David Wade DC, CCSP, CCST, CHC
3001 McClellan Blvd, Anniston, AL, 36201
Phone: 256-237-9423
Fax: 256-237-6007
drdavidwade@gmail.com
http://www.AnnistonChiropractic.com

SELECTED OCCUPATIONAL HISTORY

Owner/Staff Chiropractor, Anniston Chiropractic, Anniston, AL, 2019 - Present

Owner/Staff Chiropractor, American Back Institute, Oxford, AL, 2003 - 2020

Owner/Staff Chiropractor, Family Health and Wellness, Oxford, AL, 2003 - 2016

Owner/Staff Chiropractor, Wade Chiropractic, Anniston, AL, 1984 - 20216

Marine Engineer, Brooklyn, NY, 1978 - 1984

EDUCATION AND LICENSURE

Doctor of Chiropractic, Licensed in the State of Alabama, License # 1059, 1984 – Present

Doctor Of Medicine, Washington University of Health & Science, Sand Pedro, Belize, 2018

Doctorate of Chiropractic, Life Chiropractic College, Marietta, Georgia, 1984

Internship, Regional Medical Center, Core Clinical Rotations, Anniston, AL, 2016

National Board of Chiropractic Examiners, Part II, 1984

National Board of Chiropractic Examiners, Part I, 1983

Pre Chiropractic Studies, Gadsden State College, Gadsden, AL, 1980

Bachelor of Science, Engineering, United State Merchant Marine Academy, Kings Point, NY, 1978

CERTIFICATIONS, QUALIFICATIONS, AND DIPLOMATES

 

Academy of Chiropractic – Active Trauma Team Member, 2017 – Present

 

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 NY, 2017

 

Certified Chiropractic Sports Physician, CCSP, American Chiropractic Association, Orland, FL, 1990 – 2000

 

Certified Chiropractor in Spinal Trauma, CCST, International Chiropractic Association, Atlanta, GA, 1992 - 1994

 

Certified Master Trainer in Back Power Program, National Safety Council, New Orleans, LA, 2003

 

Certified Instructor in Back Injury Prevention Program, American Red Cross, Birmingham, AL, 2003

 

Certified Wellness Coach, CWC, Wellness Education Foundation, Anniston, AL, 2003

 

Department of Transportation Certified Medical Examination, National Registry of Federal Motor Carrier Safety Administration, Birmingham, AL , 2014

 

SELECTED POST-GRADUATE EDUCATION

 

Traumatic Brain Injury and Concussion Overview: This section is an in-depth overview of traumatic brain injury in concussion. It discusses that all brain injuries are traumatic and dispels the myth of a “mild traumatic brain injury.” Also, this covers triage protocols and the potential sequela of patients with traumatic brain injuries. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2021

 

Head Trauma and Traumatic Brain Injury Part 1: This section discusses gross traumatic brain injuries from trauma and significant bleeding with both epidural and subdural hematomas. There are numerous case studies reviewed inclusive of neurosurgical intervention and postsurgical outcomes. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2021

 

Head Trauma and Traumatic Brain Injury Part 2: This section continues with multiple case studies of gross traumatic brain injuries from trauma requiring neurosurgical intervention and also discusses recovery sequela based upon the significance of brain trauma. This module also concludes with concussion protocols in traumatic brain injury short of demonstrable bleeding on advanced imaging. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2021

 

Concussion And Electroencephalogram Testing: This this section covers concussion etiology and cognitive sequela where gross bleeding has not been identified on advanced imaging. It discusses the significance of electroencephalogram testing in determining brain function and pathology (if present). This module also covers the understanding of waveforms in electroencephalogram testing in both normal and abnormal scenarios. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2021

Concussion And Electroencephalogram Testing Pathological Results: This module covers amplitude, conduction and conduction delays as sequela to traumatic brain injury to diagnose concussion and traumatic brain injury in the absence of gross bleeding and advanced imaging. This section covers electroencephalograms and event-related potentials which measures the brain response that is a direct result of specific sensory or motor events. It is a stereotype electrophysiological response to a stimulus and provides a noninvasive means of evaluating brain function. In this module multiple case studies are discussed with ensuing triage protocols pending the results. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2021

 

Trends in Spinal Healthcare, Analyzing spinal healthcare trends in both utilization and necessity and understanding the marketplace and how a clinical excellence level is reflected in a doctors' documentation and credentials. Treatment pathways in triaging spinal pathobiomechanics. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2021

 

MRI Spine Interpretation Advanced Diagnosis, An evidence-based understanding of time-related etiology of disc pathology considering the American Society of Neuroradiology's designation of protrusion, extrusion, and sequestration of spinal discs, T1, T2, STIR and Proton-Density weighted evaluation to diagnose spine form MRI accurately. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2021

 

Spinal Biomechanical Engineering Analytics and Case Management, Utilizing spinal mensurating algorithms to conclude a pathobiomechanical vs. normal spine in the absence of anatomical pathology. Clinically correlating a history and physical examination findings to x-ray biomechanical results in creating an accurate diagnosis, prognosis, and treatment plan. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2021

 

MSK Extremity Radiological Interpretation, Utilizing both MRI and x-ray to diagnose 1) Arthritis - Inflammatory and Degenerative, 2) Advanced cartilage assessment, 3) Rotator Cuff Tears, 4) Labral tears (shoulder and hip), 5) Tendon injuries and degeneration, 6) Meniscal tears, 7) Ligamentous injuries, 8) Common fractures, 9) Sports-related injury patterns, 10) Plantar fasciitis.Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2021

 

Demonstrative Medical-Legal Documentation, The narrative report. How to effectively create medical-legal documentation and what the courts look for. Making your "4-Corner" (narrative) report demonstrable and build a reputation as an evidence-based provider. The step-by-step minutiae of building a report.Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2021

 

Managing Non-Anatomical Spine Pain, Treatment modalities centered upon "best-outcomes" in an evidence-based model considering chiropractic vs. physical therapy and chiropractic vs. medicine. Considerations of disability, pain reduction, functional improvement, drugs utilized, and side-effects are all considered. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2021

 

Documentation, MRI Necessity and Trends in Spinal Treatment Protocols, Correlating history and a thorough clinical evaluation in determining the necessity for x-ray and MRI evaluations in the trauma and non-trauma patient. Considering whole spine patho-biomechanics in formulating treatment plans and long-term supportive care. Documentation requirements in transitioning from telemedicine to in-office care. Academy of Chiropractic Post-Doctoral Division, Cleveland University-Kansas City, Long Island, NY, 2020

