Timothy Weir DC
5821 Falls of Neuse Rd, Raleigh, NC, 27609
Phone: 919-790-1332
Fax: 919-954-1306
drtimweir@gmail.com
http://www.Raleighinjurychiro.com
1977
EDUCATION AND LICENSURE
Doctor of Chiropractic, Licensed in the State of Wisconsin, License # 1887, 1983-1984
Doctor of Chiropractic, Licensed in the State of North Carolina, License # NC 1226, 1981-
Doctorate of Chiropractic, Palmer College of Chiropractic, Davenport, Iowa, 1981
Internship, Palmer Chiropractic College Outpatient Facility, Davenport, Iowa, 1980 - 1981
National Board of Chiropractic Examiners, Part I, 1980
National Board of Chiropractic Examiners, Part II, 1980
National Board of Chiropractic Examiners, Physiotherapy, 1981
Undergraduate Studies in Palmer Junior College, Davenport, Iowa, 1976 - 1977

SELECTED POST-GRADUATE EDUCATION, CERTIFICATIONS AND DIPLOMATES

Spinal Bio-Engineering Seminar, A course describing the structural and functional organization of the spinal-pelvic system. Fundamental and advanced concepts on spinal biomechanics are introduced by presenting a coherent spinal model describing normal segmental coupling, regional adaptation and global compensation. The clinical model is a structural and mechanical engineering approach based on x-ray physics, mathematics and statistical analysis. The normal movements of gait are integrated in this total biomechanical approach to explain spine distortion, predictable functional scoliosis and lumbar disc failure. Case studies are demonstrated to radiographic analyses and physical findings to determine clinical solutions and soft tissue rehabilitation. PACE Recognized by The Federation of Chiropractic Licensing Boards, St Louis, MO, 2019
Evaluation and Management, An overview of the evaluation and management process inclusive of utilizing electronic medical records to conclude evidenced-based conclusions with the utilization of macros. The importance of adhering to an academic standard and considering co-morbidities. Cleveland University, Kansas City, Chiropractic and Health Sciences, Academy of Chiropractic Post-Graduate Division, Long Island, NY, 2019
Evaluation and Management, Concluding a chief complaint, history and what needs to be considered in a physical examination. This covers in dept the required elements for chief complain, history of present illness, review of systems, and past, family, and/or social history. This module also covers the following components of a physical examination: observation, palpation, percussion, and auscultation. Cleveland University, Kansas City, Chiropractic and Health Sciences, Academy of Chiropractic Post-Graduate Division, Long Island, NY, 2019
Evaluation and Management: Coding and Spinal Examination, Detailing 99202-99205 and 99212-99215 inclusive of required elements for compliant billing. It reviews the elements for an extensive review of systems, cervical and lumbar anatomy and basic testing. The course also covers the basics of vertebra-basilar circulation orthopedic assessment. Cleveland University, Kansas City, Chiropractic and Health Sciences, Academy of Chiropractic Post-Graduate Division, Long Island, NY, 2019
Evaluation and Management: Neurological Evaluation, Reviewing complete motor and sensory evaluation inclusive of reflex arcs with an explanation of Wexler Scales in both the upper and lower extremities. The course breaks down testing for upper and lower motor neuron lesions along with upper and lower extremity motor and sensory testing examinations. Cleveland University, Kansas City, Chiropractic and Health Sciences, Academy of Chiropractic Post-Graduate Division, Long Island, NY, 2019
Evaluation and Management, Documenting Visit Encounters, Forensically detailing the S.O.A.P. note process for visit encounters and discussing the necessity for clinically correlating symptoms, clinical findings and diagnosis with the area(s) treated. It also details how to modify treatment plans, diagnosis, document collaborative care and introduce test findings between evaluations. Cleveland University, Kansas City, Chiropractic and Health Sciences, Academy of Chiropractic Post-Graduate Division, Long Island, NY, 2019
Evaluation and Management, Case Management and Treatment Orders, This module discusses how to document a clinically determined treatment plan inclusive of both manual and adjunctive therapies. It discusses how to document both short-term and long-term goals as well as referring out for collaborative care and/or diagnostic testing. It also includes how to prognose your patient and determine when MMI (Maximum Medical Improvement) has been attained. Cleveland University, Kansas City, Chiropractic and Health Sciences, Academy of Chiropractic Post-Graduate Division, Long Island, NY, 2019
Evaluation and Management, Case Management and Treatment Orders, This module discusses how to document a clinically determined treatment plan inclusive of both manual and adjunctive therapies. It discusses how to document both short-term and long-term goals as well as referring out for collaborative care and/or diagnostic testing. It also includes how to prognose your patient and determine when MMI (Maximum Medical Improvement) has been attained. Cleveland University, Kansas City, Chiropractic and Health Sciences, Academy of Chiropractic Post-Graduate Division, Long Island, NY, 2019
Medical-Legal Ethical Relationships, Documentation and Legal Testimony, Report writing for legal cases, the 4 corners of a narrative and documenting damages with understanding defense medical documentation and consistent reporting of bodily injuries. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2019
Medical-Legal Ethical Relationships, Documentation and Legal Testimony, Part 2, Understanding report writing and the types of medical reports required for court inclusive of diagnosis, prognosis and treatment plans with requirements of reporting causality and permanency. . Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, , Long Island, NY, 2019
Medical-Legal Ethical Relationships, Documentation and Direct Testimony, Organizing your documentation and understanding all collaborative documentation and how it fits into your diagnosis, prognosis and treatment plan. Understanding the nuances of the functional losses of your patients related to their bodily injuries. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2019
Medical-Legal Ethical Relationships, Documentation and Direct Testimony Part 3, , The evaluation, interpretation and reporting of collaborative medical specialists results and concluding an accurate diagnosis inclusive of all findings and reviewing all images to ensure an accurate diagnosis. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2019
Medical-Legal Ethical Relationships, Documentation and Direct Testimony Part 4, , Determining and documenting disabilities and impairments inclusive of loss of enjoyment of life and duties under duress and the evaluation and validation of pain and suffering Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2019
Medical-Legal Ethical Relationships, Documentation and Cross Examination, , Reporting your documentation factually and staying within the 4 corners of your medical report and scope of practice inclusive of understanding how your credentials allow you to report your documentation. . Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, New York, 2019
Medical-Legal Ethical Relationships, A Documentation Relationship Between the Doctor and Lawyer, The level of organization required in a medical-legal case that accurately reflects the bodily injuries of your patients and the time constraints in rendering an accurate report Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, New York, 2019
