Spine Management Group, Medical Metrics Inc., Federation of Chiropractic Licensing Boards, PACE Program 2025, Houston, Texas, 2025
Required Elements for Reimbursement, Diagnosing Active, Sequella, and Subsequent encounter codes for connective tissue pathology. The documentation elements required for 99202, 99203, 99204, and 99205. Developing ethical financial relationships for reimbursement in the medical-legal community and the documentation required. Using laws, regulations, and case law in contemporary practice to manage cases Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2024
2022 Trends in Spinal Healthcare, Analyzing evidenced-based spinal healthcare trends in both utilization and necessity and understanding the marketplace. The use of evidenced-based demonstrative documentation in reporting treatment pathways in triaging spinal pathobiomechanics 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, 2024
MRI Spine Clinical Case Grand Rounds, 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. Learn how to collaborate effectively with radiologists, neuroradiologists, and neurosurgeons on the clinical findings . 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, 2024
Chiropractic vs. Physical Therapy vs. Medical Case Management and Outcomes, Analyzing evidence-based outcomes in triaging non-anatomical lesions. The analysis of neuro-biomechanical pathological lesions defines primary spinal lesions and removes the dogma of non-specific back pain. Managing collaborative relationships with medical primary providers and specialists in clinical practice 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, 2024
MSK Extremity Radiological Interpretation, Utilizing both MRI and x-ray in identifying via x-ray and advanced imaging extremity instabilities from ligamentous, osseous or neoplastic derangement 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, 2024
Demonstrative Narrative and Evaluation and Management Report Writing, Effectively creating demonstrative medical-legal documentation and meeting the needs of the courts, and making your "4-Corner" (narrative) report to build your reputation as an evidence-based provider. The step-by-step minutiae of building a report, accomplishing report writing timely and effectively by understanding the regulatory and administrative rules. Learn how to educate the lawyer on bodily injury through evidence-based demonstrative reporting 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, 2024
Ligament/Connective Tissue Physiology and 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, Buffalo, NY, 2024
Stroke Evaluation and Risk Factors in the Chiropractic Practice, Diagnosing, triaging, and documenting headaches, migraines, and vascular incidents (stroke) in the primary provider's office. Imaging protocols based upon history and clinical presentation will be presented, along with analyzing imaging findings in determining the etiology. There will be an extensive question and answer session following the instructional presentation 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, 2024
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, 2024
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, 2024
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, 2024
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, 2024
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, 2024
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, 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. Cleveland University, Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2024
Legality of Assignments, assignment of rights and benefits, What that means in contemporary clinical practice and how to ensure you have the legal authority to bill and collect based on necessary documentation 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, 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. Cleveland University, Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2024
Ethical Financial Relationships, Part 2, Managing cases where lawyers are unethical and understanding the Rules of Professional Conduct mandated for lawyers nationally. It helps you create business systems to manage these types for cases and work within the framework of the laws in each state to ensure compliance. 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, 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. Cleveland University, Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2024
Interprofessional Spine Care Review: ABCDE of MRI Spine Interpretation , This course offered a comprehensive and detailed exploration of the ABCDE method, a systematic approach to interpreting spinal MRI scans that is critical for improving diagnostic accuracy in spine care. The method is structured around five key components, Alignment, Bone, Cord, Disc, and Everything else, each representing an essential aspect of spinal health that must be carefully evaluated in every MRI study. Alignment focuses on assessing the overall spinal curvature and alignment, identifying abnormalities such as scoliosis, kyphosis, or lordosis, which can have significant implications for both diagnosis and treatment planning. The Bone component involves a detailed examination of vertebral bone integrity, including the detection of fractures, bone density variations, and the presence of osteophytes, which are crucial for understanding the structural stability of the spine. The Cord aspect emphasizes the condition of the spinal cord, including the identification of cord compression, signal changes on T2-weighted images that might indicate myelopathy, and the evaluation of any other abnormalities such as syringomyelia or intramedullary lesions. Disc evaluation centers on the intervertebral discs, focusing on disc height, the presence of disc bulges or herniations, and the integrity of the annulus fibrosus, all of which are vital for diagnosing conditions like disc degeneration or radiculopathy. Everything else encompasses additional factors that could influence spinal health, such as the condition of the endplates, presence of Modic changes, the degree of spinal canal stenosis, ligamentous integrity, and the presence of soft tissue abnormalities or edema. This component ensures that no potential pathology is overlooked. By deepening their expertise in MRI interpretation, participants became more proficient in making accurate diagnoses and developing effective treatment plans tailored to individual patient needs. Federation of Chiropractic Licensing Boards, PACE;, National Spine Management Group, 2024
Interprofessional Spine Care Review: MRI and Axial Spinal Anatomy – Cervical and Lumbar Spine, This course provided an in-depth exploration of axial MRI anatomy specific to the cervical spine, an essential area of expertise for healthcare professionals involved in spine care. Through detailed analysis and case studies, participants gained a comprehensive understanding of the axial plane imaging of cervical spine structures, including the vertebrae, intervertebral discs, spinal cord, and surrounding soft tissues. In addition to these critical spinal components, the course also focused on the interpretation of axial MRI scans that reveal important adjacent structures such as the paraspinal muscles, vascular structures like the vertebral arteries, and internal organs visible within the axial plane. The course covered the identification and implications of seeing structures such as the esophagus, trachea, and thyroid gland, which may be incidentally observed on cervical spine MRIs and could have clinical significance. Emphasis was placed on the importance of accurately interpreting these axial MRI scans to diagnose a wide range of cervical spine conditions, including disc herniations, spinal stenosis, and other pathologies that can significantly impact patient management and treatment outcomes. Participants were trained to assess not only the direct spinal structures but also the condition of nearby muscles, which can reflect compensatory changes due to chronic pain or injury. The recognition of altered muscle mass or signal changes can provide additional clues to the patient's overall spinal health and guide therapeutic decisions., Participants enhanced their diagnostic precision, particularly in identifying subtle yet clinically relevant findings that could influence the treatment plan. This comprehensive approach to axial MRI interpretation not only improved participants' technical skills but also their ability to collaborate effectively in interprofessional care settings, ensuring that all relevant aspects of a patient’s condition are considered in their care Federation of Chiropractic Licensing Boards, PACE, National Spine Management Group, 2024
Interprofessional Spine Care Review: Acute vs Chronic Nerve Injury , a detailed case study focusing on the differential diagnosis and management of acute versus chronic nerve injuries in the lumbar spine was presented. The course provided an in-depth review of diagnostic tools, including the interpretation of motor strength assessments, MRI findings, and advanced electrophysiological testing such as electromyography (EMG) and nerve conduction velocity (NCV) studies. The course placed specific emphasis on the use of EMG to assess muscle denervation, reinnervation patterns, and the chronicity of nerve injuries. Participants learned to analyze key EMG parameters such as insertional activity, spontaneous potentials like fibrillations and positive sharp waves, and motor unit action potentials (MUAPs). These parameters are crucial for determining the extent of nerve damage, the age of the injury, and whether the nerve is undergoing reinnervation. The presence of fibrillations and positive sharp waves, for instance, indicates ongoing denervation, while changes in MUAPs can reveal the degree of reinnervation and the chronicity of the lesion. The H-Reflex study, a critical component in evaluating S1 radiculopathy, was also covered extensively. This technique involves stimulating the tibial nerve at the popliteal fossa and recording the reflex response from the soleus muscle. The course detailed how specific parameters such as latency (the time it takes for the reflex to occur), amplitude (the strength of the reflex), and side-to-side comparison of the H-Reflex are utilized to assess the integrity of the S1 nerve root. These measurements are instrumental in differentiating between acute and chronic lesions, as delays in latency and reductions in amplitude can indicate the presence of a chronic radiculopathy. Moreover, the course emphasized the importance of correlating these electrophysiological findings with clinical assessments and MRI results. MRI imaging was particularly valuable in visualizing the anatomical causes of nerve compression, such as disc herniation, spinal stenosis, or foraminal narrowing. Participants were trained to integrate these findings into a comprehensive diagnostic framework that informs targeted, evidence-based treatment plans Federation of Chiropractic Licensing Boards, PACE;, National Spine Management Group, 2024
Interprofessional Spine Care Review: Chiropractic Management Post Hip Surgery, This advanced course provided a thorough exploration of spine management through the detailed examination of two complex clinical cases. The course focused on the diagnosis, treatment, and interprofessional management of patients with significant spinal pathologies, emphasizing the importance of a multidisciplinary approach in optimizing patient outcomes. In the first case, the course covered the evaluation of a patient who sustained an injury from a motor vehicle collision. The course emphasized the diagnostic process, which included identifying a reversal of the usual lordotic curvature on cervical MRI, a key indicator of spinal trauma. Participants were guided through the treatment options, highlighting the role of imaging and clinical correlation in developing an effective management plan. The second case study involved a 75-year-old female patient with chronic low back pain and radicular symptoms following a laminectomy with L4-5 fusion. The course provided a comprehensive review of her long-term management, which included multiple imaging studies, conservative treatments such as medication and aquatic therapy, and surgical interventions. Particular attention was given to the challenges of managing spondylolisthesis and severe stenosis, as well as the right hip replacement that alleviated her lumbar spine pain. Through these case studies, the course reinforced the importance of integrating clinical findings, imaging results, and interprofessional collaboration in the management of complex spine conditions. Participants gained valuable insights into the decision-making process for both conservative and surgical treatments, as well as the critical role of ongoing patient monitoring and adjustment of care plans. Federation of Chiropractic Licensing Boards, PACE, National Spine Management Group, 2024
Coding and Care Plan from Acute through Rehabilitation , Coding and Care Planning, ICD -10, and CPT cross-coding requirements form the acute stage through rehabilitation, including home care. The documentation of passive vs. active care in chronic and trauma case management. Academy of Chiropractic post-Doctoral Division, Long Island, New York, 2023
Coding and Care Planning with Spinal Biomechanical Pathology,, The documentation of short and long-term care, including demonstrative validation or spinal pathology in the clinical setting. Connective tissue pathological mechanisms in chronic and traumatic etiology. Academy of Chiropractic post-Doctoral Division, Long Island, New York, 2023
The Safe Use of X-Ray in a Clinical Setting, Utilizing the guidelines created by the American College of Radiology and the evidence in the scientific literature for case management involving x-ray. Understanding the standards for safe radiation exposure when creating a demonstrative spinal biomechanical diagnosis and ruling out anatomical pathology. Academy of Chiropractic post-Doctoral Division, Long Island, New York, 2023
Documenting Trauma, The documentation of biomechanical and anatomical pathology with trauma patients. Clinically correlating diagnosis, demonstrative bodily injury-pathology and persistent functional losses. Academy of Chiropractic post-Doctoral Division, Long Island, New York, 2023
Reimbursement Guidelines and Documentation , Advanced documentation based on clinical and testing findings that correlate to Evaluation and Management Guidelines. Evidence-Based necessity parameters for considering spinal imaging and electrodiagnostic testing. Academy of Chiropractic post-Doctoral Division, Long Island, New York, 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, Buffalo, New York, 2023
MRI Spine Advanced Clinical Case Grand Rounds, 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, Buffalo, New York, 2023
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, Buffalo, New York, 2023
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, Buffalo, New York, 2023
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, Buffalo, New York, 2023
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 t, 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, Buffalo, New York, 2023
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, Buffalo, New York, 2023
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, Buffalo, New York, 2023
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, Buffalo, New York, 2023
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, New York, 2023
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, New York, 2023
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, New York, 2023
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, New York, 2023
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, New York, 2023
National Spinal Decompression Certification , -Spinal Decompression Treatment Options, Programs and Protocols -Clinical Aspects of Spinal Decompression -Medical Outcome and Research Studies -Manual Technique methodology -Decompression: History and Today -Differences in Spinal Decompression Machines -Decompression vs. Traction and Surgery -Spinal Decompression for the Regulatory Community -Compliance: Billing and Coding Certification in Spinal Decompression, Life University, Jupiter, Florida, 2023
Clinical Grand Rounds, Spine Management Grand Rounds Internet Live and Regularly Scheduled Series - Histochemical and Traumatic Causes of Degenerative Disc Disease National Spine Managment Group, The University at Buffalo Jacobs School of Medicine and Biomedical Sciences, 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, Buffalo, NY, 2023
Documenting Clinical Findings and Diagnosis, Correlating clinical findings with x-ray and advanced imaging to conclude and accurate diagnosis, prognosis and treatment plan. The utilization of demonstrative documentation in diagnostic testing to visualize pathology in the trauma and non-trauma case. Academy of Chiropractic post-Doctoral Division, Long Island, New York, 2022
Ligament Injury and Symverta, Ligament wound repair, collagen and elastin in injured ligaments, Wolfs Law, instability in spinal injuries, range of motion exam procedures, impairment ratings in ligament injury Life University West, Whiplash in Paradise Seminars, Online March, 2022
Essentials of Documentation from the Legal View, Gaps in Care, Impairment ratings, Use of the AMA Guides to Impairment, Activities of daily living, duties under duress, functional loss. Life University West, Whiplash in Paradise Seminars, Online March, 2022
Concussion: Testing and Treatment, Sway concussion testing, Starting slow with therapeutic interventions, Supplements for brain support, vitamin D, Omega 3’s, resveratrol, curcumin epigallocatechin-3-gallate (EGCG) and cold laser to speed healing Life University West, Whiplash in Paradise Seminars, Online March, 2022
MRI and X-Ray Review: , Visualization of the spinal disc thru windowing on CT scans, MRI ordering, ligament laxity analysis Life University West, Whiplash in Paradise Seminars, Online, March, 2022
Three Traumatic Spinal Injuries: , Differentiation between Spinal Disc, Spinal Fractures and Spinal Instability. Ligament injury creating lifetime disability and impairment. Life University West, Whiplash in Paradise Seminars, Online, March, 2022
Low Impact Crashes: What a chiropractor needs to know: , Crushing can be good, Unawareness is the most critical human crash factor, Time as the most important crash factor Life University West, Whiplash in Paradise Seminars, Online, March, 2022
Case Management, Documentation, and Diagnosis, Clinically correlating history and clinical findings to biomechanical connective tissue pathology and advanced imaging with herniated, protrude, extruded, and bulging discs. Triaging trauma and chronic patients based upon clinical presentation and testing results Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2022
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, 2021
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, New York, 2021
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. CMCS Post-Doctoral Division, Long Island, New York, 2021
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, New York, 2021
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, New York, 2021
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, New York, 2021
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, New York, 2021
Management of Common Clinical Syndromes, Integrating mechanical integrity in gravity, weight, load, levers, posture, mechanoreception, mechanotransduction, mechanobiology, tensegrity, neurology, blood flow, and DNA. The Chiropractic Society of Alabama , Birmingham, Alabama, 2021
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, New York, 2021
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, New York, 2021
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, New York, 2021
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, New York, 2021
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, New York, 2021
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, New York, 2021
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, New York, 2021
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, New York, 2021
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, New York, 2021
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, New York, 2021
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, New York, 2021
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, New York, 2021
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, 2021
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, 2021
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, 2021
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, 2021
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, 2021
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, 2021
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, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
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, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
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, 2021
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, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
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, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
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, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
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, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
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, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
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, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
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, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
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, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
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, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
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, Academy of Chiropractic Post-Doctoral Division, Buffalo, ny, 2021
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, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
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, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
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, Academy of Chiropractic Post-Doctoral Division, Buffalo, 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, Buffalo, NY, 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
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, 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, 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, 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, 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, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
MRI Spinal Anatomy, Protocols and Disc Pathology, , Normal anatomy of axial and sagittal views utilizing T1, T2, gradient and STIR sequences of imaging. Degeneration and annular fissures of discs in both trauma and non-trauma patients and the biochemical properties of joints in age dating pathology. Disc bulges from degenerative and sequela to osseous issues, herniation pathology and protrusion, extrusion, migrated and sequestered variations. Clinical scenarios as sequela to disc and pre-existing pathologies Cleveland University- Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 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 Cleveland University- Kansas City, Academy of Chiropractic Post-Doctoral Division, 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. Cleveland University- Kansas City, Academy of Chiropractic Post-Doctoral Division, 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 Cleveland University- Kansas City, Academy of Chiropractic Post-Doctoral Division, 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. Cleveland University- Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2021
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 Diplomate, Academy of Chiropractic, Post-Doctoral Division, Cleveland University, Kansas City, Long Island, New York, 2021
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, New York, 2021
Electrodiagnostics: Electromyogram/Nerve Conduction Velocity (EMG/NCV), Diagnosis & Interpretation:, Nerve Conduction Velocity (NCV) Part 1: Nerve conduction velocity testing, the equipment required and the specifics of motor and sensory testing. This section covers the motor and sensory NCV procedures and interpretation including latency, amplitude (CMAP) physiology and interpretation including the understanding of the various nuances of the wave forms. Cleveland University- Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2021
Electrodiagnostics: Electromyogram/Nerve Conduction Velocity (EMG/NCV), Diagnosis & Interpretation:, Nerve Conduction Velocity (NCV) Part 2: Compound motor action potentials (CMAP) and sensory nerve action potentials (SNAP) testing and interpretation including the analysis and diagnosis of the wave forms. It also covers compressive neuropathies of the median, ulnar and posterior tibial nerves; known as carpal tunnel, cubital tunnel and tarsal tunnel syndromes. This section offers interpretation algorithms to help understand the neurodiagnostic conclusions Cleveland University- Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2021
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, New York, 2021
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, New York, 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 Cleveland University K,ansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 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 Cleveland University, Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 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. Cleveland University, Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 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 Cleveland University, Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 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. Cleveland University, Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 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 Cleveland University, Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 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 Post-Doctoral Division, Long Island, New York, 2021
Triaging the Trauma and Non-Trauma Patients, Correlating clinical findings and the patient history in determining the correct course of care in triaging the patient utilizing orthopedic and neurological evaluations in the clinical setting. Understanding the parameters for immediate referrals vs. following the continuum of care to determine the necessity for referrals Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2021
Documentation, Demonstrative and Compliance, Elements of Evaluation and Management codes 99202-99203-99204-99205, inclusive of complexity of management and time components. Demonstrative documentation of spinal-related pain generators; spinal cord, thecal sac, myelomalacia, spinal nerve root insult, connective tissue, recurrent meningeal nerves. Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2021
Case Management: Spinal MRI and Documentation, Documenting Herniated Discs, Age-Dating Disc Pathology, and Connective Tissue Pathology as Sequella to Trauma Case Management, Spinal MRI and Documentation Documenting Herniated Discs, Age-Dating Disc Pathology, and Connective Tissue Pathology as Sequella to Trauma , Herniated Discs and Connective Tissue Pathology, differentially diagnosing herniated discs vs. normal and bulging discs and protruded, extruded and fragmented discs. Normal vs. Pathological connective tissues and age-dating herniated discs. Certification in Case Management: Spinal MRI and Documentation, Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2021
Case Management of Traumatic Spinal Injuries, Understanding flexion-extension cervical injures and diagnosing connective tissue pathology. Determining impairments and the literature-based standard for permanent injuries. Certification in Case Management of Traumatic Spinal Injuries, Cleveland University, Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2021
Case Management: Spinal MRI and Documentation, Managing Herniated and Bulging Discs, Serious Injury in Non-Herniated Cases from Trauma Case Management, Spinal MRI and Documentation, Managing Herniated and Bulging Discs, Serious Injury in Non-Herniated Cases from Trauma, Spinal disc morphology, and innervation. Herniated, bulged, protruded, and sequestered disc characteristics and management. Literature-based documentation requirements for no-dis spinal injuries. Certification in Case Management: Spinal MRI and Documentation, Cleveland University, Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2021
Case Management: Spinal MRI and Documentation, Herniated Discs and Permanent Brain Malfunction & Biomechanical Failure Case Management, Spinal MRI and Documentation, Herniated Discs and Permanent Brain Malfunction & Biomechanical Failure, A case-study of a post-traumatic herniated disc and related brain malfunction supported by contemporary literature, MRI acquisition, and necessity protocols. Certification in Case Management: Spinal MRI and Documentation, Cleveland University, Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2021
Case Management: Spinal MRI and Documentation, Demonstrative Documentation of Disc Herniationand MRI Physics Case Management, Spinal MRI and Documentation, Demonstrative Documentation of Disc Herniationand MRI Physics, Understanding the documentation requirements to demonstratively show spinal disc lesions in reporting pathology. Understanding the physics of a nucleus resonating in T1 and T2 weighted imagery Certification in Case Management: Spinal MRI and Documentation, Cleveland University, Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2021
Case Management: Spinal MRI and Documentation, Post-Traumatic Herniated Discs, Related Migraines-Headaches & Strain/Sprain Permanences Case Management, Spinal MRI and Documentation, Post-Traumatic Herniated Discs, Related Migraines-Headaches & Strain/Sprain Permanences, Relationship of headaches, and migraines to cervical spine disc herniation, clinical rationale for ordering MRI’s and the relationship of ligamentous pathology to spinal trauma. Certification in Case Management: Spinal MRI and Documentation, Cleveland University, Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2021
Case Management: Spinal MRI and Documentation, Documentation of Low-Speed Crashes in Determining Etiology of Serious Bodily Injuries Case Management, Spinal MRI and Documentation, Documentation of Low-Speed Crashes in Determining Etiology of Serious Bodily Injuries, Documentation requirements during the evaluation, and management encounter to understand the etiology of spinal injuries. Having a complete understanding the forces involved to conclude a differential diagnosis, while concurrent ruling malingerers, if applicable. Certification in Case Management: Spinal MRI and Documentation, Cleveland University, Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2021
Extremity, MRI & X-Ray Interpretation, , Identifying normal anatomy on both MRI and x-ray, inclusive of osseous, connective tissue, and neurological structures. Identifying fractures in the adult and pediatric cases. Differentially diagnosing various arthritic etiologies of osseous derangement. Certification in Extremity, MRI & X-Ray Interpretation, Cleveland University, Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2021
Extremity, MRI & X-Ray Interpretation, Extremity MRI & Xray Interpretation of the Shoulder, Identifying fractures in the adult and pediatric cases. Differentially diagnosing various arthritic changes vs. benign and metastatic Tumors. Cleveland University Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, DATE Certification in Extremity, MRI & X-Ray Interpretation, Cleveland University, Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2021