Chiropractic as the First Option for Spine, A Literature-Based Standard, Utilizing clinical findings in conjunction with advanced imaging and electrodiagnostic findings in managing collaborative relationships with medical specialists. Applying a literature standard to care to ensure conservative care as the first option.  Cleveland University-Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2020

 

Chiropractic as the First Option for Spine, A Literature-Based Standard, Managing spinal related cases based upon MRI findings of herniations, bulges, protrusion, extrusions (comminuted and fragmented) utilizing thin-sliced acquisition protocols. When to consider ordering T1, T2, Short Tau Inversion Radiant, proton density and Dixon sequencing for spinal related pathology. Cleveland University-Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2020

 

Chiropractic as the First Option for Spine, A Literature-Based Standard, Creating literature-based documentation inclusive of history and a clinical examination that encompasses causality, diagnosis, prognosis, and treatment plans. Ensuring the whole person impairment ratings are consistent with contemporary literature. Cleveland University-Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2020

 

Chiropractic as the First Option for Spine, A Literature-Based Standard, Spinal biomechanical engineering models related to pathobiomechanics and literature-based standards in creating an accurate diagnosis, prognosis, and treatment plan. Determining impairment ratings based upon alteration of motion segment integrity utilizing motion-imaging, and creating demonstrable evidence for continued treatment plans. Cleveland University-Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2020

 

Trends in Spinal Treatment, Management of spinal care for mechanical spine issues from hospitals and medical specialists to trauma qualified chiropractors based upon published outcomes. Utilizing imaging studies in spinal biomechanics, pain models, and clinical outcomes to determine a conclusive diagnosis, prognosis, and treatment plan for triaging in a collaborative environment.  Cleveland University Kansas City, Chiropractic and Health Sciences, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2019

 

Neurology of Spinal Biomechanics, Understanding spinal biomechanics, and the neurotransmitters required for homeostasis. The interconnected role of Pacinian Corpuscles, Ruffini Corpuscles, Golgi Organ Receptors, Nociceptors, Proprioreceptors, and Mechancoreceptors in maintaining sagittal and axial alignment in the presence of mechanical pathology. Cleveland University Kansas City, Chiropractic and Health Sciences, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2019

 

MRI Age-Dating of Herniated Discs, The literature, academic and clinical standards to age-date herniated discs. The clinical correlation of the pain patterns with advanced imaging finings of bone edema, and bone spurs based upon the Piezoelectric effect for remodeling, high signal on T2 weighted images, Vacuum Discs, and disc heights in determining the time frames of the etiology of spinal disc pathology. Cleveland University Kansas City, Chiropractic and Health Sciences, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2019

 

Creating Ethical Collaborative and Medical-Legal Relationships, Understanding the timely triage necessities based upon clinical and imaging outcomes, and the documentation required for collaborative physicians to continue care. Ensuring that the documentation is complete, reflective of services rendered, and clear for third party consideration in an admissible format to be considered in a medical-legal environment. Cleveland University Kansas City, Chiropractic and Health Sciences, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2019

 

Central Innervation of Spinal Biomecinacal Engineering, Understanding the lateral and ventral horn’s innovations of Pacinian Corpuscles, Ruffini Corpuscles, Golgi Organ Receptors, Nociceptors, Proprioreceptors and Mechancoreceptors, and the pathways through the spinal thalamic tracts through the periaqueductal region, the Thalamus into the Occipital, pre-frontal, sensory and motor cortexes and then efferently back through the Thalamus to disparate regions in creating spinal homeostasis. Cleveland University Kansas City, Chiropractic and Health Sciences, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2019

 

Identifying Spinal Pathology of MRI, Utilizing T1, T2, STIR, and Gradient studies in determining myelomalacia, intra and extra-dural tumors, and systemic disease patterns affecting the spinal cord. When to use contrast post-operatively in identifying discal structures vs. adhesions in postoperative advanced imaging. MRI Interpretation of herniated, circumferential bulges, focal bulges, protruded, extruded, comminuted, sequestered, and fragmented discs. When to consider a neurosurgical consultation based upon the correlation of imaging and clinical findings. Cleveland University Kansas City, Chiropractic and Health Sciences, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2019

 

Computerized Mensuration of Spinal Biomechanical Pathology, Understanding the algorithmic interpretation of spinal biomechanical pathology in a 3-D model and creating treatment plans, impairment ratings, and teaching models based upon the vertebral motor unit angles. Determining sagittal and axial alignments in creating a normative baseline for treatment goals and outcomes.  Academy of Chiropractic Post-Doctoral Division, Long Island NY, 2019

 

Neurosurgical-Chiropractic Collaboration on Spinal Pathology, Utilizing x-ray, MRI, and other modalities of advanced imaging in conjunction with spinal biomechanical failure and clinical evaluation to collaboratively create treatment protocols for patients in both the operative and non-operative cases. Determining the boundaries of the scope of care for both the chiropractor and neurosurgeon based upon a definitive diagnosis of the mechanical vs. an anatomical lesion. Academy of Chiropractic Post-Doctoral Division, Long Island NY, 2019

 

Documentation and Ethics in Medical-Legal Relationships, Creating ethical relationships based upon accurate documentation reflective of the casually related condition of the injured. Ensuring accepted credentials of the doctor based upon Voir Dire standards reflected in an admissible curriculum vitae. How to present demonstrative documentation in the courts reflective of the patient’s pathology. Academy of Chiropractic Post-Doctoral Division, Long Island NY, 2019

 

Coding, Documentation and Compliant Coding Ensuring the correct codes are utilized in an evaluation and management encounter. The correct elements are utilized to support the level of E&M coded along with a self-audit program to ensure ethical billing occurs. Guidelines for the history of present illness, primary complaint, review of systems, family, social, and past histories are discussed, and how to document the same. Academy of Chiropractic Post-Doctoral 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 understanindg all collaborative documentation and how it fits into your diagnosis, prognosis and treatment plan, Understanding the nuances of the functional losses of your patients related to their bodily injuries, Academy of Chiropractic, Post-Doctoral Division.  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 2, Utilizing demonstrative documentation in direct examination and communicating the results of your care concurrently with the written documentation and reporting an accurate diagnosis for all images. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 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, Determininig and documenting disabilities and impairments inclusive of loss of enjoyment of life and duties under duress and the evaluation and validation of pain and suffering. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2019

Medical-Legal Ethical Relationships, Documentation and Cross Examination Testimony, Reporting your documentation factually and staying within the 4 corners of your medical report and scope of practice inclusive of understanding how your credentials allow you to report your documentation. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 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, NY, 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, NY, 2019

