Robert Dickman DC, F.P.S.C., Q.M.E.

4641 Post Street Box 4530, El Dorado Hills, CA, 95762

Phone: 408-644-7600

Cell: 408-644-7600

Fax: 916-260-5398

drrobd@sbcglobal.net

http://www.doctordickman.com

 

 

Dickman Chiropractic Corporation, San Jose / El Dorado Hills / Folsom, CA, August 98 – Present

 

Med-Legal: Qualified Medical Evaluations, Agreed Medical Evaluations, Permanent Partial Disability Evaluations, Subsequent Injury Benefits Trust Fund Evaluations, and Independent Medical Evaluations, having written thousands of medical-legal reports providing evidence of causality (e.g., age-dating discs), demonstrable bodily injury (e.g., both low- and high-speed accidents), and persistent functional loss (application of AMA Guidelines, 4th, 5th, and 6th Editions), containing opinions based on a reasonable degree of medical probability and, when applicable, substantiated by evidence-based peer-reviewed indexed literature.

 

Clinical: Restoration of spinal biomechanics and optimum function and pain reduction, accomplished through the appropriate use of diagnostic imaging, spinal adjustments, deep-tissue laser therapy, cryo-stimulation therapy, and magnetic resonance therapy, in conjunction with appropriate medical management, with a goal to obtain an accurate diagnosis, prognosis, and treatment plan that is in the best interest of the patient.

 

Medical Legal Evaluators, Professional Medical Corporation, Richmond, CA, July 15 – Present

 

Lead Consultant: Co-developed the copyrighted ‘Subsequent Injury Benefits Trust Fund Criteria Evaluation Protocols/Methods Systems’ (licensed system). Consult on case management, physician/evaluator training, quality control, and business development.

 

Edington Medical Group / Medical Evaluating Specialists / ExamWorks, Northern CA, September 11 – July 15

 

Contracted Physician: Performed a full array of medical-legal-consultation evaluations and narrative reports, including Qualified Medical Evaluations, Agreed Medical Evaluations, Independent Medical Evaluations, Designated P&S/MMI Consultation Evaluations, and Functional Capacity Evaluations.

 

Professional Reviews Corp., Atlanta, GA, April 04 – December 05

Performed case reviews (e.g., record review and phone interviews with primary treating physicians) to determine medical necessity for ongoing care.

 

Fellowship, Primary Spine Care (F.P.S.C.), Post-Graduate Studies, State University of New York at Buffalo, Jacobs School of Medicine, Office of Continuing Education; Cleveland University-Kansas City, College of Chiropractic; Academy of Chiropractic Post-Doctoral Division, 2021 – 2024

 

Faculty: Robert Peyster, MD, CAQ, Professor of Radiology and Neurology and Chief of Neuroradiology, SUNY Stony Brook Medical School; Magdy Shady, MD, Neurosurgeon, Board Certified, Neuro-Trauma Fellow, Clinical Assistant Professor of Neurosurgery, New York University Department of Neurosurgery; Mark Studin, DC, FASBE(C), DAAMP, DAAMLP, Adjunct Assistant Professor of Chiropractic, University of Bridgeport; William Owens, DC, DAAMLP, Adjunct Associate Clinical Professor, SUNY Buffalo School of Medicine and Biomedical Sciences; Terry Button, PhD, Assistant Professor, Director of Radiological Sciences and Medical Physics, SUNY Stony Brook; Zair Fishkin, MD, PhD, ABOS-Certified Orthopedic Spinal Surgeon, Biomedical/Mechanical Engineer; David Borges, DC, FASBE; Ray Wiegand, DC, Professor of Clinical Biomechanics; William DeBlasio, BS, MA, Engineer/Accident Reconstructionist; Candice Perkins, MD, Neurology & Cerebrovascular Neurology; Frank Zolli, DC, PhEd, Professor of Orthopedics, University of Bridgeport; Kevin Baker, MD, MSK Radiology, SUNY Stony Brook School of Medicine.

 

State Appointed Independent Medical Examiner (I.M.E.), EDD State Disability Insurance IME Panel, June 03

 

State Appointed Qualified Medical Evaluator (Q.M.E.) #944817, State of California, October 02

 

State Approved Independent Disability Evaluator (I.D.E.), July 02

 

Doctor of Chiropractic (D.C.), Licensed, State of Nevada, License #B-806, February 00

 

X-Ray Supervisor/Operator, Permit #RHC 144816, July 98

 

Doctor of Chiropractic (D.C.), Licensed, State of California, License #DC 25319, March 98 – Present

 

National Board of Chiropractic Examiners, Part I, March 98

 

National Board of Chiropractic Examiners, Part II, March 98

 

National Board of Chiropractic Examiners, Physiotherapy, March 98

 

Doctorate Degree, 2,500 hours of Anatomy, Pathology, Diagnosis, Neurology, X-ray Interpretation, Orthopedics, etc., Palmer College of Chiropractic West, San Jose, CA, December 97

 

Internship, Palmer College of Chiropractic West, Outpatient Clinic, San Jose, CA, June 96 – December 97

 

Preceptorship, Los Gatos Chiropractic Clinic, Los Gatos, CA, June 96 – November 97

 

Undergraduate Studies, Pre-Chiropractic Sciences, Patten College, Oakland, CA, 1993 – 1994

 

Bachelor of Science, Administration of Justice – Pre-Law, San Jose State University, December 89

 

Internship, District Attorney’s Office, San Jose, CA, June 89 – December 89

 

Primary Spine Care 15: Advanced MRI and X-Ray Documentation in Clinical Practice, Interpreting and utilizing X-ray and MRI findings in creating demonstrative documentation. Advanced identification of spinal disc lesions, herniations, bulges, protrusion, extrusion, and fragmentations through computer graphics. Identification and demonstrative documentation of vertebral motor unit pathology and reporting demonstratively using computer graphics. Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2026

 

Primary Spine Care 15; Advanced MRI Interpretation in Clinical Practice, Utilization of thin slice acquisitions with T2 Fat suppressed, STIR, proton density, T1 and T2 sequencing for advanced identification of spinal disc lesions, herniations, bulges, protrusion, extrusion, and fragmentations. Better visualization of intradural and extradural lesions, neoplasms, and infections. Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2026

 

Primary Spine Care 15; Ethics in Clinical Practice, Ethical, collaborative relationships with medical PCPs and specialists using advanced documentation and accurate reporting of imaging and advanced imaging. Creating a collegial relationship when conflicts arise in concluding accurate diagnosis to allow consensus and the evidence to determine final diagnosis. Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2026

 

Primary Spine Care 15; Spinal CAT Scan Interpretation, Understanding the utilization of CAT Scan slicing and the reformatting when using bone and soft tissue windows. Correlating MRI to CAT Scan when either creates an unclear conclusion to render a complete image of the morphology of the indeterminate pathology. Understanding the physics of CAT Scan and the radiation levels with different types of CAT Scan technology.  Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2026

 

Primary Spine Care 15; Connective Tissue/Strain Sprain Pathology, Understanding the morphology and physiology of connective tissue at the cellular and extra-cellular levels in building a foundation to understanding the function and interaction of ligaments, tendons, muscles, and bones, Identifying connective tissue pathology and the repair process with a foundation of r permanent aberrant sequella. Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2026

 

Primary Spine Care 15; Advanced Spinal Biomechanical Engineering, Understanding the concepts of normal vs. pathological movement of vertebral motor units in accurately concluding diagnosis on biomechanical pathology when considering excessive motion. An evidence-based approach to determining translation, angular deviation and rotations beyond pathobiomechanical limitations in the spine. Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2026

 

Primary Spine Care 15; Trends in Spinal Care, An evidence-based approach to concluding accurate diagnosis, prognosis, and treatment plan, Eradicating the non-specific back pain dogma utilizing X-ray digitizing based on literature standards, Creating treatment plans with identifying the primary spinal lesions using evidence-based tools. Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2026

 

Primary Spine Care 15; Documentation in Clinical Practice, Understanding and including all historical elements; current history, past history, family history, and social history when documenting a 99201, 99202, 99203, 99204, and 99205. The application of time as the prime element as per Medicode in coding examinations and re-examination with face to face, review of records and the time necessary to document in an electronic health record. Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2026

 

Mini-Fellowship in Neuroradiology – MRI Spine, Part 1, Evidence-based study of Modic changes, disc and referred pain, MRI and cervical musculature, kinetic MRI images, neurological innervation, MRI and injury mechanisms, discogenic pain, annular tears and fissures, and asymptomatic herniations. 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.

 

Mini-Fellowship in Neuroradiology – MRI Spine, Part 2, Identification and oral examination of 60 MRI sequences (over 2,500 images) of disc bulges; circumferential, radial, and transverse fissures; varices; and herniations, including protrusions and extrusions (sequestered and migrated/comminuted), with contemporary nomenclature and reporting. 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.

 

Mini-Fellowship in Neuroradiology – MRI Spine, Part 3, Continued identification and oral examination of 60 MRI sequences (over 2,500 images) of disc bulges, fissures, varices, and herniations, emphasizing MRI sequencing for accurate interpretation and reporting. 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.

 

Mini-Fellowship in Musculoskeletal Radiology – MSK Extremities, Identifying arthritis, advanced cartilage pathology, rotator cuff tears, labral tears, tendon injuries and degeneration, meniscal tears, ligamentous injuries, common fractures, sports-related injury patterns, and plantar fasciitis in both upper and lower extremities. Academy of Chiropractic Post-Doctoral Division, Accreditation Council for Continuing Medical Education in conjunction with the State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University, Kansas City, 2024.

 

Mini-Fellowship in Musculoskeletal Radiology – MSK Extremities, Clinical Research, Contemporary literature-based evidence in rheumatoid, osteo, spondylar, gouty, and psoriatic arthritides; advanced cartilage pathology; rotator cuff, labral, tendon, meniscal, and ligamentous injuries; common fractures; sports injury patterns; and plantar fasciitis of the upper and lower extremities. Academy of Chiropractic Post-Doctoral Division, Accreditation Council for Continuing Medical Education in conjunction with the State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University, Kansas City, 2024.

 

Primary Spine Care 14, Spinal Biomechanics in Clinical Practice, Utilization of X-ray digitization to diagnose spinal biomechanical pathology and analyze healthcare trends in triaging mechanical spine pain, and the role of credentials in interprofessional collaboration. ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2023.

 

Primary Spine Care 14, MRI Spine Sequence Acquisition and Interpretation, Understanding and utilizing T1, T2, STIR, proton density, FSE, and GRE sequencing for conclusive diagnosis of fracture, tumor, infection, and disc pathology, and identifying herniation, protrusion, bulge, and extrusion (migrated and fragmented) on MRI. ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2023.

 

Primary Spine Care 14, Spinal Disc Microanatomy, Understanding the discal elements (annulus, nucleus pulposus, cartilaginous end plates), including neurology and visualization from neonate to adult, and the etiology of Modic changes and altered spinal biomechanics. ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2023.

 

Primary Spine Care 14, Interprofessional Collaboration on Mechanical Back Pain, Triaging neurologically compromised cases with positive MRI findings, collaboratively managing cases with neurosurgeons, and post-operative management through full recovery. ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2023.

 

Primary Spine Care 14, Spinal Biomechanical Engineering Analytics, Analytics of spinal biomechanical engineering using X-ray digitizing for alteration of motion segment integrity and biomechanical pathology, determining ligament laxity in connective tissue pathology and long-term sequelae. ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2023.

 

Primary Spine Care 14, Demonstrative Reporting of MRI Spinal Disc Pathology, Diagnosis and reporting of spinal disc bulges, herniations, protrusions, extrusions, and fragments; varices; Modic 1, 2, and 3; the posterior longitudinal, interspinous, and intertransverse ligaments; and the ligamentum flavum and epidural fat as space-occupying lesions. ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2023.

 

Nevada Impairment Rating Skills Assessment Test (NIRSAT), AAEME, 2023.

 

2022 Trends in Spinal Healthcare, Analyzing evidence-based spinal healthcare trends in utilization and necessity and understanding the marketplace, and the use of evidence-based demonstrative documentation in reporting treatment pathways when 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, 2022.

 

MRI Spine Clinical Case Grand Rounds, Clinical case review of MRIs in sagittal, axial, T1, T2, STIR, and proton-density sequences, identifying the vertebrae, spinal cord, discs, nerve roots, thecal sac, posterior longitudinal ligament, and epidural veins, with pathology including bulges, herniations, protrusions, extrusions, myelomalacia, cord edema, and Schmorl’s nodes, and collaboration with radiologists, neuroradiologists, and neurosurgeons. 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, 2022.

 

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 to define primary spinal lesions and remove the dogma of non-specific back pain; and managing collaborative relationships with medical providers and specialists. 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, 2022.

 

MSK Extremity Radiological Interpretation, Utilizing both MRI and x-ray to identify extremity instabilities arising 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, 2022.

 

Demonstrative Narrative and Evaluation and Management Report Writing, Effectively creating demonstrative medical-legal documentation that meets the needs of the courts, building the ‘4-corner’ narrative report and an evidence-based reputation, and educating the attorney on bodily injury through 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, 2022.

 

Ligament / Connective Tissue Physiology and Pathology, Master-class in ligaments: anatomy, physiology, vascularization, neurological innervation, and tissue repair; ligament pathology correlated to the mechanisms of patho-neuro-biomechanical lesions; and the role of ligaments in the chiropractic spinal adjustment. 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, 2022.

 

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, with imaging protocols based on history and clinical presentation and analysis of imaging findings to determine etiology. 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, 2022.

 

Age-Dating Herniated Discs and Trauma, Combining the clinical skills of interpreting X-ray, MRI, and other imaging modalities with an understanding of joint pathology to age-date herniated discs and trauma, essential for collaboration and for medical-legal expert work and prognosis. 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, 2022.

 

Clinical Grand Rounds in Spinal Biomechanics, Case reviews utilizing E/M, MRI, and x-ray mensuration reports to conclude an accurate diagnosis, prognosis, and treatment plan, with discussion of diagnostic dilemmas and interprofessional communication. 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, 2022.

 

Neurosurgical Grand Rounds, Collaborating with neurosurgeons on spinal cord and nerve-root comorbidities; triaging herniated, protruded, extruded, and fragmented discs; and differentially diagnosing tethered cord, syringomyelia, traumatic Schmorl’s nodes, myelomalacia, cord edema, vacuum disc, and other intra- and extra-dural lesions. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022.

 

MRI Spinal Anatomy, Protocols and Disc Pathology, Normal anatomy of axial and sagittal views using T1, T2, gradient, and STIR sequences; degeneration and annular fissures in trauma and non-trauma patients; and disc bulges, herniations, protrusions, extrusions, and migrated/sequestered variations with clinical scenarios as sequelae to disc and pre-existing pathology. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022.

 

MRI Spine Interpretation, Herniated, bulged, extruded, protruded, sequestered, and degenerative discs; pathological vs. normal disc morphology; the required T1, T2, and STIR sequences for all spinal regions; and Modic 1-2-3 changes and the traumatic relationship. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022.

 

Extremity MRI & X-Ray Interpretation of the Shoulder, Identifying normal anatomy on MRI and x-ray (osseous, connective tissue, neurological), identifying fractures in adult and pediatric cases, and differentially diagnosing arthritic etiologies of osseous derangement and arthritic changes vs. benign and metastatic tumors. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022.

 

Extremity MRI & X-Ray Interpretation of the Elbow, Identifying normal anatomy on MRI and x-ray, identifying fractures in adult and pediatric cases, and differentially diagnosing arthritic etiologies and arthritic changes vs. benign and metastatic tumors. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022.

 

Extremity MRI & X-Ray Interpretation of the Wrist, Identifying normal anatomy on MRI and x-ray, identifying fractures in adult and pediatric cases, and differentially diagnosing arthritic etiologies and arthritic changes vs. benign and metastatic tumors. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022.

 

Extremity MRI & X-Ray Interpretation of the Hand, Identifying normal anatomy on MRI and x-ray, identifying fractures in adult and pediatric cases, and differentially diagnosing arthritic etiologies and arthritic changes vs. benign and metastatic tumors. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022.

 

Extremity MRI & X-Ray Interpretation of the Hip, Identifying normal anatomy on MRI and x-ray, identifying fractures in adult and pediatric cases, and differentially diagnosing arthritic etiologies and arthritic changes vs. benign and metastatic tumors. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022.

 

Extremity MRI & X-Ray Interpretation of the Knee, Identifying normal anatomy on MRI and x-ray, identifying fractures in adult and pediatric cases, and differentially diagnosing arthritic etiologies and arthritic changes vs. benign and metastatic tumors. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022.

 

Extremity MRI & X-Ray Interpretation of the Foot, Identifying normal anatomy on MRI and x-ray, identifying fractures in adult and pediatric cases, and differentially diagnosing arthritic etiologies and arthritic changes vs. benign and metastatic tumors. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022.

 

MRI Spine Clinical Grand Rounds, Sequencing and Landmarks, Interpretation sequencing of STIR, T1, T2, axial, and sagittal acquisitions; landmarks, physics, and literature-based definitions of disc and osseous pathology; and visualizing, diagnosing, and documenting cervical and lumbar anatomy vs. pathology. Academy of Chiropractic Post-Doctoral Division, Accreditation Council for Continuing 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, NY, 2022.

 

MRI Spine Clinical Grand Rounds, Lumbar Spine, Visualizing, diagnosing, and documenting lumbar disc herniations, neural canals, cauda equina, conus medullaris, nerve sleeves, canal-stenosis grading, and vertebral width vs. height in segmental remodeling, with thecal-sac abutment, central-canal root compression, and ligamentum flava involvement. Academy of Chiropractic Post-Doctoral Division, Accreditation Council for Continuing 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, NY, 2022.

 

MRI Spine Clinical Grand Rounds, Cervical Spine and Chiari I, Case study of cervical disc herniations, neural canals, cauda equina, conus medullaris, and segmental remodeling, and identifying the pons, occipital junction, and spinal cord to recognize Chiari I malformations. Academy of Chiropractic Post-Doctoral Division, Accreditation Council for Continuing 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, NY, 2022.

 

MRI Spine Clinical Grand Rounds, Lumbar Extrusions and Spondylolisthesis, Lumbar disc-extrusion herniations, neural canals, cauda equina, conus medullaris, spondylolisthesis and degenerative spondylolisthesis, disc degeneration, neural-canal and central-root compressions, central-canal stenosis, varices vs. herniations, and multilevel pathology with biomechanical failure. Academy of Chiropractic Post-Doctoral Division, Accreditation Council for Continuing 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, NY, 2022.

 

MRI Spine Clinical Grand Rounds, Cervical Extrusions and Trauma Dating, Cervical disc-extrusion herniations, disc degeneration, thecal-sac compression, central-canal stenosis, cord displacement, curve reversal, and Chiari I; identifying biomechanical failure and ligamentous pathology; and differentiating recent vs. older trauma by edematous signal on T1, T2, and STIR. Academy of Chiropractic Post-Doctoral Division, Accreditation Council for Continuing 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, NY, 2022.

 

MRI Spine Clinical Grand Rounds, Intradural Tumor, Cervical multiple disc-extrusion herniations, vertebral remodeling, an intradural tumor displacing the spinal cord on T1, T2, and STIR, neural-canal stenosis, disc degeneration, thecal-sac compression, cord displacement, curve reversal, Chiari I, and identification of inferior brain structures. Academy of Chiropractic Post-Doctoral Division, Accreditation Council for Continuing 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, NY, 2022.

 

MRI Spine Clinical Grand Rounds, Study Validity and Abdominal Landmarks, Recognizing improper sequence acquisitions and incomplete studies that invalidate interpretation; lumbar multiple extrusions, vertebral remodeling, multiple thecal-sac compressions, neural-canal stenosis, disc-osteophyte complex, central-canal stenosis, and spondylolisthesis; and identifying the spleen, liver, kidneys, inferior vena cava, and psoas musculature. Academy of Chiropractic Post-Doctoral Division, Accreditation Council for Continuing 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, NY, 2022.

 

MRI Spine Clinical Grand Rounds, Cervical Spondylosis and Fat Saturation, Cervical spondylosis, pathological biomechanics, lordotic-curve reversal and segmental remodeling, central herniation and thecal-sac/cord compression; identifying the tongue, epiglottis, hyoid cartilage, pharynx, and thyroid; and reviewing fat-saturation sequences for osseous metastatic tumors and advanced degeneration. Academy of Chiropractic Post-Doctoral Division, Accreditation Council for Continuing 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, NY, 2022.

 

MRI Spine Clinical Grand Rounds, Lumbar Degeneration and Vascular Findings, Lumbar degenerative disc disease, nerve-root-sleeve abutment, far-lateral herniations vs. bulges, normal vs. dissected inferior vena cava aneurysm, epidural fat as a space-occupying lesion, facet arthropathy and edema, ligamentum flava hypertrophy, and pseudo-disc at S1–S2. Academy of Chiropractic Post-Doctoral Division, Accreditation Council for Continuing 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, NY, 2022.

