SELECTED POST-GRADUATE EDUCATION, CERTIFICATIONS AND DIPLOMATES
American Academy of Pain Management, Certification in DAAPM, Diplomate, Member, Present | | | Interprofessional Spine Management Grand Rounds –Thoracic Adjustment and Cervical Radiculopathy , received advanced educational materials on cervical spine anatomy, neuroanatomy, and radiculopathy to practicing healthcare providers, focusing on the motor and sensory functions of cervical spinal nerves. Was presented withcomprehensive white papers, quizzes, and instructional content that emphasized the clinical relevance of cervical nerve exit patterns, muscular innervation, and dermatomal sensory distributions in the upper extremities. Providedevidence-based insights on cervical radiculopathy, integrating pathophysiology, diagnostic strategies, and management approaches to enhance interprofessional understanding and patient outcomes. Discussed collaborationwith multidisciplinary teams to ensure alignment of educational content with current best practices and emerging trends in spinal biomechanics and trauma management. Demonstrated expertise in translating complex anatomical and neurological concepts into actionable knowledge for improving patient care in the clinical setting., National Spine Management Group, 2025, Federation of Chiropractic Licensing Boards, PACE Program 2025., 2025 | | | Expert Testimony Training:Key Legal Concepts for Physicians in Personal Injury Cases, Completed a comprehensive course focusing on the roles and qualifications of medical professionals in personal injury litigation. This course emphasized the distinctions between treating physicians and medical experts, strategies for establishing expertise, and overcoming legal objections to credibility. Detailed exploration of courtroom dynamics, jury evaluation and the effective use of CVs to demonstrate professional qualifications was included. Practical applications for managing objections and leveraging transcripts to maintain consistency in testimony were also discussed. This training provided advanced strategies to enhance credibility and professionalism in medical-legal contexts. Federation of Chiropractic Licensing Boards, PACE Program, National Spine Management Group, 2025 | | | Advanced Training in Legal Testimony and Expert Qualifications, Completed specialized training on integrating advanced spinal diagnostics with legal testimony requirements. Emphasis was placed on bridging the gap between, clinical care and expert analysis, including causation, prognosis, and future medical needs. Participants were instructed on meeting Rule 702 standards and ensuring credibility through clear communication and comprehensive documentation. This training has been instrumental in providing expert testimony with confidence and precision in complex legal settings. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025 | | | Presentation Development: Effective Strategies in Legal Testimony, Participated in an intensive training on creating impactful CVs for medical-legal applications. The session highlighted essential elements of a strong CV, such as education, certifications, and prior testimony, ensuring alignment with legal standards Rule 702 of the Federal Rule s of Evidence. Instruction covered practical methods for streamlining direct examinations and addressing objections through pre-prepared documentation. The training underscored the importance of maintaining updated organized CVs to showcase qualifications and strengthen courtroom credibility. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025 | | | Courtroom Preparation: Communication and Professionalism in Testimony, Attended a targeted lecture on the importance of effective communication and professionalism during legal proceedings. The program focused on presenting complex medical information clearly, handling objections with composure, and aligning testimony with legal standards. Practical examples included cross-examination preparation, transcript review for consistency, and collaboration with attorneys to frame evidence effectively. This training emphasized the integration of medical knowledge with legal processes to enhance the impact and reliability of expert testimony. national Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025 | | | Interprofessional Spine Management Grand Rounds –Acute and Chronic Spinal Injury Superimposed on One Another, This course provided healthcare providers with advanced imaging interpretation skills to differentiate traumatic from degenerative spinal injuries, particularly in motor vehicle collision cases. Participants developed expertise in utilizing imaging biomarkers, such as Modic changes and STIR sequences, to assess acute and chronic spinal pathology. The curriculum covered key distinctions between traumatic disc herniations and degenerative disc bulges, emphasizing the role of inflammation and tissue morphologyin diagnostic accuracy. Clinicians gained proficiency in causation analysis by integrating imaging findings with clinical presentations, enhancing their ability to support injury claims with objective evidence. The course also included case-based learningto apply these principles in real-world scenarios. Completion of this program demonstrated a provider’s commitment to evidence-based spinal injury assessment and improved patient outcomes through precise diagnostic differentiation. NationalSpine Management Group , ACE Program, 2025 | | | Medical Records and Litigation, Completed a specialized training program focused on the critical role of medical records in legal proceedings, emphasizing their impact on court testimony and litigation outcomes,
Gained expertise in creating comprehensive and defensible documentation that aligns with healthcare standards and legal requirements. Developed skills in recording objective findings, patient history, causation and treatment rationales to support testimony. Enhanced proficiency in preparing for depositions and trial testimony by ensuring consistency and clarity in records. This training underscored best practices for addressing challenges posed by opposing counsel and highlighted strategies for maintaining credibility under cross-examination. Graduates of this program are equipped to provide medical-legal documentation that strengthens both litigation success with patient advocacy. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025 | | | Complex Medical Testimony and Jury Communication, Completed an advanced workshop on effective jury communication through medical testimony, focusing on the simplification of complex medical concepts. Acquired practical skills in using layperson friendly language to explain technical terms and presenting compelling visual aids like MRIs and anatomical models. Developed expertise in structuring testimony to engage jurors and maintain their attention while addressing the legal and medical aspects of case. Learned techniques for m managing cross-examination with professionalism, emphasizing objectivity and neutrality. The program also covered strategies to frame the long - term impacts of injuries in relatable ways for jurors. This training equips practitioners to clearly and effectively convey medical findings, ensuring they resonate with lap audiences and legal professionals alike. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025 | | | Expert Witness Training and Litigation Preparedness, Completed a comprehensive course on the roles and responsibilities of expert witnesses in personal injury litigation. This program focused on the admissibility of expert opinions, preparation for depositions, and courtroom testimony. Gained critical knowledge in delivering impartial, evidence based opinions to assist courts in understanding complex medical issues. Developed the ability to align testimony with established legal precedents and effectively handle cross examination. The course emphasized the importance of independence, integrity and clarity in presenting evidence, ensuring practitioners are prepared to navigate the legal system as trusted experts. this training provided the tools necessary to support litigation outcomes while maintaining professional credibility. National Spine Mnagement Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025 | | | Understanding Legal Precedent and its Role in Personal Injury Litigation, Completed a detailed educational series on legal precedent in personal injury litigation, focusing on its application in evaluating negligence, causation and damages. Explored the significance of established diagnostic and treatment standards in ensuring predictability and fairness in court rulings. Gained insights into the challenges of introducing innovative medical techniques within the framework of legal precedent. Learned how precedent inflluencesadmissibility of evidence, calculation of damages and settlement negotiations. This program emphasized the importance of aligning medical practices with recognized legal standards to mitigate risk and improve case outcomes. Graduates are well equipped to navigate the intersection of healthcare and law, ensuring their practices meet both clinical and legal benchmarks. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025 | | | Advanced Strategies for Personal Injury Case Management, This course explored critical aspects of personal Injury cases, including liability and personal injury Protection insurance, strategies for documenting causality, bodily injury, and persistent functional loss, and the effective use of ICD10 S and M codes. The program integrated personalized treatment plans, standard operating protocols and macros for streamlined documentation while addressing primary care challenges in managing PI cases. Practical case studies emphasized collaboration and precision to optimize patient outcomes and ensure compliance with insurance and legal standards. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025 | | | Optimizing Documentation and Management in Personal Injury Cases for Chiropractors, This session emphasized the importance of accurate documentation in PI claims, exploring the nuances of liability insurance, medical expenses coverage and the role of causality in linking injuries to incidents. This lecture included strategies for managing acute and chronic conditions in ICD10 coding, employing macros in documentation to enhance efficiency and collaborating with attorneys and other providers. Participants gained actionable insights for integrating ethical and detailed record keeping into their practices. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025 | | | Best Practices for Chiropractors in Personal Injury Clinics, this session provided an in-depth analysis of exceeding policy limits in PI cases, leveraging umbrella insurance policies and documenting persistent functional loss for fair compensation. It highlighted the role of chiropractors in supporting legal efforts through comprehensive records, causation and expert testimony. The workshop emphasized integrating technology, adhering to ethical standards and maintaining objective measures to ensure credibility and optimize patient outcomes. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025 | | | Documentation, Strategy and Management in Personal Injury, This session was designed to equip healthcare providers with tools for effective PI case handling. Topics included understanding predetermined treatment plans versus SOPs, overcoming administrative and financial challenges in PI cases and accurately coding acute and chronic conditions using ICD-10 standards. Emphases was placed on creating tailored documentation strategies utilizing macros for efficiency and balancing automation with personalization. Attendees were trained to strengthen collaborations with legal teams and improve multidisciplinary patient care. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025 | | | Understanding No-Fault vs. Tort Systems in Personal Injury Law, This course provided an overview of the foundational differences between no-fault and tort systems in personal injury law. Learners reviewed the roles of Personal Injury Protection and liability insurance in each system and discussed the impact of legal frameworks on claim resolution. The program presented scenarios illustrating the serious injury threshold and limitations on non-economic damage claims. Participants explored comparative examples from states like Florida, New York and Texas. Key legal principles and practical implications were analyzed to foster deeper comprehension of legal processes and their effects on injured parties. The course concluded with a discussion of litigation risks and strategic considerations for attorneys and insurance adjusters. Diplomate, Federation of Chiropractic Licensing Boards, PACE Program, National Spine Management Group, 2025 | | | Advanced Documentation Techniques for Traffic-Related Injuries , This program reviewed medicaolegal documentation requirements for injuries caused by traffic accidents. Participants were introduced to the importance of recording both external and internal injuries with precision to support accident reconstruction and legal proceedings. The course discussed methodologies for documenting typical injuries based on their mechanisms and severity, including the use of the Abbreviated Injury Scale (AIS) and AO fracture classifications. Participants analyzed case studies to evaluate documentation practices and their role in litigation outcomes. Additional topics included forensic photography, injury diagrams and the ethical responsibilities of medical practitioners. The session emphasized the intersection of clinical expertise and legal rvidence requirements. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025 | | | Exploring Deposition Strategies in Personal Injury Cases, This course provided a comprehensive overview of depositions as a pivotal element of the discovery process in personal injury litigation. Participants discussed the structure and function of depositions including their role in fact-finding, preserving testimony and shaping litigation boundaries. This curriculum reviewed techniques for questioning witnesses, assessing credibility and uncovering new evidence. Real world examples illustrated how depositions influence settlement strategies and trial preparation. The session highlighted the interplay between deposition records and courtroom testimony, emphasizing the importance of consistency and strategic communication. Practical exercises included drafting deposition questions and analyzing transcripts. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025 | | | Personal Injury Protection (PIP): State Specific Requirements and Legal Implications, This course offered an in-depth review of PIP insurance regulations across various states, focusing on the financial and legal nuances of no-fault systems. Participants explored mandatory and optional coverage levels, subrogation rights, and the interaction between PIP and health insurance. The curriculum highlighted significant differences in coverage requirements between states like Florida, Michigan and New York. Case studies presented challenges in coordinating benefits and navigating waiver options. Learneres reviewed mechanisms of subrogation and discussed how PIP impacts settlement negotiations and claimant recovery strategies. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025 | | | Understanding Pain Referral Patters in Cervical and Cranial Vascular Disease, Development of a comprehensive understanding of pain referral patterns associated with cervical and cranial vascular diseases, with a particular emphasis on differentiating vascular-origin pain from musculoskeletal conditions. they examined the neuroanatomical basis of vascular pain, including the role of trigeminocervical complex and the autonomic nervous system in mediating referred pain from the internal carotid and vertebral arteries. The course covered specific diagnostic criteria for identifying vascular pain syndromes, including internal carotid artery dissection, vetebral artery dissection, and basilar artery insufficiency. Participants learned how to recognize critical clinical presentations such as Horner's syndrome, cranial nerve deficits and pain patterns mimicking cervicogenic headache or radiculopathy. Advanced case-based discussions reinforced the ability to integrate patient history, symptom patterns and risk factors into differential diagnosis. Emphasis was placed on the necessity of early vascular screening to prevent misdiagnosis and inappropriate manual therapy interventions. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025 | | | Veretebrobasilar Assessment & red Flags in Clinical Practice , Attendees received specialized training in vetebrobasilar assessment focusing on the identification of neurological red flags suggestive of vertebrobasilar insufficiency (VBI) and arterial dissection. They practiced the implementation of standardized screening protocols including the vertebral artery test, cranial nerve examination and positional assessment of dizziness and drop attacks. The course provided in depth instruction on recognizing high risk populations including patients with hypertension, connective tissue disorders and recent infections predisposing them to vascular injury. Through clinical simulations participants refined their ability to distinguish vascular from vestibular and musculoskeletal dizziness, ensuring appropriate triage and referral decisions. Discussion of imaging modalities such as CT angiography and magnetic resonance angiography guided clinical decision making for emergent vs. routine vascular assessments. This module reinforced the importance of interporfessional collaboration with neurologists, radiologists and vascular specialists. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025 | | | Pathological Reflexes and Neurological Screening, A critical component of the course involved the identification and interpretation of pathological reflexes as indicators of upper motor neuron dysfunction and central nervous system pathology. Participants performed hands-on assessments of Hoffman's sign, Tromner's sign and the Babinski reflex to detect corticospinal tract involvement in conditions such as cervical myelopathy, stroke and demyelinating diseases. They explored the physiological mechanisms behind these reflexes including the loss of descending cortical inhibition and subsequent hyper excitability of spinal interneurons. the course emphasized the integration of these neurological findings into broader clinical evaluations correlating them with patient symptoms and risk factors for vascular and spinal cord pathology. Participants gained expertise in determining when advanced imaging, such as MRI or electromyography was warranted for further neurological assessment. Discussions covered differential diagnosis of upper versus lower motor neuron lesions, ensuring a systematic approach to complex neurological presentations. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025 | | | Cinical Decision-Making and Safe Chiropractic Management, The description of an evidence-based CaED detection tool to stratify patient risk and determine when immediate referral or conservative management was indicated. Discussion of approaches to provide safe chiropractic management, modifying techniques to accommodate patients at risk for vascular events. They reviewed contraindications for high-velocity, low amplitude cervical manipulations and explored alternative therapeutic interventions, such as mobilization, soft tissue therapy, and graded isometric exercises. Clinical discussions reinforced the necessity of continuous reassessment, ensuring that patients with evolving neurological symptoms were promptly directed to appropriate medical care. By the conclusion of the course participants demonstrated proficiency in integrating vascular, neurological and musculoskeletal assessments to enhance patient safety and optimize clinical outcomes. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025 | | | Advanced Diagnostic Interpretation: Thyroid Pathology and Empty Sella in MRI Spinal Imaging, This course provided an in-depth review of incidental thyroid pathology identified on MRI, focusing on the appropriate follow-up for an enlarged thyroid. Participants analyzed the pathophysiology of thyroid enlargement, including benign and malignant differentials, and reviewed best practices for interdisciplinary communication. The course emphasized the role of ultrasound as the primary diagnostic modality, the indications for fine needle aspiration biopsy, and the interpretation of thyroid function tests.Through case-based discussions, attendees enhanced their ability to integrate incidental findings into comprehensive patient management, improving their diagnostic acumen and referral strategies in clinical practice. National Spine Management Group, Federationof Chiropractic Licensing Boards, 2025 | | | Interventional Pain Management in Spine Care, This course reviewedthe fundamental principles of interventional pain management, focusing on patient selection, procedural indications, and evidence-based techniquesfor spine-related pain. It detailedcriteria for determining patient candidacy and the role of interventions such as epidural steroid injections, facet joint injections, and radiofrequency ablationin managing radiculopathy, spinal stenosis, and facet-mediated pain.The course outlinedcommonly utilized imaging modalities, including fluoroscopy and ultrasound guidance, emphasizing procedural accuracy, safety, and radiation exposure reduction. Contrast-enhanced imaging techniqueswere reviewed to highlight the importance of precise needle placement in optimizing treatment efficacy.Pharmacologic agents, including corticosteroids and local anesthetics, were examinedfor their mechanisms of action, clinical applications, and risks. Strategies for optimizing medication selection, minimizing adverse effects, and tailoring pharmacologic interventions to patient needs were discussedto enhance clinical decision-making National Spine Management Group 2025, Federation of Chiropractic Licensing Boards, PACE Program, 2025 | | | Advanced Interventional Techniques for Spine Pain, Thisprogram provided an in-depth reviewof interventional procedures for managing spine-related pain, including transforaminal, interlaminar, and caudal epidural steroid injections, as well as facet joint injections, medial branch blocks, and sacroiliac joint injections.Each procedure was analyzedin terms of its indications, mechanisms of action, and procedural execution,ensuring a thorough understanding of their role in pain management. Comparisons were drawnbetween different injection techniques, highlighting their relative effectiveness in addressing radiculopathy, facet-mediated pain, and sacroiliac joint dysfunction.The program describedthe importance of image-guided precisionin these interventions, emphasizing the use of fluoroscopy and ultrasound for enhanced accuracy and safety. Detailed case discussionswere included to illustrate patient selection criteria, contraindications, and post-procedural expectations.Additionally, the impact of adjunctive therapiessuch as physical rehabilitation and pharmacologic co-managementwas reviewed to underscore the importance of a multidisciplinary approachin optimizing patient outcomes.The application of radiofrequency ablation (RFA) for chronic pain syndromeswas outlined,with a focus on patient selection, procedural methodologies, and clinical efficacybased on current research and long-term outcome data. Technical considerationssuch as optimal electrode placement, lesioning parameters, and post-procedural carewere discussed to maximize procedural success and durability of pain relief. Emerging advancements in pulsed and cooled RFA techniques were also reviewed, demonstrating their potential in expanding the scope of interventional pain management National Spine Management Group 2025, Federation of Chiropractic Licensing Boards, PACE Program 2025. , 2025 | | | Neuromodulation in Spine Care, This course provided a detailed overviewof the principles and clinical applications of spinal cord stimulation (SCS), emphasizing its role in modulating pain perception through neuromodulation techniques. Itoutlinedthe mechanisms ofSCS in disrupting nociceptive pathways, including its effects ondorsal column activation, inhibition of pain transmission, and neuromodulatory plasticity. Theprogramexamined patient selection criteria, discussing the importance ofidentifying appropriate candidates based on neuropathic pain profiles, previous treatment failures, and psychological suitability. The structured trial procedureswere reviewed, focusing on temporary lead placement, pain relief assessment, and outcome evaluationprior to permanent implantation.The course reviewed long-term efficacy considerations,including theimpact of SCS on functional improvement, opioid reduction, and overall quality of life. Itcompared traditional SCS modalities, such astonic stimulation, high-frequency (10 kHz), and burst stimulation, highlighting their distinct mechanisms of action, clinical efficacy, and patient-reported outcomes.The curriculum alsoanalyzed closed-loop feedback systems, detailing how real-time neurophysiologic adjustments optimize stimulation parameters to enhance patient comfort and maximize analgesic effects. National Spine Management Group 2025, Federation of Chiropractic Licensing Boards, PACE Program, 2025 | | | Developmental Spinal Stenosis and Spinal Trauma, Delivered a one-hour educational course examining the anatomical, clinical, and medicolegal implications of developmental spinal stenosis in the cervical spine, with a focus on its significance in personal injury litigation. The presentation provided an in-depth review of normal spinal canal dimensions, the anatomical boundaries of the cervical canal, and the pathophysiology of central canal narrowing. Special attention was given to cases where intervertebral disc herniation contributes to symptomatic stenosis, particularly in individuals with pre-existing developmental narrowing. Discussed the role of advanced imaging modalities in assessing canal diameter, di@erentiating congenital predisposition from trauma-induced exacerbation, and supporting causation analysis in legal cases. Emphasized the importance of objective documentation in establishing the impact of spinal injuries on long-term function and prognosis, as well as its relevance in determining case valuation and settlement considerations. National Spine Management Group, Federation of ChiropracticLicensing Boards, PACE Program 2025., 2025 | | | Conservative vs. Surgical Management of Rotator Cuff Tears, an advanced course reviewing the comparative outcomes of conservative and surgical interventions for rotator cuff tears. The course provided an in-depth analysis of clinical and structural outcomes over one-and two-year follow-ups, including patient-reported functional scores and imaging assessments. Special emphasis was placed on evidence-based decision-making regarding physical therapy, pain management, and surgical repair techniques for full-thickness rotator cuff tears. The curriculum also explored patient selection criteria, discussing factors that influence the decision to pursue surgery versus conservative treatment, including age, tear size, and functional demands. Additionally, the course evaluated long-term complications associated with both treatment modalities, such as re-tear rates and residual weakness. Advanced imaging techniques, including MRI evaluation of postoperative tendon integrity, were also discussed to provide a comprehensive understanding of treatment efficacy. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025 | | | Non-Surgical and Rehabilitative Interventions for Frozen Shoulder, studied a comprehensive review of non-surgical and rehabilitative treatments for frozen shoulder (adhesive capsulitis). The course covered the pathophysiology of the condition, risk factors, and rehabilitation techniques, including corticosteroid injections, manual therapy, stretching protocols, and hydrodilatation. Additionally, it provided a critical evaluation of systematic reviews, highlighting the effectiveness of various interventions in improving range of motion and reducing pain. The curriculum alsoemphasized the importance of staging in frozen shoulder management, differentiating between the freezing, frozen, and thawing phases and their respective treatment approaches. The role of multidisciplinary care was examined, including collaborations between physical therapists, orthopedic specialists, and pain management physicians to enhance patient outcomes. The session concluded with a discussion on the latest clinical guidelines and emerging therapies, such as platelet-rich plasma (PRP) injections and extracorporeal shockwave therapy, as potential adjuncts to rehabilitation National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025 | | | Diagnosis and Management of Shoulder Instability and Labral Tears, completed a course on the evaluation and treatment of shoulder instability and labral pathology, including Bankart and SLAP lesions. The curriculum covered the role of conservative management, indications for surgical intervention, and current arthroscopicrepair techniques. The course also examined postoperative rehabilitation strategies to optimize functional outcomes for patients with recurrent dislocations or labral injuries. Special attention was given to patient-specific factors influencing treatment,such as athletic demands, history of prior dislocations, and the presence of associated bony defects like Hill-Sachs or glenoid fractures. The session reviewed the latest arthroscopic advancements, including suture anchor techniques, capsular plication, and the Latarjet procedure for cases with significant glenoid bone loss. Furthermore, rehabilitation protocols were discussed in detail, highlighting progressive strengthening exercises, proprioceptive training, and return-to-sport criteria for competitive athletes National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025 | | | Acromioclavicular (AC) Joint Injuries and Proximal Humerus Fractures, The doctor participated in an educational program focused on the classification, diagnosis, andtreatment of AC joint injuries, arthritis, and proximal humerus fractures. The session included discussions on surgical indications, such as AC joint reconstruction and distal clavicle excision, as well as fracture management techniques, including open reduction and internal fixation (ORIF) and reverse shoulder arthroplasty. The course emphasized evidence-based rehabilitation strategies to improve post-surgical recovery. Detailed case studies were presented to highlight different treatment pathways based on patient demographics, including young athletes with AC joint separations and elderly individuals with osteoporotic proximal humerus fractures. The curriculum also addressed complications associated with these conditions, such as post-traumatic arthritis, nonunion, and hardware-related issues following surgical repair. Advanced surgical planning techniques, including 3D imaging for complex fracture patterns, wereexplored to enhance surgical precision and patient outcomes National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025 | | | Advanced Imaging for Hip Pathologies, Completed an in-depth course on advanced imaging techniquesfor the hip joint, focusing on MRI and MR arthrography (MRA) for diagnosing intra-articular and periarticular conditions. Key learnings included MRI protocols for femoroacetabular impingement (FAI), labral tears, avascular necrosis (AVN), and osteoarthritis. The course emphasized appropriate indications for MR arthrograms in labral pathology, interpretation of T1-weighted, STIR, and fat-suppressed proton density sequences, and the role of 3D isotropic imaging in detecting subtle cartilage and labral defects National Spine Management Group,, Federation of Chiropractic Licensing Boards, PACE, 2025 | | | Radiographic Analysis and Interpretation of Hip Pathology, Completed comprehensive training on radiographic analysis of the hip joint, including standard imaging protocols such as AP pelvis, AP hip, frog-leg lateral, and Dunn views. Developed proficiency in identifying radiographic markersof common hip conditions, including cam and pincer lesions in FAI, joint space narrowing in osteoarthritis, subchondral sclerosis, and femoral head collapse in AVN. Training included structured radiographic reporting for enhanced communication between musculoskeletal providers and orthopedic specialists National Spine Management Group,, Federation of Chiropractic Licensing Boards, PACE, 2025 | | | Interventional Hip Injection Therapy in Musculoskeletal Management, Acquired specialized knowledge in hip injection therapy, including diagnostic and therapeutic applicationsof corticosteroids, platelet-rich plasma (PRP), and hyaluronic acid. The course covered fluoroscopic vs. ultrasound-guided techniques, indications for intra-articular vs. periarticular injections, and clinical decision-making for non-surgical management of osteoarthritis, labral pathology, and trochanteric bursitis. Emphasis was placed on interprofessional collaborationbetween chiropractors and orthopedic surgeons in coordinating post-injection rehabilitation and optimizing patient outcomes. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE, 2025 | | | Surgical Considerations and Postoperative Rehabilitation in Hip Pathology, Completed advanced training on surgical indications and post-surgical rehabilitationfor hip pathology, including total hip arthroplasty (THA), arthroscopic labral repair, core decompression for AVN, and surgical fixation for SCFE. Gained expertise in preoperative patient selection criteria, surgical referral guidelines, and post-surgical rehabilitation protocols. Training included rehabilitation timelines for THA, hip arthroscopy, and osteotomies, with a focus on gait retraining, strength progression, and functional return to activity. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE, 2025 | | | Acute vs Degenerative Intervertebral Disc Disease, advanced training on sensory nerve ingrowth into degenerating intervertebral discs and its role in triggering chronic discogenic pain following trauma. This course covered the pathophysiological mechanisms behind nerve ingrowth, including annular fissures, inflammatory mediators, and nociceptive activation, and how these factors contribute to the conversion of pre-existing but asymptomatic disc degeneration into a functionally limiting condition post-trauma. Special emphasis was placed on legal causation standards, including the "but for the accident" argument, the Eggshell Plaintiff Doctrine, and MRI findings that support the distinction between pre-existing asymptomatic degeneration and post-traumatic pain syndromes in personal injury litigation. National Spine Management Group, Federation of Chiropractic Licensing Boards PACE, 2025 | | | Acute vs Degenerative Intervertebral Disc Disease, training on sensory nerve in-growth in degenerating intervertebral discs, focusing on the biochemical mechanisms of nociceptive sprouting and the clinical significance of neovascularization in chronic discogenic pain. The course examined the role of nerve growth factor (NGF), calcitonin gene-related peptide (CGRP), and substance P, which drive sensory nerve expansion and increase pain perception in degenerative discs. Clinical applications included the useof high-intensity zones (HIZ) on MRI as a marker for pathologic nerve ingrowth and the role of regenerative medicine, including platelet-rich plasma (PRP) and stem cell therapy, in mitigating disc-related pain. National Spine Management Group, Federation of Chiropractic Licensing Boards PACE, 2025 | | | Acute vs Degenerative Intervertebral Disc Disease, presentation on intervertebral disc grading with a focus on the Pfirrmann MRI classification system for disc degeneration. This training provided an in-depth examination of Pfirrmann’s five-tier grading scale, detailing its clinical and research applications, as well as its role in legal cases differentiating acute trauma from chronic degenerative changes. The course also covered the comparative inter-rater reliability of disc grading systems, including Thompson, Schneiderman, and Modified Pfirrmann scales, highlighting their strengths and limitations. The Pfirrmann system was recognized as the gold standard for assessing disc degeneration severity, with practical applications in treatment planning, surgical decision-making, and medico-legal documentation. National Spine Management Group, Federation of Chiropractic Licensing Boards PACE, 2025 | | | Acute vs Degenerative Intervertebral Disc Disease, evidence-based review of the Fardon et al. criteria for intervertebral disc morphology, focusing on the 2014 revisions and their implications for clinical and legal practice. This training covered the differentiation of disc bulges, protrusions, extrusions, and sequestrations on MRI, ensuring proper classification and reporting of disc pathology. Special emphasis was placed on the role of annular fissures, high-intensity zones (HIZ), and Modic changes in diagnosing symptomatic disc disease and distinguishing pre-existing degenerative changes from acute traumatic injury. The course also explored the relevance of these MRI criteria in personal injury and workers' compensation cases, providing a standardized framework for expert witness testimony and medicolegal reporting. National Spine Management Group, Federation of Chiropractic Licensing Boards PACE, 2025 | | | Foundations of Clinical Judgment and Gestalt Reasoning, Participated in academic instruction on the principles of clinical gestalt, exploring how experienced clinicians synthesize intuition, pattern recognition, and patient context to make real-time decisions. Gained insight into how tacit knowledge and experiential learning contribute to rapid diagnostic formulation, especially in emergency and outpatient care environments. National Spine Management Group, Federation of Chiropractic Licensing Boards PACE, 2025 | | | Application of Diagnostic Sensitivity and Specificity, Completed coursework emphasizing the interpretation and application of diagnostic test characteristics, including sensitivity and specificity. Developed an understanding of how these metrics are used to guide screening and confirmatory strategies, and how to apply them in selecting appropriate diagnostic tools in various clinical scenarios. National Spine Management Group, Federation of Chiropractic Licensing Boards PACE, 2025 | | | Introduction to TBI Biomarkers and Advanced Neuroimaging, Studied the clinical utility of traumatic brain injury biomarkers (UCH-L1, GFAP, Neurofilaments, and S-100B) and their temporal profiles. Reviewed imaging techniques such as Diffusion Tensor Imaging (DTI) and their application in diagnosing and monitoring brain injury. Engaged in discussions based on content from the National Academies of Sciences Workshop proceedings on biomarker integration in TBI care. National Spine Management Group, Federation of Chiropractic Licensing Boards PACE, 2025 | | | Overview of FDA Regulatory Pathways and Laboratory Certification, Received instruction on FDA approval processes for medical devices, including 510(k), De Novo, and PMA pathways. Reviewed classification of medical devices by risk and studied key laboratory certification standards such as CLIA and ISO 13485. Developed foundational knowledge in the regulatory framework supporting safe and effective clinical innovation. National Spine Management Group, Federation of Chiropractic Licensing Boards PACE, 2025 | | | National Spine Management Conference -Spring 2025, Completed focused instruction on Concussion Subtypes, Clinical Categorization, and Personalized Care Pathway Development. Participants were trained to identify cognitive, vestibular, ocular, cervical, and mood/anxiety-related concussion presentations and design targeted treatment strategies based on symptomatology. National Spine Management Group, Federation of Chiropractic Licensing Boards, , PACE Program, 2025 | | | National Spine Management Conference -Spring 2025, Successfully completed training on the Use of Circulating Biomarkers and Diffusion Tensor Imaging (DTI) in the Assessment of Mild Traumatic Brain Injury (mTBI), covering the interpretation of UCH-L1, GFAP, and S-100B results, and the application of DTI formicrostructural brain injury visualization. Emphasis was placed on integrating blood biomarker analysis with neuroimaging findings for legal and clinical documentation. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025 | | | National Spine Management Conference -Spring 2025, Completed advanced coursework in Concussion Diagnosis and Management, with a focus on clinical symptom classification, Rivermead Post-Concussion Symptoms Questionnaire scoring, and integration of biomarkers for objective injury confirmation. Participants learned strategies for early identification and management of post-concussion syndrome and traumatic brain injuries. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025 | | | National Spine Management Conference -Spring 2025, Completed detailed training in CT Imaging Principles for Spine Management, focusing on the Lambert-Beer Law, Radon transform, filtered back projection techniques, and Hounsfield Unit calibration. Instruction covered diagnostic applications in fracture and disc injury identification, artifact management, and strategies for minimizing radiation exposure under ALARA principles. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025 | | | National Spine Management Conference -Spring 2025, Completed a specialized program in Clinical Documentation Strategies for Personal Injury Cases, including structured E/M SOAP notes, narrative report construction, impairment rating documentation, and causality statements. Providers were trained to align subjective complaints with objective findings and treatment plans, enhancing both clinical management and legal defensibility. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025 | | | National Spine Management Conference -Spring 2025, Successfully completed coursework in Introduction to MRI Hardware and Imaging Physics, detailing the operation of B0 main magnetic fields, RF coils, gradient systems, and the Fourier transform's role in image reconstruction. Providers gained an understanding of MRI signal formation, the importance of field homogeneity, and the impact of imaging parameters on diagnostic accuracy.
National Spine Management Group, Federation of Chiropractic Licensing Boards,, PACE Program, 2025 | | | National Spine Management Conference -Spring 2025, an advanced course in Personal Injury Case Management, emphasizing patient intake standardization, lien negotiation strategies, billing compliance under PIP/MedPayframeworks, and risk management protocols. The training focused on optimizing communication with legal representatives, understanding state-specific prompt pay laws, and utilizing lien and letter of protection agreements to secure payment for services. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025 | | | National Spine Management Conference -Spring 2025, coursework in MRI and disc pathology analysis in personal injury, covering the historical evolution of MRI, quality standards for imaging, application of Fardon classification for disc injuries, and causation documentation strategies. Evaluated acute versus chronic pathology on imaging and were trained in correlating MRI findings with clinical examination for legal defensibility. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE program, 2025 | | | National Spine Management Conference -Spring 2025, completed training on ligamentous injury assessment and impairment ratings based on the AMA Guidesto the Evaluation of Permanent Impairment. Focus was placed on Alteration of Motion Segment Integrity (AOMSI)diagnosis through flexion-extension radiographs, validation of measurements via inter-rater reliability, reproducibility standards, and automation to ensure legal defensibility. The curriculum prepared providers to identify and document ligament instability with high evidentiary standards. National Spine Management Group, Federation of Chiropractic Licensing Boards,, PACE Program, 2025 | | | National Spine Management Conference -Spring 2025, advanced instruction in Biomarker and Genetic Profiling in Traumatic Brain Injury (TBI) assessment, including the clinical application of circulating protein biomarkers (GFAP, S-100B, UCH-L1, NF-H) and genetic risk profiling (ApoE, MTHFR). The course emphasized integrating biomarker results with clinical findings and neuroimaging to improve TBI diagnosis and prognosis, with a focus on medico-legal application. National Spine Management Group, Federation of Chiropractic Licensing Boards,, PACE Program, 2025 | | | National Spine Management Conference -Spring 2025, Completed technical courseworkon Deposition and Trial Testimony Preparation, addressing pre-litigation procedures, deposition defense strategies, and courtroom testimony practices for chiropractors. Emphasis was placed on narrative clarity, record review, understanding fact versus expert witness roles, and the strategic use of visuals to enhance testimony credibility. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025 | | | Cervical Impairment Rating –AMA Guides to the Evaluation of Permanent Impairment, 5th and 6th Editions, Completed expert-level training in the diagnostic evaluation of Alteration of Motion Segment Integrity (AOMSI) in the cervical spine using AMA Guides (5th and 6th Editions). Emphasis was placed on the application of objective criteria including >3.5 mm of translational motion and >11° of angular rotation to identify functional segmental instability. The program detailed the biomechanical rationale for these thresholds and instructed on standardized methods for identifying ligamentous damage based on motionsegment behavior. Proficiency was demonstrated in integrating radiographic findings into the impairment rating process and using motion analysis to support clinical and legal documentation. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program , 2025 | | | Cervical Impairment Rating –AMA Guides to the Evaluation of Permanent Impairment, 5th and 6th Editions –Spring 2025, Received advanced clinical instruction on cervical spine ligament biomechanics, with particular focus on diagnostic interpretation of motion-based instability. Training included radiographic recognition of ALL, PLL, interspinous, supraspinous, ligamentum flavum, and facet capsular ligament injury based on observed translation and angular abnormalities. Coursework emphasized differential diagnosis between structural instability and degenerative changes, and trained participants to correlate imaging findingswith symptomatology and patient history. Gained working knowledge of using segmental instability findings to inform rehabilitation, surgical referral, and medico-legal reporting. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025 | | | Cervical Impairment Rating –AMA Guides to the Evaluation of Permanent Impairment, 5th and 6th Editions –Spring 2025, Participated in an intensive educational module addressing the legal, regulatory, and procedural implications of AOMSI analysis in trauma care. Learned how to apply objective measurements to support causation, permanency, and impairment in personal injury and workers’ compensation cases. Instruction included strategies for achieving Frye admissibility of digital motion analysis tools, the legal standards for expert witness qualification, and the use of calibrated systems for forensic-level imaging evaluation. Participants were trained to construct defensible reports and testify to clinical findings with biomechanical validity, reinforcing their credibility in litigation settings.
National Spine Management Group, Federation of Chiropractic Licensing Boards, , PACE Program , 2025 | | | Cervical Impairment Rating –AMA Guides to the Evaluation of Permanent Impairment, 5th and 6th Editions –Spring 2025, Completed advanced instruction in the technical and clinical components of flexion-extension radiograph acquisition for AOMSI assessment. Focused on the avoidance of common errors such as poor patient effort, non-neutral positioning, and improper sagittal plane alignment. Emphasized the impact of these variables on the validity of diagnostic motion measurements and provided structured protocols for improving reproducibility and clarity in radiographic imaging. Gained hands-on guidance in instructing imaging facilities, refining standard operating procedures, and improving diagnostic yield for motion-based cervical spine pathology.National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program 2025 National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program , 2025 | | | Lumbar Spine Instability and AOMSI: Clinical, Imaging, and Legal Perspectives, Focused on the evaluation of lumbar spinal instability through the application of Alteration of Motion Segment Integrity (AOMSI). Emphasized biomechanical principles and radiographic criteria for identifying translational (>4.5 mm) and angular motion abnormalities (>15°–25°, depending on segment) using flexion-extension radiographs. Included instruction on the use of these findings in accordance with the AMA Guides to the Evaluation of Permanent Impairment, 5th Edition (Range of Motion model) and 6th Edition (Diagnosis-Based Impairment model), with application to trauma documentation, impairment rating, and surgical triage. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025 | | | Advanced Imaging and Biomechanical Principles of Lumbar AOMSI, Addressed radiographic protocols for flexion-extension motion studies, measurement reproducibility, and standardization of lumbar instability thresholds. Included comprehensive review of key lumbar stabilizing ligaments (ALL, PLL, interspinous, supraspinous, ligamentum flavum, facet capsules) and their role in post-traumatic motion segment failure. Emphasized detection of overt instability and early translational micro-movements (≥1 mm), integrating clinical biomechanics with AMA Guides to the Evaluation ofPermanent Impairment, 5th and 6th Editions. Diplomate, PACE Program, National Spine Management Group, Federation of Chiropractic Licensing Boards, 2025 | | | Medical-Legal Application of Lumbar AOMSI in Disability and Causation Analysis, Provided training in interpretation and documentation of lumbar segmental instability for personal injury, workers’ compensation, and disability claims. Included objective validation of motion abnormalities and application of radiographic findings to causation analysis, permanency evaluations, and impairment ratings under the AMA Guides to the Evaluation of Permanent Impairment, 5th and 6th Editions. Emphasized preparation of records and testimony meeting Frye and Daubert evidentiary standards. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025 | | | Impairment Rating and Radiologic Interpretation of Lumbar Segmental Instability, Provided instruction in the interpretation of functional radiographs and their integration into the impairment evaluation process. Emphasized application of translational and angular thresholds established in the AMA Guides to the Evaluation of Permanent Impairment, including the 5th Edition’s Range of Motion model and the 6th Edition’s Diagnosis-Based Impairment framework. Included literature review of cadaveric biomechanical studies by Yoganandan, Ivancic, and Chazal, and use of AOMSI findings in permanent impairment documentation, clinical triage, and medico-legal reporting. Diplomate, PACE Program, National Spine Management Group, Federation of Chiropractic Licensing Boards, 2025 | | | Omega-3s vs Pure EPA in Clinical Practice: What Do the Latest Data Tell Us?, Omega-3 Prescriptions vs Supplements in Practice: Everything You Need to Know to properly care for your patients. Accreditation Council on Continuing Medical Education (ACCME) in cooperation with Medscape, Bradenton, Fl, 2019 | | | Update on OTC Pain Relievers for Osteoarthritis: A Deeper Examination of the Evidence , Understanding the different treatment options available to the patient, what OTC choices you have and which works best. Accreditation Council on Continuing Medical Education (ACCME) in cooperation with Medscape, Bradenton, FL, 2019 | | | Assessing Clinical Practice Patterns in Knee Osteoarthritis, Assessment and diagnosis of the OA patient and treatment protocols to alleviate pain and restore function. Accreditation Council on Continuing Medical Education (ACCME) in cooperation with Medscape, Bradenton, FL, 2019 | | | Exploring the Transition From Acute to Chronic Pain: A Review of the Data , Drs Clauw and Clarke discuss ways to help keep patients from transitioning to chronic pain. An update to Medical Doctors on how to not utilize opiods and include alternative therapies for treatment. Accreditation Council on Continuing Medical Education (ACCME) in cooperation with Medscape, Fl., 2019 | | | Preparing For The Era of Targeted Therapy in Chronic Low Back Pain: A Patient-Centric Approach , Thomas Tölle presents highlights from the live symposium on current and novel approaches to managing chronic low back pain Accreditation Council on Continuing Medical Education (ACCME) in cooperation with Medscape, Fl., 2019 | | | Can Household Products Contribute to Osteoporosis? , Osteoporosis is a metabolic bone disease characterized by decreased BMD and increased risk for fragility fractures, leading to reduced quality of life and increased morbidity and mortality. The goal of this study was to examine the association of BMD and osteoporosis with urinary TCS concentrations in US women participating in the 2005-2010 NHANES. Accreditation Council on Continuing Medical Education (ACCME) in cooperation with Medscape, Fl., 2019 | | | How Would You Manage These Patients with Spondyloarthritis? A Virtual Simulation , Enhance your clinical skills as you engage with patients in an objective and realistic interactive simulation. Treat patients, diagnose medical conditions, and prescribe medications. Accreditation Council on Continuing Medical Education (ACCME) in cooperation with Medscape, Bradenton, Fl., 2019 | | | Effect of Intra-articular Steroids on Cartilage in Knee OA, The goal of this training is to discuss evidence about how potential new paradigms for using steroids might treat early inflammation and alter the progression of knee osteoarthritis. Accreditation Council on Continuing Medical Education (ACCME) in cooperation with Medscape, 2018 | | | Coronary Calcium Score Predicts CVD Risk in Diabetes, This course will analyze whether serial coronary artery calcium scores may be useful in predicting the risk for CVD.
It will also compare the usefulness of the coronary artery calcium score among adults with diabetes, metabolic syndrome, or neither of these chronic conditions
Accreditation Council on Continuing Medical Education (ACCME) in cooperation with Medscape, 2018 | | | Exposure to Terror Increases Migraine Risk in Teens,
This course assess the impact of terror on recurrent headache in adolescent survivors, based on a comparison of headache among highly exposed adolescent survivors of a mass shooting and matched control participants from a general population study
It will help the clinician determine the clinical implications of the impact of terror on recurrent headache in adolescent survivors
Accreditation Council on Continuing Medical Education (ACCME) in cooperation with Medscape, 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. Collaborate triage protocols with neurologists, neurosurgeons, orthopedic surgeons, pain management and primary medical care providers with both mechanical and anatomical spine pathologies Academy of Chiropractic, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University, Kansas City Chiropractic and Health Sciences, 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 | | | Documenting Trauma and Non-Trauma Cass and Triaging Disc Pathology, History, past history, risk factors and review of systems in developing a differential diagnosis. The utilization of spinal MRI in concluding and accurate diagnosis, prognosis and treatment plan for disc pathology, Academy of Chiropractic, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University, Kansas City Chiropractic and Health Sciences 2018 | | | How G- Forces Relate to the Diagnosis of Accident Related Trauma Injuries of the Head and Neck, The physics of the auto accident, including G forces and the effects of impact. A review of the variables in the mechanisms of the: side, rear, front and oblique impacts and the forces that can be transferred to the occupants of the vehicle causing damage to the occupants Parker College of Chiropractic - Dallas, Ligament Injury Institute, Tampa, FL, 2018 | | | Significance of Spinal Anatomy and Tissue Damage to the Delicate Structures in Accident Related Trauma Injuries of the Head and Neck, The anatomy of the cervical spine, including the role of mechanoreceptors, proprioceptors and nociceptors and the function of the spine. How the ligaments, tendons, facets and discs respond to the impact and the damages that are caused. Parker College of Chiropractic - Dallas, Ligament Injury Institute, Tampa, FL., 2018 | | | Diagnosing Concomitant Injuries in the Presence of Accident Related Trauma Injuries of the Head and Neck, The injuries that accompany that accompany the CAD that cause permanent impairment to the spine. The concomitant injuries include AOMSI, Uncinate Process Fractures, MTBI, Posterior Cervical Symapthetic Syndrome and Vertebrobasilar Insufficiency. An overview of the diagnostic testing required for diagnosis and evaluation. Parker College of Chiropractic - Dallas, Ligament Injury Institute, Tampa, FL, 2018 | | | Understanding AMA Guides In the Diagnosis of Accident Related Trauma Injuries of the Head and Neck, The AMA Guidelines for the diagnosis of AOMSI (Alteration of Motion Segment Integrity). In depth analysis of the ligamentous structures of the cervical spine, traumatically induced, with focus on four main ligaments that are damaged in a cervical acceleration/ deceleration injury of the head and neck. Employing the exact requirements for the AMA Guides for Permanent Impariment Ratings. Parker College of Chiropractic - Dallas, Ligament Injury Institute, Tampa, FL. , 2018 | | | Transforming Clinical Practice to Provide Patient-Centered Quality Care , Understanding the Transforming Clinical Practice Initiative and how it helps clinicians transition from a volume-driven care delivery system to a system that provides outcomes-oriented, value-based care. Accreditation Council on Continuing Medical Education (ACCME) in cooperation with Medscape, 2017 | | | MACRA Primer for Busy Docs: 12 Things You Need to Know (Part 1 of 3) ,
Distinguish what the Medicare Access and Children's Health Insurance Program Reauthorization Act (MACRA) is designed to do
Evaluating innovative practice payment options from the Centers for Medicaid & Medicare Services (CMS) under MACRA
Accreditation Council on Continuing Medical Education (ACCME) in cooperation with Medscape, 2017 | | | MACRA Primer for Busy Docs: 12 Things You Need to Know (Part 2 of 3) ,
Evaluate challenges in the implementation of the Medicare Access and Children's Health Insurance Program Reauthorization Act (MACRA)
Distinguish priorities for patient improvement under MACRA
Accreditation Council on Continuing Medical Education (ACCME) in cooperation with Medscape, 2017 | | | MACRA Primer for Busy Docs: 12 Things You Need to Know (Part 3 of 3) ,
Assess how the Medicare Access and Children's Health Insurance Program Reauthorization Act (MACRA) will collect data from healthcare practices
Evaluate potential pitfalls and opportunities for practice income under MACRA
Diplomate, Accreditation Council on Continuing Medical Education (ACCME) in cooperation with Medscape, 2017 | | | Can Interdisciplinary Program Reduce Headache Severity?,
Discussing a comprehensive interdisciplinary program for adults with chronic headaches refractory to previous outpatient medical treatment. Determining the efficacy of an outpatient comprehensive interdisciplinary program for patients with chronic headache disorders on improving functioning and decreasing psychological impairment and headache severity.
Accreditation Council on Continuing Medical Education (ACCME) in cooperation with Medscape, 2017 | | | Blood Test Can Improve Parkinson Disease Diagnosis, A new blood biomarker is helpful in discriminating between Parkinson disease and atypical parkinsonian disorders. Accreditation Council on Continuing Medical Education (ACCME) in cooperation with Medscape, 2017 | | | Instructor, Soleve, New concepts in managing chronic low back pain utilizing targeted non-invasive nerve stimulation to releive pain without medications. , A procedure, often described as “hyper-stimulation analgesia”, during which a localized, intense, low-rate electrical pulses are applied to small surface areas at ATPS’s locations to stimulate peripheral nerve endings (A δ fibers), thus causing the release of endogenous endorphins. Considerable evidence suggests that this type of neurostimulation analgesia is achieved by activating extra segmental antinociceptive mechanisms which accelerates the release of endogenous endorphins, serotonin, and cortisol. Cell and Genome Sciences, University of Connecticut, 2016 | | | MRI Disc Overview and 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. [Texas Chiropractic College or PACE Approved for the Federation of Chiropractic Licensing Boards'], ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2016 Certification in MRI Protocols Clinical Necessitiy, Diplomate, Academy of Chiropractic Post-Doctoral Division, PACE, Texas Chiropractic College, Florida, 2016 | | | 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-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 or PACE Approved for the Federation of Chiropractic Licensing Boards'], ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2016 Certification in MRI Interpretation of Lumbar Bulges/Degenerative Disc Disease, PACE, Texas Chiropractic College, Florida, 2016 | | | 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. [Texas Chiropractic College or PACE Approved for the Federation of Chiropractic Licensing Boards'], ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2016 Certification in MRI Interpretation of Lumbar Herniated Discs, PACE, Texas Chiropractic College, Florida, 2016 | | | 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. [Texas Chiropractic College or PACE Approved for the Federation of Chiropractic Licensing Boards'], ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2016 Certification in MRI Interpretation of Cervical Bulges/Degenerative Disc Disease, PACE, Texas Chiropractic College, Florida, 2016 | | | MRI Interpretation of Cervical Herniated Discs, 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 or PACE Approved for the Federation of Chiropractic Licensing Boards'], ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2016 Certification in MRI Interpretation of Cervical Herniated Discs, PACE, Texas Chiropractic College, Florida, 2016 | | | Virtual Grand Rounds, 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 or PACE Approved for the Federation of Chiropractic Licensing Boards'], ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2016 PACE, Texas Chiopractic College, Florida, 2016 | | | Diagnostic dilemmas and connective tissue Morphology, 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. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2016 State University of New York at Buffalo, School of Medicine, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, Florida, 2016 | | | Ligament anatomy and injury research and spinal kinematics, 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, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2016 State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, Florida, 2016 | | | Spinal Biomechanics, Central Nervous System and Spinal Disc Nomenclature, 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 gray matter, thalamus and cortices involvement. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post -Doctoral Division, Buffalo, NY, 2016 State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post -Doctoral Division, Buffalo, NY, Florida, 2016 | | | Biomechanics of Traumatic Disc Bulge and Age Dating Herniated Disc Pathology, Spinal Trauma Pathology: Biomechanics of Traumatic Disc Bulge and Age Dating Herniated Disc Pathology, The biomechanics of traumatic disc bulges as sequella from trauma and the comorbidity of ligamentous pathology. Age-dating spinal disc pathology in accordance with Wolff’s Law. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2016 State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, Florida, 2016 | | | Spinal trauma pathology, clinical grand rounds, 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, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2016 State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, Florida, 2016 | | | Spinal trauma pathology, Research and documentation Review, 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, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2016 State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, Florida, 2016 | | | New Blood Biomarkers Useful for Concussion Diagnosis, The goal of this training is to provide medical news to primary care clinicians and other healthcare professionals in order to enhance patient care. This course explained new ways to assess characteristics of new biomarkers for TBI. Learning how to evaluate the time course and clinical application of biomarkers for TBI.
Council on Continuing Medical Education (ACCME) in cooperation with Medscape, 2016 | | | Neurologic Disorders Can Mask Quality-of-Life Issues,
Assess symptoms of psychiatric illness and sleep conditions among patients with neurologic disease, based on presentations at the 2nd Congress of the European Academy of Neurology. Evaluate identification and management of symptoms of sexual dysfunction among patients with neurologic disease
Accreditation Council on Continuing Medical Education (ACCME) in cooperation with Medscape, 2016 | | | Establishing Roles and Responsibilities for Interprofessional Care Team Members, Defining roles in a collaborative environment based upon skills, knowledge and abilities of each provider while engaging patients in the process Accreditation Council on Continuing Medical Education (ACCME) in cooperation with Medscape, 2016 | | | Interprofessional Collaboration to Improve Health Care: An Introduction, Creating patient centered approaches to healthcare to improve outcomes in treatment models while concurrently reducing risk, Accreditation Council on Continuing Medical Education (ACCME) in cooperation with Medscape, 2016 | | | Understanding the Values and Ethics of Interprofessional Collaboration, Interprofessional collaboration (IPC) makes sense in terms of promoting better patient outcomes while improving the experience of patient care, and it should be cost-effective as well. However, IPC is only as successful as the principles and values that underlie the commitment to collaboration, as well as the fundamental values of the healthcare system attempting to apply it. Accreditation Council on Continuing Medical Education (ACCME) in cooperation with Medscape, 2016, 2016 | | | Interprofessional Communication: How Can It Improve Healthcare?, We know that inadequate communication is the root cause of more than half of the adverse effects in hospitals.[1] Moreover, a study of older adults found medication discrepancies in 14.1% of cases within 72 hours of hospital discharge.[2] Half of these discrepancies were blamed on errors in the medical system, as opposed to patient variables. Council on Continuing Medical Education (ACCME) in cooperation with Medscape, 2016, 2016 | | | A Team Approach to Collaborative Care in Multiple Sclerosis , Analyze how the collaboration between nursing and neurologic professionals can produce optimal outcomes in MS patient care throughout the spectrum of disease presentations. Presented through a strategic educational collaboration by International Organization of Multiple Sclerosis Nurses and Medscape Neurology, 2016 | | | Do Opioids Effectively Treat Low Back Pain?,
Assess the effectiveness of Basic interventions for acute low back pain and evaluate the value of opioid analgesics in the management of low back pain
Accreditation Council on Continuing Medical Education (ACCME) in cooperation with Medscape, 2016 | | | An Integrative Approach to Chronic Low Back Pain, Chronic low back pain is one of the leading reasons Americans turn to complementary and integrative health approaches. The current evidence suggests that complementary health approaches, such as spinal manipulation, acupuncture, massage and yoga, may help some patients with chronic non-specific back pain manage the day-to-day variations in their symptoms and reduce reliance on prescription drugs. Understanding the value of self-management is important in developing a partnership with our patients in their active pursuit of pain relief. Accreditation Council on Continuing Medical Education (ACCME) in cooperation with Medscape, 2016 | | | Inner Engineering, Technologies for Wellbeing, Inner Engineering provides tools and solutions to empower yourself to create your life the way you want it. It gives you the opportunity to intellectually explore the basics of life using methods from the distilled essence of yogic sciences. The course imparts practical wisdom and powerful yogic practices to manage your body, mind, emotions, and the fundamental life energy within. Carlat CME Institute, 2016 | | | Collaborative Concussion Care Can Relieve Symptoms in Teens, Collaborative care intervention vs usual care for persistent postconcussive symptoms in teens, based on a randomized clinical trial.
It describes details of the intervention and determine the clinical implications of the findings from this randomized clinical trial of teens with postconcussive symptoms.
Accreditation Council on Continuing Medical Education (ACCME) in cooperation with Medscape, Florida, 2016 | | | Over-the-Counter Allergic Rhinitis Treatments: Navigating the Maze , How to recognize the global impact and burden of allergy symptoms.
Select appropriate OTC pharmacologic therapy for allergy symptoms based on the patients' symptoms and clinical practice guidelines
Accreditation Council on Continuing Medical Education (ACCME) in cooperation with Medscape, 2016 | | | Diplomate Chiropractic Neurology Program, Carrick Institute, Los Angeles, California, 1997 | | | Diplomate American Academy of Medical and Legal Professionals, The American Academy of Medical-Legal Professionals was developed to foster a collaborative effort between medical and legal professionals in an ethical relationship. Its purpose is to support on a national level through research, dialogue and practice excellence, professionals in the medical-legal arena. Certification in DAAMLP, Diplomate, Diplomate, | | | 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. CMCS Post Doctoral Division, New York Chiropractic Council, New York State Department of Education Board for Chiropractic, Long Island, NY, 2009 Certification in Neurodiagnostics, Imaging Protocols and Pathology of the Trauma Patient, CMCS, New York, 2009 | | | 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. CMCS Post Doctoral Division, New York Chiropractic Council, New York State Education Department Board for Chiropractic, Long Island, NY, 2009 Certification in Diagnostics, Risk Factors, Clinical Presentation and Triaging the Trauma Patient, CMCS Post Doctoral Division, New York, 2009 | | | Crash Dynamics & 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. CMCS Post Doctoral Division, New York Chiropractic Council, New York State Education Department Board for Chiropractic, Long Island, NY, 2009 Certification in Crash Dynamics & Its Relationship to Causality, CMCS Post Doctoral Division, New York, 2009 | | | MRI, Bone Scan & X-Ray Protocols, Physiology and Indications for the Trauma Patient, MRI interpretation, physiology, history and clinical indications, Bone Scan interpretation, physiology and clincal indications, x-ray clinical indications for the trauma patient. CMCS Post Doctoral Division, New York Chiropractic Council, New York State Education Department Board for Chiropractic, Long Island, NY, 2009 Certification in MRI, Bone Scan & X-Ray Protocols, CMCS Post Doctoral Division, New York, 2009 | | | 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, protcols and clinical indications for the trauma patient. CMCS Post Doctoral Division, New York Chiropractic Council, New York State Education Department, Board for Chiropractic, Long Island, NY, 2009 Certification in Neurodiagnostic Testing Protocols, Physiology and Indications for the Trauma Patient, CMCS Post Doctoral Division, New York, 2009 | | | 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. CMCS Post Doctoral Division, New York Chiropractic Council, New York State Education Department, Board for Chiropractic, Long Island, NY, 2009 Certification in Documentation and Reporting for the Trauma Victim, CMCS Post Doctoral Division, New York, 2009 | | | 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, pathophysiology in both a functional and structural paradigm. CMCS Post Doctoral Division, New York Chiropractic Council, New York State Education Department, Board for Chiropractic, Long Island, NY, 2009 Certification in Documenting Clinically Correlated Bodily Injury to Causality, CMCS Post Doctoral Division, Florida, 2009 | | | Triaging the Trauma and Non-Trauma Patient, 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. Academy of Chiropractic Post Doctoral Education Division, New York Chiropractic Council, New York State Education Department, Board for Chiropractic, Long Island, NY, 2011 Certification in Triaging the Trauma and Non-Trauma Patient, CMCS Post Doctoral Division, Florida, 2009 | | | 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, Academy of Chiropractic Post Doctoral Education Division, New York Chiropractic Council, New York State Education Department, Board for Chiropractic, Long Island, NY, 2011 Certification in Utilization of Research in the Clinical Setting, CMCS Post Doctoral Division, Florida, 2009 | | | Spinal Biomechanical Engineering, Differential diagnosis of pathobiomechanics in the cervical, thoracic and lumbar spine as sequellae to micro and macro trauma and chronic biomechanic instabilities. Understanding the clinical impliations of long term biomechanical failure in resultant disc pathology, ligament pathology and osseous pathology. Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post Doctoral Division, Boca Raton, FL, 2013 Certification in Spinal Biomechanical Engineering, CMCS Post Doctoral Division, Florida, 2013 | | | MRI Spine Interpretation, Bulge, Herniated, protruded, extruded, sequestered discs, differential diagnoses and clinical triage implications. MRI physics and slice protocols. Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post Doctoral Division, Boca Raton, FL, 2013 Certification in MRI Spine Interpretation, CMCS Post Doctoral Division, Florida, 2013 | | | | | |
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