Medical-Legal Ethical Relationships, Report Writing and Preparing for a Legal Case, Creating demonstrative evidence, visuals of your patient's bodily injuries inclusive of x-rays, MRI's, CAT Scans and electrodiagnostic findings, the spinal biomechanics of herniated disc with ipsilateral findings and contralateral symptomatology.  Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2019

Neurology of Ligament Pathology- Normal Morphology and Tissue Damage, Connective tissue morphology, embryology and wound repair as sequalae to trauma. Full components of strain-sprain models and permanency implications with wound repair and osseous aberration with aberrant structural integrity. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2019

Neurology of Ligament Pathology- Spinal Biomechanics and Disc Pathology, Disc pathology as sequella to trauma; herniation, extrusion, protrusion, sequestration and how the spinal unit as one system creates homeostasis to balance the pathology. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2019

Neurology of Ligament Pathology- Neurological Innervation, The peripheral and central innervation of the disc and spinal ligaments of the dorsal root ganglion, spinal thalamic tracts, periaqueductal gray areas innervating the Thalamus and multiple regions of the brain. The efferent neurological distribution to disparate areas of the spine to create homeostatis until tetanus ensues creating osseous changes under the effect of Wolff's Law. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2019

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, Weldon Spring, MO, 2019

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. 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, 2018

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. 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, 2018

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. 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, 2018

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. 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, 2018

Triaging the Trauma and Non-Trauma Patients, Correlating clinical findings and the patient history in determining the correct course of care in triaging the patient utilizing orthopedic and neurological evaluations in the clinical setting. Understanding the parameters for immediate referrals vs. following the continuum of care to determine the necessity for referrals. Cleveland University – Kansas City,Academy of Chiropractic Post-Doctoral Division,Long Island, NY, 2018

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 Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018

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 Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018

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 Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018

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 Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018

Orthopedic Testing: Clinical Grand Rounds, how to integrate orthopedic testing in the clinical setting utilizing both simple and complex patient scenarios. It includes potential stroke, or vertebrobasilar insufficient patients and understanding the nuances in a clinical evaluation with orthopedic testing as a critical part of the evaluation and screening process. How to integrate orthopedic testing in the clinical setting utilizing both simple and complex patient scenarios. It includes potential stroke, or vertebrobasilar insufficient patients and understanding the nuances in a clinical evaluation with orthopedic testing as a critical part of the evaluation and screening process. 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, 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, NY, 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, NY, 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, NY, 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, NY, 2018

 

Interprofessional Hospital Based Spine Care, Trends in hospital and emergent care in the healthcare delivery system inclusive of policies, hospital staffing and current care paths for mechanical spine issues. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2018

 

Utilization of Research in the Clinical setting, Utilizing peer reviewed scientific literature in creating a diagnosis, prognosis and treatment plan for the chronic and acute patient. How to implement and stay current on techniques and technology in healthcare. Cleveland University – Kansas City,Academy of Chiropractic Post-Doctoral Division,Long Island, NY, 2018

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. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2018

Impairment Rating, The understanding, and utilization of the protocols and parameters of the AMA Guide to the Evaluation of Permanent Impairment 6th Edition. Spine, neurological sequelae, migraine, sexual dysfunction, sleep and arousal disorders, station and gait disorders, and consciousness are detailed for impairment rating. Herniated discs, radiculopathy, fracture, dislocation, and functional loss are also detailed in relation to impairment ratings. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018

Mild Traumatic Brain Injury/Traumatic Brain Injury/Concussion, Differentially diagnosing mild traumatic brain injury vs. traumatic brain injury and the clinical and imaging protocols required to conclude an accurate diagnosis for head traumaCleveland University – Kansas City, Academy of Chiropractic Post-Doctorial Division, Long Island, NY, 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. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, New York, 2018

Spinal Trauma Pathology, Ligament Anatomy and Injury Research and Spinal Kinematics, Spinal ligamentous anatomy and research focusing on wound repair, future negative sequelae of abnormal tissue replacement and the resultant aberrant kinematics and spinal biomechanics of the spine. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, New York, 2018

Spinal Trauma Pathology, Spinal Biomechanics, Central Nervous System and Spinal Disc Nomenclature, The application of spinal biomechanical engineering models in trauma and the negative sequelae it has on the central nervous system inclusive of the lateral horn, periaqueductal grey matter, thalamus and cortices involvement. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, New York, 2018

Spinal Trauma Pathology, Biomechanics of Traumatic Disc Bulge and Age Dating Herniated Disc Pathology, The biomechanics of traumatic disc bulges as sequelae from trauma and the comorbidity of ligamentous pathology. Age-dating spinal disc pathology in accordance with Wolff’s Law. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, New York, 2018

Spinal Trauma Pathology, Clinical Grand Rounds, The review of case histories of mechanical spine pathology and biomechanical failures inclusive of case histories, clinical findings and x-ray and advanced imaging studies. Assessing comorbidities in the triage and prognosis of the injured. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, New York, 2018

Spinal Trauma Pathology, Research Perspectives, The review of current literature standards in spinal trauma pathology and documentation review of biomechanical failure, ligamentous failure and age-dating disc pathology. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, New York, 2018

 

Spinal Biomechanical Engineering: Cartesian System, The Cartesian Coordinate System from the history to the application in the human body. Explanation of the x, y and z axes in both translation and rotations (thetas) and how they are applicable to human biomechanics. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018

Spinal Biomechanical Engineering: Cervical Pathobiomechanics, Spinal biomechanical engineering of the cervical and upper thoracic spine. This includes the normal and pathobiomechanical movement of both the anterior and posterior motor units and normal function and relationship of the intrinsic musculature to those motor units. Nomenclature in reporting normal and pathobiomechanical findings of the spine. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018

Spinal Biomechanical Engineering: Lumbar Pathobiomechanics, Spinal biomechanical engineering of the lumbar spine. This includes the normal and pathobiomechanical movement of both the anterior and posterior motor units and normal function and relationship of the intrinsic musculature to those motor units. Nomenclature in reporting normal and pathobiomechanical findings of the spine. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018

Spinal Biomechanics in Trauma, To utilize whiplash associated disorders in various vectors of impact and whiplash mechanisms in determining pathobiomechanics. To clinically correlate annular tears, disc herniations, fractures, ligament pathology and spinal segmental instability as sequellae to pathobiomechanics from trauma. The utilization of digital motion x-ray in diagnoising normal versus abnormal facet motion along with case studies to understand the clinical application. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018

