MICHAEL PAULE DC
102 S BROADWAY, TARRYTOWN, New York, 10591
Phone: 914-631-4900
Fax: 914-332-1362
tarrychiro@optimum.net
http://TARRYTOWNCHIROPRACTIC.COM
SELECTED OCCUPATIONAL HISTORY
Clinic Director , Tarrytown Chiropractic, PLLC, Tarrytown , New York, 1994 - Present
Chiropractor , Tarrytown Chiropractic Center , Tarrytown , New York, 1992 - 1994
EDUCATION AND LICENSURE
Doctor of Chiropractic, Licensed in the State of New York, License # X006879, 1992-Present
Doctorate of Chiropractic, New York Chiropractic College, Glen Head , New York, 1991
Internship, New York Chiropractic College Outpatient Facility, Levittown, New York, 1990 - 1991
National Board of Chiropractic Examiners, Part I, 1991
National Board of Chiropractic Examiners, Part II, 1991
National Board of Chiropractic Examiners, Part III, 1991
Undergraduate Studies in Core Sciences, Mercy College, Dobbs Ferry , New York, 1985 - 1988

SELECTED POST-GRADUATE EDUCATION, CERTIFICATIONS AND DIPLOMATES

Documentation - Carrier Mandates & How They Guide ER's and Lawyer Referrals, Documenting electrodiagnostics, concussion and disc pathology as reflective of clinical findings when collaborating with medical specialists in private practice and hospital settings or in the medical-legal arena. Ensuring complete documentation in the evaluation and management process for both the initial and re-evaluation processes. Academy of Chiropractic, Post-Doctoral Division, Long Island , New York, 2019
Clinical Grand Rounds - Traumatically Induced Cervical Central Canal Stenosis , Case review of traumatically induced acute cervical intervertebral disc extrusion with superior migration resulting in severe central canal stenosis and spinal cord impingement. A detailed review of physical examination findings, neurological evaluation, MRI images and surgical triage. Inter professional communications both verbally and through proper evidence-based documentation. Academy of Chiropractic Post-Doctoral Division, Buffalo, New York, 2019
Evaluation and Management, An overview of the the evaluation and management process inclusive of utilizing electronic medical records to conclude evidenced-based conclusions with the utilization of macros.The importance of adhering to an academic standard and considering co-morbidities. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island , New York, 2019
Evaluation and Management, Concluding a chief complaint, history and what needs to be considered in a physical examination., This covers in depth the required elements for chief complain, history of present illness, review of systems and past, family and/or social history. This module also covers the following components of a physical examination: observation, palpation, percussion and auscultation. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, New York, 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, Academy of Chiropractic, Post-Doctoral Division, Long Island, New York , 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, Academy of Chiropractic, Post-Doctoral Division, Long Island, New York, 2019
Evaluation and Management, Documenting Visit Encounters, Forensically detailing the S.O.A.P notes process for visit encounters and discussing the necessity for clinically correlating symptoms, clinical findings and diagnosis with the area (s) treated. It also details how to modify treatment plans, diagnosis, document collaborative care and introduce test findings between evaluations. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, New York, 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 attainded. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, New York, 2019
Clinical Grand Rounds, Traumatically Induced Biomechanical Pathology with Secondary Underlying Multi-Level Cervical Intervertebral Disc Hernination, Case review of traumatically induced biomechanical pathology in the cervical spin in the absence of pre-existing degenerative change and ligament laxity. Review of underlying multi-level acute intervertebral disc herniation and clinical correlation to patient presentation. T1, T2 and STIR MRI review of acute intervertebral disc herniation in both sagittal and axial planes and outlining correlation to radiologist report and electrodiagnostic findings. Academy of Chiropractic Post-Doctoral Division, Buffalo, New York, 2019
Clinical Grand Rounds - T11 Spinal Fracture , A case review of traumatically induced T11 vertebral body fracture post motor vehicle collision. A detailed review of patient history, neurologic examination,plain film radiographs and advanced imaging studies were discussed. Comparison of Modic 1 and Modic 2 changes on T1 and T2 weighted MRI were reviewed, discussed and comparted to plain film images and CT scan images. Interprofessional communication both verbally and through proper evidence-based documentation was emphasized and discussed. Academy of Chiropractic, Post-Doctoral Division, Buffalo, New York, 2019
Clinical Grand Rounds - 14MM Cervical Disc Herniation with Spinal Cord Compression, A case review of traumatically induced 14mmm acute cervical intervertabral disc extrusion with inferior migration resulting in severe right lateral canal stenosis, foraminal stenosis and spinal cord impingement. A detailed review of physical examination findings, neurological evaluation, MRI images and surgical triage was presented. Interprofessional communication both verbally and through proper evidence-based documentation was emphasized and discussed Academy of Chiropractic Post-Doctoral Division, Buffalo, New York, 2019
Clinical Grand Rounds - Traumatic Disc Bulge and Associated Grade 2 Ligament Injury, A case review of traumatically induced cervical spine traumatic bulge of the intervertebral disc with concomitant grade 2 ligament injury was presented. Detailed anatomy and morphological presentation of normal and degenerative intervertebral disc presentation was demonstrated and reviewed. Review of morphological differences between disc bulge, disc herniation and disc protrusion was presented. Grade 1, Grade 2 and Grade 3 ligamentous sprains were reviewed and discussed. Radiographic analysis and objectification of grade 2 sprain was presented and its correlation to AMA Guides to the Evaluation of Permanent Impairment 5th edition was reviewed. Interprofessional communication both verbally and through proper evidence-based documentation was emphasized and discussed. Academy of Chiropractic, Post-Doctoral Division, Buffalo, New York, 2019
Clinical Grand Rounds - Traumatic Cervical Disc Herniation and Associated Sternum Fracture , A case review of traumatically induced multi-level cervical disc herniation with associated Grade 2 Ligament Injury rated as sub-threshold. Review of case history physical examination findings, plain film radiographs, cervical spine MRI and bone scan. Radiographic analysis and objectification of grade 2 sprain was presented and its correlation to the AMA Guides to the Evaluation of Permanent Impairment 5th edition was reviewed. Review of the purpose, function and positive findings on bone scan was reviewed and demonstrated using patient's fractured sternum. Interprofessional communication both verbally and through proper evidence-based documentaiton was emphasized and discussed. Academy of Chiropractic, Post-Doctoral Division, Buffalo, New York, 2019
Clinical Grand Rounds - Thoracic Intervertebral Disc Herniation with Subsequent Four Level Spinal Fusion T6-T10, Case review of multilevel intervertebral disc herniations in the thoracic spine with clinical correlation to mechanism of injury, physical examination findings, neurological examination and range of motion analysis. Differential diagnosis of facet syndrome, thoracic radiculopathy and discogenic pain including structural innervation of surrounding tissues and intervertebral discs with referral patter was reviewed and discussed. Subsequent failure of chiropractic care and rehabilitation leading to multilevel thoracic spinal fusion was demonstrated and reviewed. Plain film radiographs and MRI evaluation of the thoracic spine sagittal and axial images in T1, T2 and STIR was demonstrated and clinically correlated to objective findings and subjective complaints. Interprofessional referral and documentation was outlined and discussed. Academy of Chiropractic, Post-Doctoral Division, Buffalo, New York, 2019
Clinical Grand Rounds - Traumatic Cervical Disc Herniation with Pre-existing Cervical Spinal Fusion, A case review of traumatically induced multi-level disc herniation with below a pre-existing spinal fusion. Review of case history, physical examination findings, plain film radiographs, cervical spine MRI with particular attention paid to osteophyte and modic changes. Interprofessional communication on both verbally and through proper evidence-based documentation was emphasized and discussed focusing on acute versus chronic spinal injury. Academy of Chiropractic, Post-Doctoral Division, Buffalo, New York, 2019
Clinical Grand Rounds - Clinical Diagnosis of Traumatically Induced Intervertebral Disc Injury versus Pre-Existing Disc Bulge in the Cervical Spine, Case review of pre-existing cervical spine degeneraive disc disease, myomalacia and spinal cord compression with superimposed central canal stenosis due to overlying traumatically induced cervical disc herniation. Discuss of Modic 1 changes and acute injury with associated foraminal canal stenosis and acute intervertebral disc herniation. Causality related to mechanism of injury, physical examination presentation and analysis of bodily injury was presented. Academy of Chiropractic, Post-Doctoral Division, Buffalo, New York, 2019
Trends in Spinal Treatment, Migration 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 meds 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 , New York, 2019
Neurology of Spinal Biomechanics, Understanding the normal of 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, New York , 2019
MRI Age-Dating of Herniated Discs, The literature, academic and clinical standards to age-date herniated discs, The clinical correlation the pain patters with advanced imaging findings of bone edema, 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 the spinal disc pathology. Cleveland University Kansas City, Chiropractic and Health Sciences, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2019
Creating Ethical Collaborative and Medical-Legal Relationships, Understanding the timely triage necessities based upon clinical and imaging outcomes and the documentation required by 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 considered in a medical-legal environment. Cleveland University Kansas City, Chiropractic and Health Sciences, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2019
Central Innervation of Spinal Biomechanical Engineering, Understanding the lateral and ventral horn's innovations of Pacinian Corpuscles, Ruffini Corpuscles, Glogi 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 the efferently back through the Thalamus to disparate regions in creating spinal homeostasis, Pacinian Corpuscles, Ruffini Corpuscles, Golgi Organ Receptors, Nociceptors, Propriorecptors and Mechancoreceptors. Cleveland University Kansas City, Chiropractic and Health Sciences, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 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 on postoperative advance 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 finings. Cleveland University Kansas City, Chiropractic and Health Sciences, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2019
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, New York, 2019
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, New York, 2019
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, New York, 2019
Concussion and Electroencephalogram Testing, 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, New York, 2019
Concussion and Electroencephalogram Testing Pathological Results, This module 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. Diplomate, Long Island, Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, New York, 2019
Electrodiagnostics: Electromyogram/Nerve Conduction Velocity (EMG/NCV), Diagnosis & Interpretation: Anatomy and Physiology of Electrodiagnostics, An in-depth review of basic neuro-anatomy and physiology dermatomes and myotomes to both the upper and lower extremities and the neurophysiology of axons and dendrites along with the myelin and function of saltatory for conduction. The sodium and potassium pump's function in action potentials. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, New York, 2019
Electrodiagnostics: Electromyogram/Nerve Conduction Velocity (EMG/NCV), Diagnosis & Interpretation: Nerve Conduction Velocity (NCV) Part 1, Nerve conduction velocity testing, the equipment required and the specifics of motor and sensory testing. This section covers the motor and sensory NCV procedures and interpretation including latency, amplitude (CMAP) physiology and interpretation including the understanding of the various nuances of the wave forms. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, New York, 2019
Electrodiagnostics: Electromyogram/Nerve Conduction Velocity (EMG/NCV), Diagnosis & Interpretation Nerve Conduction Velocity (NCV) Part 2, Compound motor action potentials (CMAP) and sensory nerve action potentials (SNAP) testing and interpretation including the analysis and diagnosis of the wave forms. It also covers compressive neuropathies of the median, ulnar and posterior tibial nerves; known as carpal tunnel, cubital tunnel and tarsal tunnel syndromes. This section offers interpretation algorithms to help understand the neurodiagnostic conclusions. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, New York, 2019
Electrodiagnostics: Electrromyogram/Nerve Conduction Velocity (EMG/NCV), Diagnosis & Interpretation: Needle Electromyogram (EMG) Studies:, The EMG process, inclusive of how the test is performed and the steps required in planning and electromyographic study. This covers the spontaneous activity of a motor unit action potential, positive sharp waves and fibrillations. The insertional activity (both normal and abnormal), recruitment activity in a broad polyphasic presentation and satellite potentials. This covers the diagnosing of patterns of motor unit abnormalities including neuropathic demyelinated neuropathies along with acute myopathic neuropathies. This section also covers the ruling out of false positive and false negative results. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, New York, 2019
Electrodiagnostics: Electromyogram/Nerve Conduction Velocity (EMG/NCV), Diagnosis & Interpretation: Overview of EMG and NCV Procedures, Results, Diagnoses and Documentation, The clinical incorporation of electrodiagnostic studies as part of of a care plan where neuropathology is suspected. It also covers how to use electrodiagnostics in a collaborative environment between the chiropractor as the primary spine care provider and the surgeon, when clinically indicated. This section covers sample cases and health conclude and accurate treatment plans based upon electro-neurodiagnostic findings when clinically indicated. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, New York, 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. Cleveland University - Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island , New York, 2019
Neurosurgical-Chiropractic Collaboration on Spinal Pathology, Utilizing x-ray, MRI and other modalities of advanced imagining 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 scope of care for both the chiropractor and neurosurgeon based upon a definitive diagnosis of the mechanical vs. an anatomical lesion. Cleveland University - Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island , New York, 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 documentation in the courts reflective of the patient's pathology. Cleveland University - Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island , New York, 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 history of present illness, primary complaint, review of system, family, social and past histories are discussed and how to document the same. Cleveland University - Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island , New York, 2019
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. 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, 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. 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, 2018
Spinal Trauma Pathology, Triage and Connective Tissue Injuries and Wound Repair, Triaging the injured and differently diagnosing both the primary and secondary complaints. Connective tissue injuries and wound repair morphology focusing on the aberrant tissue replacement and permanency prognosis potential. 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, 2018
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. Certification in PACE Recognized by The Federation of Chiropractic Licensing Boards, Weldon Spring, MO, 2018
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 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, Cleveland University- Kansas City, Long Island , New York , 2018
Current Literature Standards of MRI Spin Interpretation; 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, Cleveland University- Kansas City, 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, Cleveland University- Kansas City, 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 dorsal 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. Academy of Chiropractic Post-Doctoral Division, Cleveland University- Kansas City, Long Island, New York, 2018
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 implication with wound repair and osseous aberration with aberrant structural integrity Academy of Chiropractic, Post-Doctoral Division, PACE approved of the Federation of Chiropractic Licensing Boards, Cleveland University-Kansas City, College of Chiropractic , Long Island , New York , 2018
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, PACE approved of the Federation of Chiropractic Licensing Boards, Cleveland University-Kansas City, College of Chiropractic , Long Island, New York, 2018
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 ensures creating osseous changes under the effect of Wolff's Law Academy of Chiropractic, Post-Doctoral Division, PACE approved of 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 triagin the inujuured and coordinating collaborative care from the trauma through conclusion of rehabilitation. Academy of Chiropractic, Post-Doctoral Division, PACE approved of the Federation of Chiropractic Licensing Boards, Cleveland University-Kansas City, College of Chiropractic , Long Island, New York, 2018
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 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 Recognized by The Federation of Chiropractic Licensure Boards and the Academy of Chiropractic , Long Island, New York, 2018
Triage and Management of the Trauma and Non-Trauma Patient, Differently 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 Scieneces, Long Island, New York, 2018
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, New York, 2018
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, New York , 2018
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 , New York, 2018
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, New York, 2018
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, New York, 2018
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, New York, 2018
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, PACE approved of the Federation of Chiropractic Licensing Boards, Cleveland University-Kansas City, College of Chiropractic , Long Island, New York, 2018
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, PACE approved of the Federation of Chiropractic Licensing Boards, Cleveland University-Kansas City, College of Chiropractic , Long Island, New York, 2018
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, PACE approved of the Federation of Chiropractic Licensing Boards, Cleveland University-Kansas City, College of Chiropractic , Long Island, New York, 2018
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, PACE approved of the Federation of Chiropractic Licensing Boards, Cleveland University-Kansas City, College of Chiropractic , Long Island, New York, 2018
Documenting Trauma & 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, 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. 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, 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. 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, 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. 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, 2018
Documentation of the Trauma and Non-Trauma Case, Documenting primary and associated complaints, past history, allergies, medications, review of systems, previous treatment, family-social medical histories, previous tests and results, history or previous injuries and illnesses, on the job questionnaire, auto accident questionnaire, vital examination, neurological examination, orthopedic testing, test orders, prognosis and treatment plans. A detailed review of current CPT coding requirements for the proper documentation of E/M visits to properly code for billable patient services. Focused attention was paid to the performance of comprehensive patient history, physical examination, review of systems as well as determining the level of clinical decision making. Analysis of a properly organized E/M report was reviewed to demonstrate proper organization and language use. Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2018