Extremity, MRI & X-Ray Interpretation, Extremity MRI & Xray Interpretation of the Elbow, Identifying normal anatomy on both MRI and x-ray, inclusive of osseous, connective tissue, and neurological structures, identifying fractures in the adult and pediatric cases. Differentially diagnosing various arthritic etiologies of osseous derangement. Differentially diagnosing various arthritic changes vs. benign and metastatic Tumors. Certification in Extremity, MRI & X-Ray Interpretation, Cleveland University, Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2021
Extremity, MRI & X-Ray Interpretation, Extremity MRI & Xray Interpretation of the Wrist, Identifying normal anatomy on both MRI and x-ray, inclusive of osseous, connective tissue, and neurological structures, identifying fractures in the adult and pediatric cases. Differentially diagnosing various arthritic etiologies of osseous derangement. Differentially diagnosing various arthritic changes vs. benign and metastatic Tumors. Cleveland University, Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2021
Extremity, MRI & X-Ray Interpretation, Extremity MRI & Xray Interpretation of the Hand, Identifying normal anatomy on both MRI and x-ray, inclusive of osseous, connective tissue, and neurological structures, identifying fractures in the adult and pediatric cases. Differentially diagnosing various arthritic etiologies of osseous derangement. Differentially diagnosing various arthritic changes vs. benign and metastatic Tumors. Certification in Extremity, MRI & X-Ray Interpretation, Cleveland University, Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2021
Extremity, MRI & X-Ray Interpretation, Extremity MRI & Xray Interpretation of the Hip, Identifying normal anatomy on both MRI and x-ray, inclusive of osseous, connective tissue, and neurological structures. Identifying fractures in the adult and pediatric cases. Differentially diagnosing various arthritic etiologies of osseous derangement. Certification in Extremity, MRI & X-Ray Interpretation, Cleveland University, Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2021
Extremity, MRI & X-Ray Interpretation, Extremity MRI & Xray Interpretation of the Hip, Identifying fractures in the adult and pediatric cases. Differentially diagnosing various arthritic changes vs. benign and metastatic Tumors. Certification in Extremity, MRI & X-Ray Interpretation, Cleveland University, Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2021
Extremity, MRI & X-Ray Interpretation, Extremity MRI & Xray Interpretation of the Knee, Identifying normal anatomy on both MRI and x-ray, inclusive of osseous, connective tissue, and neurological structures. Identifying fractures in the adult and pediatric cases. Differentially diagnosing various arthritic etiologies of osseous derangement. Certification in Extremity, MRI & X-Ray Interpretation, Cleveland University, Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2021
Extremity, MRI & X-Ray Interpretation, Extremity MRI & Xray Interpretation of the Knee, Identifying fractures in the adult and pediatric cases. Differentially diagnosing various arthritic changes vs. benign and metastatic Tumors Certification in Extremity, MRI & X-Ray Interpretation, Cleveland University, Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2021
Extremity, MRI & X-Ray Interpretation, Extremity MRI & Xray Interpretation of the Hand, Identifying normal anatomy on both MRI and x-ray, inclusive of osseous, connective tissue, and neurological structures, identifying fractures in the adult and pediatric cases. Differentially diagnosing various arthritic etiologies of osseous derangement. Differentially diagnosing various arthritic changes vs. benign and metastatic Tumors. Certification in Extremity, MRI & X-Ray Interpretation, Cleveland University, Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2021
Extremity, MRI & X-Ray Interpretation, Extremity MRI & Xray Interpretation of the Foot, Identifying normal anatomy on both MRI and x-ray, inclusive of osseous, connective tissue, and neurological structures, identifying fractures in the adult and pediatric cases. Differentially diagnosing various arthritic etiologies of osseous derangement. Differentially diagnosing various arthritic changes vs. benign and metastatic Tumors. Certification in Extremity, MRI & X-Ray Interpretation, Cleveland University, Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2021
Chiropractic as the First Option for Spine, A Literature-Based Standard, Utilizing clinical findings in conjunction with advanced imaging and electrodiagnostic findings in managing collaborative relationships with medical specialists. Applying a literatur, Chiropractic as the First Option for Spine, A Literature-Based Standard, Utilizing clinical findings in conjunction with advanced imaging and electrodiagnostic findings in managing collaborative relationships with medical specialists. Applying a literature standard to care to ensure conservative care as the first option. Certification in Chiropractic as the First Option for Spine, A Literature-Based Standard, Utilizing clinical findings in conjunction with, Cleveland University, Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2021
Primary Spine Care 9 Online: Chiropractic as 1st Option for Spine, A Literature-Based Standard, Chiropractic as the First Option for Spine, A Literature-Based Standard, Managing spinal related cases based upon MRI findings of herniations, bulges, protrusion, extrusions (comminuted and fragmented) utilizing thin-sliced acquisition protocols. When to consider ordering T1, T2, Short Tau Inversion Radiant, proton density and Dixon sequencing for spinal related pathology. Certification in Primary Spine Care 9 Online: Chiropractic as 1st Option for Spine, A Literature-Based Standard, Cleveland University, Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2021
Primary Spine Care 9 Online: Chiropractic as 1st Option for Spine, A Literature-Based Standard, Chiropractic as the First Option for Spine, A Literature-Based Standard, Creating literature-based documentation inclusive of history and a clinical examination that encompasses causality, diagnosis, prognosis and treatment plans. Ensuring the whole person impairment ratings are consistent with contemporary literature. Certification in Primary Spine Care 9 Online: Chiropractic as 1st Option for Spine, A Literature-Based Standard, Cleveland University, Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2021
Primary Spine Care 9 Online: Chiropractic as 1st Option for Spine, A Literature-Based Standard, Chiropractic as the First Option for Spine, A Literature-Based Standard, Spinal biomechanical engineering models related to pathobiomechanics and literature-based standards in creating an accurate diagnosis, prognosis, and treatment plan. Determining impairment ratings based upon alteration of motion segment integrity utilizing motion-imaging, and creating demonstrable evidence for continued treatment plans. Certification in Primary Spine Care 9 Online: Chiropractic as 1st Option for Spine, A Literature-Based Standard, Cleveland University, Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2021
MRI Spine Clinical Grand Rounds, Interpretation sequencing of STIR, T1, T2, Axial and Sagittal acquisitions. Landmarks, physics, and literature-based definitions of disc and osseous pathology, Visualizing, diagnosing, and documenting cervical and lumbar anatomy vs. pathology. Certification in MRI Spine Clinical Grand Rounds, Academy of Chiropractic Post-Doctoral Division, Accreditation Council for Continued Medical Education in conjunction with The State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Cleveland University - Kansas City, Long Island, New York, 2021
MRI Spine Clinical Grand Rounds, Visualizing, diagnosing, and documenting lumbar spine sequencing, disc herniations, neural canals, cauda equina, conus medullaris, nerve sleeves, canal stenosis grading, and vertebral width vs. height in determining segmental remodeling. Diagnosing thecal sac abutment, central canal root compression and ligamentum flava involvement Certification in MRI Spine Clinical Grand Rounds, Academy of Chiropractic Post-Doctoral Division, Accreditation Council for Continued Medical Education in conjunction with The State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Cleveland University - Kansas City, Long Island, New York, 2021
MRI Spine Clinical Grand Rounds, Case study visualizing, diagnosing, and documenting cervical spine sequencing, disc herniations, neural canals, cauda equina, conus medullaris, and vertebral width vs. height in determining segmental remodeling. Identifying the Pons, Occipital junction, and spinal cord to identify Chiari 1 malformations. Certification in MRI Spine Clinical Grand Rounds, Academy of Chiropractic Post-Doctoral Division, Accreditation Council for Continued Medical Education in conjunction with The State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Cleveland University - Kansas City, Long Island, New York, 2021
MRI Spine Clinical Grand Rounds, Visualizing, diagnosing, and documenting lumbar spine sequencing, disc extrusion type herniations, neural canals, cauda equina, conus medullaris, spondylolisthesis, degenerative spondylolisthesis, disc degeneration, neural canal and central root compressions, central canal stenosis. Varices vs. herniations, and multiple level disc pathology with biomechanical failures. Certification in MRI Spine Clinical Grand Rounds, Academy of Chiropractic Post-Doctoral Division, Accreditation Council for Continued Medical Education in conjunction with The State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Cleveland University - Kansas City, Long Island, New York, 2021
MRI Spine Clinical Grand Rounds, , Visualizing, diagnosing, and documenting cervical spine sequencing, disc extrusion type herniations, neural canals, disc degeneration, thecal sac compression, central canal stenosis, cord displacement, reversal of cervical curve, Chiari 1 malformation. Identifying spinal biomechanical failure in MRI sequencing, with visualizing ligamentous pathology as cause for failure. Differentially diagnosing recent vs. older trauma based upon edematous signal in T1, T2, and STIR images. Certification in MRI Spine Clinical Grand Rounds, Academy of Chiropractic Post-Doctoral Division, Accreditation Council for Continued Medical Education in conjunction with The State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Cleveland University - Kansas City, Long Island, New York, 2021
MRI Spine Clinical Grand Rounds, Visualizing, diagnosing, and documenting cervical spine sequencing, multiple disc extrusion type herniations, vertebral remodeling, intradural tumor displacing the spinal cord visualized in T1, T2, and STIR sequences, neural canal stenosis, disc degeneration, thecal sac compression, central canal stenosis, cord displacement, reversal of cervical curve, Chiari 1 malformation, and identifying of inferior brain structures Certification in MRI Spine Clinical Grand Rounds, Academy of Chiropractic Post-Doctoral Division, Accreditation Council for Continued Medical Education in conjunction with The State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Cleveland University - Kansas City, Long Island, New York, 2021
MRI Spine Clinical Grand Rounds, Visualizing, diagnosing, and documenting 1) improper sequence acquisitions invalidating interpretation 2) incomplete study invalidating interpretation 3) visualizing, diagnosing, and documenting lumbar spine sequencing, multiple disc extrusion type herniations, vertebral remodeling, multiple thecal sac compressions, neural canal stenosis, disc osteophyte/ridging complex, central canal stenosis, spondylolisthesis. Identifying the spleen, liver, kidneys, inferior vena cava, and psoas musculature on imaging. Certification in MRI Spine Clinical Grand Rounds, Academy of Chiropractic Post-Doctoral Division, Accreditation Council for Continued Medical Education in conjunction with The State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Cleveland University - Kansas City, Long Island, New York, 2021
MRI Spine Clinical Grand Rounds, Visualizing, diagnosing, and documenting cervical spine sequencing, cervical spondylosis, pathological spinal biomechanics, reversal of lordotic curve, and vertebral width vs. height in determining segmental remodeling, central herniation, thecal sac compression of the cord, identifying tongue, epiglottis, hyoid cartilage, pharynx, thyroid. Reviewing fat saturation sequences for osseous metastatic tumors and advanced degeneration. Certification in MRI Spine Clinical Grand Rounds, Academy of Chiropractic Post-Doctoral Division, Accreditation Council for Continued Medical Education in conjunction with The State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Cleveland University - Kansas City, Long Island, New York, 2021
MRI Spine Clinical Grand Rounds, Visualizing, diagnosing, and documenting lumbar spine sequencing, degenerative disc disease, nerve root sleeve abutment, far lateral herniations vs. bulges, normal vs. dissected inferior vena cava aneurism, epidural fat as a space occupying lesion, facet arthropathy and edema, hypertrophy of ligamentum flava, and pseudo disc at the S1-S2 level. Certification in MRI Spine Clinical Grand Rounds, Academy of Chiropractic Post-Doctoral Division, Accreditation Council for Continued Medical Education in conjunction with The State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Cleveland University - Kansas City, Long Island, New York, 2021
MRI Spine Clinical Grand Rounds, Visualizing, diagnosing, and documenting cervical spine sequencing utilizing T1 weighted images for pathology, inclusive of advanced degeneration and tumor detection. STIR in a fat saturated image for ligamentous pathology inclusive of the posterior longitudinal, ligamentous flava and interspinal ligaments. Normal clivus and odontoid for cerebellar tonsil location. Cerebral spinal fluid (CSF) flow and the utilization of the spinal cord’s central canal for CSF transport. Certification in MRI Spine Clinical Grand Rounds, Academy of Chiropractic Post-Doctoral Division, Accreditation Council for Continued Medical Education in conjunction with The State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Cleveland University - Kansas City, Long Island, New York, 2021
Testifying: Documentation & Ethical Medical-Legal Relationships, 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. Certification in Testifying: Documentation & Ethical Medical-Legal Relationships, Academy of Chiropractic Post-Doctoral Division, Cleveland University - Kansas City, Long Island, New York, 2021
Testifying: Documentation & Ethical Medical-Legal Relationships, 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. Certification in Testifying: Documentation & Ethical Medical-Legal Relationships, Academy of Chiropractic Post-Doctoral Division, Cleveland University - Kansas City, Long Island, New York, 2021
Testifying: Documentation & Ethical Medical-Legal Relationships, Medical-Legal Ethical Relationships, Documentation and Direct Testimony, Organizing your documentation and understanindg 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, Certification in Testifying: Documentation & Ethical Medical-Legal Relationships, Academy of Chiropractic Post-Doctoral Division, Cleveland University - Kansas City, Long Island, New York, 2021
Testifying: Documentation & Ethical Medical-Legal Relationships, 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. Certification in Testifying: Documentation & Ethical Medical-Legal Relationships, Academy of Chiropractic Post-Doctoral Division, Cleveland University - Kansas City, Long Island, New York, 2021
Testifying: Documentation & Ethical Medical-Legal Relationships, 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. Certification in Testifying: Documentation & Ethical Medical-Legal Relationships, Academy of Chiropractic Post-Doctoral Division, Cleveland University - Kansas City, Long Island, New York, 2021
Testifying: Documentation & Ethical Medical-Legal Relationships, 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. Certification in Testifying: Documentation & Ethical Medical-Legal Relationships, Academy of Chiropractic Post-Doctoral Division, Cleveland University - Kansas City, Long Island, New York, 2021
Testifying: Documentation & Ethical Medical-Legal Relationships, 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 Certification in Testifying: Documentation & Ethical Medical-Legal Relationships, Academy of Chiropractic Post-Doctoral Division, Cleveland University - Kansas City, Long Island, New York, 2021
Testifying: Documentation & Ethical Medical-Legal Relationships, 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. Certification in Testifying: Documentation & Ethical Medical-Legal Relationships, Academy of Chiropractic Post-Doctoral Division, Cleveland University - Kansas City, Long Island, New York, 2021
Testifying: Documentation & Ethical Medical-Legal Relationships, 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. Certification in Testifying: Documentation & Ethical Medical-Legal Relationships, Academy of Chiropractic Post-Doctoral Division, Cleveland University - Kansas City, Long Island, New York, 2021
Testifying: Documentation & Ethical Medical-Legal Relationships, 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. Certification in Testifying: Documentation & Ethical Medical-Legal Relationships, Academy of Chiropractic Post-Doctoral Division, Cleveland University - Kansas City, Long Island, New York, 2021
Medical-Legal-Insurance Documentation: Colossus of the Courtroom, , Accurate and compliant documentation of history and clinical findings inclusive of functional losses, loss of activities of daily living, duties under duress and permanent loss of enjoyment of life. Prognosing static vs. stable care, gaps in care both in the onset and in the middle of passive care with a focus on detailed diagnosing. The integration of chiropractic academia, the court system and the insurance reimburser’s requirements for complete documentation. Certification in Medical-Legal-Insurance Documentation: Colossus of the Courtroom, Academy of Chiropractic Post-Doctoral Division, Cleveland University - Kansas City, Long Island, New York, 2021
Forensic Documentation - Testifying Part 2, Forensic Documentation-Report Writing, Report writing in a medical-legal case inclusive of causality, bodily injury, persistent functional loss and restrictive sequela from trauma. Demonstratively documenting bodily injury utilizing models, graphs and patient image of x-ray and advanced imaging. Certification in Forensic Documentation - Testifying Part 2, Cleveland University, Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2021
Forensic Documentation - Testifying Part 2, Forensic Documentation- Demonstrative Documentation, Demonstratively reporting spinal biomechanical failure and spinal compensation. How in a medical-legal environment to ethically report pre-existing injuries vs causally related current injuries and what is permissible in a legal proceeding. Certification in Forensic Documentation - Testifying Part 2, Cleveland University, Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2021
Forensic Documentation - Testifying Part 2, Forensic Documentation- Reporting Direct Opinions , Cauality, bodily injury and persistent functional losses documented and reported in a medical-legal environment as your direct opinion. Avoiding hearsay issues to ensure ethical relationships Certification in Forensic Documentation - Testifying Part 2, Cleveland University, Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2021
Forensic Documentation - Testifying Part 2, Forensic Documentation- Initial, Final and Collaborative Reporting ,Preparing demonstrative documentation in a medical-legal case ensuring that you are familiar with all other treating doctor’s reports. Correlating your initial and evaluation and management (E&M) report and your follow-up E&M reports with the narrative upon maximum medical improvement documenting continuum of care. Certification in Forensic Documentation - Testifying Part 2, Cleveland University, Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2021
Forensic Documentation - Testifying Part 2, Forensic Documentation- Qualifications and Preparation of Documentation, How to prepare your documentation for courtroom testimony and ensuring your qualifications are documented properly on an admissible, professional curriculum vitae. How to include indexed peer-reviewed literature in medical-legal documentation, Certification in Forensic Documentation - Testifying Part 2, Cleveland University, Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2021
Forensic Documentation - Testifying Part 2, Forensic Documentation- Reporting Patient History and Credentials ,Preparing patient history in a medical-legal case based upon your initial intake forms and understanding the work, social, academic, household and social activities of your patient. Understanding and explaining your doctoral and post-doctoral credentials in the courtroom. Certification in Forensic Documentation - Testifying Part 2, Cleveland University, Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2021
Forensic Documentation - Testifying Part 2, Forensic Documentation- Reporting Chiropractic Care and Injured Anatomy , Preparing demonstrative documentation in a medical-legal case to report the bodily injuries of your patients , inclusive of loss of function and permanent tissue pathology. Certification in Forensic Documentation - Testifying Part 2, Cleveland University, Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2021
Forensic Documentation - Testifying Part 2, Forensic Documentation- Reporting Temporary vs. Permanent Issues, Preparing documentation in a medical-legal case ensuring that you can communicate permanent vs. temporary functional losses and permanent vs. temporary tissue pathology. How to maintain and explain ethical relationships in medical-legal cases Certification in Forensic Documentation - Testifying Part 2, Cleveland University, Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2021
Forensic Documentation - Testifying Part 2, Forensic Documentation- Reporting Bodily Injury, How to report bodily injury and functional losses as supported by your credentials in a medical-legal case. Clinically correlating causality and permanent tissue pathology as sequela to trauma, Certification in Forensic Documentation - Testifying Part 2, Cleveland University, Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2021
Forensic Documentation - Testifying Part 2, Forensic Documentation- Record Review and Documentation Reporting, How to report records of collaborative treating doctors and communicating your scope of practice in the management of your case. How to ethically report your role as a doctor in medical-legal cases, Certification in Forensic Documentation - Testifying Part 2, Cleveland University, Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2021
Educating the Lawyer Chiropractic-Legal Ethics, Chiropractic-Legal Ethics, The academic and court standards for documenting an Evaluation and Management encounter with the utilization of accurate CPT Coding. Accurately documenting your credentials based upon earned credentials. Certification in Educating the Lawyer Chiropractic-Legal Ethics, Cleveland University, Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2021
Educating the Lawyer Chiropractic-Legal Ethics, Chiropractic-Legal Ethics, The clinical standard for ordering diagnostic tests as indicated. This includes advanced testing as MRI, CAT Scans and electrodiagnostics as electromyogram, nerve conduction studies, vestibulo-electronystagmography and somatosensory evoked potentials. The failure to order indicated testing and how it creates a public health risk and will negatively reflect on your license and reputation. Certification in Educating the Lawyer Chiropractic-Legal Ethics, Cleveland University, Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2021
Educating the Lawyer Chiropractic-Legal Ethics, Chiropractic-Legal Ethics, Documenting and communicating your credentials in a manner consistent with licensure boards and the courts. Communicating sub-specialties as awarded through formal academic accomplishments and utilizing that level of education to better understand and explain pathology. Certification in Educating the Lawyer Chiropractic-Legal Ethics, Cleveland University, Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2021
Educating the Lawyer Chiropractic-Legal Ethics, Chiropractic-Legal Ethics, Understanding ethical relationships about anti-kickback laws, fee-splitting and appropriate hiring practices in the clinical arena. How to use your initial patient documentation to conclude a case and ensure you are within the ethical boundaries. Certification in Educating the Lawyer Chiropractic-Legal Ethics, Cleveland University, Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2021
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. Cleveland University Kansas City, Chiropractic and Health Sciences,, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 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. Cleveland University, Kansas City , Chiropractic and Health Sciences,, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 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. Cleveland University Kansas City, Chiropractic and Health Sciences,, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2020
Spinal Biomechanical Engineering Clinical Application , History of clinical biomechanics with an emphasis on the diagnosis and management of spine pain of mechanical/functional origin. Evidence-based symptomatic vs. asymptomatic parameters using peer-reviewed medical index literature. Computerized mensuration analysis of spinal biomechanical pathology. Comparison of demonstrable spinal biomechanical failure on imaging to clinical evaluation and physical examination Academy of Chiropractic Post-Doctoral Division, Cleveland University, Chiropractic and Health Sciences, Kansas City , Long Island, New York, 2020
Using Documentation and Ethical Relationships , Pathways to improve coordination of care, and interprofessional communication with collaborating physicians. Maintaining ethical relationships in the medical-legal community through documentation and communication of demonstrable diagnosis, prognosis and treatment plans. Academy of Chiropractic Post-Doctoral Division, Cleveland University, Chiropractic and Health Sciences, Kansas City , Long Island, New York, 2020
Spinal Biomechanical Engineering Clinical Grand Rounds, Case reviews utilizing E/M, MRI, and x-ray mensuration report to conclude an accurate diagnosis, prognosis, and treatment plan. Common diagnosis requiring interprofessional collaboration with a discussion of diagnostic dilemmas and proper communication methods Diplomate, Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2020
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, Chiropractic and Health Sciences, Kansas City , Long Island, New York, 2020
MRI Spine Interpretation, An evidence-based understanding of time-related etiology of disc pathology considering the American Society of Neuroradiology's designation of protrusion, extrusion, and sequestration of spinal discs, Considering the signal intensity of discs in age-dating pathology and acquisition protocols for advanced spinal imaging Academy of Chiropractic Post-Doctoral Division, Cleveland University, Chiropractic and Health Sciences, Kansas City , Long Island, New York, 2020
Spinal Biomechanics; A Literature Perspective, An evidenced-based model for spinal biomechanical engineering and pathobiomechanics considering the pathophysiological limits in translations, angular deviation, and rotational planes. Utilizing the Cartesian system in plotting vertebral points to demonstratively conclude an accurate diagnosis, prognosis and biomechanical treatment plan with the consideration of long-term care in the non-specific mechanical spine pain patient when necessary Academy of Chiropractic Post-Doctoral Division, Cleveland University, Chiropractic and Health Sciences, Kansas City , Long Island, New York, 2020
Case Management of Mechanical Spine Pathology, Clinical Grand Rounds of herniated, protruded, extruded, sequestered, and bulging discs. Differentially diagnosing vascular vs. mechanical spinal lesions and the necessity for urgent vascular, neurological intervention, Collaborating in a team environment utilizing a neuroradiologist, electrophysiologist, and neurosurgeon with the chiropractor as the primary spine care provider. Academy of Chiropractic Post-Doctoral Division, Cleveland University, Chiropractic and Health Sciences, Kansas City , Long Island, New York, 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 Academy of Chiropractic Post-Doctoral Division, Cleveland University, Chiropractic and Health Sciences, Kansas City , Long Island, New York, 2020
MRI Spinal Anatomy, Protocols and Disc Pathology, Normal anatomy of axial and sagittal views utilizing T1, T2, gradient and STIR sequences of imaging. Degeneration and annular fissures of discs in both trauma and non-trauma patients and the biochemical properties of joints in age dating pathology. Disc bulges from degenerative and sequela to osseous issues, herniation pathology and protrusion, extrusion, migrated and sequestered variations Academy of Chiropractic Post-Doctoral Division, Cleveland University, Chiropractic and Health Sciences, Kansas City , Long Island, New York, 2020
Traumatic Brain Injury & Concussion, How To Evaluate Them & Causation, What do the science say? A Workshop American Board of Independent Medical Examiners, Orlando, Florida, 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
Chiropractic Bio Physics Drop Table Adjusting, This course provides an integrated education for the Doctor of Chiropractic in the science and art of spine, posture, and lower extremity disorders. The total permutations of abnormal posture using formulas from probability theory will be delineated and a literature review on postural displacements as they correlate to patient conditions. Certification in CBP Basic, CBP Seminars, Atlanta, Georgia, 2019
Chiropractic BioPhysics Full Spine Set-Ups using the Denneroll Table System, This course provides an integrated education for the Doctor of Chiropractic in the science and art of full spine disorders. Detailed literature reviews covering the sagittal plane of the spine during pediatric development through age related change occurring in senior populations will be presented CBP Seminars, Marietta, Georgia, 2019
Traumatic Brain Injury Conference, This course will cover neuropsychological testing, psychological defenses, neurological aspects of traumatic brain injuries, brain stem injuries, autonomic nervous system injuries (including associated impacts on the visual and inner ear systems), and advanced brain imaging. Trial Guides, Orlando, Florida, 2019
Crash Biomechanics, This course will cover whiplash, spinal injury, and brain trauma caused by vehicle collisions and how to diagnose and treat related injuries. Alabama State Chiropractic Association , Birmingham, Alabama, 2019
Chiropractic BioPhysics and Whiplash Trauma, This course provides an integrated education for the Doctor of Chiropractic in the Science and Art of chiropractic analysis and management of patients injured in motor vehicle collisions.An update-to-date review of research material will be presented supporting the utilization and efficacy of a variety of Chiropractic examination/documentation procedures, and treatment techniques across motor vehicle injury populations. CBP Seminars, Las Vegas, Nevada, 2019

SELECTED ADVANCED EDUCATION

Trauma Qualified, Cleveland University, Kansas City., 2021.
MRI Interpretation Review Qualified, Cleveland University, Kansas City., 2021.
Expert Witness & Documentation Qualified, Cleveland University, Kansas City., 2021.
Hospital Based Spine Care Qualified, Cleveland University, Kansas City., 2021.
Primary Spine Care Qualified, Cleveland University, Kansas City., 2024.
Evaluation & Management Qualified , Cleveland University, Kansas City., 2024.
Documentation and Diagnosing Qualified, Cleveland University, Kansas City., 2024.

SELECTED MEMBERSHIPS

Alabama State Chiropractic Association, 2015 - Present
Chiropractic Society of Alabama, 2007 - Present

SELECTED COMMUNITY SERVICE

The Cohen Home-Assisted Living and Memory Care, Alpharetta, Georgia, 2011 - 2015