Spinal Biomechanical Engineering & Organizational Analysis, Integrating spinal biomechanics and pathobiomechanics through digitized analysis.The comparison of organized versus disorganized compensation with regional and global compensation. Correlation of the vestibular, occular and proprioceptive neurological integration in the righting reflex as evidenced in imaging. Digital and numerical algorithm in analyzing a spine. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018

Spinal Biomechanical Engineering: Cervical Digital Analysis, Digitizing and analyzing the cervical spine in neutral, flexion and extension views to diagnose pathobiomechanics. This includes alteration of motion segment integrity (AMOSI) in both angular and translational movement. Ligament instability/failure/pathology are identified all using numerical values and models. Review of case studies to analyze pathobiomechanics using a computerized/numerical algorithm. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018

Spinal Biomechanical Engineering: Lumbar Digital Analysis, Digitalizing and analyzing the lumbar spine images to diagnose pathobiomechanics. This includes anterior and posterior vertebral body elements in rotatioal analysis with neutral, left and right lateral bending in conjunction with gate analysis. Ligament instability/failure/pathology is identified all using numerical values and models.  Review of case studies for analysis of pathobiomechanics using a computerized/numerical algorithm along with corrective guidelines. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018

Spinal Biomechanical Engineering: Full Spine Digital Analysis, Digitalizing and analyzing the full spine images to diagnose pathobiomechanics as sequellae to trauma in relation to ligamentous failure and disc and vertebral pathology as sequellae. This includes anterior and posterior vertebral body elements in rotatioal analysis with neutral, left and right lateral bending in conjunction with gate analysis. Ligament instability/failure/pathology is identified all using numerical values and models. Review of case studies for analysis of pathobiomechanics using a computerized/numerical algorithm along with corrective guidelines. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018

Connective Tissue Spinal Disc Permanent Pathology, Primary Spine Care, Herniated, bulged, protruded and extruded discs, etiology and morphology. Age-dating disc pathology inclusive of Modic changes, piezoelectric effect, Wolff’s Law and radicular clinical presentation. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2018

Connective Tissue Pathology and Research, Primary Spine Care, Utilization in spinal models considering the opioid abuse and various spinal models in contemporary health care. Care paths for mechanical spine pain and the evidence for conservative chiropractic care. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2018

Bio-Neuro-Mechanical Lesions and Spine Care, Primary Spine Care, Mechanoreceptor, proprioceptor, nociceptor innervation and control of the spinal system with central nervous system action and interaction. The integration of the pain processing network and the HPA Axis (hypothalamus, adrenal and pituitary) with the chiropractic spinal adjustment. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2018

Ethics, Documentation and Research, Primary Spine Care, Maintaining ethical Interprofessional relationships based upon an evidenced based practice inclusive of triage, diagnostics and reporting. Creating thorough documentation that reflects your complete findings encompassing descriptive ICD-10 codes and concludes the presence or absence of pathology. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2018

Neurodiagnostics, Imaging Protocols and Pathology of the Trauma Patient, An in-depth understanding of the protocols in triaging and reporting the clinical findings of the trauma patient. Maintaining ethical relationships with the medical-legal community. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2018

Diagnostics, Risk Factors, Clinical Presentation and Triaging the Trauma Patient, An extensive understanding of the injured with clinically coordinating the history, physical findings and when to integrate neurodiagnostics. An understanding on how to utilize emergency room records in creating an accurate diagnosis and the significance of “risk factors” in spinal injury. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2018

Crash Dynamics and Its Relationship to Causality, An extensive understanding of the physics involved in the transference of energy from the bullet car to the target car. This includes G's of force, newtons, gravity, energy, skid marks, crumple zones, spring factors, event data recorder and the graphing of the movement of the vehicle before, during and after the crash. Determining the clinical correlation of forces and bodily injury. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2018

MRI, Bone Scan and X-Ray Protocols, Physiology and Indications for the Trauma Patient, MRI interpretation, physiology, history and clinical indications, bone scan interpretation, physiology and clinical indications, x-ray clinical indications for the trauma patient. Cleveland University – Kansas City,Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2018

Neurodiagnostic Testing Protocols, Physiology and Indications for the Trauma Patient, Electromyography (EMG), Nerve Conduction Velocity (NCV), Somato Sensory Evoked Potential (SSEP), Visual Evoked Potential (VEP), Brain Stem Auditory Evoked Potential (BAER) and Visual-Electronystagmosgraphy (V-ENG) interpretation, protocols and clinical indications for the trauma patient. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2018

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. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2018

Documenting Clinically Correlated Bodily Injury to Causality, Understanding the necessity for accurate documentation, diagnosis and clinical correlation to the injury when reporting injuries in the medical-legal community. Documenting the kinesiopathology, myopathology, neuropathology, and pathophysiology in both a functional and structural paradigm. Cleveland University – Kansas City,Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2018

Primary Spine Care - Credentials and Knowledge Base,The credentials and knowledge based from an academia perspective when cooperatively treating in a collaborative environment inclusive of understanding pathology and mechanical spine issues. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2018

Primary Spine Care - Spinal Biomechanical Engineering and MRI Spine Interpretation, Integrating Spinal Biomechanical Engineering and MRI Spine Interpretation into a primary spine care model, inclusive of necessity and acquisition protocols. A comprehensive review the latest evidence in documenting mechanical issues. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2018

Primary Spine Care - Hospital Administration, Triage, Clinical Requirements and Collaborative Relationships with Medical Specialists,Understanding hospital and medical specialist's care paths for mechanical spine pathology and integrating the doctor of chiropractic in the hospital and allopathic treatment protocols. Cleveland University – Kansas City, Long Island, NY, 2018

Primary Spine Care - Contemporary Spine Research and Documentation, Central nervous system connection and the thalamus, hypothalamus connection in both ascending and descending central pathways with neuro-endocrine implications that have the mechanisms to be a component of Schizophrenia, Dementia and Alzheimer’s with a linear relationship to the chiropractic spinal adjustment and chronic pain. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2018

Primary Spine Care 2: Spinal Trauma Pathology, Morphology of healthy and traumatized connective tissue and the permanency implication of adhesions, spinal disc morphology in the healthy and pathological patient as sequella to trauma in relationship to bulges, herniations, protrusions, extrusions and sequestrations. Aberrant spinal biomechanics and negative sequella to trauma. Cleveland University – Kansas City, Academy of Chiropractic, Setauket NY, 2018