Interprofessional Reporting and Case Documentation, Analysis of case flow, patient chart organization and EMR workflows to optimize the success and satisfaction of the patient encounter, feasibility of accurate and timely documentation as well as strategies to provide timely interprofessional clinical communication. Focus was provided on patient, primary care and medical specialty communication beginning at the initial visitation all the way through to the release from care. An internal compliance review to ensure complete documentation based upon the E/M level billed. Academy of Chiropractic Post-Doctoral 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 medical-legal relationships based upon Voir Dire and Duabert standards with ensuring an 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, New York, 2018
Science of the Chiropractic Spinal Adjustment and Vertebral Subluxation, The literature-based definitions of both the mechanisms the chiropractic adjustment and hot it affect 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's Law will be detailed from a literature perspective combined with the mechanism of subluxation (bio-neuro-mechanical lesion). A literature perspective why 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. Diplomate, Female, Cleveland University Kansas City. Chiropractic and Health Sciences, Academy of Chiropractic Post-Doctoral 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 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, New York, 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, 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 block for triaging and in a collaborative environment. Cleveland University Kansas City. Chiropractic and Health Sciences, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2018
Primary Spine Care Symposium 3 - 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
Primary Spine Care Symposium 3 - 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 inn the adolescent and adult spine, pelvic incidence as a parameter for sagittal 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 3 - Epidemiology of Spine Pain, Review of the current Centers of 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 3 - Connective Tissue and Spinal Disc Pathology, The morphology and pathology of connective tissue, inclusive of spinal disc disorders and prognosticating wound repair wit 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 3 - Physiology and Anatomy of Spinal Manual, Adjusting, Understanding the role of mechanoreceptors, proprioceptors and nocicepptors with facets, ligament, tendons and muscles in ab errant 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 supratentrorally. Texas Chiropractic College Post-Doctoral Division, Academy of Chiropractic Post- Doctoral Division, Melville , 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
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 or PACE Recognized by the Federation of Chiropractic Licencing Boards, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2017
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. Texas Chiropractic College or PACE Recognized by the Federation of Chiropractic Licencing Boards, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2017
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. Texas Chiropractic College or PACE Recognized by the Federation of Chiropractic Licencing Boards, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2017
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. Texas Chiropractic College or PACE Recognized by the Federation of Chiropractic Licencing Boards, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2017
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 inquires related to head restraints. Texas Chiropractic College or PACE Recognized by the Federation of Chiropractic Licencing Boards, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2017
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 sequalae Texas Chiropractic College, Academy of Chiropractic, Melville, New York, 2017
Contemporary Literature in Spinal Biomechanics, Normal vs. pathological biomechanical spinal motion both in a single motor unit and coupling actions. Interdisciplinary approach to mechanical spine issues and evidenced based care paths Texas Chiropractic College, Academy of Chiropractic, Melville , New York, 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 , New York, 2017
Contemporary Literature of the Chiropractic Spinal Adjustment, The bio-neuro-mechanical scientific foundation of spinal lesion and the neurological pathways, both in the lower and upper motor neuron pathways. The autonomic sequella of the vertebral subluxation and the effects of the correction and maintenance of those lesions Texas Chiropractic College, Academy of Chiropractic, Melville , New York, 2017
Spinal Biomechanical Engineering Analysis, Normal vs. abnormal coupling motions in a mechanical model utilizing engineering principles in a predictive model. Applying the cartesian nomenclature to normal and pathological sequella of the human spine PACE approved for the Federation of Chiropractic Licensure Boards, Melville , New York, 2017
Spinal Biomechanical Engineering Clinical Application, Creating treatment plans based upon predictive models in determining what is corrective vs. management of pathological spinal biomechanical behavior PACE approved for the Federation of Chiropractic Licensure Boards, 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 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