Medical-Legal Ethical Relationships, Report Writing and Preparing for a Legal Case, , Reviewing the facts of the case inclusive of your documentation, the defense medical examiner, medical specialists and the attorney to ensure accurate and consistent reporting. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, New York, 2019
Medical-Legal Ethical Relationships, Report Writing and Preparing for a Legal Case, , Creating demonstrative evidence, visuals of your patients bodily injuries inclusive of x-rays, MRI’s, CAT Scans and electrodiagnostic findings, the spinal biomechanics of herniated disc with ipsilateral findings and contralateral symptomatology. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, , Long Island, New York, 2019
Medical-Legal Ethical Relationships, Documentation and Direct Testimony Part2, , Utilizing demonstrative documentation in direct examination and communicating the results of your care concurrently with the written documentation and reporting an accurate diagnosis for all images. Utilizing demonstrative documentation in direct examination and communicating the results of your care concurrently with the written documentation and reporting an accurate diagnosis for all images. , Long Island, New York, 2019
Evidenced Based Care in a Collaborative Setting; Primary Spine Care 5, A literature based model for collaborating with hospitals, medical primary care providers and specialists. Reviewing the documentation requirements to communicate the diagnosis, prognosis and treatment plans with medical entities and having the evidence as a basis for those recommendations Academy of Chiropractic Post-Doctoral Division, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University- Kansas City, College of Chiropractic, Long Island, New York, 2018
Current Literature Standards of MRI Spine Intepretation; Primary Spine Care 5, MRI Spine Interpretation of the spine. How to triage a trauma and non-trauma with advanced imaging and document the necessity. We will also cover the basics of MRI Spine Interpretation inclusive of all types of herniations, bulges Academy of Chiropractic Post-Doctoral Division, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University- Kansas City, College of Chiropractic, Long Island, New York, 2018
Spine Brain Connection in Pain Pathways; Primary Spine Care 5, MRI Spine The spine-brain connection in managing chronic pain patients. Understanding how chronic pain negatively effects brain morphology and potential pathology as sequella. The role of chiropractic in preventing the loss of gray matter and the most recent evidence as outlined in indexed peer reviewed literature over the last 10 years verifying chiropractic’s role Academy of Chiropractic Post-Doctoral Division, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University- Kansas City, College of Chiropractic, Long Island, New York, 2018
Bio-Neuro-Mechanical Mechanism of the Chiropractic Spinal Adjustment; Primary Spine Care 5, The biological, neurological and mechanical mechanisms and pathways from the thrust to the lateral horn and brain connection and how the brain processes the chiropractic spinal adjustment based upon the literature. Care paths of chiropractic and physical therapy from an outcome basis Academy of Chiropractic Post-Doctoral Division, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University- Kansas City, College of Chiropractic, Long Island, New York, 2018
Primary Spine Care Qualified, This qualification includes graduate chiropractic education in healthy and traumatically altered spinal morphology inclusive of osseous, connective tissue and neurological structure, function and pathology. This certifies you are qualified in assessing predictive models in spinal biomechanics and devising engineering paradigms for treatment plans to maximize spinal homeostasis in an evidenced based conclusion. In addition, this qualification acknowledges your expertise in triaging the injured and coordinating collaborative care from the trauma through conclusion of rehabilitation Academy of Chiropractic Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, New York, 2018
Accident Reconstruction: Terms, Concepts and Definitions, The forces in physics that prevail in accidents to cause bodily injury. Quantifying the force coefficients of vehicle mass and force vectors that can be translated to the occupant and subsequently cause serious injury. Cleveland University – Kansas City, Academy of Chiropractic Post Doctoral Division, Long Island, New York, 2018
Accident Reconstruction: Causality, Bodily Injury, Negative Acceleration Forces, Crumple Zones and Critical Documentation, Factors that cause negative acceleration to zero and the subsequent forces created for the vehicle that get translated to the occupant. Understanding critical documentation of hospitals, ambulance reports, doctors and the legal profession in reconstructing an accident Cleveland University – Kansas City, Academy of Chiropractic Post Doctoral Division, Long Island, New York, 2018
Accident Reconstruction: Skid Marks, Time, Distance, Velocity, Speed Formulas and Road Surfaces, The mathematical calculations necessary utilizing time, distance, speed, coefficients of friction and acceleration in reconstructing an accident. The application of the critical documentation acquired from an accident site Cleveland University – Kansas City, Academy of Chiropractic Post Doctoral Division, Long Island, New York, 2018
Accident Reconstruction: Research, Causality and Bodily Injury, Delta V issues correlated to injury and mortality, side impact crashes and severity of injuries, event data recorder reports correlated to injury, frontal impact kinematics, crash injury metrics with many variables and inquiries related to head restraints Cleveland University – Kansas City, Academy of Chiropractic Post Doctoral Division, Long Island, New York, 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. Certification in Diagnosis of Accident Related Trauma Injuries of the Head and Neck, Parker College of Chiropractic - Dallas, Ligament Injury Institute, , Tampa, Florida, 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 Nocieceptors in the function of the spine. How the ligaments, tendons, facets and discs respond to the impact and the damages that are caused Certification in Diagnosis of Accident Related Trauma Injuries of the Head and Neck, Parker College of Chiropractic - Dallas, Ligament Injury Institute, , Tampa, Florida, 2018
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. Certification in Diagnosis of Accident Related Trauma Injuries of the Head and Neck, Parker College of Chiropractic - Dallas, Ligament Injury Institute, , Tampa, Florida, 2018
Understanding AMA Guides in the Diagnosis of Accident Related Trauma Injuries of the Head and Neck, The AMA Guidelines for the diagnosis of AOMSI (Alteration of Motion Segment Integrity). In-depth study of the ligamentous structures of the cervical spine, with special focus on the four main ligaments damaged in a Cervical Acceleration Deceleration injury. A study of the exact requirements for the AMA Guides for Permanent Impairment Ratings. Certification in Diagnosis of Accident Related Trauma Injuries of the Head and Neck, Parker College of Chiropractic - Dallas, Ligament Injury Institute, , Tampa, Florida, 2018
Connective Tissue Pathology, Spinal Biomechanics as Sequella to Trauma, MRI Spine Interpretation, Ordering Protocols & Triaging the Injured, The latest research on the 6 ways to age-date disc herniations and bulges from trauma inclusive of disc pathology nomenclature. MRI ordering protocols, includsive of Dixon format and fat-suppressed images. The neurology and pathology of connective tissue and the sequella of trauma at the bilmechanical level leading to bio-neuro-mechanical failure. Contemporary evidence-based building blocks for triaging and in a collaborative environment. Cleveland University, Kansas City, Chiropractic and Health Sciences, Academy of Chiropractic Post-Graduate Division, Long Island, New York, 2018
Spinal Biomechanical Engineering Digitizing, Integrating automated mensuration into creating treatment plans and determining maximum medical improvement. A literature-based study of normal vs abnormal motor unit function. Determining Ligamentous laxity, aleteration of motion segment integrity and pathological stress units and whole person impairments based upon the literature and academic standards. Cleveland University, Kansas City, Chiropractic and Health Sciences, Academy of Chiropractic Post-Graduate Division, Long Island, New York, 2018
Science of the Chiropractic Spinal Adjustment and Vertebral Subluxation, The literature-based definitions of both the mechanisms, the chiropractic adjustment and how it affects the central nervous system in pain pathways and systemic issues that is the arbiter for normal vs abnormal function. The physiological mechanism of how the chiropractic spinal adjustment affects the peripheral and central nervous systems. Subluxation degeneration/Wolff Law will be detailed from a literature perspective combined with the mechanism of subluxation (bio-neuro-mechanical lesion). A literature perspective why long-term chiropractic care is clinically indicated as usual and customary to effectuate demonstrable beiomechanical changes in the spine. An evidenced-based perspective of why physical therapy is a poor choice for spine as a 1st referral option for any provider inclusive of the literature. Cleveland University, Kansas City, Chiropractic and Health Sciences, Academy of Chiropractic Post-Graduate Division, Long Island, New York, 2018
Documentation, Collaboration, and Primary Spine Care, An academic basis for documentation that is usual and customary across professions in collaborative care. Maintaining ethical and medical-legal relationships based upon Voir Dire and Duabert standards with ensuring an inclusive report. Ensuring Primary Care Status based upon academic standards. Cleveland University, Kansas City, Chiropractic and Health Sciences, Academy of Chiropractic Post-Graduate Division, Long Island, New York, 2018
Spinal Trauma Pathology, Triage and Connective Tissue Injuries and Wound Repair, Triaging the injured and differentially diagnosing both the primary and secondary complaints. Connective tissue injuries and wound repair morphology focusing on the aberrant tissue replacement and permanency prognosis potential PACE Recognized by The Federation of Chiropractic Licensing Boards', ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, New York, 2017
Spinal Trauma Pathology, Ligament anatomy and injury research and spinal kinematics, Spinal ligamentous anatomy and research focusing on wound repair, future negative sequella of abnormal tissue replacement and the resultant aberrant kinematics and spinal biomechanics of the spine. PACE Recognized by The Federation of Chiropractic Licensing Boards', ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, New York, 2017
Spinal Trauma Pathology, Spinal Biomechanics, Central Nervous System and Spinal Disc Nomenclature, The application of Spinal Biomechanical Engineering models in trauma and the negative sequella it has on the central nervous system inclusive of the lateral horn, periaqueductal gray matter, thalamus and cortices involvement PACE Recognized by The Federation of Chiropractic Licensing Boards', ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, New York, 2017
Spinal Trauma Pathology, Biomechanics of Traumatic Disc Bulge and Age Dating Herniated Disc Pathology, The biomechanics of traumatic disc bulges as sequella from trauma and the comorbidity of ligamentous pathology. Age-dating spinal disc pathology in accordance with Wolff’s Law PACE Recognized by The Federation of Chiropractic Licensing Boards', ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, New York, 2017
Spinal Trauma Pathology, Clinical Grand Rounds, The review of case histories of mechanical spine pathology and biomechanical failures inclusive of case histories, clinical findings and x-ray and advanced imaging studies. Assessing comorbidities in the triage and prognosis of the injured. PACE Recognized by The Federation of Chiropractic Licensing Boards', ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, New York, 2017
Spinal Trauma Pathology, Research Perspectives, The review of current literature standards in spinal trauma pathology and documentation review of biomechanical failure, ligamentous failure and age-dating disc pathology. PACE Recognized by The Federation of Chiropractic Licensing Boards', ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, New York, 2017
Triaging the Trauma and Non-Trauma Patients, , Correlating clinical findings and the patient history in determining the correct course of care in triaging the patient utilizing orthopedic and neurological evaluations in the clinical setting. Understanding the parameters for immediate referrals vs. following the continuum of care to determine the necessity for referrals. Texas Chiropractic College, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2017
Primary Spine Care Symposium , Interprofessional Spine Care, Clinical analysis of anatomic versus biomechanical spine pain and clinical triage protocols. Relating current research trends in the Whole Spine Model of patient including normal versus abnormal sagittal curvature in the adolescent and adult spine, pelvic incidence as a parameter for sagittal balance in the human spine and current methods of assessment. Patient centered approach to Evidenced Based Spine care with a focus on diagnosis, prognosis and triage of the spine pain patient Texas Chiropractic College Post-Doctoral Division, Academy of Chiropractic Post-Doctoral Division, Melville, New York, 2017
Primary Spine Care Symposium , Epidemiology of Spine Pain, Review of the current Centers for Disease Control [CDC} data on the frequency of musculoskeletal pain in the United States population with emphasis on pain of spinal origin. CDC guidelines on opioid medication were discussed and correlated to persistent pain syndromes. Research was reviewed showing the importance of managing the spine pain patient properly from the entry point of care with a concentration on maintenance of spinal biomechanics Texas Chiropractic College Post-Doctoral Division, Academy of Chiropractic Post-Doctoral Division, Melville, New York, 2017
Primary Spine Care Symposium , Connective Tissue and Spinal Disc Pathology, The morphology and pathology of connective tissue, inclusive of spinal disc disorders and prognosticating wound repair with permanency implications. Disc bulge, herniation, protrusion and extrusion classifications based upon contemporary literature and how to age-date disc pathology Texas Chiropractic College Post-Doctoral Division, Academy of Chiropractic Post-Doctoral Division, Melville, New York, 2017
