SELECTED POST-GRADUATE EDUCATION, CERTIFICATIONS AND DIPLOMATES
| Coding, Documentation, MRI and Digitizing-Primary Care 11 Trends in Spinal Healthcare, Analyzing spinal healthcare trends in both utilization and necessity and understanding the marketplace and how a clinical excellence level is reflected in a doctors' documentation and credentials. Treatment pathways in triaging in spinal pathbiomechanics. Academy of Chiropractic-Post Doctoral Division, Cleveland University-Kansas City, Long Island , NY, 2021 | | | | | MRI Spine Interpretation Advanced Diagnosis, An evidence-based understanding of time-related etiology of disc pathology considering the American Society of Neuroradiology's designation of protrusion, extrusion and sequestration of spinal discs, T1, T2, STIR and Proton-Density
weighted evaluation to diagnose spine form MRI accurately. Academy of Chiropractic Post- Doctoral Division, Cleveland University – Kansas City, Long Island , NY, 2021 | | | | | Spinal Biomechanical Engineering Analytics and Case Management, Utilizing spinal mensurating algorithms to conclude a pathobiomechanical vs. normal spine in the absence of anatomical pathology. Clinically correlating a history and physical examination findings to x-ray biomechanical results in creating an accurate diagnosis, prognosis, and treatment plan. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island , NY , 2021 | | | | | MSK Extremity Radiological Interpretation, Utilizing both MRI and x-ray to diagnose 1)
Arthritis - Inflammatory and Degenerative, 2) Advanced cartilage assessment, 3) Rotator Cuff
Tears, 4) Labral tears (shoulder and hip), 5) Tendon injuries and degeneration, 6) Meniscal
tears, 7) Ligamentous injuries, 8) Common fractures, 9) Sports-related injury patterns, 10)
Plantar fasciitis. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island , NY, 2021 | | | | | Demonstrative Medical-Legal Documentation, The narrative report. How to effectively create
medical-legal documentation and what the courts look for. Making your "4-Corner" (narrative)
report demonstrable and build a reputation as an evidence-based provider. The step-by-step
minutiae of building a report. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island , NY , 2021 | | | | | Managing Non-Anatomical Spine Pain, Treatment modalities centered upon "best-outcomes" in
an evidence-based model considering chiropractic vs. physical therapy and chiropractic vs.
medicine. Considerations of disability, pain reduction, functional improvement, drugs utilized,
and side-effects are all considered. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island , NY , 2021 | | | | | Documentation and Coding, CPT Coding Guidelines for Initial and Established Patients with
particular attention paid to Patient History, Review of Systems, Social and Family History,
Physical Examination, and Medical Decision making. Specific differences in coding levels and
required elements for a 99202-99203-99204-99205, and a 99212-99213-99214-99215. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island , NY, 2021 | | | | | Demonstrative Documentation and Ethical Relationships, Pathways to improve coordination of
care, and interprofessional communication with collaborating physicians. Maintaining ethical
relationships in the medical-legal community through documentation and communication of
demonstrable diagnosis, prognosis, and treatment plans. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City , Long Island , NY , 2021 | | | | | MRI Spine Interpretation, Clinical case review of MRI’s including sagittal, axial, T1, T2, STIR,
and proton density sequences. Identified will be the vertebrate, spinal cord, discs, nerve roots,
thecal sac, posterior longitudinal ligament, epidural veins, and fat saturation pulses. Pathology
will include bulges, herniations, protrusions, extrusions, myelomalacia, cord edema, and
schmorl’s nodes. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY , 2021 | | | | | Spinal Biomechanical Engineering Clinical Grand Rounds, Case reviews utilizing E/M, MRI, and
x-ray mensuration report to conclude an accurate diagnosis, prognosis, and treatment plan.
Common diagnosis requiring interprofessional collaboration with a discussion of diagnostic
dilemmas and proper communication methods. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2021 | | | | | Chiropractic as the First Option for Spine, A literature-Based Standard, Spine biomechanical engineering models related to pathobiomechanics and literature-based standards in creating an accurate diagnosis, prognosis, and treatment plans. Determining impairment ratings based upon alternation of motion segment integrity utilizing motion-imaging, and creating demonstrable evidence for continued treatment plans. PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2020 | | | | | Chiropractic as the First Option for Spine, A literature-Based Standard, Creating literature-cased documentation inclusive of history and a clinical examination that encompasses causality, diagnosis, prognosis and treatment plans. Ensuring the whole person impairment ratings are consistent with contemporary literature. PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2020 | | | | | Chiropractic as the First Option for Spine, A literature-Based Standard, Managing spinal related cases based upon MRI findings of herniations, bulges, protrusions, extrusions (comminuted and fragmented) utilizing thin-sliced acquisition protocols. When to consider ordering T1, T2 short Tau Inversion Radiant, proton density and Dixon sequencing for spinal related pathology. PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island , NY, 2020 | | | | | Chiropractic as the First Option for Spine, A literature-Based Standard, Utilizing clinical findings in conjunction with advanced imaging and electrodiagnostic findings in manage collaborative relationships with medical specialist. Applying a literature standard to care to ensure conservative care as the first option. PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2020 | | | | | Documentation, MRI Necessity and Trends in Spinal Treatment Protocols , Correlating history and a through clinical evaluation in determining the necessity for x-ray and MRI evaluations in the trauma and non-trauma patient. Considering whole spine patho-biomechanics in formulating treatment plans and long-term supportive care. Documentation requirements in transitioning from telemedicine to in-office care. Academy of Chiropractic Post-Doctoral Division, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University Kansas City , Long Island , NY , 2020 | | | | | Pathobiomechanics and Documentation, CPT Coding Guidelines for Initial and Established
Patients with particular attention paid to Patient History, Review of Systems, Social and Family
History, Physical Examination, and Medical Decision making. Specific differences in coding
levels and required elements for a 99202-99203-99204-99205. Academy of Chiropractic Post- Doctoral Division, Cleveland University Kansas City, Long Island, NY , 2020 | | | | | Using Documentation and Ethical Relationships, Pathways to improve coordination of care, and
interprofessional communication with collaborating physicians. Maintaining ethical
relationships in the medical-legal community through documentation and communication of
demonstrable diagnosis, prognosis and treatment plans. Academy of Chiropractic Post-Doctoral Division, Cleveland University-Kansas City, Long Island, NY, 2020 | | | | | Case Management of Mechanical Spine Pathology, Clinical Grand Rounds of herniated,
protruded, extruded, sequestered, and bulging discs. Differentially diagnosing vascular vs.