Primary Spine Care 2: Utilizing Research in Trauma, The ability of your electronic health records to convey tissue pathology while documenting case studies, field experiments, randomized trials and systematic literature reviews, Introducing evidence based macros in documentation to support the literature and necessity of care. Cleveland University – Kansas City, Academy of Chiropractic, Setauket NY, 2018

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. Cleveland University – Kansas City, Academy of Chiropractic, Setauket NY, 2018

Primary Spine Care 2: Chiropractic Spinal Adjustment Central Nervous System Processing, Literature reviews of mechanoreceptor, proprioceptor and nociceptor stimulation of later horn gray matter with periaqueductal stimulation affecting the thalamus and cortical regions with efferent distribution in disparate regions of the body in both pain and systemic stimulation. Cleveland University – Kansas City, Academy of Chiropractic, Setauket NY, 2018

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, 2018

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, 2018

 

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, 2018

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, 2018

 

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, 2018

 

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, 2018

 

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. 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, 2018

MRI Interpretation of Lumbar Degeneration/Bulges, MRI slices, views, T1, T2, STIR axial, stacking, FFE, FSE and sagittal images in the interpretation of lumbar degeneration. With the co-morbidities and complications of stenosis, pseudo-protrusions, cantilevered vertebrate, Schmorl's nodes and herniations. Central canal and cauda equina compromise interpretation with management. 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, 2018

MRI Interpretation of Lumbar Herniations, MRI slices, views, T1, T2, STIR axial, stacking, FFE, FSE and sagittal images in the interpretation of lumbar herniations. With the co-morbities and complications of stenosis, pseudo-protrusions, cantilevered vertebrate, Schmorl's nodes and herniations. Morphology of lumbar disc pathologies of central and lateral herniations, protrusions, extrusions, sequestration, focal and broad based herniations are defined and illustrated. Central canal and cauda equina compromise interpretation with management. 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, 2018

MRI Interpretation of Cervical Degeneration/Bulges, MRI slices, views, T1, T2, STIR axial, stacking, FFE, FSE and sagittal images in the interpretation of cervical degeneration. With the co-morbidities and complications of stenosis, pseudo-protrusions, cantilevered vertebrate, Schmorl's nodes and herniations. Spinal cord and canal compromise interpretation with management. 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, 2018

MRI Interpretation of Cervical Herniations, MRI slices, views, T1, T2, STIR Axial, FFE, FSE and sagittal images in the interpretation of lumbar herniations. With the co-morbidities and complications of stenosis, pseudo-protrusions, cantilevered vertebrate, Schmorl's nodes and herniations. morphology of lumbar disc pathologies of central and lateral herniations, protrusions, extrusions, sequestration, focal and broad based herniations are defined and illustrated. Spinal cord and canal compromise interpretation with management.  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, 2018

MRI Interpretation of Degenerative Spine and Disc Disease with Overlapping Traumatic Insult to Both Spine and Disc, MRI slices, views, T1, T2, STIR Axial, FFE, FSE and sagittal images in the interpretation of degenerative spondylolesthesis, spinal canal stenosis, Modic type 3 changes, central herniations, extrusions, compressions, nerve root compressions, advanced spurring and thecal sac involvement from an orthopedic, emergency room, chiropractic, neurological, neurosurgical, physical medicine perspective.  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, 2018

Connective Tissue Pathology, Spinal Biomechanics as Sequella to Trauma, MRI Spine Interpretation, Ordering Protocols & Triaging the Injure, The latest research on the 6 ways to age-date disc herniations and bulges from trauma inclusive of disc pathology nomenclature. MRI ordering protocols, inclusive of Dixon format and fat-suppressed images. The neurology and pathology of connective tissue and the sequella of trauma at the biomechanical level leading to bio-neuro-mechanical failure. Contemporary “evidenced-based building blocks” for triaging and in a collaborative environment. Cleveland University Kansas City, Chiropractic and Health Sciences, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 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 until function. Determining ligamentous laxity, alteration 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-Doctoral Division, Long Island, NY, 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 mechanisms” of how the chiropractic spinal adjustment affects the peripheral and central nervous systems. Subluxation degeneration/Wolff’s 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 biomechanical 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-Doctoral Division, Long Island, NY, 2018

 

Documentation, Collaboration, and Primary Spine Care, An academic basis for documentation that is usual and customary across professions in collaborative care. Maintaining ethical medical-legal relationships based upon Voir Dire and Duabert standards with ensuring a “4-corners” inclusive report. Ensuring Primary Care Status based upon an academic standards. Cleveland University Kansas City, Chiropractic and Health Sciences, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2018

 

Documenting Trauma and Non-Trauma Cases & Triaging Disc Pathology, Triage, care and collaboration for herniated, bulged, protruded, extruded and fragmented spinal discs. Compliant documentation of evaluation and management of new and established patients inclusive of chief complaint, history of present illness, review of systems, past-family-social histories with case management protocols and the required elements. Clinically coordinating treatment with subjective complaints, clinical findings and diagnosis for each encounter. Cleveland University-Kansas City Chiropractic and Health Sciences, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 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, Long Island, NY, 2018

MRI Spine Interpretation and Spinal Biomechanics, Bulging, herniated, protruded, and extruded disc contemporary nomenclature, analysis, and differential diagnosis. Connective tissue physiology and pathology with aberrant biomechanical permanent sequelae, Texas Chiropractic College, Academy of Chiropractic, Melville NY, 2017

 

Contemporary Literature in Spinal Biomechanics, Normal vs. pathological biomechanical spinal motion both in a single motor unit, and coupling actions. An interdisciplinary approach to mechanical spine issues and evidenced-based care paths, Texas Chiropractic College, Academy of Chiropractic, Melville NY, 2017

 

Documentation of Spinal Trauma, Interdisciplinary approaches in documentation of spinal related injuries inclusive of connective tissue disorders, and biomechanical failure. Clinically correlating history, imaging, advanced imaging, and clinical findings to conclude an accurate diagnosis, prognosis, and treatment plan, Texas Chiropractic College, Academy of Chiropractic, Melville NY, 2017

 

Contemporary Literature of the Chiropractic Spinal Adjustment, The bio-neuro-mechanical scientific foundation of the spinal lesion and the neurological pathways, both in the lower and upper motor neuron pathways. The autonomic sequala of the vertebral subluxation and the effects of the correction and maintenance of those lesions, Texas Chiropractic College, Academy of Chiropractic, Melville NY, 2017

 

Function Based Care Part 2, Assessment and Management of Functional Spine Mechanical Pathology related to improving Activities of Daily Living. Utilization of Outcome Assessment tools. Life University, Marietta, GA, 2017

 

Function Based Care Part 1, Anatomy and Physiology of Spine with emphasis on Functional Assessment and clinical management of biomechanical pathology. ,Life University, Marietta, GA, 2017

Neurology of Pain, Understanding of neuro pathways, pain receptors, neuroplastic changes, Chronic pain syndrome, regional pain syndromes. Life University, Marietta, GA, 2017

Post Trauma Cervical Spine, Clinical assessment of traumatic injuries of the cervical spine, anatomy, patho-mechanics, sprain-strain, Acceleration-Deacceleration Injuries assessment and management. Explain how the nervous system modulates pain. Describe how primary, peripheral pain becomes secondary, central pain. Demonstrate how to objectively test for peripheral vs central pain sensitisation. Discuss why whiplash patients are prone to developing chronic pain. Demonstrate how to assess and treat the sensorimotor control of the neck. Discuss where to focus your efforts in treating whiplash. .ife University, Marietta, GA, 2017

Enhancing Outcomes for Chronic Back Pain Patients, Introduction of new breakthroughs in unweighted and Vibrational technologies for Physical Therapy and Rehabilitation. Pneumex Clinic, San Point, ID, 2017

Basic Life Support - The AHA’s BLS course trains participants to promptly recognize several life-threatening emergencies, give high-quality chest compressions, deliver appropriate ventilations and provide early use of an AED. Reflects science and education from the American Heart Association Guidelines Update for CPR and Emergency Cardiovascular Care (ECC). Regional Medical Center, Anniston, AL, 2015

ACLS Certification - Basic life support skills, including effective chest compressions, use of a bag-mask device, and use of an AED, Recognition and early management of respiratory and cardiac arrest. Recognition and early management of peri-arrest conditions such as symptomatic bradycardia, Airway management, Related pharmacology, Management of ACS and stroke, Effective communication as a member and leader of a resuscitation team. Regional Medical Center, Anniston, AL, 2015

American Academy of Physical Medicine and Rehabilitation National Conference, SAE-R Medical Knowledge areas of PM&R including: Brain Disorders, Electrodiagnostic Testing, Medical Management, Musculoskeletal Disorders, Nerve & Muscle Disorders, Pain Rehabilitation, Rehabilitation & Function Management, Spinal Cord Injury, Stroke. American Academy of Pain Management and Rehabilitation, Boston, MA, 2015

 

Integrity Coaching, Ethics and Practice Management. Integrity Management, Atlanta, GA, 2013

 

Conditions of the Disc Part 3, Current information concerning the evaluation and management of the cervical spine. Review the art of history taking. Know the standard of care concerning the physical examination of the cervical spine. Apply the knowledge of physical examination and history taking to provide a chiropractic assessment of the cervical spine. Develop writing skills used in analyzing and writing radiology reports. Develop further appreciation of the conditions encountered in the general population that involve the spine. Analyze the history and physical examination to determine a chiropractic diagnosis. Develop a care plan. Evaluate three case studies of individuals with cervical spine complaints and perform synthesis of the case studies to determine clearance to adjust. DCONLINE, Lincoln, AL, 2011

Conditions of the Disc Part 2, Virtual Grand Rounds format providing clinical education for Doctor of Chiropractic regarding the evaluation, imaging, diagnosis, and treatment of patients with clinical presentations of lumbar disc disease. The coordination of imaging with the patient’s clinical presentation is emphasized. The programming involves recorded presentations including the integration of a pertinent physical examination techniques, imagery analysis and clinical care interventions. Actual lumbar spine cases are used to engage learners in providing updates in diagnosis, management and treatment of specified clinical conditions. DCONLINE, Lincoln, AL, 2011

 

Conditions of the Disc Part 1, chiropractic assessment and treatment for a number of common presentations of low back disc pain into chiropractic offices. This course discusses the impact of low back pain in the United States, the conundrum of the high failure rate in treating low back pain, and unique signs and symptoms of three common musculoskeletal origins of low back pain. Red flags and medical emergencies, as well as a number of common organic causes of low back pain will also be discussed, as well as how to manage them. The technique portion of the course will discuss listings, patient setup, doctor setup, contact points, and line of drive. Varying spinal listings will be compared and contrasted, and combinatory dysfunctions will be addressed with regard to treatment hierarchy. This course will be valuable for veteran and new chiropractors alike, as it not only describes and demonstrates numerous chiropractic adjustments (Gonstead and Diversified), but also discusses why so many patient presentations end up as enigmas, leading to a revolving door of multiple doctors’ assessments, various treatments, and ultimately, patient frustration. DC ONLINE, 2011

Basic Case Management, As the requirement for objective documentation grows, diagnostic testing is given an expanded role in the multidisciplinary environment. Chiropractic has traditionally placed a greater emphasis on treatment over diagnostic testing. It is frustrating for chiropractors to be repeatedly denied reimbursement due to inadequate documentation and the claim by insurance carriers of a lack of medical necessity. Your multidisciplinary practice will bring together the resources and the technology required to objectively document the necessity of care without having to overcome the special hurdles that have been selectively placed in the path of the chiropractic profession. Breakthrough Coaching, Atlanta, GA, 2011

Rehabilitation Protocol, CASE MANAGEMENT Outcome-based criteria for care, goal setting and progress from initial visit to discharge. DOCUMENTATION, Streamlined reporting of Patient Care, procedures and functional progress. CODING, Correct and compliant diagnosis and procedure coding. COMPLIANCE, Protect your practice from HIPAA, documentation and payment audits., Breakthrough Coaching, Atlanta, GA, 2010

Physical Therapeutics, Developing a Physical Therapy Department - Proper billing and coding procedures, Source medical supplies and equipment, Establish streamlined administrative protocols, Delegate responsibilities and job functions, Legally transfer patients from chiropractic to the multidisciplinary practice, Marketing and new patient acquisition, Develop relationships with community-based physicians, Implement effective Quality Assurance & Compliance Programs, Operate a legal and ethical practice by adhering to Breakthrough Coaching protocols Breakthrough Coaching, Tampa, FL, 2010

Multidiscipline Practice, The decision to establish a Multidisciplinary Practice is beneficial to chiropractors who have achieved a measure of success and are ready to take their practice to the next level. When you operate your practice correctly, legally, and with proper professional guidance, adopting a multidisciplinary model will grow your practice considerably. Your increased scope of services will attract more new patients and will result in a larger patient volume., Breakthrough Coaching, Atlanta, GA, 2009

Breakthrough Coaching, A multidisciplinary practice is one that provides both allopathic and holistic therapies with a two‐pronged, "corrective" and "wellness” approach. The multidisciplinary practice is on the cutting‐edge of the battleground of integrating chiropractic into the mainstream of healthcare. There is a clear scope of practice between allopathic and chiropractic healthcare and multidisciplinary practices provide patients with the best of both disciplines. Breakthrough Coaching, Nassau, Bahamas, 2009

Diagnosis and Rationale for Management of Common and Not So Common Patients, Asthma, Allergies, and Auto immune Diseases, Cervical Cord Compression, Upper Motor Neuron Lesions, Cerebellar Dysfunction, Dysdiadochokinesis, Dysmetria, Cerebellum vs Dorsal Column pathology, Pituitary Tumors, Cervicogenic Vertigo, Sciatic Neuritis vs. Piriformis Syndrome, Leg Length Deficiency, Foot Pronation, Lower Extremity Taping. New York Chiropractic College, Birmingham, AL, 2009

Hospital Protocol, Understanding Hospital Inclusion of Chiropractic Care with examples of successful programs, Life College, Marietta, GA, 2008

 

Knee Pain, Examine the facets and protocols that are most effective for mitochondrial dysfunction, systemic inflammation, and chronic knee pain syndromes. Apply practical applications of Low Level Laser Therapy or photobiomodulation for the improvement of mitochondrial dysfunction, reducing systemic inflammatory cascades, and improving overall quality of life. Integrate the most researched skill sets and protocols to achieve powerful results. Life College, Marietta, GA, 2007

Spinal Trauma, Emphasize the unique anatomy of the cervical spine as related to spinal trauma. Point put the importance of the uncinate process joints as related do disc herniation, the nerve root, the vertebral artery, and the spinal cord. Explain how cervical spine injury may manifest clinically as low back and leg pain. Explain the influence of awareness on an impending collision and the muscles ability to protect joints. Explain how being “caught by surprise” by a collision is related to a poor prognosis for full recovery. Summarize the history of whiplash injuries, including mechanical mechanisms, biological mechanisms, pathology, diagnostics and management. Summarize recent advances in the understanding of whiplash injuries, emphasizing anatomy, diagnostics, pain production and pain suppression. Integrate whiplash trauma, chronic pain, and chiropractic care. Life College, Marietta, GA, 2006

Cumulative Trauma Disorders and Carpal Tunnel Syndrome, Anatomy, defining Cumulative Trauma Disorders, Assessment with Electrodiagnostic tools, Management, Manipulation techniques Dr. Mitch Malley International Hand Conference, Chicago, IL, 2005

 

Arm Pain, Clinical Assessment and management of Arm pain, emphasis on Anatomy, bio-mechanics and manipulation techniques Life College, Marietta, GA, 2004

 

Headache, Clinical Assessment and management of Headaches, differential diagnosis, emphasis on Anatomy, bio-mechanics and manipulation techniques Life College, Marietta, GA, 2003

 

Neck Pain, Clinical Assessment and management of Neck pain, emphasis on Anatomy, bio-mechanics and manipulation techniques Life College, Marietta, GA, 2002

 

Nerve conduction Studies, Review of technique for nerve conduction velocity (NCV) test to assess nerve damage and dysfunction. Physiological understanding of, the procedure measures how quickly electrical signals move through your peripheral nerves. Anatomical review of peripheral nerves, the nerve root, and the spinal cord. Understanding Neuro- muscular junction, Evoked potential and experience the senses. Healthy nerves verses pathology of electrical signals of damaged nerves. Understanding NCV test and differentiate diagnosis between an injury to the nerve fiber and an injury to the myelin sheath, a nerve disorder and a condition where a nerve injury has affected the muscles. Life College, Marietta, GA, 2001

Spinal Decompression, Science and Clinical Application of Spinal Decompression. Identify the goals, indications and contraindications of spinal traction and decompression, Predicting responsive patient selection for spinal traction and decompression, understanding phases of traction and calculate the appropriate force, traction, disc targeting and hold times, Life College, Marietta, GA, 2000

Extremity Adjusting, Review the anatomical and functional causes of extremities, Review the kinematics and kinetics of leg length discrepancies during the gait cycle. View and discuss several new case studies looking at anatomical discrepancies and the impact of compensations to accommodate the fixed changes. Discuss examination procedures to facilitate understanding of the pathomechanics resulting from mechanical extremity issues. Propose intrinsic and extrinsic remedies for the gait abnormalities seen .Life College, Marietta, GA, 1999

Trigger Point Therapy, Discuss the normal function of soft tissues for support and movement to relate soft tissue injuries to postural anomalies. Utilize the evaluation of the feet as a foundation for full body postural adaptations. Relate normal biomechanics of the foot, ankle, knee, hip, pelvis, spine, TMJ and upper extremities to normal posture and movement. Apply findings of injured soft tissues of the foot, ankle, knee, hip, pelvis, spine, TMJ and upper extremities to evaluation of normal and abnormal postural distortions. Discuss dynamic muscle stabilizers in the pelvis and abdominal core in relation to normal movement and fixations in the hip and pelvis. Life College, Marietta, GA, 1998

Activator Technique, Dr Allan Fuhr presenting the history, assessment and management of the Vertebral Subluxation Complex utilizing the low force Activator Technique, Life College, Marietta, GA, 1997

Pierce-Stillwagon Technique, Understanding the Evaluation and Management of the Vertebral Subluxation Complex, Special Emphasis with practical didactic training of PST, Dr Vern Pierce, Life College, Marietta, GA, 1996

 

Thomson Technique, Dynamic practical training of the Assessment of the Derefield Leg Check, Anatomy, Assessment and Management of the Vertebral Subluxation Complex with didactic training of the correction by Dr J. Clay Thompson Life College, Marietta, GA, 1995

Post-Doctoral Occupational Health, Interpretation of the current research on ergonomics and human performance. Understanding the Team Approach to systematic office analysis and problem solving. Back Injury Prevention Programs: Siting on the job, Successful Utilization of Back Schools, Understanding the Cumulative Effects of Sedentary Work relating to Health and Performance issues. Improving the Work Environment to Correct/Prevent the Sedentary syndrome, Results oriented decision making in the workplace and instituting workplace changes for Human performance Economics of Ergonomic and challenges for the design community, Developing healthy workers and healthy workplaces, NIOSH Heath Questionnaires and Performance Measures. Logan Chiropractic College, Birmingham, AL, 1991

Establishing Injury Prevention Program with a focus on HSEQ, Heath, Safety, Environment and Quality Management. Logan Chiropractic College, Birmingham, AL, 1991

Cumulative Trauma Disorders: Etiology, Detection and Treatment, Historical Perspective of CTS and Musculoskeletal Disorders, Nonoccupational Factor of CTD, Biomechanical Etiology of CTDs, Evaluation Procedures of CTD, Treatment Procedures for CTDs, Preventive Exercises for CTDs, Political-Legal Aspects of CTDS. Logan Chiropractic College, Birmingham, AL, 1990

Pre-Placement and Functional Capacity Testing, Understanding EEOC and ADA Guidelines, Conducting Careful Job Analysis, Matching Job Demands to Testing Procedures, Testing Procedures and Selection Criteria, Demonstration of Testing and Evaluation Formats, Pre-Placement Assessments. Logan Chiropractic College, Birmingham, AL, 1990

Post-Injury, Algorithm of Care for Early Safe return to work. Logan Chiropractic College, Birmingham, AL, 1990

Assessment of Employees, Pre-placement and developing return to work guidelines. Logan Chiropractic College, Birmingham, AL, 1990

Predisposing Factors to Lower Spinal Instability, Understanding predisposing Factors to Lower Spinal Instability: Scoliosis, Leg-length inequality, Lordosis, Ramrod Spine, Type 1 Round Back Deformity, Type 2 Round Back Deformity, Spondylolysis, Spondylolisthesis, asymmetrical lumbar facets, spinal stenosis, transitional lumbar vertebra, Extra vertebra, Missing Vertebra, Deformed Vertebra, History of disabling injuries or disorders of the spine, Family History of Lower spinal instability disorder, Decreased or Degenerative disc disease, Spinal subluxations, Pelvic Subluxation, Facet Imbrication, Scheuermann’s Disease, Pronation of the ankle/arch mechanism Principles and Application of Pre-Employment/Pre-Placement Physical Screening Examination Procedures. Logan Chiropractic College, Birmingham, AL, 1989

Worksite Analysis Workshop, Defining Ergonomics, Video-analysis of Worksite, Task Analysis, Physical Demand Analysis, NIOSH Guideline and OSHA Information, Workers’ Compensation Risk Factors. Understanding how Job Dissatisfaction and a poor management0employee relationship combine to be the most significant contribution to the creatin of an environment susceptible to compensation claims. Physically Demanding work Environment as a key ingredient in the production of injuries and compensation claims. Lack of Medical Control as the single most significant contributor to costs. Ergonomic Guidelines, Analysis Report, EEOC Guidelines, Use of Careful Job Analyses in Employee Selection procedures. Logan Chiropractic College, Birmingham, AL, 1989

Business Industrial Consulting Services, The need for high Ethical Standards, Establishing the foundation for Industrial consulting, Communication strategies and developing successful business practice, Building and developing relationship with Key stakeholders, Developing your professional profile, Effective Communications. Logan Chiropractic College, Birmingham, AL, 1989

Understanding the company problems relating to Injury Management, Identifying the Company, Data Gathering, Contact the Company, Assess the Company and their Needs, Proposal and Presentation, Deliver the Goods and Services, Follow Through. Logan Chiropractic College, Birmingham, AL, 1989

Chiropractic Orthopedics, Coursework in Chiropractic Orthopedics, evaluation and non-operative management of a broad range of injuries, conditions and disorders of the neuromusculoskeletal system with emphasis on the spine and extremities. Los Angeles Chiropractic College, Huntsville, AL, 1986

SELECTED MEDICAL TEACHING/ LECTURING/ CONSULTING

Teaching Assistant in MD3, Immunology and Microbiology, Washing University of Heath and Sciences, San Pedro, Belize, 2014

Teaching Assistant in MD2, Medical Genetics, Washington University of Health and Sciences, San Pedro, Belize, 2013

Corporate Wellness coaching, Wellness Education Foundation, Anniston, AL, 2008 - Present

Instructor, Continuing Education Course, Master Trainer for Back Power and Industrial Safety Consulting, Life University, School of Chiropractic, Marietta, GA, 1993 – 1995

Certified Instructor, Red Cross Back Injury Prevention Program, Anniston, AL, 1993 - 1994

Instructor for National Safety Council, Presentation Chiropractic in Industry, “A Fresh Approach to A Stinking Problem”, Southeastern Safety and Health conference at Georgia Tech, Atlanta, GA, 1993

Presenter at Southeastern Safety and Health Conference, Back Injury Risk Factors and Solutions to Control Costs, Co-Sponsored by the National safety Council and Georgia Tech, Atlanta, GA, 1986

Senior Clinic Intern Life University, Student Clinics Marietta, GA and Lucky Street Clinic, Supervisors, Atlanta, GA, 1983 - 1984

School of Chiropractic Lab Instructor Dr. Barbara Pettit, Department of Physiology, Life University, Marietta, GA, 1983

SCHOLARLY WORK AND PATENTS

Wade; David E., Should you be involved with Corporate Wellness? Chiropractic Economics, Issue 1, 2010.

Wade: David E., Prognosis of Injuries Sustained in Auto Accident, Alabama State Chiropractic Journal, Spring 1986

SELECTED MEMBERSHIPS

Academy of Chiropractic, Member, 2015

AL Emergency Medical Services, Oxford, AL, Board Member, 2004-2010

Save-a-Life Calhoun County, Calhoun County, AL, Board Member, 2003 – 2013

Sertoma Club, Calhoun County, AL, Past President, 1994 - 1995

Governor’s Commission in Physical Fitness and Sports, City, State, Member, 1993 - 1994

Kiwanis Sun Risers, Anniston, AL, Past Secretary, 1993

Alabama State chiropractic Association, Montgomery, AL , Past Vice President, 1993

Northeast Alabama Chiropractic Society, Calhoun County, AL, Past President, 1985 - 1989

SELECTED HONORS AND AWARDS

Coordinator for Chiropractic Services, US Olympic Regional Games and Poly Clinic, Birmingham Southern Olympic Village, Birmingham, AL, 1996

SELECTED COMMUNITY SERVICE

American Red Cross, Volunteer, 2003-2004

Little League Baseball, Coach, 1999-2003

Little League Football, Coach, 1999-1998

Boy Scouts of America, Volunteer, 1997-1998

Baptist Children’s Home, Volunteer, 1997

Little League Soccer, Coach, 1994-1996

Salvation Army, Volunteer, 1986-1987

Oxford Athletics, Team Doctor, 1985 – 2005