Primary Spine Care Symposium , Physiology and Anatomy of Spinal Manual Adjusting, Understanding the role of mechanoreceptors, proprioceptors and nociceptors with facets, ligaments, tendons and muscles in aberrant spinal biomechanics. MRI and imaging studies of decompressing via a chiropractic spinal adjustment of the bio-neuro-mechanical lesion and its effects on the central nervous system both reflexively and supratentorally Texas Chiropractic College Post-Doctoral Division, Academy of Chiropractic Post-Doctoral Division, Melville, New York, 2017
Primary Spine Care Symposium , Medical-Legal Documentation, The contemporary documentation required in a medical-legal environment that is evidenced based and meets the standards of the courts and academia. Utilizing the scientific data to support a diagnosis, prognosis and treatment plan while meeting the admissibility standards based upon a professional’s credentials Texas Chiropractic College Post-Doctoral Division, Academy of Chiropractic Post-Doctoral Division, Melville, New York, 2017
Orthopedic Testing: Principles, Clinical Application and Triage, Integration of orthopedic testing in the clinical setting to develop a differential diagnosis. Utilizing radiographic and advanced imaging inclusive of MRI and CAT scan findings to verify tissue pathology suspected by orthopedic testing conclusions and developing a treatment plan as sequelae. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, New York, 2017
Orthopedic Testing: Cervical Spine, Integration of cervical orthopedic testing in the clinical setting to develop a differential diagnosis. Utilizing radiographic and advanced imaging inclusive of MRI and CAT scan findings to verify tissue pathology suspected by orthopedic testing conclusions and developing a treatment plan as sequelae. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, New York, 2017
Orthopedic Testing: Lumbar Spine, Integration of lumbar orthopedic testing in the clinical setting to develop a differential diagnosis. Utilizing radiographic and advanced imaging inclusive of MRI and CAT scan findings to verify tissue pathology suspected by orthopedic testing conclusions and developing a treatment plan as sequelae Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, New York, 2017
Orthopedic Testing: Grand Rounds, How to integrate orthopedic testing in the clinical setting utilizing both simple and complex patient scenarios. It includes potential stroke, or vertebrobasilar insufficient patients and understanding the nuances in a clinical evaluation with orthopedic testing as a critical part of the evaluation and screening process. How to integrate orthopedic testing in the clinical setting utilizing both simple and complex patient scenarios. It includes potential stroke, or vertebrobasilar insufficient patients and understanding the nuances in a clinical evaluation with orthopedic testing as a critical part of the evaluation and screening process. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, New York, 2017
Patient Intake, History and Physical Examination, Determining the etiology of the patient's complaints in a traumatic or non-traumatic scenario. Analyzing the patient's past history and review of systems along with the performance of a complete orthopedic, neurological and clinical examination to correlate both past, current and causality issues to formulate an accurate diagnosis, prognosis and treatment plan. There is an emphasis on triaging both the trauma and non-trauma patients Texas Chiropractic College, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2017
Clinical Evaluation and Protocols for Identifying Stroke Risk, The neurological history and examination for identifying stroke risks with a focus on supra and infratentorial regions, upper and lower motor lesions, cranial nerve signs, spinal cord pathology, motor and sensory pathology and gait abnormalities. Examining genetic and family histories along with dissection risk factors. Stroke orthopedic testing and clinical guidelines pertaining to triage for the primary care provider. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards], ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, New York, 2017
Stroke Principles of Treatment an Overview for the Primary Care Provider, Stroke type and treatments performed by vascular specialists. The goals of treatment with the physiology of the infarct and penumbra zones and the role of immediate triage in the primary care setting. Detailing the complications of stroke and future care in the chiropractic, primary care or manual medicine clinical setting. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, New York, 2017
Stroke Anatomy and Physiology: Stroke Types and Blood Flow, Various types of stroke identifying ischemia, hypoperfusion, infarct and penumbra zones and emboli. Cardiac etiologies and clinical features as precursor to stroke with associated paradoxical emboli and thrombotic etiologies. Historical and co-morbidities that have etiology instroke inclusive of diabetes, coagulopathy, acquired and hereditary deficiencies. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, New York, 2017
Stroke Anatomy and Physiology: Brain Vascular Anatomy, , The anatomy and physiology of the brain and how blood perfusion effects brain function. A detailed analysis of the blood supply to the brain and the physiology of ischemia. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, New York, 2017
MRI Interpretation of Cervical Degeneration/Bulges, MRI Slices , views, T1, T2, STIR, Axial, FFE, FSE and Sagittal images in the interpretation of cervical degenerations. With the co-morbidities and complications of stenosis, pseudo-protrusions, cantilevered vertebrae, Schmorl's nodes and herniations. Spinal cord and canal compromise interpretation with management. ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, 2016
MRI Interpretation of Lumbar Herniations/Bulges, MRI Slices , views, T1, T2, STIR, Axial, FFE, FSE and Sagittal images in the interpretation of lumbar herniations. With the co-morbidities and complications of stenosis, pseudo-protrusions, cantilevered vertebrae, Schmorl's nodes and herniations. Central canal and cauda equina compromise interpretation with managment. ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, 2016
MRI Protocols Clinical Necessity, MRI slices, views, T1, T2, STIR, axial, stacking, FFE, FSE and sagittal images. Clinical indication for the utilization of MRI and pathologies of disc in both trauma and non-trauma sequellae, including bulge, herniation, protrusion, extrusion and sequestration. ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, 2016
Accident Reconstruction: Terms, Concepts and Definition., 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, 2016
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. PACE Approved for the Federation of Chiropractic Licensing Boards', Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2016
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 PACE Approved for the Federation of Chiropractic Licensing Boards', Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2016
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. PACE Approved for the Federation of Chiropractic Licensing Boards', Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2016
Spinal Biomechanical Engineering: Full Spine Digital Analysis, Digitalizing and analyzing the full spine images to diagnose pathobiomechanics as sequellae to trauma in relation to ligamentous failure and disc and vertebral pathology as sequellae. This includes anterior and posterior vertebral body elements in rotatioal analysis with neutral, left and right lateral bending in conjunction with gate analysis. Ligament instability/failure/pathology is identified all using numerical values and models. Review of case studies for analysis of pathobiomechanics using a computerized/numerical algorithm along with corrective guidelines. PACE Approved for the Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2016
Spinal Biomechanical Engineering: Lumbar Digital Analysis, Digitalizing and analyzing the lumbar spine images to diagnose pathobiomechanics. This includes anterior and posterior vertebral body elements in rotatioal analysis with neutral, left and right lateral bending in conjunction with gate analysis. Ligament instability/failure/pathology is identified all using numerical values and models. Review of case studies for analysis of pathobiomechanics using a computerized/numerical algorithm along with corrective guidelines. PACE Approved for the Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2016
Spinal Biomechanical Engineering: Cervical Digital Analysis, Digitizing and analyzing the cervical spine in neutral, flexion and extension views to diagnose pathobiomechanics. This includes alteration of motion segment integrity (AMOSI) in both angular and translational movement. Ligament instability/failure/pathology are identified all using numerical values and models. Review of case studies to analyze pathobiomechanics using a computerized/numerical algorithm. PACE Approved for the Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2016
Spinal Biomechanical Engineering & Organizational Analysis, Integrating spinal biomechanics and pathobiomechanics through digitized analysis.The comparison of organized versus disorganized compensation with regional and global compensation. Correlation of the vestibular, occular and proprioceptive neurological integration in the righting reflex as evidenced in imaging. Digital and numerical algorithm in analyzing a spine. PACE Approved for the Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2016
Spinal Biomechanics in Trauma, To utilize whiplash associated disorders in various vectors of impact and whiplash mechanisms in determining pathobiomechanics. To clinically correlate annular tears, disc herniations, fractures, ligament pathology and spinal segmental instability as sequellae to pathobiomechanics from trauma. The utilization of digital motion x-ray in diagnoising normal versus abnormal facet motion along with case studies to understand the clinical application. PACE Approved for the Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2016
Spinal Biomechanical Engineering: Lumbar Pathobiomechanics, Spinal biomechanical engineering of the lumbar spine. This includes the normal and pathobiomechanical movement of both the anterior and posterior motor units and normal function and relationship of the intrinsic musculature to those motor units. Nomenclature in reporting normal and pathobiomechanical findings of the spine. PACE Approved for the Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2016
Spinal Biomechanical Engineering: Cervical Pathobiomechanics, Spinal biomechanical engineering of the cervical and upper thoracic spine. This includes the normal and pathobiomechanical movement of both the anterior and posterior motor units and normal function and relationship of the intrinsic musculature to those motor units. Nomenclature in reporting normal and pathobiomechanical findings of the spine. PACE Approved for the Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2016
Spinal Biomechanical Engineering: Cartesian System, The Cartesian Coordinate System from the history to the application in the human body. Explanation of the x, y and z axes in both translation and rotations (thetas) and how they are applicable to human biomechanics. PACE Approved for the Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2016
Hospital Based Spine Care Qualified, Credentialed in hospital protocols, emergency room protocols, acute and chronic patient triage inclusive of MRI spine interpretation, spinal biomechanical engineering, head trauma, concussion, mild traumatic and traumatic brain injuries co-credentialed through the ACCME (Accreditation Council for Continuing Medical Education) Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Texas Chiropractic College and PACE approved by the Federation of Chiropractic Licensure Boards and the Academy of Chiropractic, Long Island, NY, 2016
Interprofessional Communication: How Can it Improve Healthcare?, The best practices in Interprofessional communication and optimizing the tools in clinical practice to benefit patient outcomes, Accreditation Council on Continuing Medical Education (ACCME) in cooperation with Medscape, 2016
An Integrative Approach to Chronic Low Back Pain, The utilization of complementary and integrative health approaches in the treatment of low back pain to reduce reliance on prescription drugs, Accreditation Council on Continuing Medical Education (ACCME) in cooperation with Medscape, 2016
New Blood Biomarkers Useful for Concussion Diagnosis, The utilization of GFAP and UCH-l-1 in determining, traumatic brain injury, mild traumatic brain injury and mild-moderate traumatic brain injury as a triage tool to manage head trauma patients Accreditation Council on Continuing Medical Education (ACCME) in cooperation with Medscape, 2016
Studin M., Owens W. (2016) Ligament Failure and Strain-Sprain Reported as Permanent in Whiplash, Retrieved from: Retrieved from: http://www.uschirodirectory.com/medical-legal-white-papers/item/794-ligament-failure-and-strain-sprain-reported-as-permanent-in-whiplash.html 2016
Medical-Legal-Insurance Documentation, Accurate and compliant documentation of history and clinical findings inclusive of functional losses, loss of activities of daily living, duties under duress and permanent loss of enjoyment of life. Prognosing static vs. stable care, gaps in care both in the onset and in the middle of passive care with a focus on detailed diagnosing. The integration of chiropractic academia, the court system and the insurance reimburser’s requirements for complete documentation. Texas Chiropractic College, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2016
Primary Spine Care 2: Spinal Trauma Pathology, Morphology of healthy and traumatized connective tissue and the permanency implication of adhesions, spinal disc morphology in the healthy and pathological patient as sequella to trauma in relationship to bulges, herniations, protrusions, extrusions and sequestrations. Aberrant spinal biomechanics and negative sequella to trauma. Texas Chiropractic College, Academy of Chiropractic, Setauket , New York, 2016
Primary Spine Care 2: Utilizing Research in Trauma, The ability of your electronic health records to convey tissue pathology while documenting case studies, field experiments, randomized trials and systematic literature reviews, Introducing evidence based macros in documentation to support the literature and necessity of care Texas Chiropractic College, Academy of Chiropractic, Setauket , New York, 2016
Primary Spine Care 2: Chiropracitc Evidence, Analyzing segmental pathology, adjusting vs. mobilization with cervicogenic headaches, Opioid alternatives and case management of mechanical spine pain based upon outcome studies Texas Chiropractic College, Academy of Chiropractic, Setauket , New York, 2016
Primary Spine Care 2: Chiropractic Spinal Adjustment Central Nervous System Processing, Literature reviews of mechanoreceptor, proprioceptor and nociceptor stimulation of later horn gray matter with periaqueductal stimulation affecting the thalamus and cortical regions with efferent distribution in disparate regions of the body in both pain and systemic stimulation Texas Chiropractic College, Academy of Chiropractic, Setauket , New York, 2016