 

MRI Spine Clinical Grand Rounds, T1/STIR Pathology and CSF Flow, Cervical T1-weighted imaging for advanced degeneration and tumor detection, fat-saturated STIR for ligamentous pathology (posterior longitudinal, ligamentum flava, interspinous), normal clivus and odontoid for cerebellar-tonsil location, and cerebrospinal-fluid flow through the spinal cord’s central canal. Academy of Chiropractic Post-Doctoral Division, Accreditation Council for Continuing 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, NY, 2022.

 

Case Management, Documenting Herniated Discs, Age-Dating, and Connective Tissue Pathology, Differentially diagnosing herniated discs vs. normal and bulging discs and protruded, extruded, and fragmented discs; normal vs. pathological connective tissue; and age-dating herniated discs as sequelae to trauma. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022.

 

Case Management of Traumatic Spinal Injuries, Understanding flexion-extension cervical injuries and diagnosing connective tissue pathology, and determining impairments and the literature-based standard for permanent injuries. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022.

 

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; and literature-based documentation requirements for non-disc spinal injuries. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022.

 

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. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022.

 

Demonstrative Documentation of Disc Herniation and MRI Physics, Documentation requirements to demonstratively show spinal disc lesions, and understanding the physics of a nucleus resonating in T1- and T2-weighted imagery. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022.

 

Post-Traumatic Herniated Discs, Related Migraines/Headaches & Strain/Sprain Permanencies, The relationship of headaches and migraines to cervical disc herniation, the clinical rationale for ordering MRI, and the relationship of ligamentous pathology to spinal trauma. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022.

 

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, with a complete understanding of the forces involved to conclude a differential diagnosis while concurrently ruling out malingerers when applicable. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022.

 

Neurodiagnostics, Imaging Protocols and Pathology of the Trauma Patient, An in-depth understanding of the protocols for triaging and reporting the clinical findings of the trauma patient while maintaining ethical relationships with the medical-legal community. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2022.

 

Diagnostics, Risk Factors, Clinical Presentation and Triaging the Trauma Patient, Clinically coordinating history and physical findings, integrating neurodiagnostics, utilizing emergency-room records to create an accurate diagnosis, and the significance of risk factors in spinal injury. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2022.

 

Crash Dynamics and Its Relationship to Causality, The physics of energy transfer from the bullet car to the target car, including G-forces, newtons, gravity, energy, skid marks, crumple zones, spring factors, and event-data recorders, and the clinical correlation of forces to bodily injury. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2022.

 

MRI, Bone Scan and X-Ray Protocols, Physiology and Indications for the Trauma Patient, MRI interpretation, physiology, history, and clinical indications; bone-scan interpretation and indications; and x-ray clinical indications for the trauma patient. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2022.

 

Neurodiagnostic Testing Protocols, Physiology and Indications for the Trauma Patient, EMG, NCV, SSEP, VEP, BAER, and V-ENG interpretation, protocols, and clinical indications for the trauma patient. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2022.

 

Documentation and Reporting for the Trauma Victim, Accurate documentation and diagnosis using ICD and CPT coding to describe injury, and utilizing state regulations on reimbursement issues in healthcare. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2022.

 

Documenting Clinically Correlated Bodily Injury to Causality, Accurate documentation, diagnosis, and clinical correlation of injury when reporting in the medical-legal community, documenting kinesiopathology, myopathology, neuropathology, and pathophysiology in functional and structural paradigms. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2022.

Spinal Biomechanical Engineering, Cartesian Coordinate System, The Cartesian coordinate system from history to application in the human body, including the x, y, and z axes in translation and rotation (thetas) as 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, 2022.

 

Spinal Biomechanical Engineering, Cervical Pathobiomechanics, Biomechanical engineering of the cervical and upper-thoracic spine, including normal and pathobiomechanical movement of the anterior and posterior motor units, intrinsic musculature, and reporting nomenclature. 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, 2022.

 

Spinal Biomechanical Engineering, Lumbar Pathobiomechanics, Biomechanical engineering of the lumbar spine, including normal and pathobiomechanical movement of the anterior and posterior motor units, intrinsic musculature, and reporting nomenclature. 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, 2022.

 

Spinal Biomechanics in Trauma, Whiplash-associated disorders across impact vectors; clinically correlating annular tears, disc herniations, fractures, ligament pathology, and segmental instability to pathobiomechanics; and using digital motion x-ray to diagnose normal vs. abnormal facet motion. 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, 2022.

 

Spinal Biomechanical Engineering & Organizational Analysis, Integrating spinal biomechanics and pathobiomechanics through digitized analysis, comparing organized vs. disorganized compensation (regional and global), and correlating vestibular, ocular, and proprioceptive integration in the righting reflex. 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, 2022.

 

Spinal Biomechanical Engineering, Cervical Digital Analysis, Digitizing the cervical spine in neutral, flexion, and extension to diagnose pathobiomechanics, including alteration of motion segment integrity (angular and translational) and ligament instability using numerical values and models. 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, 2022.

 

Spinal Biomechanical Engineering, Lumbar Digital Analysis, Digitizing the lumbar spine in rotational analysis with neutral and lateral bending and gait analysis, identifying ligament instability and pathology using numerical values and models 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, 2022.

 

Spinal Biomechanical Engineering, Full Spine Digital Analysis, Digitizing full-spine images to diagnose pathobiomechanics as sequelae to trauma related to ligamentous failure and disc/vertebral pathology, using rotational analysis, lateral bending, gait analysis, and numerical models 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, 2022.

 

Spinal Trauma Pathology, Triage and Connective Tissue Injuries and Wound Repair, Triaging the injured and differentially diagnosing primary and secondary complaints, with connective-tissue injuries and wound-repair morphology focused on aberrant tissue replacement and permanency prognosis. 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, 2022.

 

Spinal Trauma Pathology, Ligament Anatomy and Injury Research and Spinal Kinematics, Spinal ligamentous anatomy and research on wound repair, the future negative sequelae of abnormal tissue replacement, and the resultant aberrant kinematics and spinal 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, 2022.

Spinal Trauma Pathology, Biomechanics, Central Nervous System and Disc Nomenclature, The application of spinal biomechanical engineering models in trauma and their negative sequelae on the central nervous system, including the lateral horn, periaqueductal grey matter, thalamus, and cortices. 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, 2022.

 

Spinal Trauma Pathology, Biomechanics of Traumatic Disc Bulge and Age-Dating, The biomechanics of traumatic disc bulges as sequelae of trauma and the comorbidity of ligamentous pathology, and age-dating spinal disc pathology in accordance with Wolff’s Law. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022.

 

Spinal Trauma Pathology, Clinical Grand Rounds, Review of case histories of mechanical spine pathology and biomechanical failure, including clinical findings, x-ray, and advanced imaging, and assessing comorbidities in triage and prognosis. 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, 2022.

 

Spinal Trauma Pathology, Research Perspectives, Review of current literature standards in spinal trauma pathology and documentation review of biomechanical failure, ligamentous failure, and age-dating disc pathology. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022.

 

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 translated to the occupant. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2022.

