Steve Lininger DC, CICE
8214 Centreville rd., Manassas, VA, 20111
Phone: 703-396-7770
Cell: 703-314-8224
Fax: 703-396-7008
slininger123@gmail.com
http://www.mychiropractor-manassas.com

 

 

SELECTED OCCUPATIONAL HISTORY

Clinic Director, Chiropractor, Manassas Chiropractic and Rehab, Manassas, Virginia, 2003 - Present

EDUCATION AND LICENSURE

Board Certified Independent Chiropractic Examiner, American Board of Independent Medical Examiners 2017-Present

Trauma Team Member, Academy of Chiropractic, Cleveland University-Kansas City, Chiropractic and Health Sciences, Long Island NY, 2018-present.

Fellowship Candidate:  Spinal Biomechanics and Trauma, 2018-2020, State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, and Clevland College of Chiropractic

Doctor of Chiropractic, Licensed in the State of Maryland, License # S03823, 2014-Present

Doctor of Chiropractic, Licensed in the State of Virginia, License # 0104556227, 2003-Present

Doctorate of Chiropractic, Logan University, Chesterfield, MO, 2003

Internship, Logan Health Center, Kirkwood, Missouri, 2002 - 2003

National Board of Chiropractic Examiners, Part I, 2001

National Board of Chiropractic Examiners, Part II, 2001

National Board of Chiropractic Examiners, Part III, 2002

National Board of Chiropractic Examiners, Part IV, 2002

National Board of Chiropractic Examiners, Physiotherapy, 2002

Bachelor of Science in Human Biology, Logan University, Chesterfield, Missouri, 2002

Bachelor of Arts in Psychology, University of Missouri - Columbia, Columbia, Missouri, 1997

 

SELECTED POST-GRADUATE EDUCATION, CERTIFICATIONS AND DIPLOMATES

Electrodiagnostics: Electromyogram/Nerve Conduction Velocity (EMG/NCV), Diagnosis & Interpretation: Anatomy and Physiology of Electrodiagnostics: An in-depth review of basic neuro-anatomy and physiology dermatomes and myotomes to both the upper and lower extremities and the neurophysiology of axons and dendrites along with the myelin and function of saltatory for conduction. The sodium and potassium pump's function in action potentials. PACE Approved for the Federation of Chiropractic Licensing Board,Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2021

Electrodiagnostics: Electromyogram/Nerve Conduction Velocity (EMG/NCV), Diagnosis & Interpretation: Nerve Conduction Velocity (NCV) Part 1: Nerve conduction velocity testing, the equipment required and the specifics of motor and sensory testing. This section covers the motor and sensory NCV procedures and interpretation including latency, amplitude (CMAP) physiology and interpretation including the understanding of the various nuances of the wave forms. PACE Approved for the Federation of Chiropractic Licensing Board,Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2021

Electrodiagnostics: Electromyogram/Nerve Conduction Velocity (EMG/NCV), Diagnosis & Interpretation: Nerve Conduction Velocity (NCV) Part 2: Compound motor action potentials (CMAP) and sensory nerve action potentials (SNAP) testing and interpretation including the analysis and diagnosis of the wave forms. It also covers compressive neuropathies of the median, ulnar and posterior tibial nerves; known as carpal tunnel, cubital tunnel and tarsal tunnel syndromes. This section offers interpretation algorithms to help understand the neurodiagnostic conclusions. PACE Approved for the Federation of Chiropractic Licensing Board,Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2021

Electrodiagnostics: Electromyogram/Nerve Conduction Velocity (EMG/NCV), Diagnosis & Interpretation: Needle Electromyogram (EMG) Studies: The EMG process, inclusive of how the test is performed and the steps required in planning and electromyographic study. This covers the spontaneous activity of a motor unit action potential, positive sharp waves and fibrillations. The insertional activity (both normal and abnormal), recruitment activity in a broad polyphasic presentation and satellite potentials. This covers the diagnosing of patterns of motor unit abnormalities including neuropathic demyelinated neuropathies along with acute myopathic neuropathies. This section also covers the ruling out of false positive and false negative results. PACE Approved for the Federation of Chiropractic Licensing Board,Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2021

Electrodiagnostics: Electromyogram/Nerve Conduction Velocity (EMG/NCV), Diagnosis & Interpretation: Overview of EMG and NCV Procedures, Results, Diagnoses and Documentation. The clinical incorporation of electrodiagnostic studies as part of a care plan where neuropathology is suspected. It also covers how to use electrodiagnostics in a collaborative environment between the chiropractor as the primary spine care provider and the surgeon, when clinically indicated. This section covers sample cases and health conclude and accurate treatment plans based upon electro-neurodiagnostic findings when clinically indicated. PACE Approved for the Federation of Chiropractic Licensing Board,Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2021

Trends in Spinal Healthcare, Analyzing spinal healthcare trends in both utilization and necessity and understanding the marketplace and how a level of clinical excellence is reflected in a doctors' documentation and credentials. Treatment pathways in triaging spinal pathobiomechanics. Academy of Chiropractic Post-Doctoral Division, PACE Approved for the Federation of Chiropractic Licensing Boards, 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, PACE Approved for the Federation of Chiropractic Licensing Boards, 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, PACE Approved for the Federation of Chiropractic Licensing Boards, 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, PACE Approved for the Federation of Chiropractic Licensing Boards, 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, PACE Approved for the Federation of Chiropractic Licensing Boards, 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, PACE Approved for the Federation of Chiropractic Licensing Boards, 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, PACE Approved for the Federation of Chiropractic Licensing Boards, 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, PACE Approved for the Federation of Chiropractic Licensing Boards, Long Island, NY, 2020

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

Evaluation and Management, An overview of the evaluation and management process inclusive of utilizing electronic medical records to conclude evidence-based conclusions with the utilization of macros.  The importance of adhering to an academic standard and considering co-morbidities.  Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 12/02/19

Evaluation and Management, Concluding a chief complaint, history and what needs to be considered in a physical examination.  This covers in dept the required elements for chief complaint, history of present illness, review of systems, and past, family, and/or social history.  This module also covers the following components of a physical examination: observation, palpation, percussion, and auscultation.  Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY 12/02/19

Evaluation and Management, Coding and Spinal Examination:  Detailing 99202-99205 and 99212-99215 inclusive of required elements for compliant billing.  It reviews the elements for an extensive review of systems, cervical and lumbar anatomy and basic testing.  The course also covers the basics of vertebra-basilar circulation orthopedic assessment.  Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY 12/02/19

Evaluation and Management, Neurological Evaluation:  Reviewing complete motor and sensory evaluation inclusive of reflex arcs with an explanation of Wexler Scales in both the upper and lower extremities.  The course breaks down testing for upper and lower motor neuron lesions along with upper and lower extremity motor and sensory testing examinations.  Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY 12/02/19

Evaluation and Management, Forensically detailing the S.O.A.P. note process for visit encounters and discussing the necessity for clinically correlating symptoms, clinical findings and diagnosis with the area(s) treated.  It also details how to modify treatment plans, diagnosis, document collaborative care and introduce test findings between evaluations.  Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 12/02/19

Evaluation and Management, Case Management and Treatment Orders:  This module discusses how to document a clinically determined treatment plan inclusive of both manual and adjunctive therapies.  It discusses how to document both short-term and long-term goals as well as referring out for collaborative care and/or diagnostic testing.  It also includes how to prognose your patient and determine when MMI (Maximum Medical Improvement) has been attained.  Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 12/02/19

Trends in Spinal Treatment, Migration of spinal care for mechanical spine issues from hospitals and medical specialists to trauma qualified chiropractors based upon published outcomes. Utilizing imaging studies in spinal biomechanics, pain models and clinical outcomes to determine a conclusive diagnosis, prognosis and treatment plan for triaging in a collaborative environment.  PACE approved fo the Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2019

Neurology of Spinal Biomechanics, Understanding the normal of spinal biomechanics and the neurotransmitters required for homeostasis. The interconnected role of Pacinian Corpuscles, Ruffini Corpuscles, Golgi Organ Receptors, Nociceptors, Proprioreceptors and Mechancoreceptors in maintaining sagittal and axial alignment in the presence of mechanical pathology. PACE approved fo the Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2019

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

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

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

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

Medical-Legal Ethical Relationships, Documentation and Legal Testimony, Report writing for legal cases, the 4 corners of a narrative and documenting damages with understanding defense medical documentation and consistent reporting of bodily injuries. PACE Approved for the Federation of Chiropractic Licensing Board, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2019

Medical-Legal Ethical Relationships, Documentation and Legal Testimony, Part 2, Understanding report writing and the types of medical reports required for court inclusive of diagnosis, prognosis and treatment plans with requirements of reporting causality and permanency. PACE Approved for the Federation of Chiropractic Licensing Board, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2019

Medical-Legal Ethical Relationships, Documentation and Direct Testimony, Organizing your documentation and understanding all collaborative documentation and how it fits into your diagnosis, prognosis and treatment plan, Understanding the nuances of the functional losses of your patients related to their bodily injuries. PACE Approved for the Federation of Chiropractic Licensing Board, Academy of Chiropractic Post-Doctoral Division,, Long Island, NY, 2019

Medical-Legal Ethical Relationships, Documentation and Direct Testimony Part 2, Utilizing demonstrative documentation in direct examination and communicating the results of your care concurrently with the written documentation and reporting an accurate diagnosis for all images. PACE Approved for the Federation of Chiropractic Licensing Board, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2019

Medical-Legal Ethical Relationships, Documentation and Direct Testimony Part 3, The evaluation, interpretation and reporting of collaborative medical specialists results and concluding an accurate diagnosis inclusive of all findings and reviewing all images to ensure an accurate diagnosis. PACE Approved for the Federation of Chiropractic Licensing Board, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2019

Medical-Legal Ethical Relationships, Documentation and Direct Testimony Part 4, Determining and documenting disabilities and impairments inclusive of loss of enjoyment of life and duties under duress and the evaluation and validation of pain and suffering. PACE Approved for the Federation of Chiropractic Licensing Board, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2019

Medical-Legal Ethical Relationships, Documentation and Cross Examination Testimony, Reporting your documentation factually and staying within the 4 corners of your medical report and scope of practice inclusive of understanding how your credentials allow you to report your documentation. PACE Approved for the Federation of Chiropractic Licensing Board, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2019

Medical-Legal Ethical Relationships, A Documentation Relationship Between the Doctor and Lawyer, The level of organization required in a medical-legal case that accurately reflects the bodily injuries of your patients and the time constraints in rendering an accurate report. PACE Approved for the Federation of Chiropractic Licensing Board, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2019

Medical-Legal Ethical Relationships, Report Writing and Preparing for a Legal Case, Reviewing the facts of the case inclusive of your documentation, the defense medical examiner, medical specialists and the attorney to ensure accurate and consistent reporting. PACE Approved for the Federation of Chiropractic Licensing Board, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2019

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

Primary Spine Care Qualified, This qualification includes graduate chiropractic education in healthy and traumatically altered spinal morphology inclusive of osseous, connective tissue and neurological structure, function and pathology. This certifies you are qualified in assessing predictive models in spinal biomechanics and devising engineering paradigms for treatment plans to maximize spinal homeostasis in an evidenced based conclusion. In addition, this qualification acknowledges your expertise in triaging the injured and coordinating collaborative care from the trauma through conclusion of rehabilitation, Academy of Chiropractic Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island NY, 2019

Certification in CPR, Basic Life Support, AED and CPR, American Heart Association, Silver Spring Maryland, 2018

Connective Tissue Pathology, Spinal Biomechanics as Sequella to Trauma, MRI Spine Interpretation, Ordering Protocols & Triaging the Injure, The latest research on the 6 ways to age-date disc herniations and bulges from trauma inclusive of disc pathology nomenclature. MRI ordering protocols, inclusive of Dixon format and fat-suppressed images. The neurology and pathology of connective tissue and the sequella of trauma at the biomechanical level leading to bio-neuro-mechanical failure. Contemporary "evidenced-based building blocks" for triaging and in a collaborative environment. PACE Approved for the Federation of Chiropractic Licensing Board, Cleveland University Kansas City, Chiropractic and Health Sciences, Academy of Chiropractic Post-Doctoral Division, Long Island NY, 2018

Spinal Biomechanical Engineering Digitizing, integrating automated mensuration into creating treatment plans and determining maximum medical improvement. A literature-based study of normal vs. abnormal motor until function. Determining ligamentous laxity, alteration of motion segment integrity and pathological stress units and whole person impairments based upon the literature and academic standards, PACE Approved for the Federation of Chiropractic Licensing Board, Cleveland University Kansas City, Chiropractic and Health Sciences, Academy of Chiropractic Post-Doctoral Division, Long Island NY, 2018

Science of the Chiropractic Spinal Adjustment and Vertebral Subluxation, The literature-based definitions of both the mechanisms the chiropractic adjustment and how it affects the central nervous system in pain pathways and systemic issues that is the arbiter for normal vs. abnormal function. The "physiological mechanisms" of how the chiropractic spinal adjustment affects the peripheral and central nervous systems. Subluxation degeneration/Wolff's Law will be detailed from a literature perspective combined with the mechanism of subluxation (bio-neuro-mechanical lesion). A literature perspective why "long-term" chiropractic care is clinically indicated as usual and customary to effectuate demonstrable biomechanical changes in the spine. An evidenced-based perspective of why physical therapy is a poor choice for spine as a 1st referral option for any provider inclusive of the literature. PACE Approved for the Federation of Chiropractic Licensing Board, Cleveland University Kansas City, Chiropractic and Health Sciences, Academy of Chiropractic Post-Doctoral Division, Long Island NY, 2018

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

Neuroradiology Mini-Fellowship, MRI Spine Interpretation, Robert Peyster MD, Neuroradiologist, Professor of Radiology and Neurology, Chief Division of Neuroradiology, State University of New York at Stony Brook, School of Medicine, Federation of Chiropractic Licensing Boards, Stony Brook NY, 2013Neuroradiology Mini-Fellowship, MRI Spine Interpretation, Robert Peyster MD, Neuroradiologist, Professor of Radiology and Neurology, Chief Division of Neuroradiology, State University of New York at Stony Brook, School of Medicine, Federation of Chiropractic Licensing Boards, Stony Brook NY, 2018

Neuroradiology Mini-Fellowship in MRI Spine: Advanced MRI spine interpretation of patholgy inclusive of intradural and epi-dural space occupying lesions (tumors, varicies, herniations, bulges) and disc pathology encmpassing herniation variations of protrusions, extrusions (comminuted-migrated-sequestered). Utilizing MRI as a definitive triage tool in the diagnosis, prognosis and treatment plan for spinal related patients for both mechanical and anatomoical pathologies and managing the patient in a collaborative environment. Cleveland University-Kansas City, Chiropractic and Health Sciences and PACE Recognized by the Federation of Chiropractic Licensing Boards, Academy of Chiropractic, Long Island NY, 2018

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

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, PACE Approved for the Federation of Chiropractic Licensing Boards, 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, 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 with advanced imaging and document the necessity. We will also cover the basics of MRI Spine Interpretation inclusive of all types of herniations, bulges, Academy of Chiropractic Post-Doctoral Division, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University- Kansas City, College of Chiropractic, Long Island 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 sequella. The role of chiropractic in preventing the loss of gray matter and the most recent evidence as outlined in indexed peer reviewed literature over the last 10 years verifying chiropractic’s role, Academy of Chiropractic Post-Doctoral Division, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University- Kansas City, College of Chiropractic, Long Island 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

 

Clinical Evaluation and Protocols for Identifying Stroke Risk, The neurological history and examination for identifying stroke risks with a focus on supra and infratentorial regions, upper and lower motor lesions, cranial nerve signs, spinal cord pathology, motor and sensory pathology and gait abnormalities. Examining genetic and family histories along with dissection risk factors. Stroke orthopedic testing and clinical guidelines pertaining to triage for the primary care provider. [Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards], ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017
 
Stroke Principles of Treatment an Overview for the Primary Care Provider, Stroke type and treatments performed by vascular specialists. The goals of treatment with the physiology of the infarct and penumbra zones and the role of immediate triage in the primary care setting. Detailing the complications of stroke and future care in the chiropractic, primary care or manual medicine clinical setting. [Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards], ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017
 
Stroke Anatomy and Physiology: Stroke Types and Blood Flow, Various types of stroke identifying ischemia, hypoperfusion, infarct and penumbra zones and emboli. Cardiac etiologies and clinical features as precursor to stroke with associated paradoxical emboli and thrombotic etiologies. Historical and co-morbidities that have etiology instroke inclusive of diabetes, coagulopathy, acquired and hereditary deficiencies. [Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards], ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017
 
Stroke Anatomy and Physiology: Brain Vascular Anatomy, The anatomy and physiology of the brain and how blood perfusion effects brain function. A detailed analysis of the blood supply to the brain and the physiology of ischemia. [Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards], ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017
 
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, dislocationa and functional loss are also detailed in relation to impairment ratings. [Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards'], ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017
 
Accident Reconstruction: Terms, Concepts and Definitions, The forces in physics that prevail in accidents to cause bodily injury. Quantifying the force coefficients of vehicle mass and force vectors that can be translated to the occupant and subsequently cause serious injury. [Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards], Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2017
 
Accident Reconstruction: Causality, Bodily Injury, Negative Acceleration Forces, Crumple Zones and Critical Documentation, Factors that cause negative acceleration to zero and the subsequent forces created for the vehicle that get translated to the occupant. Understanding critical documentation of hospitals, ambulance reports, doctors and the legal profession in reconstructing an accident. [Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards}, Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2017
 
Accident Reconstruction: Skid Marks, Time, Distance, Velocity, Speed Formulas and Road Surfaces, The mathematical calculations necessary utilizing time, distance, speed, coefficients of friction and acceleration in reconstructing an accident. The application of the critical documentation acquired from an accident site. [Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards], Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2017
 
Accident Reconstruction: Research, Causality and Bodily Injury, Delta V issues correlated to injury and mortality, side impact crashes and severity of injuries, event data recorder reports correlated to injury, frontal impact kinematics, crash injury metrics with many variables and inquiries related to head restraints. [Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards], Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2017
 
AMA Guides 6th Edition Training Course: A Certification Review and AMA Guides to the Evaluation of Permanent Impairment. Participants learn; knowledge content related to the AMA Guides, discuss new developments in the AMA Guides, differentiate symptoms, pathology, impairment, function, and disability, fundamentals of disability evaluation services, relate clinical data to case issues and discuss skills needed to perform evaluations, perform musculoskeletal impairment ratings according to the AMA Guides to the Evaluation of Permanent Impairment, use of other chapters of the AMA Guides and steps needed to implement in clinical practice, perform impairment ratings and skills in complex cases, evaluate and manage difficult impairment evaluations, perform excellent independent medical evaluations, provide IME services and serving as expert medical witness, improve quality of medical reports. [American College of Independent Medical Examiners & American Board of Independent Medical Examiners] joint Providership by Marshall University Joan C. Edwards School of Medicine, Huntington, WV, 25702, 2017.
 

Medicolegal Issues for Independent Medical Examiners & Expert Witness:  A Workshop.  This workshop teaches physicians who perform independent medical examinations and serve as expert witnesses the skills critical to effectively deal with lawyers and the legal system.  Participants learn; disability and compensation systems and the related law in the U.S., critical steps involved in providing medical expert witness and independent examination services, liabilities and risks for independent medical examiners and mitigation of those risks, essential skills for deposition and trial testimony, medicolegal considerations for independent medical examiners [American College of Independent Medical Examiners & American Board of Independent Medical Examiners] joint providership by Marshall University Joan C. Edwards School of Medicine, Huntington WV 25702, 2017.

How to Write Winning Reports Workshop.  This workshop focuses on the skills necessary to write winning reports in the medicolegal arena.  Participants learn how to write reports that; communicate information accurately, with credibility and professionalism, structures material so readers can find information quickly and easily, state key points without ambiguity, and use language and sentences that lay readers can follow [American College of Independent Medical Examiners & American Board of Independent Medical Examiners] jointly Sponsored by Marshall University Joan C. Edwards School of Medicine, Huntington WV 25702, 2017.

AMA Guides - Building a Successful IME/Expert Witness Practice.  This is an interactive workshop with a hands on approach to learning the skills required in dealing with Lawyers and the legal system as a medical expert witness, including; evidence-based scientific testimony, preparation and execution during direct and cross examination during deposition and trial testimony, mock deposition and trial testimony and dealing with abusive attorneys and their tactics. [American College of Independent Medical Examiners & American Board of Independent Medical Examiners] jointly Sponsored by Marshall University Joan C. Edwards School of Medicine, Huntington WV 25702, 2017

Spinal Trauma Pathology: Research Perspectives, The review of current literature standards in spinal trauma pathology and documentation review of biomechanical failure, ligamentous failure and age-dating disc pathology. [Texas Chiropractic College, PACE Recognized by The Federation of Chiropractic Licensing Boards,] ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

Spinal Trauma Pathology: Clinical Grand Rounds, The review of case histories of mechanical spine pathology and biomechanical failures inclusive of case histories, clinical findings and x-ray and advanced imaging studies. Assessing comorbidities in the triage and prognosis of the injured. [Texas Chiropractic College, PACE Recognized by The Federation of Chiropractic Licensing Boards,] ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

Spinal Trauma Pathology: Biomechanics of Traumatic Disc Bulge and Age Dating Herniated Disc Pathology, The biomechanics of traumatic disc bulges as sequella from trauma and the comorbidity of ligamentous pathology. Age-dating spinal disc pathology in accordance with Wolff's Law. [Texas Chiropractic College, PACE Recognized by The Federation of Chiropractic Licensing Boards,] ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

Spinal Trauma Pathology: Spinal Biomechanics, Central Nervous System and Spinal Disc Nomenclature, The application of spinal biomechanical engineering models in trauma and the negative sequelae it has on the central nervous system inclusive of the lateral horn, periaqueductal gray matter, thalamus and cortices involvement. [Texas Chiropractic College, PACE Recognized The by 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, 2017

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, PACE Recognized by The Federation of Chiropractic Licensing Boards,] ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

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, PACE Recognized by The Federation of Chiropractic Licensing Boards] ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

Primary Spine Care Symposium 3 – Interprofessional Spine Care, Clinical analysis of anatomic versus biomechanical spine pain and clinical triage protocols. Relating current research trends in the Whole Spine Model of patient including normal versus abnormal sagittal curvature 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 3 – 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 3- 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 3- 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

Primary Spine Care Symposium 3- Medical-Legal Documentation, The contemporary documentation required in a medical-legal environment that is evidenced based and meets the standards of the courts and academia. Utilizing the scientific data to support a diagnosis, prognosis and treatment plan while meeting the admissibility standards based upon a professional's credentials. Texas Chiropractic College Post-Doctoral Division, Academy of Chiropractic Post-Doctoral Division, Melville NY 2017

Orthopedic Testing: Principles, Clinical Application and Triage, Integration of orthopedic testing in the clinical setting to develop a differential diagnosis. Utilizing radiographic and advanced imaging inclusive of MRI and CAT scan findings to verify tissue pathology suspected by orthopedic testing conclusions and developing a treatment plan as sequelae. PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2016

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. PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2016

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. PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2016

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. PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2016

Orthopedic Testing: Clinical Grand Rounds, how to integrate orthopedic testing in the clinical setting utilizing both simple and complex patient scenarios. It includes potential stroke, or vertebrobasilar insufficient patients and understanding the nuances in a clinical evaluation with orthopedic testing as a critical part of the evaluation and screening process. How to integrate orthopedic testing in the clinical setting utilizing both simple and complex patient scenarios. It includes potential stroke, or vertebrobasilar insufficient patients and understanding the nuances in a clinical evaluation with orthopedic testing as a critical part of the evaluation and screening process. PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2016

Concussion: 2016 Updates on Assessment and Management, Epidemiology, Pathophysiology, updates on CTE, Pediatric concussion, Physiological Changes Post Concussion/Effects of Excercise, Medication Management, Ocular Motor Assessment and Mangement, Clinical Trajectories of the Concussion Patient, Cervical Spinal assessment for symptom Contributions and Mangement, and Vestibular symptoms, INOVA Neuroscience and Spine Institute, Accredidation by the Medical Society of Virginia, 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 in cooperation with Medscape, 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

Primary Spine Care – MRI, Bone Edema and Degeneration, The effects of trauma on spinal vertebral segments and the short and long term sequella 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 – 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

 

Spinal Biomechanical Engineering: Full Spine Digital Analysis, Digitalizing and analyzing the full spine images to diagnose pathobiomechanics as sequellae to trauma in relation to ligamentous failure and disc and vertebral pathology as sequellae. This includes anterior and posterior vertebral body elements in rotatioal analysis with neutral, left and right lateral bending in conjunction with gate analysis. Ligament instability/failure/pathology is identified all using numerical values and models. Review of case studies for analysis of pathobiomechanics using a computerized/numerical algorithm along with corrective guidelines. ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2016

 

Spinal Biomechanical Engineering: Lumbar Digital Analysis, Digitalizing and analyzing the lumbar spine images to diagnose pathobiomechanics. This includes anterior and posterior vertebral body elements in rotatioal analysis with neutral, left and right lateral bending in conjunction with gate analysis. Ligament instability/failure/pathology is identified all using numerical values and models. Review of case studies for analysis of pathobiomechanics using a computerized/numerical algorithm along with corrective guidelines. [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

 

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.  ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2016

Spinal Biomechanical Engineering & Organizational Analysis, Integrating spinal biomechanics and pathobiomechanics through digitized analysis.The comparison of organized versus disorganized compensation with regional and global compensation. Correlation of the vestibular, occular and proprioceptive neurological integration in the righting reflex as evidenced in imaging. Digital and numerical algorithm in analyzing a spine. ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2016

Spinal Biomechanics in Trauma, To utilize whiplash associated disorders in various vectors of impact and whiplash mechanisms in determining pathobiomechanics. To clinically correlate annular tears, disc herniations, fractures, ligament pathology and spinal segmental instability as sequellae to pathobiomechanics from trauma. The utilization of digital motion x-ray in diagnoising normal versus abnormal facet motion along with case studies to understand the clinical application. 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. ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2016

Spinal Biomechanical Engineering: Cervical Pathobiomechanics, Spinal biomechanical engineering of the cervical and upper thoracic spine. This includes the normal and pathobiomechanical movement of both the anterior and posterior motor units and normal function and relationship of the intrinsic musculature to those motor units. Nomenclature in reporting normal and pathobiomechanical findings of the spine. [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

Trauma Based Diagnostics, The utilization and integration of advanced diagnostic modalities of MRI, Bone Scan, EMG-NCV, CAT Scan and x-ray digitizing in diagnosing the trauma based patient. Clinically coordinating the trauma history, the patient's symptomatolgy and clinical examination findings with advanced diagnostic modality findings and co-managing the trauma case with medical specialists.Academy of Chiropractic Post-Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Long Island, New York, 2016

Medical-Legal-Insurance Documentation, Accurate and compliant documentation of history and clinical findings inclusive of functional losses, loss of activities of daily living, duties under duress and permanent loss of enjoyment of life. Prognosing static vs. stable care, gaps in care both in the onset and in the middle of passive care with a focus on detailed diagnosing. The integration of chiropractic academia, the court system and the insurance reimburser's requirements for complete documentation. PACE Recognized by The Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2015

MRI History and Physics, Magnetic fields, T1 and T2 relaxations, nuclear spins, phase encoding, spin echo, T1 and T2 contrast, magnetic properties of metals and the historical perspective of the creation of NMR and MRI. ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, 2015, Buffalo, NY, 2015.

MRI Spinal Anatomy and Protocols, Normal anatomy of axial and sagittal views utilizing T1, T2, 3D gradient and STIR sequences of imaging. Standardized and desired protocols in views and sequencing of MRI examination to create an accurate diagnosis in MRI. ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, 2015, Buffalo, New York, 2015

MRI Disc Pathology and Spinal Stenosis, MRI interpretation of bulged, herniated, protruded, extruded, sequestered and fragmented disc pathologies in etiology and neurological sequelae in relationship to the spinal cord and spinal nerve roots. ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Recognized by the the PACE Program of the Federation of Chiropractic Licensing Boards, Buffalo, New York, 2015

MRI Spinal Pathology, MRI interpretation of bone, intradural, extradural, cord and neural sleeve lesions. Tuberculosis, drop lesions, metastasis, ependymoma, schwanoma and numerous other spinal related tumors and lesions. ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Buffalo, New York, 2015

MRI Methodology of Analysis, MRI interpretation sequencing of the cervical, thoracic and lumbar spine inclusive of T1, T2, STIR and 3D gradient studies to ensure the accurate diagnosis of the region visualized. New York Chiropractic Council, ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post-Doctoral Division, Buffalo, New York, 2015

MRI Clinical Application, The clinical application of the results of space occupying lesions. Disc and tumor pathologies and the clinical indications of manual and adjustive therapies in the patient with spinal nerve root and spinal cord insult as sequelae. ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Buffalo, New York, 2015

MRI Protocols Clinical Necessity, MRI slices, views, T1, T2, STIR axial, stacking, FFE, FSE and sagittal images. Clinical indication for the utilization of MRI and pathologies of disc in both trauma and non-trauma sequellae, including bulge, herniation, protrusion, extrusion and sequestration. ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Buffalo, New York, 2015

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. ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Buffalo, New York, 2015

MRI Interpretation of Lumbar Herniations, MRI slices, views, T1, T2, STIR axial, 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. ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Buffalo, New York, 2015

MRI Interpretation of 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. ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Buffalo, New York, 2015

MRI Interpretation of 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. ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Buffalo, New York, 2015

MRI Interpretation of 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. ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Buffalo, New York, 2015

Neurodiagnostics, Imaging Protocols and Pathology of the Trauma Patient, An in-depth understanding of the protocols in triaging and reporting the clinical findings of the trauma patient. Maintaining ethical relationships with the medical-legal community. Academy of Chiropractic Post-Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Long Island, New York, 2015

Diagnostics, Risk Factors, Clinical Presentation and Triaging the Trauma Patient, An extensive understanding of the injured with clinically coordinating the history, physical findings and when to integrate neurodiagnostics. An understanding on how to utilize emergency room records in creating an accurate diagnosis and the significance of “risk factors” in spinal injury. Academy of Chiropractic Post-Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Long Island, New York, 2015

Crash Dynamics and Its Relationship to Causality, An extensive understanding of the physics involved in the transference of energy from the bullet car to the target car. This includes G's of force, newtons, gravity, energy, skid marks, crumple zones, spring factors, event data recorder and the graphing of the movement of the vehicle before, during and after the crash. Determining the clinical correlation of forces and bodily injury. Academy of Chiropractic Post-Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Long Island, New York, 2015

MRI, Bone Scan and X-Ray Protocols, Physiology and Indications for the Trauma Patient, MRI interpretation, physiology, history and clinical indications, bone scan interpretation, physiology and clinical indications, x-ray clinical indications for the trauma patient. Academy of Chiropractic Post-Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Long Island, New York, 2015

Neurodiagnostic Testing Protocols, Physiology and Indications for the Trauma Patient, Electromyography (EMG), Nerve Conduction Velocity (NCV), Somato Sensory Evoked Potential (SSEP), Visual Evoked Potential (VEP), Brain Stem Auditory Evoked Potential (BAER) and Visual-Electronystagmosgraphy (V-ENG) interpretation, protocols and clinical indications for the trauma patient. Academy of Chiropractic Post-Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Long Island, New York, 2015

Documentation and Reporting for the Trauma Victim, Understanding the necessity for accurate documentation and diagnosis utilizing the ICD-9 and the CPT to accurately describe the injury through diagnosis. Understanding and utilizing state regulations on reimbursement issues pertaining to healthcare. Academy of Chiropractic Post-Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Long Island, New York, 2015

Documenting Clinically Correlated Bodily Injury to Causality, Understanding the necessity for accurate documentation, diagnosis and clinical correlation to the injury when reporting injuries in the medical-legal community. Documenting the kinesiopathology, myopathology, neuropathology, and pathophysiology in both a functional and structural paradigm. Academy of Chiropractic Post-Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Long Island, New York, 2015

Certification in CPR for Health Care Professionals, CASE CPR AED Safety Education, Recognized by the American Heart Association, Silver Spring, Maryland, 2015.

Medicare Made Simple and Coding Made Clear, Understanding the necessity for accurate documentation and diagnosis utilizing the ICD-9 and the CPT codes to accurately describe the diagnosis. Understand and utilizing federal and state regulations on reimbursement issues pertaining specifically to Medicare, self-pay, private insurance, and workers-compensation patients. Mclelland Consulting, LLC, Recognized by New York Chiropractic College, Department of Postgraduate and Continuing Education, Levittown, New York, 2012, 2014.

HIPPA Bootcamp and Billing 101, Understanding the federal guidelines for patient documentation, privacy of medical record-keeping, and utilizing correct coding guidelines. CARE Medical Billing Inc., Recognized by the Virginia Chiropractic Association, Front Royal, Virginia 2015.

Substance Abuse Prevention, Understanding the substance abuse signs, correlating the symptoms to create an accurate diagnosis, and appropriate referrals. Quantum Units Education, Recognized by the American Academy of Healthcare Providers in the Addictive Disorders, Baywood Park, California, 2014.

ASD: Treatments and Therapies, Describing health issues persons with Autism Spectrum Disorders, gastrointestinal, metabolic, and Identifying tests which may be helpful for the person with an ASD, Identify dietary concerns for the person with an ASD. ContinuingEducation.com, Recognized by the American Nurses Credentialing Center’s Commission on Accreditation, Silver Spring, Maryland, 2014.

Interventions in Lipid Management, The clinical significance of Elevated Triglycerides in Pharmacy Practice. Postgraduate Institute for Medicine, Recognized by the Accreditation Council for Continuing Medical Education, Chicago, Illinois, 2014.

Ethics and Professional Boundaries in Healthcare, Understanding and utilizing the doctor-patient ethical boundaries and guidelines for medical professionals. Advancing Knowledge in Healthcare, Inc., Recognized by the Accreditation Council for Continuing Medical Education, Chicago, Illinois, 2014.

NSAIDs for Musculoskeletal Pain Management, Understanding current perspectives and novel strategies to improve safety. PRIME Education, Inc., Recognized by the Accreditation Council for Continuing Medical Education, Chicago, Illinois, 2014.

Heart Health: Empowering Women, Identifying the major risks for heart disease in women, Understanding lifestyle modification to reduce risk, and how to communicate these changes to patients. ContinuingEducation.com, Recognized by the American Nurses Credentialing Center’s Commission on Accreditation, Silver Spring, Maryland, 2014.

From Mindless Eating to Mindlessly Eating Better, Analyzing food cues that are causing patients to overeat, Identifying simple solutions for mindless eating, communicating dietary changes to patients. ContinuingEducation.com, Recognized by the American Nurses Credentialing Center’s Commission on Accreditation, Silver Spring, Maryland, 2014

Energy Balance, