| Douglas DeSalvo DC, BCN, DAAMLP |
| 7595 REDWOOD BLVD. STE. 108, NOVATO, CA, 94945 |
| Phone: 415-898-6888 |
| Cell: 415-640-0370 |
| Fax: 415-898-8474 |
| drdougdc@comcast.net |
| http://desalvochiropractic.com |
Douglas DeSalvo DC, BCN, DAAMLP
7595 Redwood Blvd, Suite 108, Novato, CA, 94945
Phone: 415 – 898 – 6888
Fax: 415 – 898 -8474
http://deslavochiropractic.com
SELECTED OCCUPATIONAL HISTORY
Clinic Director, DeSalvo Chiropractic, Spine & Injury Center, Novato, CA, 2006 - Present
Medical Integrated Clinic Director, North Bay Spine and Neuropathy, Novato, CA, 2020 – 2022
Clinic Director, DeSalvo Chiropractic & Injury Center, El Cerrito, CA, 1988 – 2006
Qualified Medical Examiner for State of California, Offices of Douglas DeSalvo DC, QME, El Cerrito, CA, 1994 – 2004
Associate Chiropractor, Bowers Chiropractic, Kentfield, CA, 1987 – 1987
EDUCATION AND LICENSURE
Doctor of Chiropractic, Licensed in the State of California, License # 18221, 1987 – Present
Doctorate of Chiropractic, Palmer College of Chiropractic – West, San Jose, California, 1986
Internship, Palmer College of Chiropractic – West, San Jose, California, 1986 -1985
National Board of Chiropractic Examiners, Part Physiotherapy, 1986
National Board of Chiropractic Examiners, Part IV, 1986
National Board of Chiropractic Examiners, Part III, 1986
National Board of Chiropractic Examiners, Part II, 1986
National Board of Chiropractic Examiners, Part I, 1986
Undergraduate Studies in Chiropractic Prerequisites, Marin College, Kentfield, California, 1987 – 1982
CERTIFICATIONS, QUALIFICATIONS AND DIPLOMATES
AMA Impairment Rating, Certification in AMA Impairment Rating relative to the spine and extremities. Provider Compliance Solutions, Novato, CA, 2018
Certified Posture Expert Program, Certification in American Posture Institute Posture Expert, A comprehensive certification program on the most up to date posture awareness and correction protocols to meet the modern physical demands of current patient postural distortion patterns. American Posture Institute, Novato, CA, 2018
Board Certification in Neuropathy, A comprehensive course for medical and chiropractic doctors covering advanced training in neurology, causes of intractable pain and neuropathy, examination and advanced treatment methods. Certification in Treatment of Intractable Pain and Neuropathy, American College of Physical Medicine, Novato, CA, 2018
Whiplash Biomechanics & Injury Traumatology, Advanced Certification. Certification in Whiplash Biomechanics & Injury, Diplomate. San Diego Spine Research Institute, San Diego, CA, 2018
DynaROM Technical Training, Certification in DynaROM Technologist. Myovision, Novato, CA, 2016
Certification in Dynamic Spinal Stick Stretching, Course instruction designed to teach new motor skills with attention placed on balanced postures and alignment training, using sticks for physical support and leverage. Emphasis is placed on range of motion exercises for the spine, rib cage, and extremities, with the aid of Stick Technology. California Chiropractic Association, Los Altos, CA, 2011
Credentials and Clinically Correlating Causality, The significance documentation and credentials in the personal injury field with a focus on clinically correlating causality, bodily injury and persistent functional loss as sequellae. Academy of Chiropractic Post-Doctoral Division, New York Chiropractic Council, New York State Department of Education, Board for Chiropractic, Long Island, NY, 2011
Diplomate, American Academy of Medical Legal Professionals, 2011
Qualified Medical Evaluator, The Qualified Medical Evaluator (QME) is an appointed position through the State of California. The organization that regulated QMEs is the DWC. Doctors interested in appointment as a QME must pass the QME Competency Examination. California Chiropractic Association, State of California, 2004
American Chiropractic College of Infrared Imaging (CACBII), A 100-hour postgraduate program in the study and utilization of high-resolution infrared imaging procedures in a pain management setting. American Chiropractic Radiology Association, Monroeville, PA, 2003
Certification toward Independent Disability Evaluator, Basic Workers' Compensation, 36 hours of IDE (including the 12-hour Report Writing component) and an optional four hours of adjustive technique credit. CCA's IDE program is the most experienced program available in the market. California Chiropractic Association, Sacramento, CA, 1994
SELECTED POST-GRADUATE EDUCATION
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, NY, 2022
MRI Spine Advanced Clinical Case Grand Rounds, Clinical case review of MRI including intra and extra-dural findings inclusive of the disc and vascular anatomical lesions. Differentially diagnosing central cord lesions, and spinal cord vascular lesions in both acute trauma and degenerative presentations. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Non-Specific Spine Pain, Chiropractic and Outcomes, Analyzing neuro-biomechanical pathological lesions defines primary spinal lesions and removes the dogma of non-specific back pain. Creating evidence-based demonstrative documentation in the creation of treatment plans. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Spinal Tumor MRI Interpretation, Diagnosing and documenting: Ependymoma, Astrocytoma, Hemangioblastoma, Lipoma, Meningioma, Neurofibroma, Schwannoma, Myxopapillary Ependymoma. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Demonstrative Narrative and Evaluation and Management Report Writing, Clinical record-keeping, why write clinical notes, the importance of context, what to include in a clinical note, tips for better clinical documentation, basic legal considerations, open clinical notes, how to keep documentation efficient. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Age-Dating Ligament/Connective Tissue Physiology and Pathology, Utilizing pain patterns, the high signal in the annulus, high signal outside the annulus, Modic changes, disc height, vacuum disc, sclerosis, Phirrman rating, facet edema, and previous MRIs to determine the chronicity of pathology., Master-Class in ligaments; anatomy, physiology, vascularization, neurological innervation, tissue repair, and how they all relate to clinical practice. Ligament pathology correlating to the mechanisms of patho-neuro-biomechanical lesions (vertebral subluxation complex). Also, how ligaments play a critical role in the chiropractic spinal adjustment and in defining the chiropractic spinal adjustment mechanisms. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Clinical Grand Rounds in Biomechanics, Digitizing, and Advanced Imaging: Case reviews concluding and accurate diagnosis, prognosis, and treatment plan utilizing evidence-based instrumentation and algorithms. Using demonstrative reporting of case findings to collaborate with co-treating physicians. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Medical-Legal Documentation: A documentation discussion on meeting the requirements of the courts, carriers, and licensure boards in complete and accurate reporting. Ensuring the diagnosis, prognosis, and treatment plan are demonstratively documented. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Professional Boundaries: Scope of Practice, Professional Boundaries: Scope of Practice. A review of current trends and common issues in practice relative to ethics and law. North Bay Chiropractic Society, SANTA ROSA, CA, 2022
Ethics & Law, Review of common ethical issues in daily practice. Diplomate, North Bay Spine & Neuropathy, Back to Chiropractic CE, Sonoma, California, 2022
Chiropractic Technique 2022, A review of correlative anatomy and joint physiology with changes associated with chiropractic manipulative therapeutics. Diplomate, North Bay Spine & Neuropathy, Back to Chiropractic CE, Sonoma, California, 2022
Neurophysiology Exam Procedures and Therapeutics, A review of advanced neurophysiology exam procedures with appropriate corrective therapeutic procedures. 6 hours Diplomate, North Bay Spine & Neuropathy, Back to Chiropractic CE, Sonoma, California, 2022
Neurology of Trauma, Participants review common neurological injuries that occur in trauma cases. A review of important questions during the history-taking process. A review of the correct tests and examination procedures. Back to Chiropractic CE, NOVATO, CA, 2022
Billing & Coding Update, This course provides up-to-date billing and coding procedures for 2018. This training will include the presentation of new and accurate CPT Codes and ICD-10 Codes; outdated codes which have been deactivated by insurance companies; and newly generated ICD-10 codes that the Insurance Companies have rendered patient effective. There will also be information provided about the trend towards active care rather than passive care and will be required of a chiropractor in the future relating to CPT billing codes. Information will be given about the proper Established Patient & Management codes (E&M), and how insurance companies qualify doctors’ documentation. Lastly, the course will cover topics on workers’ compensation and Medicare. Back to Chiropractic CE, Novato, CA, 2022
Concussion Review, A review of the difference between Mild Tramuatic Brain Injury (MTBI) and Traumatic Brain Injury (TBI) and the different categories of MTBI symptoms. 40% to 50% of patients that seek chiropractic care after a car accident have a brain concussion. Proper history taking reviewed to catch patients’ concussion symptoms and how to examine those symptoms using questionnaires from the Centers for Disease Control, the Epworth Hospital in Australia and the Rivermead Head Injury Center in Aberdeen, England. Back to Chiropractic CE, Novato, CA, 2022
X-ray Back to Basics, X-ray Back to Basics: A review of common x-ray spine views; spinal anatomy; common conditions seen with age and trauma. Back to Chiropractic CE, Novato-Distance Learning, CA, 2021
X-ray: Lower Extremities, A review of the standard views taken lower extremity anatomy; common pathology. Back to Chiropractic CE, Novato-Distance Learning, CA, 2021
X-ray Lower Extremities-Sports Injury, A review of common injuries seen on x-ray with sports injuries. Back to Chiropractic CE, Novato-Distance Learning, CA, 2021
Patient Centered Care, A review of best practices with regard to effective communication with the patient to achieve an effective healing environment for the patient. Calchiro, Napa, CA, 2021
Chiropractic in Pregnancy, A review of common presentations with regard to lower back pain; standard diagnostic procedure and common treatment methods to enhance comfort. Calchiro, Napa, CA, 2021
Adjustive Technique of the Hips, Pelvis, Lumbar Spine and Temporomandibular Joint, A review of anatomy, physiology and common treatment techniques. Calchiro, Napa, CA, 2021
The Brain, Cerebrospinal Fluid and the Vagus Nerve Unmasked, A review of the neurophysiology of the vagus nerve and effects after trauma. Calchiro, Napa, CA, 2021
The Art and Science of “Health” - The Future of the Hemp Plant as Medicine, A review of the physiological effects of CBD naturally occurring in the human body and the effectiveness of CBD in treatment. Calchiro, Napa, CA, 2021
Chiropractic ICD-10 & CPT Coding, A review of standard billing protocols in clinical practice. Calchiro, Napa, CA, 2021
Advanced Traumatic Injury Evaluation & Treatment, AMA Guidelines Overview. California Chiropractic Association, NOVATO, CA, 2020
Principles of General Practice, Review of standard of practice procedures in general practice. DC Trainings, San Jose, CA, 2020
Traumatic Brain Injury-Clinical Evaluation Screening, Specifically related to motor vehicle crash. Calchiro, San Francisco, CA, 2020
X-ray: Soft Tissue Pathology, Review in general practice. Calchiro, Novato, CA, 2020
Traumatic Brain Injury-Differential Diagnosis, What else could it be? Calchiro, Novato, CA, 2020
TBI & AMA Impairment Ratings, A review of the causes of traumatic brain injuries, mild traumatic brain injuries and how to apply permanent impairment ratings. Calchiro, Novato, CA, 2020
Diagnostics & Traumatic Brain Injury, A review of MRI vs. CT vs DTI. How the benefits of DTI far outweigh standard imaging procedures. Calchiro, Novato, CA, 2020
Dental and TMJ Trauma, A review of the pathophysiology, mechanic of injury, normal function and treatment options. Calchiro, Novato, CA, 2020
Ethics and Law Medicare Billing, Current topics and understanding in chiropractic billing. Back to Chiropractic CE, Novato, CA, 2020
Concussions, Further review of mechanics of injury in auto crash injuries. Review of common symptoms, prognosis, diagnostic protocols and treatment in clinical practice. Back to Chiropractic CE, Novato, CA, 2020
X-ray of the Cervical Spine, Review of standard x-ray protocols of the cervical spine in trauma. Review of common injuries. Review of ligament laxity diagnosis observed with stress Xray. Back to Chiropractic CE, Novato, CA, 2020
Neurology of Trauma, Review of the common forms of neurologically based trauma seen in motor vehicle crash injuries. Back to Chiropractic CE, Novato, CA, 2020
Integrative Healthcare, Update on research relative to chiropractic care, best practices and integrative healthcare trends. California Chiropractic Association, Napa, CA, 2019
Concussion: Diagnosis & Management, Options for the Chiropractic Practice. California Chiropractic Association, Napa, CA, 2019
Chiropractic Technique, Neck and Upper Extremity Review. California Chiropractic Association, Napa, CA, 2019
General Topics in Musculoskeletal Radiology, X-ray and MRI case review. California Chiropractic Association, Napa, CA, 2019