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 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
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 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
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 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
Othropedic Testing: Clinical Grand Rounds, Integration of 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 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 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 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 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 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 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
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
Interprofessional Hospital Based Spine Care, Trend in Hospital and emergent care in the healthcare delivery system inclusive of policies, hospital staffing and current care paths for mechanical spine issues. Texas Chiropractic College Graduate Doctoral Program, PACE Recognized by The Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post-Doctoral Division , Long Island, New York, 2017
Mild Traumatic Brain Injury/Traumatic Brain Injury/Concussion, Differently diagnosing mild traumatic brain injury vs. traumatic brain injury and the clinical and imaging protocols required to conclude an accurate diagnosis for head trauma. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licencing Boards, Academy of Chiropractic Post Doctoral Division, Long Island, New York, 2016
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. ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Buffalo, New York, 2016
Triaging the Trauma and Non-Trauma Patients, Utilizing detailed history and examination findings to determine the best care path for the patient. Clinical factors in determining the timelines for advanced imaging both the trauma and non-trauma patients. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licencing Boards, Academy of Chiropractic Post Doctoral Division, Long Island, New York, 2016
Primary Spine Care -Credentials and Knowledge Base, The credentials and knowledge based from an academia perspective when cooperatively treating in a collaborative environment inclusive in understanding pathology and mechanical spine issues. Texas Chiropractic College Graduate Doctoral Program, PACE Recognized by The Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post-Doctoral Division , Long Island, New York, 2016
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. Texas Chiropractic College Graduate Doctoral Program, PACE Recognized by The Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post-Doctoral Division , Long Island, New York, 2016
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 i the hospital and allopathic treatment protocols Texas Chiropractic College Graduate Doctoral Program, PACE Recognized by The Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post-Doctoral Division , Long Island, New York, 2016
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 Texas Chiropractic College Graduate Doctoral Program, PACE Recognized by The Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post-Doctoral Division , Long Island, New York, 2016
Primary Spine Care, Neurophysiological central and peripheral nervous systems mechanisms of pain with integrated higher cortical functions of the thalamus, cingulate, amygdala, pre-frontal, motor and sensory cortexes. Trauma and chronic pain care effecting mechanoreceptors, nociceptors and proprioceptors through adjustive therapy based upon evidenced based care and current literature verification, Texas Chiropractic College, New York State Department of Education Board for Chiropractic, Academy of Chiropractic, Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licencing Boards, Islandia, New York, 2015
Spinal Biomechanical Engineering: Cartesian Coordinate 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. Certification in Spinal Biomechanical Engineering: Cartesian Coordinate System, ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, New York Chiropractic Council, New York State Department of Education, Board for Chiropractic, Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2014
Spinal Biomechanical Engineering: Cervical Pathobiomechanics, 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. Certification in Spinal Biomechanical Engineering: Cervical Pathobiomechanics, ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, New York Chiropractic Council, New York State Department of Education, Board for Chiropractic, Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2014
Spinal Biomechanical Engineering: Lumbar Pathobiomechanics, 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. Certification in Spinal Biomechanical Engineering: Lumbar Pathobiomechanics, ACCME Joint sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, New York Chiropractic Council, New York State Department of Education, Board for Chiropractic, Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2014
Spinal Biomechanics in Trauma, 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 diagnosing normal versus abnormal facet motion along with case studies to understand the clinical application. Certification in Spinal Biomechanics in Trauma, ACCME Joint sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, New York Chiropractic Council, New York State Department of Education, Board for Chiropractic, Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2014