Neuroradiology Mini-Fellowship, MRI Spine Interpretation, Robert Peyster MD, Neuroradiologist, Professor of Radiology and Neurology, Chief Division of Neuroradiology Certification in Neuroradiology Mini-Fellowship, State University of New York at Stony Brook, School of Medicine, Federation of Chiropractic Licensing Boards, Stony Brook, New York, 2016
Documentation and Evidence in a Medical-Legal Practice, Documentation and Evidence in a Medical-Legal Practice, The role of scientific research conclusions with contemporary documentation to effectively support the necessity for clinically indicated care. The role of timely evaluations and re-evaluations in coordinating care inclusive of history, physical and evaluation report and concludes with the correlation of the SOAP note and HCFA that correlates the conclusion of the evolutionary findings. Coordinating research and clinical findings with primary care providers and medical specialists in the rehabilitation process inclusive of insurance requirements and contemporary MRI research nomenclature. PACE recognized for the Federation of Chiropractic Licensing Boards, Boca Raton, Florida, 2015
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. ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences and Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Buffaloe, New York, 2015
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. ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences and Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Buffaloe, New York, 2015
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. ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences and Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Buffaloe, New York, 2015
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 ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences and Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Buffalo, New York, 2015
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 ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Buffalo, New York, 2015
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. ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences and Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Buffalo, New York, 2015
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 Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, 2015
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 Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, 2015
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. 2015
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 Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards , 2015
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 Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, 2015
Diagnostics, Risk Factors, Clinical Presentation and Triaging the Trauma Patient, An extensive understanding of the injured with clinically coordinating the history, physical findings and when to integrate neurodiagnostics. An understanding on how to utilize emergency room records in creating an accurate diagnosis and the significance of “risk factors” in spinal injury Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, 2015
Neurodiagnostics, Imaging Protocols and Pathology of the Trauma Patient, An in-depth understanding of the protocols in triaging and reporting the clinical findings of the trauma patient. Maintaining ethical relationships with the medical-legal community Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, 2015
Head Trauma, Brain Injury and Concussion , Brain and head physiology, brain mapping and pathology as a sequella to trauma. Traumatic brain injury, mild traumatic brain injury, axonal shearing, diffuse axonal injury and concussion are detailed in etiology and clinically. Clinical presentation, advanced diagnostic imaging and electrodiagnostics are detailed in analysis to create a differential diagnosis. Balance disorders that often occur as a result of trauma are also explored from clinical presentation to advanced imaging and differential diagnosis Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, 2015
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. ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences and Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Buffalo, NY, 2015
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 ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences and Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Buffalo, NY, 2015
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 ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences and Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Buffalo, NY, 2015
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 ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences and Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Buffalo, NY, 2015
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 ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences and Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Buffalo, NY, 2015
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. ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences and Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Buffalo, NY, 2015
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 Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, 2015
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 Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, 2015
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. Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, 2015
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. Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, 2015
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 Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, 2015
Diagnostics, Risk Factors, Clinical Presentation and Triaging the Trauma Patient, An extensive understanding of the injured with clinically coordinating the history, physical findings and when to integrate neurodiagnostics. An understanding on how to utilize emergency room records in creating an accurate diagnosis and the significance of “risk factors” in spinal injury Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, 2015
Neurodiagnostics, Imaging Protocols and Pathology of the Trauma Patient, An in-depth understanding of the protocols in triaging and reporting the clinical findings of the trauma patient. Maintaining ethical relationships with the medical-legal community Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, 2015
MRI Spine Interpretation and Spinal Biomechanical Engineering-Primary Spine Care, Correlating spinal biomechanics secondary to trauma and MRI findings inclusive of herniation, bulging, protruded and extruded discs. Correlating co-efficient of forces translated from the bullet vehicle to the target vehicle to the occupant in determining causality of bodily injury Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Texas College of Chiropractic, Las Vegas, NV, 2015
Evidenced Based Interprofessional Collaboration-Primary Spine Care, Chiropractic as Primary Spine Care based upon the literature conclusions and the documentation requirements to support those conclusions in an ethical collaborative environment inclusive of hospitals, emergency rooms, primary care medical doctors and medical specialists. Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Texas College of Chiropractic, Las Vegas, NV, 2015
Contemporary Literature Review of the Chiropractic Adjusting Mechanisms-Primary Care, The latest scientific evidence of the effects of the chiropractic spinal adjustment on the central nervous system, both upper and lower motor neurons. A comparative analysis of chiropractic vs. other modalities and therapies Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Texas College of Chiropractic, Las Vegas, NV, 2015
Contemporary Literature Review of the Chiropractic Adjusting Mechanisms-Primary Care, The latest scientific evidence of the effects of the chiropractic spinal adjustment on the central nervous system, both upper and lower motor neurons. A comparative analysis of chiropractic vs. other modalities and therapies. Academy of chiropractic, PACE approved for the Federation of Chiropractic Licensing Boards, Texas Chiropractic College, Las Vegas, NV, 2015
Evidenced Based Interprofessional Collaboration-Primary Spine Care, Chiropractic as Primary Spine Care based upon the literature conclusions and the documentation requirements to support those conslusions in an ethical collaborative environment inclusive of hospitals, emergency rooms, primary care medical doctos and medical specialists Academy of chiropractic, PACE approved for the Federation of Chiropractic Licensing Boards, Texas Chiropractic College, Las Vegas, NV, 2015
MRI Spine Interpretation and Spinal Biomechanical Engineering-Primary Care, Correlating Spinal biomechanics secondary to trauma and MRI findings inclusive of herniation, bulgin, protruded and extruded discs. Correlating co-efficient of forces translated from the bullet vehicle to the target vehicle to the occupant in determining causality of bodily injury. Academy of chiropractic, PACE approved for the Federation of Chiropractic Licensing Boards, Texas Chiropractic College, Las Vegas, NV, 2015
Credentialed in MRI Interpretation, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences Academy of chiropractic, PACE approved for the Federation of Chiropractic Licensing Boards, Buffalo, NY, 2015
MRInterpretation of Degenerative Spine and Disc Disease with Overlapping Traumatic insult to both Spine and Disc, MRI slices, views T1, T2, STIR, Axial, FFE, FSE and sagittal images in the interpretation of degenerative spoldylolesthesis, spinal canal stenosis, Modic type 3 changes, central herniations, extrusions, compressions, nerve root compressions, advanced spurring and thecal sac involvement from an othopedic, emergence room, chiropractic, neurological, neurosurgical, physical medicine perspective. ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Buffalo, New York, 2015
MRI Interpretation of Lumbar Herniations, MRI Slices , views, T1, T2, STIR, Axial, FFE, FSE and Sagittal images in the interpretation of lumbar herniations. With the co-morbidities and complications of stenosis, pseudo-protrusions, cantilevered vertebrae, Schmorl's nodes and herniations. Morphology of lumbar disc pathologies of central and lateral herniations, protrusions, extrusions, sequestration, focal and broad based herniations are defined and illustrated. Spinal cord and canal compromise interpretation with management. ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Buffalo, New York, 2015
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 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, New York, 2015
Nutrition and Exercise, Review the basics of nutrition and how it relates to exercise and energy needs. Determination of how the body responds to exercise and how it is affected in injury. University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2014
Medical Errors, Strategies for patients and providers, systems to use to reduce the risk of medical errors and improve patient health and safety. University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2014
Myofascial and Soft Tissue Treatments, Muscle and joint dysfunctions from injuries and distortions with their signs and symptoms. Increasing the ability to properly diagnose the underlying basic musculoskeletal problem and apply the most appropriate treatment. CaerVision, Frederick, Maryland, 2014
BIOMECHANICS and Gait Analysis, Understanding the mechanisms involved in ranges of motion in the foot, ankle, knee and hip and their importance in normal gait to evaluate the impact of gate abnormalities on human locomotion University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2013
Documentation in Practice, A complete patient history, including the usage of E-M examination for the musculoskeletal system. University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2013
Coding and Documentation, Using proper coding and documentation in the patient file. Includes CPT, E/M Coding and P.A.R.T and SOAP note formatting University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2012
Cervical Spine Anatomy, In depth study of the anatomical components of the cervical spine, including muscles, ligaments, tendons and vascular tissues. Cadaver and MRI studies used to show the anatomy of the cervical spine. University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2012
North Carolina Jurisprudence, North Carolina Administrative Code, Title 21, Occupational licensing Boards, Chapter 10, Board of Chiropractic Examiners University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2012
Compliance, Compliance policies and programs for the practice, including patient confidentiality and staff involvement. Safekeeping of records and plans. University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2011
X-Ray and MRI, Study and critique of x-ray and MRI films of the knee including degenerative and injury models University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2011
Documentation, Recognize the importance, and benefits of thorough chart documentation from the standpoint of the patient, the clinician, the profession and third party payors • Identify what minimum documentation requirements are required in today's health care environment • Illustrate and integrate a basic record keeping format into daily practice • Distinguish between maintenance and supportive care • Review and appropriate application of the chiropractic spinal manipulation codes (CMT) University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2010
Documentation and Outcome Assessment, Outcome assessment and its application in patient-centered care • How outcome assessment documentation benefits the patient, the clinician, the profession, and third party payors • Examine skills necessary to incorporate an outcomes-based approach to patient-centered health care • Explaining outcome assessment with patients • Integrating the use of treatment goals with patients University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2010
Documentation X-ray, Assess sample clinical treatment notes • Differentiate between acceptable and unacceptable daily treatment notes • Application of outcome assessment through clinical examples • Illustrate the components of X-ray reports University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2010
Emergency Procedures, Review four emergency medical conditions: Stroke, Heart Attack, Difficulty Breathing, Diabetic Emergencies • Recognize the causes, symptoms and signs for these emergencies • Understand how to provide the appropriate emergency treatments University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2006
Nutrition , Demonstrate an understanding of the role of calcium and other minerals in osteoporosis • Design a treatment protocol for the osteoporotic patient • Create nutritional guidelines for the pregnant female • Identify changes in vitamin and mineral requirements in pregnancy • Review the nutritional changes that occur with lactation University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2007
X-Ray, Recognize and identify important key factors for interpreting plain film X-RAYs of the spine and pelvis Recognize important medical/legal issues regarding interpreting plain films of the spine and pelvis and be able to apply appropriate radiographic documentation requirements when charting X-RAY findings in the medical record Identify, analyze and interpret normal and abnormal anatomical osseous structures, common congenital and acquired pathologies, common normal radiographic variants and soft tissue calcifications/structures of the cervical, thoracic, lumbar, lumbosacral spine and pelvis University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2008
X-ray Ultrasound and Plain Film, Use of Ultrasound in Diagnosis and treatment of patients Universit of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2008
MRI and CT Scans, Chiropractic physicians use of advanced diagnostic imaging procedures such as MR and CT scanning when the typical plain film radiograph does not demonstrate any clinically correlated pathology. This study addresses the issue of validity of the conventional non-weightbearing MRI and/or CT of a patient with a given low back condition. University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2008
X-ray MRI Studies of the Lumbar Spine and Disc, Use of the MRI to study the integrity of the lumbar disc after injury and degeneration. University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2008
X-ray, Study and critique of the x-ray films commonly referred to as the Davis Series of X-rays. Evaluation of plain cervical films in the AP, Lateral, Flexion, Extension, and Bilateral Oblique views. University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2009
X-ray Study and Critique of the Thoracic and Lumbar Spine , Paramount to any radiographic technique the technologist should understand that there are only four radiographic densities normally seen on a routine radiograph. These are bone, muscle, fat and air. Bone being the most radiopaque and air being the most radiolucent densities. All of these radiographic densities should be present on any radiograph. A fifth density metal is more radiopaque than bone. Using a contrast agent such as barium or iodine solutions allow us to see structures not normally seen on plain film images. This critique addresses the four naturally radiographic densities and metal that may occur as an implant for fixation or as a prosthetic support. It is our goal to present many radiographs that tell the story of how to critique films in a way that encourages perfection of the diagnostic criteria by which we image. It is common to image the thoracolumbar spine following acute trauma. Some indications for radiographic imaging include pain, bruising, deformity or any abnormal neurological finding related to the thoracic or lumbar spines. In addition, a fracture in the cervical spine is a mandate to image the entire spine. Injuries such as fall from height, motor vehicle accident, and penetrating injury can produce forces that exceed the strength of the vertebrae. The thoracolumbar junction is the most commonly injured area of the thoracolumbar spine. More than half of these injuries occur between T12 and L2. Motor vehicle accidents with multisystem trauma have an occurrence of 5-6% spinal fractures in the L1-T12 area. Surprisingly these patients are generally between the ages of 30-40 years. Compression injuries are the most common type seen in these cases. Compression deformity is more commonly noted in elderly women than in any other age or gender. University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2009
Boundary Training, Psychological Development, Gender and Power and the Healthcare Provider/Patient Relationship University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2009
Soft Tissue Injuries, Soft tissue is the least understood and most overlooked aspect of the human body. The purpose of this course is to understand the anatomy and normal functionality of this tissue and the significance of injury to these tissues and its consequences. Examination and effective treatment will be discussed for a variety of areas of the body. In further sections or as a continuation of this course, the body will be divided into the following regions: the shoulder, the elbow and forearm, the wrist and hand, the neck and upper back, the temporal-mandibular joint, the trunk and diaphragm, the low back and pelvis, the hip and thigh, the knee and leg and the ankle and foot. Special accommodations for treatment will also be reviewed regarding conditions such as fibromyalgia and diabetes. University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2009
Ethics, Ethics for the chiropractic practitioner University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2010
Documentation, Proper documentation in exams, E/M, CPT Coding, CMT, Diagnosis. University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2010
Compliance, Compliance policies and programs for the practice. This includes patient confidentiality and staff involvement. Safekeeping of records and plans. University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2011
X-ray and MRI , Study and critique of x-ray and MRI films of the Knee. Including degenerative and injury models University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2011
Ethics for Professionals, Indepth study of caring response moral agent integrity paternalism/parentalism ethical distress ethical dilemma locus of authority problem as they relate to the everyday practice of chiropractic University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2010
NC Jurisprudence, North Carolina Administrative Code, Title 21, Occupational Licensing Boards, Chapter 10, Board of Chiropractic Examiners. University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2012
Cervical Spine Anatomy, Indepth study of the anatomical components of the cervicals spine, including but not limited to muscles, ligaments, tendenous and vascular tissues. Cadaver and MRI studies used to show the anatomy of the cervical spine. University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2012
Coding and Documentation, Using proper coding and documenation in the patient file. Includes CPT, E/M Coding and P.A.R.T. and SOAP note formatting. University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2012
Proficiency in Manipulation Under Anesthesia, Certification to provide manipulation of the spine under general anesthesia. Certification in Manipulaiton Under Anesthesia, University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 1996
Hospital Protocols, Study of hospital protocols for the ability to perform spinal manipulation under anesthesia as well as practice chiropractic in a hospital setting. Physicians Academy School of Advanced Diagnostic and Clinical Procedures, Dallas, Texas, 1996
Neurologic Relief Center Technique, License to practice the Neurologic Relief Center Technique Neurologic Relief Center, Clearwater, Florida, 2010

SELECTED TEACHING/INSTRUCTING/LECTURING/CONSULTING

Instructor, Neurologic Relief Center , Clearwater, Florida, 2011- 2012

SELECTED PUBLICATIONS

Weir, T., Owens, W., Studin, M. (2018). Deceptive Dogmatic Reporting Despite Successful Chiropractic Outcomes. American Chiropractor, 40(11), 12 - 15.

SELECTED MEMBERSHIPS

NC Chiropractic Association, Member, 2010 - 2012

SELECTED HONORS AND AWARDS

Appreciation Award, Wake County Foster Care Program, 2010
Long Leaf Pine Award, Governor of the State of North Carolina, 1994