Evaluation/Management/Physical Medicine & Rehabilitation, A review and update of best coding practices relative to evaluation, management, physical medicine and rehabilitation of the patient. California Chiropractic Association, Santa Rosa, CA, 2019
Trauma Documentation: Review of documentation procedures for the automobile crash trauma case. , Best practices for documentation and coding of the automobile crash trauma case. A review of case history taking, proper diagnostic coding, compliance and assessment of trauma related cases. California Chiropractic Association, Santa Rosa, CA, 2019
Advanced Personal Injury, Proper case management of trauma related cases including history, examination, diagnostic testing, treatment plan protocols and follow up. California Chiropractic Association, Oakland, CA, 2019
Whiplash Injury Biomechanics & Traumatology, Modules 1-4 – Biomechanics, Injury Mechanisms, Epidemiology. Spine Research Institute of San Diego, Seattle, WA, 2018
Triage and Management of the Trauma and Non-Trauma Patient, Differentially diagnosing spinal issues in the trauma and non-trauma patient inclusive of spinal disc pathology utilizing x-ray, MRI, CAT Scan and clinical evaluations. Collaborative triaging protocols with neurologists, neurosurgeons, orthopedic surgeons, pain management and primary medical care providers with both mechanical and anatomical spinal pathologies. Academy of Chiropractic, Cleveland University - Kansas City Chiropractic and Health Sciences, CA, 2018
How G-Forces Relate to the Diagnosis of Accident-Related Trauma Injuries of the Head and Neck, The physics of the auto accident, including G forces and the effects of impact. A review of the variables in the mechanisms of the; side, rear, front and oblique impacts and the forces that can be transferred to the occupants of the vehicle causing damage to the occupants. Parker College of Chiropractic Ligament Injury Institute, Tampa, FL, 2018
Significance of Spinal Anatomy and Tissue Damage to the Delicate Structures in Accident-Related Trauma Injuries of the Head and Neck, The anatomy of the cervical spine, including the role of mechanoreceptors, proprioceptors and Nociceptors in the function of the spine. How the ligaments, tendons, facets and discs respond to the impact and the damages that are caused. Parker College of Chiropractic/Dallas Tx Ligament Injury Institute, Tampa, FL, 2018
Diagnosing Concomitant Injuries in the Presence of Accident-Related Trauma Injuries of the Head and Neck, The injuries that accompany the CAD that cause permanent impairment to the spine. The concomitant injuries include: AOMSI, Uncinate Process Fractures, MTBI, Posterior Cervical Sympathetic Syndrome and Vertebrobasilar Insufficiency. An overview of the diagnostic testing required for diagnosis and evaluation. Ligament Injury Institute, Tampa, FL, 2018
Understanding AMA Guides in the Diagnosis of Accident-Related Trauma Injuries of the Head and Neck, Tthe AMA Guidelines for the diagnosis of AOMSI (Alteration of Motion Segment Integrity). In-depth analysis of the ligamentous structures of the cervical spine, traumatically induced, with focus on the 4 main ligaments that are damaged in a cervical- acceleration –deceleration injury of the head and neck. Employing the exact requirements for the AMA Guides for Permanent Impairment Ratings. Ligament Injury Institute, Tampa, Florida, 2018
MRI & Radiographic Review of the Cervical and Lumbar Spine, Review of x-ray positioning; radiographic signs, clinical impact, need for additional studies, advanced imaging along with case studies, advanced imaging terminology and clinical application. California Chiropractic Association, Santa Rosa, CA, 2018
MRI & Radiographic Review of the Cervical and Lumbar Spine, Review of x-ray positioning. Radiographic signs, clinical impact, need for additional studies and advanced imaging. Case study review. CCA Continuing Education, Santa Rosa, CA, 2018
Management Principles in Personal Injury and Forensic Documentation, In-depth training on all aspects of management of trauma, from beginning to end; a comprehensive primer on crash reconstruction. Spine Research Institute of San Diego, Seattle, WA, 2018
Principles of Impairment Rating and Forensic Reporting, Documentation standards and reporting for accurate portrayal of patient complaints, status, treatment plan and possible impairment. A review of scientific writing incorporating outcomes assessment and disability instruments. Spine Research Institute of San Diego, Seattle, WA, 2018
Medicolegal Fundamentals for Practitioner and Forensic Experts, Essentials of documentation and records keeping; medical photography; how to prepare for legal testimony, Colossus and more. Spine Research Institute of San Diego, Seattle, WA, 2018
Radiology Review: Spine pathology. Principles of Ordering Diagnostic Radiology, CT and MRI, A review of standard practice parameters for ordering diagnostic Radiology, Cat Scan and MRI. Further review of spine pathology. CCA Continuing Education, Santa Rosa, CA, 2018
Ethics & Law-SOAP Notes, A review of California Board of Chiropractic Examiners Rules & Regulations Section 312 relative to SOAP note requirements and standards for practice. Back to Chiropractic CE Seminars, Novato, CA, 2018
Radiology Imaging & Back Pain, Disc Nomenclature-Standardized Language, MRI review, Disc Classification, Modic Changes, Steroid Injections, Herniations, Low Back Pain & MRI. California Chiropractic Association, Santa Rosa, CA, 2017
Principles of Practice, Fundamentals of practice, case management and compliance standards. DC Trainings, Santa Clara, CA, 2017
Ethics, Law and Technique, Principles of Ethics, Law and Chiropractic Technique. Back to Chiropractic Seminars, San Rafael, CA, 2017
Radiology Guidelines, Review the pros and cons of evidence-based guidelines. Discuss the implementation of evidence-based guidelines throughout the health care delivery system. To recognize how to identify indicators for spinal X-ray to be able to meet the standard of care. California Chiropractic Association, Novato, CA, 2017
Radiology Review, Soft Tissue, Provide multiple clinical case studies to review radiographic search pattern of the spine, with specific focus on the soft tissues. Emphasis will be placed on interpretation of signs and search pattern, appropriate referral, case management implications and advanced imaging. California Chiropractic Association, Novato, CA, 2017
Ethics, Law & Technique, Review of ethics, law, state board rules and chiropractic technique. California Chiropractic Association, San Rafael, CA, 2017
Imaging & Back Pain, Back Pain Statistics; Categories & Origins of Pain; Ortho/Neuro Tests; Radiographic Indications; CT vs. MRI. California Chiropractic Association, Santa Rosa, CA, 2016
Imaging and Back Pain Part 2, MRI Physics reviewed. Low Back Pain and MRI: Reviewing Current Research; History of MRI, Physics Overview, Nomenclature; Imaging and Back Pain Correlation; Stress Injuries of the Pars; Annular Tears; Multifidus Fatty Muscle Infiltration California Chiropractic Association, Santa Rosa, CA, 2016
Chiropractic Manual and Instrument Assisted Treatment, Chiropractic Manual and Instrument Assisted Treatment: A review of spinal mechanical back pain and muscular imbalance conditions. Treatment protocols consisting of manual and instrument procedures reviewed. California Chiropractic Association, San Rafael, CA, 2016
The Dizzy Patient, Clinical Neurophysiology of the Vestibular System, Diagnosis & Management of the Dizzy Patient. California Chiropractic Association, San Rafael, CA, 2016
Bio-cognitive Healing, Bio-Cognitive Healing (BCH) is a healing method that combines science and healing. It includes elements of and a level beyond hypnotherapy, guided meditation, guided visualization, and energy therapies. BCH reformats "Healing Consciousness." It then aligns "The Five Essential Components for Healing" within the body, mind, spirit connection. Then, with unique knowledge and understanding of one's condition, and through entanglement, specifically guides the energy of thoughts in triggering glands, systems, organs and cells in activating activates specific, natural processes of the body to improve the health of oneself and others. Robin Futoran DC, DABCO, Petaluma, CA, 2016
Ethics and Law, Ethics and Law Update. Back to Chiropractic Continuing Education, Novato, CA, 2016
Neurology Update, A review of the neurophysiology of manual manipulative therapeutics in chiropractic practice. Back to Chiropractic Continuing Education, Novato, CA, 2016
Tumors of the Axial Skeleton and Extremities, A review of common tumor of the extremities and axial skeleton as visualized in radiology. Topics include benign vs. malignant qualities and pathophysiology. California Chiropractic Association, Santa Rosa, CA, 2015
Radiology-The Spectrum of Bone Disorders, Overview of Osteochondroma & Hemangioma; Osteochondrosis, Osteogenesis Imperfecta, Osteoporosis and other conditions. Overview of Primary Bone Tumors of the Axial & Appendicular Skeleton. California Chiropractic Association, Santa Rosa, CA, 2015
Medicare Procedure, Definitions of Manual Manipulations and Subluxations. Discussion on physical examination, x-ray procedure and medical necessity. Diagnostic coding guidelines and billing review topics covered. California Chiropractic Association, Santa Rosa, CA, 2015
Lower Extremity Adjusting Procedures, Review of functional evaluation and manual therapy adjustive technique of the upper and lower extremities. California Chiropractic Association, Santa Rosa, CA, 2015
Documentation and Coding Updates, Review of documentation and coding protocols: Diagnosis/ICD-10, medical necessity and outcome assessment healthcare updates. California Chiropractic Association, Santa Rosa, CA, 2015
Chiropractic and Personal Injury Care, A review of standards in Ethics, Documentation and Proving Patient Progress. A review of the Doctor's Direct Involvement in Litigation. California Chiropractic Association, Santa Rosa, CA, 2015
Coding and Documentation, Diagnosis and ICD-10, How diagnosis determines the initiation of medical necessity. Covered CA Plans, Medicare documentation and diagnosis guidelines. California Chiropractic Association, Santa Rosa, CA, 2015
Ethics and Law Seminar, Discussion on standard of care and ethics in practice. California Chiropractic Association, Santa Rosa, CA, 2015
The Need for Detoxification, A review of the causes of internal bodily toxicity and the reasons for addressing this issue that causes chronic pain and inflammation. California Chiropractic Association, Novato, CA, 2015
The Food Enzyme Concept, A review of food enzymes and their affect during deficiency on cellular and metabolic processes. California Chiropractic Association-Online, Novato, CA, 2015
X-ray-The Spectrum of Arthritic Disorders, Review of osteoarthritis of the spine. Specific instruction on Diffuse Idiopathic Skeletal Hyperostosis and Ossified Posterior Longitudinal Ligament. California Chiropractic Association, Santa Rosa, CA, 2014
Wellness Care & Patient Education, Factors of Wellness and Patient Expectations. Measuring Wellness in the Clinical Setting. California Chiropractic Association, Santa Rosa, CA, 2014
Chiropractic Technique & Ethics, Review/instruction on somato-visceral manipulation and chiropractic law/ethics. California Chiropractic Association, San Francisco, CA, 2014
Upper Extremity Radiology, Review of upper extremity pathology in radiology. California Chiropractic Association, CA, 2014
The Lumbar MRI in Clinical Practice, A review of normal MRI anatomy and common MRI pathological findings. Palmer College of Chiropractic, San Jose, CA, 2014
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. Academy of Chiropractic Post-Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Novato, CA, 2013
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. Academy of Chiropractic Post-Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Novato, CA, 2013
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. Academy of Chiropractic Post-Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Novato, CA, 2013
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. Academy of Chiropractic Post-Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, CA, 2013
Spinal Biomechanical Engineering Principles and Application, Integrating spinal biomechanics and patho-biomechanics through digitized analysis. , The comparison of organized versus disorganized compensation with regional and global compensation. Advanced analysis and integration of patho-biomechanics as sequela to trauma in clinical practice and documentation. PACE Recognized by the Federation of Chiropractic Licensure Boards, Las Vegas, NV, 2013
Evidenced Based Practice, Integrating indexed peer reviewed research as evidence into clinical practice related to trauma and the creation of a diagnosis, prognosis and treatment plan. PACE Recognized by the Federation of Chiropractic Licensure Boards, Las Vegas, CA, 2013
Integrating Clinical Findings in Admissible Documentation, Combining clinical, radiographic, electrodiagnostic and MRI findings to conclude a diagnosis and reporting accurately through admissible documentation. Diagnosis includes head, spine and disc pathology as sequela to trauma. PACE Recognized by the Federation of Chiropractic Licensure Boards, Las Vegas, CA, 2013
Stretching for Healthy Joints & Total Body Fitness, Stretching techniques taught using flexible poles to create or more enhanced stretch and movement routine. Instruction in fascia and muscle patterns to emphasize the purpose of the routines. California Chiropractic Association, San Rafael, CA, 2013
Practical Neurology, Hemisphericity Concepts & Applications in Clinical Practice. Spinal coupled motions reviewed on X-ray and Fluoroscopy. Diagnosis and treatment of BPPV. California Chiropractic Association, Santa Rosa, CA, 2013
Radiology Review, Cervical, Thoracic & Lumbar Spine anatomy and pathology review. California Chiropractic Association, Santa Rosa, CA, 2013
Radiology Review, Overview of physics and positioning principles.. Overview of common arthropathies, trauma, tumors of the axial skeleton and implications on patient care. California Chiropractic Association, Santa Rosa, CA, 2013
Radiology, Overview of physics and positioning principles. Overview of common arthropathies, trauma and tumors of the axial and appendicular skeleton and implications on patient care. Review of cervical spine, lumbar spine and extremity pathology. California Chiropractic Association, San Francisco, CA, 2013
Radiology-Arthritis Review, Review of pathologic radiographic disorders and disease specifically related to trauma. Advanced analysis and integration of patho-biomechanics as sequela to trauma in clinical practice and documentation. Back to Chiropractic CE Seminars, Fort Bragg, CA, 2012
Radiology-X-ray Review and Interpretation, Radiology review of spinal biomechanics, anomalies, arthritis , spinal fractures, common spinal diseases, extremity fractures and malignancy. Back to Chiropractic CE Seminars, Fort Bragg, CA, 2012
Chiropractic Ethics and Law, Complying with Chiropractic Law; Unprofessional conduct; History, Competence, Avoiding Negligence & Fraud Diplomate. California Chiropractic Association, Santa Rosa, CA, 2012
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, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2012
Introduction to Forensic Science, Historical Perspectives, An overview of forensic science through a historical perspective, how it is incorporated into the chiropractic profession and identifies the rationale for obtaining the knowledge (education), training, skill sets and experience which must be acquired to meet current qualifications as a Forensic Examiner and litigative consultant. University of Bridgeport College of Chiropractic & College of Forensic Sciences, Bridgeport, CT, 2012
Documentation and Triage in Trauma, ICD-9 and CPT requirements in coding for the traumatically injured including integrating electronic health records including informed consent, evaluation and management, testing orders. The utilization of research in medical reports for both the trauma and non-trauma patients. Clinical coordination of care and reporting to healthcare and legal providers. Federation of Chiropractic Licensure Boards, Academy of Chiropractic, American Academy of Medical-Legal Professionals, Hollywood, FL, 2012
Medical-Legal Research and the Documentation of Causal Relationship, Prognosis and Treatment of the Traumatically Injured, Review of current research published in peer reviewed medically indexed journals focusing on traumatic injuries and how current literature affects the diagnostic conclusion and how to formulate treatment plans. Federation of Chiropractic Licensure Boards, Academy of Chiropractic, American Academy of Medical-Legal Professionals, Hollywood, FL, 2012
Biomechanics of Spinal Trauma and its Relationship to Pre-Existing Injuries and Degenerative Changes, Whiplash Associated Disorders and the biomechanics of side impact vs. rear impact with emphasis on traumatic forces and body position, the mechanism of whiplash injury phases with their relationships to physiologic tolerance to trauma, specific diagnosis of disc pathology and annular tear, disc herniation, fracture, ligamentous injury and instability. Details of spinal nerve root stretching injury and dimensions of the spinal canal during whiplash was outlined particular to significant spinal injury resulting from low level accelerations including pediatric spinal trauma and physiological normals. Spinal surgical intervention techniques including ordering diagnostic studies using MRI, CT and digital motion x-ray. Federation of Chiropractic Licensure Boards, Academy of Chiropractic, American Academy of Medical-Legal Professionals, Hollywood, FL, 2012
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 neuro-diagnostics. An understanding on how to utilize emergency room records in creating an accurate diagnosis and the significance of “risk factors” in spinal injury. CMCS Post-Doctoral Division, New York Chiropractic Council, New York State Education Department Board for Chiropractic, Long Island, New York, 2011
Neuro-diagnostics, 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. Texas Chiropractic College, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2011
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 neuro-diagnostics. An understanding on how to utilize emergency room records in creating an accurate diagnosis and the significance of “risk factors” in spinal injury. Texas Chiropractic College, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2011
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. Texas Chiropractic College, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2011
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. Texas Chiropractic College,Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2011
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. Texas Chiropractic College,Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2011
Documentation and Reporting for the Trauma Victim, Understanding the necessity for accurate documentation and diagnosis utilizing the ICD-9 and the CPT to accurately describe the injury through diagnosis. Understanding and utilizing state regulations on reimbursement issues pertaining to healthcare. Texas Chiropractic College, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2011
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. Texas Chiropractic College,Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2011
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. Texas Chiropractic College, 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, 2011
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. Texas Chiropractic College, 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, 2011
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. Texas Chiropractic College, 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, 2011
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. Texas Chiropractic College, 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, 2011
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. Texas Chiropractic College, 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, 2011
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. Texas Chiropractic College, 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, 2011
Impairment Rating AMA Guides 5th Edition and CPT coding, Understanding AMA Guides for disability rating and impairment. Kaplan Seminars, California Chiropractic Association 2004, CA, 2003
Orthopedic Treatment in Industrial Care, A course instruction in common back injuries in the industrial setting and how to evaluate/rate short- and long-term disability. California Chiropractic Association, Oakland, CA, 1999
Low Impact Automobile Collisions, Course instruction on the crash dynamics of low impact vehicle collision, common injuries and treatment protocol. California Chiropractic Association, Oakland, CA, 1996
Low Impact Automobile Collision Physics, A review of physics of and injuries that occur during low impact motor vehicle collisions.California Chiropractic Association, Oakland, CA, 1996
Chiropractic Orthopedics, A course instruction on conservative orthopedics for common spine and extremity disorders. Topics included: Neck and Lower back Injuries, Rheumatology, Fractures, Impairment rating, exercise and extremity supports, immobilization/bracing, Jurisprudence & Reporting. Western States Chiropractic College, Oakland, CA, 1989
SELECTED TEACHING/INSTRUCTING/LECTURING/CONSULTING
CME Instructor to Medical Physicians, Clinical Application of Advanced Imaging. University at Buffalo School of Medicine and Biomedical Sciences, Marin County, CA, 2013 – Present
Dynamic Stick Stretching/Strengthening Instructor, Dynamic stick stretching is a course that teaches the practitioner a fitness routine using flexible poles. The student learns martial arts, Thai Chi and Yoga movements to increase flexibity and strength.). Novato, CA, 2010 – Present
Industrial Safety Consultant, Back Safe/Sitting Safe, San Francisco, California, 1996 – 2002
SELECTED MEMBERSHIPS
Foundation for Chiropractic Progress, Member, 2015 – Present
California Chiropractic Association, Member, 2011 – Present
American Academy of Medical Legal Consultants, Member, 2010 – Present
American Academy of Spine Physicians (AASP), Member, 2013 – 2014
SELECTED HONORS AND AWARDS
Paul Harris Fellow, Rotary International, 2007
Cum Laude Graduate, Palmer College of Chiropractic, 1986
SELECTED COMMUNITY SERVICE
Ignacio Rotary, Novato, CA, 2006 - 2013
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