Spinal Biomechanical Engineering & Organizational Analysis, 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. Certification in Spinal Biomechanical Engineering & Organizational Analysis, ACCME Joint sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, New York Chiropractic Council, New York State Department of Education, Board for Chiropractic, Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2014
Spinal Biomechanical Engineering: Cervical Digital Analysis, 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 translation 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. Certification in Spinal Biomechanical Engineering: Cervical Digital Analysis, ACCME Joint sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, New York Chiropractic Council, New York State Department of Education, Board for Chiropractic, Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2014
Spinal Biomechanical Engineering: Lumbar Digital Analysis, 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 rotational 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. Certification in Spinal Biomechanical Engineering: Lumbar Digital Analysis, ACCME Joint sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, New York Chiropractic Council, New York State Department of Education, Board for Chiropractic, Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2014
Spinal Biomechanical Engineering: Full Spine Digital Analysis, Spinal Biomechanical Engineering: Full Spine Digital Analysis, Digitalizing and analyzing the full spine images to diagnose pathobiomechanics as a sequellae to trauma in relation to ligamentous failure and disc and vertebral pathology as sequellae. This includes anterior and posterior vertebral body elements in rotational analysis with neutral, left and right lateral bending in conjunction with gate analysis. Ligament instability/failure/pathology is identified all using numerical values and algorithm along with corrective guidelines. Certification in Spinal Biomechanical Engineering: Full Spine Digital Analysis, ACCME Joint sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, New York Chiropractic Council, New York State Department of Education, Board for Chiropractic, Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2014
MRI Disc Overview & Imaging Protocols, 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. Certification in MRI Disc Overview & Imaging Protocols, ACCME Joint sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, New York Chiropractic Council, New York State Department of Education, Board for Chiropractic, Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2014
MRI Interpretation of Lumbar Bulges/Degenerative Disc Disease, 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-morbities and complications of stenosis, pseudo-protrusions, cantilevered vertebrate, Schmorl's nodes and herniations. Central canal and cauda equina compromise interpretation with management. Certification in MRI Interpretation of Lumbar Bulges/Degenerative Disc Disease, ACCME Joint sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, New York Chiropractic Council, New York State Department of Education, Board for Chiropractic, Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2014
MRI Interpretation of Lumbar Herniated Discs, 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. Certification in MRI Interpretation of Lumbar Herniated Discs, ACCME Joint sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, New York Chiropractic Council, New York State Department of Education, Board for Chiropractic, Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2014
MRi Interpretation of Cervical Bulges/Degenerative Disc Disease, 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. Certification in MRI Interpretation of Cervical bulges/Degenerative Disc Disease, ACCME Joint sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, New York Chiropractic Council, New York State Department of Education, Board for Chiropractic, Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2014
MRi Interpretation of Cervical Herniated Discs, MRI Interpretation of Cervical Herniations, MRI slices, T1, T2, STIR Axial, FFE, FSE and sagittal images in the interpretation of cervical herniations. with the co-morbidities and complications of stenosis, pseudo-protrusions, cantilevered vertebrate, Schmorl's nodes and herniations. Morphology of cervical 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. Certification in MRI Interpretation of Cervical Herniated Discs, ACCME Joint sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, New York Chiropractic Council, New York State Department of Education, Board for Chiropractic, Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2014
Vitrtual Grand Rounds, MRI Interpretation of Degenerative Spine and Disc Disease with Overlapping Traumatic Insult to Both Spine and Disc, MRI slices, view, T1, T2, STIR Axial, FFE, FSE and sagittal images in the interpretation of degenerative spondylolesthesis, spinal canal stenosis, Modic type 3 changes, central herniation, extrusions, compressions, nerve root compressions, advanced spurring and thecal sac involvement form an orthopedic, emergency room, chiropractic, neurological, neurosurgical, physical medicine perspective. Certification in Virtual Grand Rounds, ACCME Joint sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, New York Chiropractic Council, New York State Department of Education, Board for Chiropractic, Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2014
Credentials and Clinically Correlating Causality, Credentials and Clinically Correlating Causality, the significance documentation and credentials in the personal injury field with a focus on clinically correlating causality, bodily injury and persistent functional loss as sequellae. Academy of Chiropractic Post-Doctoral Division, New York Chiropractic Council, New York State Department of Education, Board for Chiropractic, Long Island , New York, 2011
MRI History and Physics, MRI History and Physics, Magnetic fields, T1 and T2 relaxations, nuclear spins, phase encoding, spin, echo, T1 and T2 contrast, magnetic properties of metal and the historical perspective of the creation of NMR and MRI. Certification in MRI History and Physics, CMCS Post-Doctoral Division, New York Chriopractic Council, New York State Education Department Board of Chiropractic, Long Island, NY, 2010
MRI Spinal Anatomy and Protocols, 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 Certification in MRI Spinal Anatomy and Protocols, CMCS Post-Doctoral Division, New York Chriopractic Council, New York State Education Department Board of Chiropractic, Long Island, NY, 2010
MRI Disc Pathology and Spinal Stenosis, MRI Disc Pathology and Spinal Stenosis, MRI interpretation of bulged, herniated, protruded, extruded, sequestered and fragmented disc pathologies in etiology and neurological sequellae in relationship to the spinal cord and spinal nerve roots. Certification in MRI Disc pahtology and Spinal Stenosis, CMCS Post-Doctoral Division, New York Chriopractic Council, New York State Education Department Board of Chiropractic, Long Island, NY, 2010
MRI Spinal Pathology , 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. Certification in MRI Spinal Pathology, CMCS Post-Doctoral Division, New York Chriopractic Council, New York State Education Department Board of Chiropractic, Long Island, NY, 2010
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. Certification in MRI Methodology of Analysis, CMCS Post-Doctoral Division, New York Chriopractic Council, New York State Education Department Board of Chiropractic, Long Island, NY, 2010
MRI Clinical Application, MRI Clinical Application, the clinical application for 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 sequellae. Certification in MRI Clinicial Application, CMCS Post-Doctoral Division, New York Chriopractic Council, New York State Education Department Board of Chiropractic, Long Island, NY, 2010
Neurodiagnostics, Imaging Protocols and Pathology of the Trauma Patient, 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. Certification in Neurodiagnostics, Imaging Protocols and Pathology of the Trauma Patient, CCMS Post-Doctoral Division, New York Chiropractic Council, New York Department of Education Board for Chiropractic, Long Island, NY, 2010
Diagnostics, Risk Factors, Clinical Presentation and Triaging the Trauma Patient, 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. Certification in Diagnostics, Risk Factors, Clinical Presentation and Triaging the Trauma Patient, CCMS Post-Doctoral Division, New York Chiropractic Council, New York Department of Education Board for Chiropractic, Long Island, NY, 2010
Crash Dynamics and Its Relationship to Causality, Crash Dynamics and Its Relation 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 graphics of the movement of the vehicle before, during and after crash. Determining the clinical correlation of forces and bodily injury. Certification in Crash Dynamics and Its Relationship to Causality, CCMS Post-Doctoral Division, New York Chiropractic Council, New York Department of Education Board for Chiropractic, Long Island, NY, 2010
MRI Bone Scan and X-Ray Protocols, Physiology and Indications for the Trauma Patient, 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. Certification in MRI Bone Scan and X-Ray Protocols, Physiology and Indication for the Trauma Patient, CCMS Post-Doctoral Division, New York Chiropractic Council, New York Department of Education Board for Chiropractic, Long Island, NY, 2010
Neurodiagnostic Testing Protocols, Physiology and Indication for the Trauma Patient, Neurodiagnostics Testing Protocols, Physiology and Indication 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-Electronystagmography (V-ENG) interpretation, protocols and clinical indications for the trauma patient. Certification in Neurodiagnostic Testing Protocols, Physiology and Indication for the Trauma Patient , CCMS Post-Doctoral Division, New York Chiropractic Council, New York Department of Education Board for Chiropractic, Long Island, NY, 2010
Documentation and Reporting for the Trauma Victim, 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. Certification in Documentation and Reporting for the Trauma Victim, CCMS Post-Doctoral Division, New York Chiropractic Council, New York Department of Education Board for Chiropractic, Long Island, NY, 2010
Documenting Clinically Correlated Bodily Injury to Causality, 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, and pathophysiology in both a functional and structural paradigm. Certification in Documenting Clinically Correlated Bodily Injury to Causality, CCMS Post-Doctoral Division, New York Chiropractic Council, New York Department of Education Board for Chiropractic, Long Island, NY, 2010

SELECTED MEMBERSHIPS

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