 

Accident Reconstruction, Causality, Bodily Injury, Crumple Zones, Force & Critical Documentation, Factors causing negative acceleration to zero and the forces translated to the occupant, and critical documentation from hospitals, ambulance reports, doctors, and the legal profession in reconstructing an accident. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2022.

 

Accident Reconstruction, Skid Marks, Time, Distance, Velocity & Speed Formulas, Mathematical calculations using time, distance, speed, coefficients of friction, and acceleration to reconstruct an accident, and application of critical documentation acquired from the accident site. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2022.

 

Accident Reconstruction, Research, Causality & Bodily Injury, Delta-V issues correlated to injury and mortality, side-impact and frontal-impact kinematics, event-data-recorder reports correlated to injury, and crash-injury metrics including head-restraint inquiries. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2022.

 

AMA Guides, 6th Edition – Impairment Ratings, Protocols and parameters of the AMA Guides to the Evaluation of Permanent Impairment, 6th Edition, detailing spine, neurological sequelae, migraine, sexual dysfunction, sleep and arousal disorders, station and gait disorders, consciousness, herniated discs, radiculopathy, fracture, dislocation, and functional loss. 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, 2022.

 

Neurology of Ligament Pathology, Normal Morphology and Tissue Damage, Connective-tissue morphology, embryology, and wound repair as sequelae to trauma, with the full components of strain-sprain models and permanency implications including osseous aberration and aberrant structural integrity. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, College of Chiropractic, Long Island, NY, 2022.

 

Neurology of Ligament Pathology, Spinal Biomechanics and Disc Pathology, Disc pathology as sequelae to trauma—herniation, extrusion, protrusion, and sequestration—and how the spinal unit as one system creates homeostasis to balance the pathology. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, College of Chiropractic, Long Island, NY, 2022.

Neurology of Ligament Pathology, Neurological Innervation, The peripheral and central innervation of the disc and spinal ligaments via the dorsal root ganglion, spinothalamic tracts, and periaqueductal gray, and the efferent distribution that creates homeostasis until osseous changes ensue under Wolff’s Law. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, College of Chiropractic, Long Island, NY, 2022.

 

Orthopedic Testing, Principles, Clinical Application and Triage, Integration of orthopedic testing to develop a differential diagnosis, using radiographic and advanced imaging (MRI and CT) to verify suspected tissue pathology and develop a treatment plan. 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, 2022.

 

Orthopedic Testing, Cervical Spine, Integration of cervical orthopedic testing to develop a differential diagnosis, using radiographic and advanced imaging to verify tissue pathology and develop a treatment plan. 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, 2022.

 

Orthopedic Testing, Lumbar Spine, Integration of lumbar orthopedic testing to develop a differential diagnosis, using radiographic and advanced imaging to verify tissue pathology and develop a treatment plan. 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, 2022.

 

Orthopedic Testing, Clinical Grand Rounds, Integrating orthopedic testing across simple and complex patient scenarios, including potential stroke and vertebrobasilar insufficiency, with orthopedic testing as a critical part of evaluation and screening. 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, 2022.

 

Stroke Anatomy and Physiology, Brain Vascular Anatomy, The anatomy and physiology of the brain and how blood perfusion affects brain function, with detailed analysis of the blood supply to the brain and the physiology of ischemia. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022.

 

Stroke Anatomy and Physiology, Stroke Types and Blood Flow, Types of stroke identifying ischemia, hypoperfusion, infarct and penumbra zones, and emboli; cardiac etiologies and clinical features; and historical comorbidities including diabetes and coagulopathy. 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, 2022.

 

Stroke Principles of Treatment, An Overview for the Primary Care Provider, Stroke types and treatments performed by vascular specialists, the physiology of the infarct and penumbra zones, the role of immediate triage in the primary care setting, and complications and future care in the chiropractic setting. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022.

 

Clinical Evaluation and Protocols for Identifying Stroke Risk, Neurological history and examination for identifying stroke risk, focusing on supra- and infratentorial regions, upper and lower motor lesions, cranial-nerve signs, cord pathology, motor and sensory pathology, gait, genetic and family histories, and dissection risk factors. 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, 2022.

 

Traumatic Brain Injury and Concussion Overview, An in-depth overview of traumatic brain injury and concussion, recognizing that all brain injuries are traumatic, with triage protocols and the potential sequelae of brain injury. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022.

Head Trauma and Traumatic Brain Injury, Part 1, Gross traumatic brain injuries with significant bleeding, including epidural and subdural hematomas, with case studies of neurosurgical intervention and post-surgical outcomes. 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, 2022.

 

Head Trauma and Traumatic Brain Injury, Part 2, Additional case studies of gross traumatic brain injury requiring neurosurgical intervention, recovery sequelae, and concussion protocols short of demonstrable bleeding on advanced imaging. 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, 2022.

 

Concussion and Electroencephalogram Testing, Concussion etiology and cognitive sequelae where gross bleeding is not identified on imaging, the significance of EEG in determining brain function and pathology, and waveforms in normal and abnormal scenarios. 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, 2022.

 

Concussion and Electroencephalogram Testing, Pathological Results, Amplitude, conduction, and conduction delays as sequelae to brain injury; EEG and event-related potentials as a noninvasive means of evaluating brain function; and case studies with ensuing triage protocols. 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, 2022.

 

Trends in Spinal Healthcare, Analyzing spinal healthcare trends in utilization and necessity, understanding how clinical excellence is reflected in documentation and credentials, and treatment pathways in triaging spinal pathobiomechanics. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2022.

 

MRI Spine Interpretation, Time-Related Etiology, An evidence-based understanding of the time-related etiology of disc pathology per the American Society of Neuroradiology designations of protrusion, extrusion, and sequestration, and signal intensity in age-dating pathology. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2022.

 

Spinal Biomechanics, A Literature Perspective, An evidence-based model for spinal biomechanical engineering and pathobiomechanics considering pathophysiological limits in translation, angular deviation, and rotation, using the Cartesian system to conclude an accurate diagnosis, prognosis, and treatment plan. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2022.

 

Case Management of Mechanical Spine Pathology, Clinical grand rounds of herniated, protruded, extruded, sequestered, and bulging discs; differentially diagnosing vascular vs. mechanical lesions; and team collaboration with neuroradiology, electrophysiology, and neurosurgery, with the chiropractor as the primary spine care provider. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2022.

 

Evidence-Based Care in a Collaborative Setting; Primary Spine Care 5, A literature-based model for collaborating with hospitals, medical primary care providers, and specialists, and the documentation required to communicate diagnosis, prognosis, and treatment plans. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2022.

 

Current Literature Standards of MRI Spine Interpretation; Primary Spine Care 5, Triaging trauma and non-trauma patients with advanced imaging, documenting necessity, and the fundamentals of MRI spine interpretation including all types of herniations and bulges. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2022.

 

Spine-Brain Connection in Pain Pathways; Primary Spine Care 5, The spine-brain connection in managing chronic pain, how chronic pain affects brain morphology, and the role of chiropractic in preventing the loss of gray matter per recent indexed literature. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2022.

Bio-Neuro-Mechanical Mechanism of the Chiropractic Spinal Adjustment; Primary Spine Care 5, The biological, neurological, and mechanical pathways from the thrust to the dorsal horn and brain, how the brain processes the chiropractic spinal adjustment per the literature, and chiropractic vs. physical-therapy care paths by outcome. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2022.

 

Chiropractic as the First Option for Spine, A Literature-Based Standard, Using clinical findings with advanced imaging and electrodiagnostic findings to manage collaborative relationships with medical specialists and applying a literature standard ensuring conservative care as the first option. PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022.

 

Chiropractic as the First Option for Spine, MRI-Based Management, Managing spinal cases based on MRI findings of herniations, bulges, protrusions, and extrusions (comminuted and fragmented) using thin-slice acquisition, and when to order T1, T2, STIR, proton density, and Dixon sequencing. PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022.

 

Chiropractic as the First Option for Spine, Literature-Based Documentation, Creating literature-based documentation including history and clinical examination encompassing causality, diagnosis, prognosis, and treatment plans, ensuring whole-person impairment ratings consistent with contemporary literature. PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022.

 

Chiropractic as the First Option for Spine, Biomechanical Engineering Models, Spinal biomechanical engineering models related to pathobiomechanics and literature-based standards, determining impairment ratings based on alteration of motion segment integrity using motion imaging and demonstrable evidence for continued treatment. PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022.

 

Documentation in Medical Collaborative Cases, Concluding an E&M report in cases involving medical providers and specialists with complicated histories, significant risk factors, and inconclusive findings, and triaging and managing complicated cases requiring clinical evaluation, advanced imaging, and electrodiagnostics. Academy of Chiropractic, Cleveland University – Kansas City, Chiropractic and Health Sciences, Long Island, NY, 2022.

 

MRI Spine Interpretation and Protocols, Contemporary acquisition protocols including slice thickness and sequences and the ordering process, and interpretation of axial, sagittal, and coronal views in T1, T2, and STIR for the disc, spinal cord, and extra- and intra-dural pathology. Academy of Chiropractic, Cleveland University – Kansas City, Chiropractic and Health Sciences, Long Island, NY, 2022.

 

Ethics and Medical Collaboration, Building referral relationships with emergency rooms, neurosurgeons, orthopedic surgeons, pain-management specialists, neurologists, neuroradiologists, and primary care providers using evidence-based protocols and imaging to conclude diagnostic dilemmas and an accurate treatment plan. Academy of Chiropractic, Cleveland University – Kansas City, Chiropractic and Health Sciences, Long Island, NY, 2022.

 

Documentation in a Medical-Legal and Insurance Setting, Constructing an E&M (99202–99205) report that accurately reflects history, clinical findings, and management of trauma cases, meeting the needs of carriers and courts while matching contemporary academic and literature-based standards. Academy of Chiropractic, Cleveland University – Kansas City, Chiropractic and Health Sciences, Long Island, NY, 2022.

 

MRI Spine Interpretation, Advanced Diagnosis, An evidence-based understanding of the time-related etiology of disc pathology per the American Society of Neuroradiology designations of protrusion, extrusion, and sequestration, using T1, T2, STIR, and proton-density evaluation to diagnose the spine accurately from MRI. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022.

Spinal Biomechanical Engineering Analytics and Case Management, Using spinal mensuration algorithms to conclude a pathobiomechanical vs. normal spine in the absence of anatomical pathology, and clinically correlating history and examination findings to x-ray biomechanical results. 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, 2022.

 

Demonstrative Medical-Legal Documentation, The narrative report and what the courts look for, making the ‘4-corner’ narrative demonstrable, building a reputation as an evidence-based provider, and the step-by-step minutiae of building a report. 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, 2022.

 

Managing Non-Anatomical Spine Pain, Treatment modalities centered on best outcomes in an evidence-based model comparing chiropractic vs. physical therapy and chiropractic vs. medicine, considering disability, pain reduction, functional improvement, drug utilization, and side effects. 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, 2022.

 

Interprofessional Hospital-Based Spine Care, Trends in hospital and emergent care within the healthcare delivery system, including policies, hospital staffing, and current care paths for mechanical spine issues. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2022.

 

Medical-Legal Ethical Relationships, Documentation and Legal Testimony, Report writing for legal cases, the four corners of a narrative, documenting damages, and understanding defense medical documentation and consistent reporting of bodily injuries. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, College of Chiropractic, Long Island, NY, 2022.

 

Medical-Legal Ethical Relationships, Documentation and Legal Testimony, Part 2, Report writing and the types of medical reports required for court, including diagnosis, prognosis, and treatment plans with requirements for reporting causality and permanency. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, College of Chiropractic, Long Island, NY, 2022.

 

Medical-Legal Ethical Relationships, Documentation and Direct Testimony, Organizing documentation and understanding how collaborative documentation fits into diagnosis, prognosis, and treatment plans, and the nuances of patients’ functional losses related to their bodily injuries. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, College of Chiropractic, Long Island, NY, 2022.

 

Medical-Legal Ethical Relationships, Documentation and Direct Testimony, Part 2, Using demonstrative documentation in direct examination and communicating the results of care concurrently with the written documentation, reporting an accurate diagnosis for all images. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, College of Chiropractic, Long Island, NY, 2022.

 

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 review of all images. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, College of Chiropractic, Long Island, NY, 2022.

 

Medical-Legal Ethical Relationships, Documentation and Direct Testimony, Part 4, Determining and documenting disabilities and impairments, including loss of enjoyment of life and duties under duress, and the evaluation and validation of pain and suffering. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, College of Chiropractic, Long Island, NY, 2022.

 

Medical-Legal Ethical Relationships, Documentation and Cross-Examination Testimony, Reporting documentation factually and staying within the four corners of the medical report and scope of practice, including how credentials allow the doctor to report findings. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, College of Chiropractic, Long Island, NY, 2022.

 

Medical-Legal Ethical Relationships, A Documentation Relationship Between Doctor and Lawyer, The level of organization required in a medical-legal case to accurately reflect the patient’s bodily injuries and the time constraints in rendering an accurate report. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, College of Chiropractic, Long Island, NY, 2022.

 

Medical-Legal Ethical Relationships, Report Writing and Preparing for a Legal Case, Reviewing the facts of the case, including the doctor’s documentation, the defense medical examiner, medical specialists, and the attorney, to ensure accurate and consistent reporting. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, College of Chiropractic, Long Island, NY, 2022.

 

Medical-Legal Ethical Relationships, Creating Demonstrative Evidence for a Legal Case, Creating demonstrative visuals of the patient’s bodily injuries from x-ray, MRI, CT, and electrodiagnostics, and the biomechanics of herniated discs with ipsilateral findings and contralateral symptomatology. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, College of Chiropractic, Long Island, NY, 2022.

 

Forensic Documentation, Report Writing, Report writing in a medical-legal case including causality, bodily injury, persistent functional loss, and restrictive sequelae from trauma, demonstratively documenting bodily injury using models, graphs, and patient imaging. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022.

 

Forensic Documentation, Demonstrative Documentation, Demonstratively reporting spinal biomechanical failure and compensation, and ethically reporting pre-existing vs. causally related current injuries within what is permissible in a legal proceeding. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022.

 

Forensic Documentation, Reporting Direct Opinions, Documenting and reporting causality, bodily injury, and persistent functional losses as a direct opinion while avoiding hearsay issues to ensure ethical relationships. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022.

 

Forensic Documentation, Initial, Final and Collaborative Reporting, Preparing demonstrative documentation while familiar with all other treating doctors’ reports, and correlating initial and follow-up E&M reports with the narrative upon maximum medical improvement to document the continuum of care. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022.

 

Forensic Documentation, Qualifications and Preparation of Documentation, Preparing documentation for courtroom testimony, ensuring qualifications are properly documented on an admissible professional curriculum vitae, and including indexed peer-reviewed literature in medical-legal documentation. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022.

 

Forensic Documentation, Reporting Patient History and Credentials, Preparing patient history from intake forms, understanding the patient’s work, social, academic, and household activities, and explaining doctoral and post-doctoral credentials in the courtroom. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022.

 

Forensic Documentation, Reporting Chiropractic Care and Injured Anatomy, Preparing demonstrative documentation to report the patient’s bodily injuries, including loss of function and permanent tissue pathology. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022.

 

Forensic Documentation, Reporting Temporary vs. Permanent Issues, Communicating permanent vs. temporary functional losses and tissue pathology, and maintaining and explaining ethical relationships in medical-legal cases. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022.

 

Forensic Documentation, Reporting Bodily Injury, Reporting bodily injury and functional losses as supported by credentials, clinically correlating causality and permanent tissue pathology as sequelae to trauma. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022.

 

Forensic Documentation, Record Review and Documentation Reporting, Reporting the records of collaborative treating doctors, communicating scope of practice in case management, and ethically reporting the doctor’s role in medical-legal cases. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022.

 

Chiropractic-Legal Ethics, E&M Documentation and Coding, The academic and court standards for documenting an E&M encounter with accurate CPT coding and accurately documenting earned credentials. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2022.

 

Chiropractic-Legal Ethics, Ordering Diagnostic Tests, The clinical standard for ordering indicated diagnostic tests, including MRI, CT, and electrodiagnostics, and how failure to order indicated testing creates a public-health risk and reflects negatively on license and reputation. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2022.

 

Chiropractic-Legal Ethics, Communicating Credentials, Documenting and communicating credentials consistent with licensure boards and the courts, and conveying sub-specialties earned through formal academic accomplishment. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2022.

 

Chiropractic-Legal Ethics, Anti-Kickback and Practice Ethics, Understanding ethical relationships regarding anti-kickback laws, fee-splitting, and appropriate hiring practices, and using initial patient documentation to conclude a case within ethical boundaries. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2022.

 

Medical-Legal-Insurance Documentation, Colossus of the Courtroom, Accurate, compliant documentation of history and clinical findings including functional losses, loss of activities of daily living, duties under duress, and permanent loss of enjoyment of life, prognosing static vs. stable care and gaps in care, and integrating academia, the courts, and insurer requirements. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2022.

 

Documentation, Demonstrative and Compliance, Elements of E&M codes 99202–99205 including complexity of management and time components, and demonstrative documentation of spinal pain generators including the spinal cord, thecal sac, myelomalacia, nerve-root insult, connective tissue, and recurrent meningeal nerves. Academy of Chiropractic, Cleveland University – Kansas City, Chiropractic and Health Sciences, Long Island, NY, 2022.

 

Evaluation and Management, Overview, An overview of the E&M process including electronic medical records and macros to reach evidence-based conclusions, the importance of an academic standard, and consideration of comorbidities. PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022.

 

Evaluation and Management, History and Physical Examination Elements, The required elements for chief complaint, history of present illness, review of systems, and past/family/social history, and the components of a physical examination: observation, palpation, percussion, and auscultation. PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022.

 

Evaluation and Management, Coding and Spinal Examination, Detailing 99202–99205 and 99212–99215 and the required elements for compliant billing, an extensive review of systems, cervical and lumbar anatomy, basic testing, and vertebrobasilar circulation orthopedic assessment. PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022.

 

Evaluation and Management, Neurological Evaluation, A complete motor and sensory evaluation including reflex arcs and the Wexler scale, with testing for upper and lower motor neuron lesions and upper and lower extremity motor and sensory examinations. PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022.

 

Evaluation and Management, Documenting Visit Encounters, Forensically detailing the S.O.A.P. note process, clinically correlating symptoms, clinical findings, and diagnosis with the areas treated, and modifying treatment plans, diagnoses, and collaborative care between evaluations. PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022.

 

Evaluation and Management, Case Management and Treatment Orders, Documenting a clinically determined treatment plan of manual and adjunctive therapies, short- and long-term goals, referral for collaborative care and diagnostic testing, prognosis, and determining maximum medical improvement (MMI). PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022.

 

2022 Trends in Spinal Healthcare, Analyzing evidence-based spinal healthcare trends in utilization and necessity, understanding the marketplace, and using evidence-based demonstrative documentation in reporting treatment pathways when triaging spinal pathobiomechanics. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2021.

 

MRI Spine Clinical Case Grand Rounds, Clinical case review of MRIs in sagittal, axial, T1, T2, STIR, and proton-density sequences, identifying the vertebrae, spinal cord, discs, nerve roots, thecal sac, posterior longitudinal ligament, and epidural veins, with pathology including bulges, herniations, protrusions, extrusions, myelomalacia, cord edema, and Schmorl’s nodes. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2021.

 

Chiropractic vs. Physical Therapy vs. Medical Case Management and Outcomes, Analyzing evidence-based outcomes in triaging non-anatomical lesions, defining primary spinal lesions, and managing collaborative relationships with medical providers and specialists. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2021.

 

MSK Extremity Radiological Interpretation, Utilizing both MRI and x-ray to identify extremity instabilities from ligamentous, osseous, or neoplastic derangement. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2021.

 

Demonstrative Narrative and Evaluation and Management Report Writing, Effectively creating demonstrative medical-legal documentation that meets the needs of the courts, building the ‘4-corner’ narrative report, and educating the attorney on bodily injury through demonstrative reporting. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2021.

 

Ligament / Connective Tissue Physiology and Pathology, Master-class in ligaments: anatomy, physiology, vascularization, neurological innervation, and tissue repair, and ligament pathology correlated to the mechanisms of patho-neuro-biomechanical lesions. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2021.

 

Stroke Evaluation and Risk Factors in the Chiropractic Practice, Diagnosing, triaging, and documenting headaches, migraines, and vascular incidents in the primary provider’s office, with imaging protocols based on history and clinical presentation. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2021.

 

Age-Dating Herniated Discs and Trauma, Combining interpretation of X-ray, MRI, and other imaging with an understanding of joint pathology to age-date herniated discs and trauma for medical-legal expert work and prognosis. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2021.

 

Clinical Grand Rounds in Spinal Biomechanics, Case reviews using E/M, MRI, and x-ray mensuration reports to conclude an accurate diagnosis, prognosis, and treatment plan, with discussion of diagnostic dilemmas and interprofessional communication. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2021.

 

Neurosurgical Grand Rounds, Collaborating with neurosurgeons on spinal cord and nerve-root comorbidities, triaging herniated, protruded, extruded, and fragmented discs, and differentially diagnosing tethered cord, syringomyelia, traumatic Schmorl’s nodes, myelomalacia, cord edema, and vacuum disc. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2021.

Diagnosing and Case Management, Evaluation and Management, The requirements for diagnosing based on an initial E&M encounter ranging from 99202 to 99205, including comorbidities, non-musculoskeletal conditions,

and sequelae to injury. Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2020.

 

Diagnosing and Case Management, Imaging, The requirements for diagnosing imaging including static and biomechanical x-rays and MRI, documenting disc bulge, herniation, protrusion, extrusion, and fragmentation, and coding individual treatment encounters. Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2020.

 

Electrodiagnostics (EMG/NCV), Anatomy and Physiology, An in-depth review of neuro-anatomy and physiology, dermatomes and myotomes of the upper and lower extremities, the neurophysiology of axons and dendrites, saltatory conduction, and the sodium-potassium pump in action potentials. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2019.

 

Electrodiagnostics (EMG/NCV), Nerve Conduction Velocity, Part 1, Nerve-conduction-velocity testing, the equipment required, and motor and sensory testing including latency and amplitude (CMAP) physiology and interpretation of the various waveforms. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2019.

 

Electrodiagnostics (EMG/NCV), Nerve Conduction Velocity, Part 2, Compound motor action potentials (CMAP) and sensory nerve action potentials (SNAP) testing and interpretation, and compressive neuropathies of the median, ulnar, and posterior tibial nerves (carpal, cubital, and tarsal tunnel syndromes). Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2019.

 

Electrodiagnostics (EMG/NCV), Needle Electromyogram Studies, The EMG process and study planning, spontaneous motor-unit action-potential activity, positive sharp waves and fibrillations, insertional and recruitment activity, and diagnosing neuropathic and myopathic patterns while ruling out false positives and negatives. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2019.

 

Electrodiagnostics (EMG/NCV), Overview of Procedures, Results and Documentation, Clinical incorporation of electrodiagnostic studies into a care plan where neuropathology is suspected, and using electrodiagnostics in a collaborative environment between the chiropractor as primary spine care provider and the surgeon. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2019.

 

Nevada SB 381 Training, AM Certification, Department of Business and Industry, Division of Industrial Relations, Workers’ Compensation Section, 2019.

 

Subsequent Injury Benefits Trust Fund Training, ExamWorks (Art Johnson, Esq., and John Bloom, Esq.); QME Education Provider #410; State Bar of California Provider #4647, 2015.

 

Medical Laser Application Certification, Introduction to laser therapy principles, general laser therapy principles, the scientific basis of medical lasers, and medical laser safety. American Institute of Medical Laser Applications, 2013.

 

Occupro Advanced Functional Capacity Evaluation, Certified, Occupro, 2012.

 

Matheson Functional Capacity Evaluation Certification Course, Matheson, 2012.

 

WCAB Case Law – Almaraz/Guzman Decisions, Applicant & Defense Perspectives, 2009.

 

Peak Potential Mind Intensive Training, Graduate, 2005, 2006.

 

Texas Workers’ Compensation Commission Certification, ADL 2 (State Approved), 2004.

 

Nevada Impairment Rating Skills Assessment Test (NIRSAT), AAEME, 2002.

 

Manipulation Under Anesthesia, Proctor Status Certification, 2001.

 

Manipulation Under Anesthesia Certification, National Academy of MUA Physicians, 2001.

 

American Board of Independent Medical Examiners Certification (C.I.C.E.), 1999.

 

Fundamentals of Impairment & Disability Evaluation Certification, ACOEM, 1999.

 

The Hoffman Quadrinity Process, Graduate, Integral Being Training, 1999.

 

SELECTED PUBLICATIONS

Dickman, R., Studin, M., Loftus, R., Strom, J., & Gerow, G. (2024). Ligamentous Laxity in the Cervical Spine in a Patient with Rheumatoid Arthritis. MedPix, National Institutes of Health / National Library of Medicine. Published April 7, 2024.https://medpix.nlm.nih.gov/case?id=3a63b0b9-a15f-49e9-a5b7-4043e42a7fcb

 

Fellow, Primary Spine Care (F.P.S.C.), a two-year program covering spinal trauma, spinal management, advanced imaging, electrodiagnostics, accident engineering, spinal biomechanical engineering, triaging the injured, stroke diagnosis, demonstrative documentation, connective-tissue and ligament pathology, and evidence-based outcome studies, with required collaboration in advanced spinal and MSK radiology and case-study publication. Joint Providership of the State University of New York at Buffalo, Jacobs School of Medicine, Office of Continuing Medical Education; Cleveland University Kansas City, College of Chiropractic; and the Academy of Chiropractic, Long Island, NY, 2024

 

Primary Spine Care Qualifications, MRI Spine Qualification (141 hours), Trauma Qualification (113 hours), Hospital Qualification (106 hours), Expert Witness Qualification (65 hours), Primary Spine Care Qualification (88 hours), and Evaluation and Management Qualification (38 hours). Academy of Chiropractic Post-Doctoral Division, Cleveland University Kansas City, College of Chiropractic, Long Island, NY

 

Trauma Qualification: Integrates graduate-level medical and chiropractic education in triaging the injured—history-taking, clinical examination, and basic and advanced imaging with mastery of MRI spine interpretation; spinal biomechanics and management of non-anatomical pathology; accident-engineering principles; advanced case-management protocols; and specialized topics including electrodiagnostics, connective-tissue pathology, and stroke diagnosis in the primary care setting.

 

Mini-Fellowship in Neuroradiology (MRI Spine) and Mini-Fellowship in Musculoskeletal Radiology (MSK Extremities), 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, 2024

 

Impairment Rating, AMA Guides 4th, 5th, and 6th Editions, Department of Industrial Relations, State of Nevada, 2000 – 2023

 

Qualified Medical Evaluator (Q.M.E.) #944817, State of California, 2002 – Present

 

Certified Independent Medical Examiner (C.I.C.E.), American Board of Independent Medical Examiners, 1999

 

Nevada Division of Industrial Relations (DIR), State Appointed Panel Certified Rating Physician, Industrial Insurance Regulation Section Panel of Rating Physicians (Las Vegas, Reno, and Carson City, NV); Permanent Partial Disability / Impairment Rating Evaluations, April 00 – Present

 

Nevada Division of Industrial Relations (DIR), State Appointed Quality Assurance Rating Reviewer, WCS PPD Audit – Medical Unit (Northern Nevada), February 13 – June 14; performed quality-control assessments of physicians’ rating rationales, providing recommendations on changes to rating analysis and participating in round-table panel discussions.

 

Member, California Chiropractic Association and American Chiropractic Association, 1994 – Present

 

Member, Parent Teacher Association, Silver Oak School, 2004 – 2018

 

National Workers’ Compensation and Occupational Medicine AMA Physician’s Recognition Award, SEAK Inc., 1999

 

Cum Laude, Palmer College of Chiropractic West, December 97

 

Dean’s List, Palmer College of Chiropractic West, January 94 – December 97

 

Lifetime Achievement Award, Pi Tau Delta International Chiropractic Honor Society, December 97

 

Clinical Excellence Award, Palmer College of Chiropractic West, December 97