mechanical spinal lesions and the necessity for urgent vascular, neurological intervention,
Collaborating in a team environment utilizing a neuroradiologist, electrophysiologist, and
neurosurgeon with the chiropractor as the primary spine care provider. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2020 | | | | | Spinal Biomechanics; A Literature Perspective, An evidenced-based model for spinal
biomechanical engineering and pathobiomechanics considering the pathophysiological limits in
translations, angular deviation, and rotational planes. Utilizing the Cartesian system in plotting
vertebral points to demonstratively conclude an accurate diagnosis, prognosis and
biomechanical treatment plan with the consideration of long-term care in the non-specific
mechanical spine pain patient when necessary. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2020 | | | | | MRI Spine Interpretation, An evidence-based understanding of time-related etiology of disc
pathology considering the American Society of Neuroradiology's designation of protrusion,
extrusion, and sequestration of spinal discs, Considering the signal intensity of discs in age-
dating pathology and acquisition protocols for advanced spinal imaging. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2020 | | | | | Primary Spine Care 10: Chiropractic Spine Management Trends in Spinal Healthcare, Analyzing spinal healthcare trends in both utilization and necessity
and understanding the marketplace and how a level of clinical excellence is reflected in a
doctors' documentation and credentials. Treatment pathways in triaging spinal
pathobiomechanics. Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2020 | | | | | Spinal Biomechanical Engineering Clinical Application, History of clinical biomechanics with
an emphasis on the diagnosis and management of spine pain of mechanical/functional origin.
Evidence-based symptomatic vs. asymptomatic parameters using peer-reviewed medical index
literature. Computerized mensuration analysis of spinal biomechanical pathology. Comparison
of demonstrable spinal biomechanical failure on imaging to clinical evaluation and physical
examination. Academy of Chiropractic Post-Doctoral Division, Cleveland University-Kansas City, Long Island, NY, 2020 | | | | | Spinal Biomechanical Engineering Clinical Grand Rounds, Case reviews utilizing E/M, MRI, and
x-ray mensuration report to conclude an accurate diagnosis, prognosis, and treatment plan.
Common diagnosis requiring interprofessional collaboration with a discussion of diagnostic
dilemmas and proper communication methods. Academy of Chiropractic Post-Doctoral Division, Cleveland University-Kansas City, Long Island, NY, 2020 | | | | | Documentation in Medical Collaborative Cases, Concluding an E&M report in cases involving medical primary care providers of medical specialists that have complicated case histories, significant risk factors, and inconclusive findings. Triage and management of complicated cases requiring the clinical evaluation, advanced imaging and electrodiagnostics. Cleveland University Kasas City, Chiropractic and Health Sciences, Academy of Chiropractic, Long Island, NY, 2019 | | | | | MRI Spine Interpretation and Protocols, Contemporary acquisition protocols including slice thicknesses and sequences inclusive of the ordering process. Interpretation of axial, sagittal and coronal views in T1, T2 and stir views inclusive of the disc, spinal cord, extra-dural and intradural pathology. Cleveland University Kasas City, Chiropracitc and Health Sciences, Academy of Chiropractic, Long Island, NY, 2019 | | | | | Ethics and Medical Collaboration, Having referral relationships with emergency rooms, neurosurgeons, orthopedic surgeons, pain management specialists, neurologists, neuroradiologist and medical primary care providers based upon clinical dilemmas that processed after a thorough history, examination and imaging if clinically indicated to conclude diagnostic dilemmas. Utilizing evidence-based protocols and acquisition of images and treatment pathways, collaborating with medical specialists and primaries to conclude and accurate treatment plan. Cleveland University Kansas City, Chiropractic and Health Sciences, Academy of Chiropractic, Long Island, NY, 2019 | | | | | Documentation in a Medical-Legal and Insurances, Constructing and concluding an E&M (99202-99205) report that accurately reflects the history, clinical findings and management of trauma cases that concurrently meets the needs of both the carriers in the courts and ethical relationship that concurrently matches the standards of both contemporary academia requirements and a contemporary literature-based standard. Cleveland University Kansas City, Chiropractic and Health Sciences, Academy of Chiropractic, Long Island, NY, 2019 | | | | | Clinical Grand Rounds 1-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. Interprofessional communication both verbally and through proper evidence-based documentation. Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2019 | | | | | Clinical Grand Rounds 2-Biomechanical Pathology Secondary to Cervical Fusion, Case review of traumatically induced cervical and lumbar spine. Prior cervical fusion C4-7 with review of plain film radiographs, MRI studies and neurological evaluation. Biomechanical assessment revealed significant compensation in lumbar spine secondary to cervical disc herniation and grade 2 ligament injury above the prior fusion. Modic 2 changes on lumbar spine MRI. Care plan, interprofessional documentation and patient centered education. Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2019 | | | | | Clinical Grand Rounds 3-Traumatically Induced Biomechanical Patholgy with Secondary Underlying Multi-Level Cervical Intervertebral Disc Herniation, Case review of traumatically induced biomechanical pathology in the cervical spine 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 outlining correlation to radiologist report and electrodiagnostic findings. Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2019 | | | | | Cinical Grand Rounds 4-Interprofessional Management of Cervical Instability and Traumatic Brain Injury, Case review of traumatically induced cervical spine grade 2 ligament tear with associated underlying degenerative disc disease and traumatic brain injury. MRI review and discussion of axonal shearing findings on advanced imaging, evidenced based triage to neurology concussion clinic and documentation. Clinical correlation to pre-existing electrodiagnostic evidence. Surgical co-management of anatomical and biomechanical pathology with post-op follow up, focus on interprofessional communication. Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2019 | | | | | Clinical Grand Rounds 5-T11 Spinal Fracture, 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, NY, 2019 | | | | | Clinical Grand Rounds 6- 14mm Cervical Disc Herniation with Spinal Cord Compression, Case review of traumatically induced 14 mm acute cervical intervertebral 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, NY, 2019 | | | | | Clinical Grand Rounds 8-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 documentation was emphasized and discussed. Academy of Chiropractic, Post-Doctoral Division, Buffalo, NY, 2019 | | | | | Clinical Grand Rounds 9-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 pattern 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, NY, 2019 | | | | | Clinical Grand Rounds 10-Compensatory Lower Back Pain Due to T2 Biomechanical Pathology, case review of spinal biomechanical engineering study in the care plan of non-responsive lower back pain. Review of medical care plan, epidural steroid injections and past medical history. Patient centered approach to full spine assessment in non-responsive chronic lower back pain with associated primary spinal mechanical lesion identified in upper thoracic spine. Academy of Chiropractic, Post-Doctoral Division, Buffalo, NY, 2019 | | | | | Clinical Grand Rounds 11-Differentiating Pre-existing vs Causally Related Spinal Injury using MRI, case review of traumatic injury to the cervical spine with underlying pre-existing traumatic injuries. Physical examination, neurological and orthopedic testing was clinically correlated to mechanism of injury, plain film radiographs and MRI studies. Comparison of T1, T2 and STIR views were reviewed in relation to intervertebral disc bulge, intervertebral disc herniation, Modic 1, Modic and Modic 3 changes. Comparative review of causally related versus pre-existing changes was demonstrated. Academy of Chiropractic, Post-Doctoral Division, Buffalo, NY, 2019 | | | | | Clinical Ground Rounds 12-Traumatic Cervical Disc Herniation with Pre-existing Cervical Spinal Fusion, A case review of traumatically induced multi-level cervical 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 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, NY, 2019 | | | | | Clinical Ground Rounds 13-Clinical Diagnosis of Traumatically Induced Intervertebral Disc Injury versus Pre-Existing Disc Bulge in the Cervical Spine, Case review of pre-existing cervical spine
degenerative 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, NY, 2019 | | | | | Clinical Ground Rounds 14-Innervation Patterns and their Clinical Application of the Spinal Meninges and the Intervertebral Discs, A detailed review of spinal cord anatomy both in sagittal
and axial sections with particular attention being paid to the three covering layers. Analysis of
the structure, function and sensory innervation of the dura mater [aka the thecal sac], arachnoid
mater and pia mater. Discussion of the sensory innervation of health and degenerative
intervertebral discs was presented and outlined. Causality related to mechanism of injury,
physical examination presentation and analysis of bodily injury was presented. Academy of Chiropractic Post-Doctoral Division , Buffalo, NY, 2019 | | | | | Clinical Grand Rounds 15– Clinical Diagnosis and Management Traumatic Cervical Spine Injury with Pre-existing Fusion, A detailed review of physical examination and assessment of
traumatic cervical spine injury in a patient with a pre-existing spinal fusion at C3-C5.
Discussion of pre-existing disc bulges versus traumatically induced intervertebral disc
herniation was reviewed. Clinical correlation to prior history, current history, physical
examination findings, MRI T1, T2 and STIR images, dynamic flexion/extension radiographs were
provided. Definition and discussion of Alteration of Motion Segment Integrity (AOMSI) and its
correlation to mechanism of injury and sensory pain fiber test was presented. Academy of Chiropractic Post-Doctoral Division , Buffalo, NY, 2019 | | | | | Clinical Ground Rounds 16-Spinal Primary and Secondary Biomechanical Pathology, A case
review of objectification of spinal biomechanical pathology utilizing a Whole Organ Model of
the human spine. Discussion of adjacent region mechanical dysfunction and clinical diagnosis
utilizing sagittal and coronal plan data. Interprofessional communication 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, NY, 2019 | | | | | Clinical Grand Rounds 17-Clinical Diagnosis and Interprofessional Management of Thoracic and Lumbar Post-Traumatic Compression Fractures, A detailed review of physical examination and assessment of traumatic
thoracic and lumbar spine fractures using plain film radiograph and CT scans with and without
contrast. Detailed review of mechanism of injury, emergency department records and radiology
reports were presented. Errors in fracture site, description and omission on plain film study by
the radiologist were reviews. Analysis of potential spinal instability in the cervical spine was discussed and a detailed referral for computerized mensuration analysis was demonstrated. Academy of Chiropractic Post-Doctoral Division , Buffalo, NY, 2019 | | | | | Clinical Grand Rounds 18- Anatomical vs Mechanical Sources of Spine Pain in the Spine Pain Patient, case study
presentation outlining risk factors for increased injury susceptibility including prior surgical
fusion. Comparison between MRI and plain film radiographic objective data was outlined and
presented. Importance of interprofessional communication and review of prior medical records.
Analysis of spinal compression fracture and surgical hardware was outlined. Academy of Chiropractic Post-Doctoral Division , Buffalo, NY, 2019 | | | | | Clinical Grand Rounds 19- Morphological versus Etiological Description of Intervertebral Disc Pathology in the Human Spine, Case analysis outlining morphological descriptions of the human spine including desiccation, herniation,
extrusion and bulge. Outline and presentation of annulus fibrosis, nucleus pulposus and pain fiber
innervation of both healthy and degenerative intervertebral discs was presented. Analysis of injury
causation and its relation to MRI findings was detailed. MDR Consulting, Buffalo, NY, 2019 | | | | | Documenting Trauma and Non-Trauma Cases & Triaging Disc Pathology, Triage, care and collaboration for herniated, bulged, protruded, extruded and fragmented spinal discs. Compliant documentation of evaluation and management of new and established patients inclusive of chief complaint, history of present illness, review of systems, past-family-social histories with case management protocols and the required elements. Clinically coordinating treatment with subjective complaints, clinical findings and diagnosis for each encounter. Cleveland University-Kansas City Chiropractic and Health Sciences, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2018 | | | | | Evidenced Based Care in a Collaborative Setting; Primary Spine Care 5, a literature based model for collaborating with hospitals, medical primary care providers and specialists. Reviewing the documentation requirements to communicate the diagnosis, prognosis and treatment plans with medical entities and having the evidence as a basis for those recommendations. Academy of Chiropractic Post-Doctoral Division,, PACE Approved for the Federation of Chiropractic LIcensing Boards, Cleveland University-Kansas City and College of Chiropractic, Long Island, NY, 2018 | | | | | Current Literature Standards of MRI Spine Interpretation; Primary Spine Care 5, MRI Spine Interpretation of the spine. How to triage a trauma and non-trauma patient with advanced imaging and document the necessity. Covered the basics of MRI Spine Interpretation inclusive of all types of herniations and bulges. Academy of Chiropractic Post-Doctoral Division, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University- Kansas city and College of Chiropractic, Long Island, NY, 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 sequela. The role of chiropractic in preventing the loss of gray matter and the most recent evidence as outlined in indexed peer reviewed literature over the last 10 years verifying chiropractic's role. Academy of Chiropractic Post-Doctoral Division, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University- Kansas City, College of Chiropratic, Long Island, NY, 2018 | | | | | Bio-Neuro-Mechanical Mechanism of the Chiropractic Spinal Adjustment; Primary Spine Care 5, the biological, neurological, and mechanical mechanisms and pathways from the thrust to the lateral horn and brain connection and how the brain processes the chiropractic spinal adjustment based upon the literature. Care paths of chiropractic and physical therapy from an outcome basis. Academy of Chiropractic Post-Doctoral Division, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University- Kansas City, College of Chiropractic, Long Island, NY, 2018 | | | | | Documentation, Collaboration, and Primary Spine Care, An academic basis for documentation that is usual and customary across professions in collaborative care. Maintaining ethical medical-legal relationships based upon Voir-Dire and Duabert standards with ensuring a 4-corners inclusive report. Ensuring Primary Care Status based upon an academic standard. Cleveland University Kansas City, Chiropractic and Health Sciences, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2018 | | | | | Science of the Chiropractic Spinal Adjustment and Vertebral Subluxation, The literature-based definitions of both the mechanisms of the chiropractic adjustment and how it affects the central nervous system in pain pathways and systemic issues that is the arbiter for normal vs. abnormal function. The physiological mechanisms of how the chiropractic spinal adjustment affects the peripheral and central nervous systems. Subluxation degeneration/Wolff's Law was detailed from a literature perspective combined with the mechanism of subluxation (bio-neuro-mechanical lesion). A literature perspective why long-term chiropractic care is clinically indicated that is usual and customary to effectuate demonstrable biomechanical changes in the spine. An evidenced-based perspective of why physical therapy is a poor choice for spine as a 1st referral option for any provider inclusive of the literature. Cleveland University Kansas City, Chiropractic and Health Sciences, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2018 | | | | | Spinal Biomechanical Engineering Digitizing, Integrating automated mensuration into creating treatment plans and determining maximum medical improvement. A literature-based study of normal vs. abnormal motor unit function. Determining ligamentous laxity, alteration of motion segment integrity and pathological stress units and whole person impairments based upon the literature and academic standards. Cleveland University Kansas City, Chiropractic and Health Sciences, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2018 | | | | | 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 blocks for triaging in a collaborative environment. Cleveland University Kansas City, Chiropractic and Health Sciences, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 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, NY, 2018 | | | | | INterprofessional Reporting and Case Documentation, an 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, NY, 2018 | | | | | Triage and Management of the Trauma and Non-Trauma Patient, differentially diagnosing spinal issues in the trauma and non-trauma patient inclusive of spinal disc pathology utilizing x-ray, MRI, CAT Scan and clinical evaluations. Collaborative triaging protocols with neurologists, neurosurgeons, and 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 | | | | | Primary Spine Care Symposium – Medical-Legal Documentation, The contemporary documentation required in a medical-legal environment that is evidenced based and meets the standards of the courts and academia. Utilizing the scientific data to support a diagnosis, prognosis and treatment plan while meeting the admissibility standards based upon a professional’s credentials. Texas Chiropractic College Post-Doctoral Division, Academy of Chiropractic Post-Doctoral Division, Melville, NY, 2017 | | | | | Module 1- Stroke Anatomy and Physiology Part 1, Objective: To understand the anatomy and physiology of brain hemodynamics and stroke types: 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 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, NY, 2017 | | | | | Module 2- Stroke Anatomy and Physiology Part 2, Objective: To understand stroke types and etiologies both historical and historical risk factors: 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. 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, NY, 2017 | | | | | Module 3- Stroke Principles of Treatment an Overview for the Primary Care Provider, Objective: To understand stroke treatment and the role of the primary care provider in early detection and triage: 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. 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, NY, 2017 | | | | | Module 4- Clinical Evaluation & Protocols for Identifying Stroke Risk, Objective: To understand stroke/neurological evaluation and triage clinical guidelines: 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. 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, NY, 2017 | | | | | Primary Spine Care Symposium – Interprofessional Spine Care, Clinical analysis of anatomic versus biomechanical spine pain and clinical triage protocols, Relating current research trends in the Whole Spine Model of patient including normal versus abnormal sagittal curvature in the adolescent and adult spine, pelvic incidence as a parameter for sagittal balance in the human spine and current methods of assessment. Patient centered approach to Evidenced Based Spine care with a focus on diagnosis, prognosis and triage of the spine pain patient Texas Chiropractic College Post-Doctoral Division, Academy of Chiropractic Post-Doctoral Division, Melville, NY, 2017 | | | | | Primary Spine Care Symposium – Epidemiology of Spine Pain, Review of the current Centers for Disease Control (CDC) data on the frequency of musculoskeletal pain in the United States population with emphasis on pain of spinal origin. CDC guidelines on opioid medication were discussed and correlated to persistent pain syndromes. Research was reviewed showing the importance of managing the spine pain patient properly from the entry point of care with a concentration on maintenance of spinal biomechanics Texas Chiropractic College Post-Doctoral Division, Academy of Chiropractic Post-Doctoral Division, Melville, NY, 2017 | | | | | Primary Spine Care Symposium- Connective Tissue and Spinal Disc Pathology, The morphology and pathology of connective tissue, inclusive of spinal disc disorders and prognosticating wound repair with permanency implications. Disc bulge, herniation, protrusion and extrusion classifications based upon contemporary literature and how to age-date disc pathology Texas Chiropractic College Post-Doctoral Division, Academy of Chiropractic Post-Doctoral Division, Melville, NY, 2017 | | | | | Primary Spine Care Symposium – Physiology and Anatomy of Spinal Manual Adjusting, Understanding the role of mechanoreceptors, proprioceptors and nociceptors with facets, ligaments, tendons and muscles in aberrant spinal biomechanics. MRI and imaging studies of decompressing via a chiropractic spinal adjustment of the bio-neuro-mechanical lesion and its effects on the central nervous system both reflexively and supratentorally Texas Chiropractic College Post-Doctoral Division, Academy of Chiropractic Post-Doctoral Division, Melville, NY, 2017 | | | | | Module 5: Clinical Grand Rounds, Orthopedic Testing: Clinical Grand Rounds, how to integrate orthopedic testing in the clinical setting utilizing both simple and complex patient scenarios. It includes potential stroke, or vertebrobasilar insufficient patients and understanding the nuances in a clinical evaluation with orthopedic testing as a critical part of the evaluation and screening process. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017 | | | | | Module 4: Lumbar Spine, Orthopedic Testing: Lumbar Spine, Integration of lumbar orthopedic testing in the clinical setting to develop a differential diagnosis. Utilizing radiographic and advanced imaging inclusive of MRI and CAT scan findings to verify tissue pathology suspected by orthopedic testing conclusions and developing a treatment plan as sequelae. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017 | | | | | Module 3: Cervical Spine Part 2, Orthopedic Testing: Cervical Spine, Integration of cervical orthopedic testing in the clinical setting to develop a differential diagnosis. Utilizing radiographic and advanced imaging inclusive of MRI and CAT scan findings to verify tissue pathology suspected by orthopedic testing conclusions and developing a treatment plan as sequelae. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017 | | | | | Module 2: Cervical Spine Orthopedic Testing, Orthopedic Testing: Cervical Spine, Integration of cervical orthopedic testing in the clinical setting to develop a differential diagnosis. Utilizing radiographic and advanced imaging inclusive of MRI and CAT scan findings to verify tissue pathology suspected by orthopedic testing conclusions and developing a treatment plan as sequelae. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017 | | | | | Module 1: The Basics of Orthopedic Testing , Orthopedic Testing: Principles, Clinical Application and Triage, Integration of orthopedic testing in the clinical setting to develop a differential diagnosis. Utilizing radiographic and advanced imaging inclusive of MRI and CAT scan findings to verify tissue pathology suspected by orthopedic testing conclusions and developing a treatment plan as sequelae. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017 | | | | | 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 being 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 expertise in triaging the injured and coordinating collaborative care from the trauma through conclusion of rehabilitation. Academy of Chiropractic Post-Doctoral Division, Cleveland University- Kansas City, College of Chiropractic, Long Island, NY, 2017 | | | | | 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 sequela Texas Chiropractic College, Academy of Chiropractic, Melville , NY, 2017 | | | | | Contemporary Lieterature 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, NY, 2017 | | | | | Documentation of Spinal Trauma, Interdisciplinary approaches in documentation of spinal related injuries inclusive of connective tissue disorders and biomechanical failure. Clinically correlating history, imaging, advanced imaging and clinical findings to conclude an accurate diagnosis, prognosis and treatment plan Texas Chiropractic College, Academy of Chiropractic, Melville, NY, 2017 | | | | | Contemporary Literature of the Chiropractic Spinal Adjustment, The bio-neuro-mechanical scientific foundation of 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, NY, 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, NY, 2017 | | | | | Spinal Biomechanical Engineering Clinical Application, Creating treatment plans based upon predictive models in determining what is corrective vs. management of pathological biomechanical behavior PACE approved for the Federation of Chiropractic Licensure Boards, Melville, NY, 2017 | | | | | Understanding the Values and Ethics of Interprofessional Collaboration, Developing ethical Interprofessional relationships in a patient centered paradigm to ensure better outcomes while considering cultural and personal diversity needs of patients Accredidation Council on Continuing Medical Education (ACCME) in cooperation with Medscape, 2016 | | | | | Spinal Biomechanical Engineering: Full Spine Digital Analysis, Digitalizing and analyzing the full spine images to diagnose pathobiomechanics as sequellae to trauma in relation to ligamentous failure and disc and vertebral pathology as sequellae. This includes anterior and posterior vertebral body elements in 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. 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 | | | | | 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. 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 | | | | | Spinal Biomechanical Engineering: Cervical Digital Analysis, Digitizing and analyzing the cervical spine in neutral, flexion and extension views to diagnose pathobiomechanics. This includes alteration of motion segment integrity (AMOSI) in both angular and translational movement. Ligament instability/failure/pathology are identified all using numerical values and models. Review of case studies to analyze pathobiomechanics using a computerized/numerical algorithm. 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 | | | | | 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 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 | | | | | 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 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 | | | | | Spinal Biomechanical Engineering: Cartesian System, The Cartesian Coordinate System from the history to the application in the human body. Explanation of the x, y and z axes in both translation and rotations (thetas) and how they are applicable to human biomechanics 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 | | | | | Primary Spine Care – Hospital and Emergency Room Care, Identifying spinal lesions inclusive of cord and root lesion through examination and advanced imaging in creating an accurate diagnosis, prognosis and treatment plan to effectively triage in collaboration and coordination with medical specialists and emergency department physicians. Differentially diagnosing and triaging disc degenerative bulges, traumatic disc bulges, protrusion herniations, extrusion herniations and fragmented herniations along with managing traumatically induced pain as sequella to degenerative disc trauma. Texas Chiropractic College, Academy of Chiropractic, Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Melville, NY, 2016 | | | | | Primary Spine Care – MRI, Bone Edema and Degeneration, The effects of trauma on spinal vertebral segments and the short and long term sequelae to morphology. Identifying and diagnosing bone edema, spurring, types of degeneration in assessing biomechanical stability in conjunction with Modic and Pfeiffer changes. Texas Chiropractic College, Academy of Chiropractic, Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Melville, NY, 2016 | | | | | Primary Spine Care – Central Nervous System Processing of Pain and Physiology, Central neural pathways of pain and higher cortical responses to pain and the effect of high amplitude-low velocity forces on mechanoreceptors and proprioceptors. The effects of neuropeptides on the hypothalamus, pituitary and adrenal axis when treating patients. Texas Chiropractic College, Academy of Chiropractic, Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Melville, NY, 2016 | | | | | New Blood Biomarkers Useful for Concussion Diagnosis, The utilization of GFAP and UCH-l-1 in determining, traumatic brain injury, mild traumatic brain injury and mild-moderate traumatic brain injury as a triage tool to manage head trauma patients Accreditation Council on Continuing Medical Education (ACCME) in cooperation with Medscape, 2016 | | | | | 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 | | | | | Interprofessional Communication: How Can it Improve Healthcare? , The best practices in Interprofessional communication and optimizing the tools in clinical practice to benefit patient outcomes Accreditation Council on Continuing Medical Education (ACCME) in cooperation with Medscape, 2016 | | | | | Impairment Rating, The understanding and utilization of the protocols and parameters of the AMA Guide to the Evaluation of Permanent Impairment 6th Edition. Spine, neurological sequelae, migraine, sexual dysfunction, sleep and arousal disorders, station and gait disorders and consciousness are detailed for impairment rating. Herniated discs, radiculopathy, fracture, dislocation and functional loss are also detailed in relation to impairment ratings. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2016 | | | | | Head Trauma, Brain Injury and Concussion, Brain and head physiology, brain mapping and pathology as a sequella to trauma. Traumatic brain injury, mild traumatic brain injury, axonal shearing, diffuse axonal injury and concussion are detailed in etiology and clinically. Clinical presentation advanced diagnostic imaging and electrodiagnostics are detailed in analysis to create a differential diagnosis. Balance disorders that often occur as a result of trauma are also explored from clinical presentation to advanced imaging and differential diagnosis. Texas Chiropractic College, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2016 | | | | | Interprofessional Hospital Based Spine Care, Trends in hospital and emergent care in the healthcare delivery system inclusive of policies, hospital staffing and current care paths for mechanical spine issues Texas Chiropractic College, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2016 | | | | | 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 | | | | | 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 | | | | | 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, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2016 | | | | | 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, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2016 | | | | | 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 | | | | | 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 | | | | | Hospital Based Spine Care Qualified, , Credentialed in hospital protocols, emergency room protocols, acute and chronic patient triage inclusive of MRI spine interpretation, spinal biomechanical engineering, head trauma, concussion, mild traumatic and traumatic brain injuries co-credentialed through the ACCME (Accreditation Council for Continuing Medical Education) Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Texas Chiropractic College and PACE Recognized by the Federation of Chiropractic Licensure Boards and the Academy of Chiropractic, Long Island, NY, 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, Accredidation Council on Continuing Medical Education (ACCME) in cooperation with Medscape, 2016 | | | | | Spinal Biomechanical Engineering: Cervical Pathobiomechanics, Spinal biomechanical engineering of the cervical and upper thoracic spine. This includes the normal and pathobiomechanical movement of both the anterior and posterior motor units and normal function and relationship of the intrinsic musculature to those motor units. Nomenclature in reporting normal and pathobiomechanical findings of the spine. 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 | | | | | 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, ocular and proprioceptive neurological integration in the righting reflex as evidenced in imaging. Digital and numerical algorithm in analyzing a spine. Texas Chirporactic College, ACCME Joing Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Post Doctoral Division, Buffalo, NY, 2016 | | | | | Documentation and Evidence in a Medical-Legal Practice, The role of scientific research conclusions with contemporary documentation to effectively support the necessity for clinically indicated care. The role of timely evaluations and re-evaluations in coordinating care inclusive of history, physical and evaluation report and concludes with the correlation of the SOAP note and HCFA that correlates the conclusion of the evolutionary findings. Coordinating research and clinical findings with primary care providers and medical specialists in the rehabilitation process inclusive of insurance requirements and contemporary MRI research nomenclature. Academy of Chiropractic Post-Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards , Boca Raton, FL, 2015 | | | | | Contemporary Literature Review of the Chiropractic Adjusting Mechanisms- Primary Spine Care, The latest scientific evidence of the effects of the chiropractic spinal adjustment on the central nervous system, both upper and lower motor neurons. A comparative analysis of chiropractic vs. other modalities and therapies. Academy of Chiropractic, PACE approved for the Federation of Chiropractic Licensing boards, Texas Chiropractic College, La Vegas, NV, 2015 | | | | | Evidenced Based Interprofessional Collaboration- Primary Spine Care, Chiropractic as Primary spine care based upon the literature conclusions and the documentation requirements to support those conclusions in an ethical collaborative environment inclusive of hospitals, emergency rooms, primary care medical doctors and medical specialists. Academy of Chiropractic, PACE approved for the Federation of Chiropractic Licensing boards, Texas Chiropractic College, Las Vegas, NV, 2015 | | | | | MRI Spine Interpretation and Spinal Biomechanical Engineering-Primary Spine Care, Correlating spinal biomechanics secondary to trauma and MRI findings inclusive of herniation, bulging, protruded and extruded discs. Correlating co-efficient of forces translated form the bullet vehicle to the target vehicle to the occupant in determining causality of bodily injury. Academy of Chiropractic, PACE approved for the Federation of Chiropractic Licensing boards, Texas Chiropractic College, Las Vegas, NV, 2015 | | | | | The Advanced Seminar in Documentation for the Healthcare Provider, Essential health benefit guidelines and the documentation of restorative medically necessary care verses non-medically necessary care, identifying the importance of reporting code assignment and the subsequent reimbursement impact, pre-existing conditions verses acute health care issues verses chronic exacerbations and the documentations of the same, accurate diagnosis application utilizing ICD-10, CPT and HCPCS, subsequent impact of appropriate code assignment, paradigm of medically necessary care, Medicare and establishing medical necessity, Physician Quality Reporting Service (PQRS) and all measures required for documentation, guidelines of medically necessary care, case management evaluation and documentation. H.J. Ross Company, Los Angeles, CA , 2014 | | | | | California Workers’ Compensation Seminar 2014, Workers compensation laws and regulations for chiropractors in 2014, chiropractors’ roles in workers compensation, new fee schedule (RBRVS) and codes for services after January 1, 2014, reporting requirements including new “request for authorization”, understanding medical treatment utilization schedule (MTUS) and obtaining authorization for care, evidence-based treatment protocols (ACOEM), independent medical review protocols and how to prepare for an IMR, updated QME regulations, provider rights and recourse in California workers compensation system. H.J. Ross Company, San Diego, CA, 2014 | | | | | ProSport Chiropractic Hands-On Workshop, Whiplash imaging, trauma to the cervical spine, the principles of chronic pain management, the universal principles of brain degeneration, brain health and disease prevention protocol, functional shoulder and sacroiliac evaluation and care, balance alignment & motion protocols for rehab, performance & active aging, key strategies for better rehab (chiropractic & rehab), diagnosis, documentation and risk management protection, advanced spinal and extremity manipulation. ProSport Chiropractic, Logan College of Chiropractic, Las Vegas, NV, 2013 | | | | | Spinal Biomechanical Engineering Principles and Application, Integrating spinal biomechanics and pathobiomechanics through digitized analysis. The comparison of organized versus disorganized compensation with regional and global compensation. Advanced analysis and integration of pathobiomechanics as sequela to trauma in clinical practice and documentation. Academy of Chiropractic Post-Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Las Vegas, NV, 2013 | | | | | Evidenced Based Practice, Integrating indexed peer reviewed research as evidence into clinical practice related to trauma and the creation of a diagnosis, prognosis and treatment plan. Academy of Chiropractic Post-Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Las Vegas, NV, 2013 | | | | | Integrating Clincial Findings in Admissible Documentation, Combining clinical, radiographic, electrodiagnostic and MRI findings to conclude a diagnosis and reporting accurately through admissible documentation. Diagnosis includes head, spine and disc pathology as sequela to trauma. Academy of Chiropractic Post-Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Las Vegas , NV, 2013 | | | | | Accident Reconstruction: Terms, Concepts and Definitions, The forces in physics that prevail in accidents to cause bodily injury. Quantifying the force coefficients of vehicle mass and force vectors that can be translated to the occupant and subsequently cause serious injury. Academy of Chiropractic Post-Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Las Vegas, NV, 2013 | | | | | Accident Reconstruction: Causality, Bodily Injury, Negative Acceleration Forces, Crumple Zones, and Critical Documentation, Factors that cause negative acceleration to zero and the subsequent forces created for the vehicle that get translated to the occupant. Understanding critical documentation of hospitals, ambulance reports, doctors and legal profession in reconstructing and accident. Academy of Chiropractic Post-Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Long Island, NY, 2013 | | | | | Accident Reconstruction: Skid Marks, Time, Distance, Velocity, Speed Formulas and Road Surfaces, The mathematical calculations necessary utilizing time, distance, speed, coefficients of friction and acceleration in reconstructing an accident. The application of the critical documentation acquired from and accident site. Academy of Chiropractic Post-Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Baords, Long Island, NY, 2013 | | | | | Accident Reconstruction: Research, Causality and Bodily Injury, Delta V issues correlated to injury and mortality, side impact crashes and severity of injuries, event data recorder reports correlated to injury, frontal impact kinematics, crash injury metrics with many variables and inquires related to head restraints. Academy of Chiropractic Post-Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Long Island, NY, 2013 | | | | | Spinal Biomechanical Engineering, Differential diagnosis of pathobiomechanics in the cervical, thoracic and lumbar spine as sequelae to micro and macro trauma and chronic biomechanical instabilities. Understanding the clinical implication of long term biomechanical failure in resultant disc pathology, ligament pathology and osseous pathology. Academy of Chiropractic Post-Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Boca Raton, FL, 2013 | | | | | MRI Spine Interpretation, Bulge, herniated, protruded, extruded, sequestered discs, differential diagnosis and clinical triage implications. MRI physics and slice protocols. Academy of Chiropractic Post-Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Boca Raton, FL, 2013 | | | | | MRI History and Physics, Magnetic fields, T1 and T2 relaxations, nuclear spins, phase encoding, spin echo, T1 and T2 contrast, magnetic properties of metals and the historical perspective of the creation of NMR and MRI. New Jersey State Board of Chiropractic Examiners, AACME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences and CMCS Post Doctoral Division, Buffalo, NY, 2012 | | | | | 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. New Jersey State Board of Chiropractic Examiners, AACME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences and CMCS Pos-Doctoral Division, Buffalo, NY, 2012 | | | | | MRI Disc Pathology and Spinal Stenosis, MRI interpretation of bulged, herniated, protruded, extruded, sequestered and fragmented disc pathologies in etiology and neurological sequelae in relationship to spinal cord and spinal nerve roots. New Jersey State Board of Chiropractic Examiners, AACME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Science and CMCS Post-Doctoral Division, Buffalo, NY, 2012 | | | | | MRI Spinal Pathology, MRI interpretation of bone, intradural, extradural, cord and neural sleeve lesions. Tuberculosis, drop lesions, metastasis, ependymoma, schwannoma and numerous other spinal related tumors and lesions. New Jersey State Board of Chiropractic Examiners, AACME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences and CMCS Post-Doctoral Division, Buffalo, NY, 2012 | | | | | 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. New Jersey State Board of Chiropractic Examiners, AACME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences and CMCS Post-Doctoral Division, Buffalo, NY, 2012 | | | | | MRI Clinical Application, The clinical application of results of space occupying lesions. Disc and tumor pathologies and the clinical indications of manual and adjustive therapies in the patient with spinal nerve root and spinal cord insult as sequelae. New Jersey State Board of Chiropractic Examiners, AACME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences and CMCS Post-Doctoral Division, Buffalo, NY, 2012 | | | | | 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. New Jersey State Board of Chiropractic Examiners, Academy of Chiropractic Post-Doctoral Division, Long Island , NY, 2012 | | | | | Diagnostics, Risk Factors, Clinical Presentation and Triaging the Trauma Patient, An extensive understanding of the injured with clinically coordinating the history, physical findings and when to integrate neurodiagnostics. An understanding on how to utilize emergency room records in creating an accurate diagnosis and the significance of "risk factors" in spinal injury. New Jersey State Board of Chiropractic Examiners, Academy of Chiropractic Post-Doctoral Division, Long Island , NY, 2012 | | | | | Crash Dynamics and Its Relationship to Causality, An extensive understanding of the physics involved in the transference of energy from the bullet car to the target car. This includes G's of force, newtons, gravity, energy, skid marks, crumple zones, spring factors, event data recorder and the graphing of the movement of the vehicle before, during and after the crash. Determining the clinical correlation of forces and bodily injury. New Jersey State Board of Chiropractic Examiners, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2012 | | | | | MRI, Bone Scan and X-Ray Protocols, Physiolgy 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. New Jersey State Board of Chiropractic Examiners, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2012 | | | | | Neurodiagnostic Testing Protocols, Physiology and Indications for the Trauma Patient, Electromyography (EMG), Nerve Conduction Velocity (NCV), Somato Sensory Evoked Potential (SSEP), Visual Evoked Potential (VEP), Brain Stem Auditory Evoked Potential (BAER) and Visual-Electronystagmosgraphy (V-ENG) interpretation, protocols and clinical indications for the trauma patient. New Jersey State Board of Chiropractic Examiners, Academy of Chiropractic Post-Doctoral Division, Long Island , NY, 2012 | | | | | Documention 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. New Jersey State Board of Chiropractic Examiners, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2012 | | | | | Documenting Clinically Correlated Bodily Injury to Causality, Understanding the necessity for accurate documentation, diagnosis and clinical correlation to the injury when reporting injuries in the medical-legal community. Documenting the kinesiopathology, myopathology, neuropathology, and pathophysiology in both a functional and structural paradigm. New Jersey State Board of Chiropractic Examiners, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2012 | | | | | Credentials and Clinically Correlating Causality, The significance of documentation and credential in the personal injury field with a focus on clinically correlating causality, bodily injury and persistent functional loss as sequelae. Academy of Chiropractic Post-Doctoral Division, New York Chiropractic Counsel, New York State Department of Education, Board for Chiropractic, Long Island, NY, 2011 | | | | | 20th Annual Hands-On Workshop, Chiropractic management of concussion, radiology of trauma, functional and kinetic treatment with rehab, provocation and motion (FAKTR), exercise, toxin, free redicals and detoxification strategies, upper extremity and lower extremity adjusting, cold laser training in a performance driven clinical practice, and Kinesio taping method - intermediate and advanced techniques. ProSport Chiropractic, Logan College of Chiropractic, Las Vegas, NV, 2011 | | | | | Current X-Ray Procedures and Ethics in Chiropractic Today, X-Ray + technique, ethics laws & education, x-ray, technique and CPR. Academy of Chiropractic, Long Beach, CA, 2011 | | | | | Whiplash and Trauma Patient Care: Documentation, Accurate diagnosing and treatment. Recognizing spinal trauma that needs an MD referral, brain concussions, pain patterns, ligament injuries and narrative report writing. Huntington Beach Trauma Institute, Anaheim, CA, 2010 | | | | | 18th Annual Hands-On Workshop, Advanced 3LT (Low Level Laser Therapy/Cold Laser) for extremities and rehabilitation using the Erchonia Laser, sports injuries and the injured athlete, and MRI interpretation. ProSport Chiropractic, Logan College of Chiropractic, Las Vegas, NV, 2009 | | | | | 17th Annual Hands-On Workshop, Spondylolysis and spondylolisthesis, sports chiropractic working with the NFL, low back stabilization, advanced extremity techniques, developing, testing and implementing a testing program for high school or collegiate athletic programs, and anti-aging and prevention through chiropractic care. ProSport Chiropractic, Logan College of Chiropractic, Las Vegas, NV, 2008 | | | | | Spine MRI: Cervical and Lumbar Technique, Spinal disc pathology diagnostic imagining and management. Golf injuries and functional assessment of the lower extremity. Laser therapy of the knee. ProSport Chiropractic, Logan College of Chiropractic, Las Vegas, NV, 2007 | | | | | Chiropractic Sports Medicine Workshop, Sports nutrition, spinal decompression, proliferative therapy, postural trauma and lumbar disc management. ProSport Chiropractic, Logan College of Chiropractic, Las Vegas, NV, 2006 | | | | | Chiropractic Sports Medicine Workshop, Sports nutrition, MRI imaging of the spine, endurance athletes, wrist injuries, spinal adjusting, and emergency procedures. ProSport Chiropractic, Logan College of Chiropractic, Las Vegas, NV, 2005 | | | | | Applied Neurology and Nutrition, Laser physiology, research and treatment protocols with the Erchonia cold laser. ProSport Chiropractic, Logan College of Chiropractic, Santa Clara, CA, 2005 | | | | | Chiropractic Sports Medicine Workshop, Spinal rehabilitation, health and illness, lower extremity adjusting, foot, ankle and knee injuries, and arm pain and treatment. ProSport Chiropractic, Logan College of Chiropractic, Las Vegas, NV, 2004 | | | | | Chiropractic Sports Medicine Workshop, Advanced therapies and treatment for athletes. ProSport Chiropractic, Logan College of Chiropractic, Las Vegas , NV, 2003 | | | | | Chiropractic Sports Medicine Workshop, Research and the injured athlete. ProSport Chiropractic, Logan College of Chiropractic, Las Vegas, NV, 2002 | | | | | Chiropractic Sports Medicine Workshop, Sports medicine evaluation and treatment with emphasis on x-ray. ProSport Chiropractic, Logan College of Chiropractic, Las Vegas , NV, 2001 | | | | | Chiropractic Sports Medicine Workshop, Rehabilitation of the injured athlete ProSport Chiropractic, Logan College of Chiropractic, Las Vegas, NV, 2000 | | | | | Chiropractic Sports Medicine Workshop, Treating sports injuries with a multidisciplinary approach and the latest research. ProSport Chiropractic, Logan College of Chiropractic, Las Vegas, NV, 1999 | | | | | Chiropractic Sports Medicine Workshop, A multidisciplinary workshop specializing on athletic injuries. ProSport Chiropractic, Logan College of Chiropractic, Las Vegas, NV, 1998 | | | | | Active Release Techniques (A.R.T.), Soft tissue management system for the upper extremity. University of California San Diego School of Medicine, San Diego, CA, 1998 | | | | | Chiropractic Sports Medicine Workshop, Multi-disciplinary workshop that specialized in treatment of the lumbar spine and the athlete. ProSport Chiropractic, Logan College of Chiropractic, Las Vegas, NV, 1997 | | | | | Chiropractic Sports Science Symposium, Multi-disciplinary workshop with orthopedic surgeons, researchers, nutritionists, athletic trainers as well as sports-medicine chiropractors. American Chiropractic Board of Sports Physicians, Los Angeles College of Chiropractic, Los Angeles, CA, 1997 | | | | | Chiropractic Sports Medicine Pro Rodeo Workshop, Low back injury management with emphasis on pro athletes. Wrangler Sports Chiropractic, Logan College of Chiropractic, Las Vegas, NV, 1996 | | | | | Integration of Chiropractic and Medical into a Hospital Environment, Bringing the chiropractic doctor into a hospital environment and integrating chiropractic care with hospital procedures. Chiromed Conference, Logan College of Chiropractic, Salt Lake City, UT, 1996 | | | | | Chiropractic Sports Medicine Pro Rodeo Workshop, Emphasis on knee management of pro athletes. Wrangler Sports Chiropractic, Logan College of Chiropractic, Las Vegas, NV, 1995 | | | | | Chiropractic Sports Medicine Conference Knee Injuries and Treatment, Chiropractic care of the injured athlete with emphasis on knee injury diagnosis, rehabilitation and treatment. Wrangler Sports Chiropractic, Logan College of Chiropractic, Thousand Oaks, CA, 1995 | | | | | Genesis Conference, Chiropractic organization and treatment protocols. Chiromed, Logan College of Chiropractic, Salt Lake City, UT, 1995 | | | | | Chiropractic Sports Medicine Pro Rodeo Workshop, Shoulder injuries and treatment. Wrangler Sports Chiropractic, Logan College of Chiropractic, Las Vegas, NV, 1994 | | | | | Chiropractic Sports Medicine Pro Workshop, Spine management. Wrangler Sports Chiropractic, Logan College of Chiropractic, Las Vegas , NV, 1993 | | | | | International Chiropractic Association 3rd National Conference on Chiropractic and Pediatrics, Chiropractic care as it pertains to pediatrics with diagnosis, treatment, and referral protocols. International Chiropractic Association, West Palm Beach, FL, 1993 | | | | | Chiropractic Sports Science Symposium, Athletic injuries to lumbar, thoracic and cervical spine regarding imaging, diagnosis, treatment and return to play standards. Los Angeles College of Chiropractic, Santa Barbara, CA, 1993 | | | | | Diplomate, Board Eligible, Diplomate of the American Board of Chiropractic Sports Physicians (DABCSP), Los Angeles College of Chiropractic, Whittier, CA, 1992 | | | | | Chiropractic Sports Science Symposium, Care of the injured athlete while on the field with emergency protocols reviewed. Los Angeles College of Chiropractic, San Diego, CA, 1991 | | | | | Certification in Board Certified, Chiropractic Sports Physician (CCSP), Los Angeles College Of Chiropractic, Whittier, CA, 1991 | | | | | Certification in Certified Independent Disability Examiner (IDE), International Chiropractic Association of California, Costa Mesa, CA, 1991 | | | |
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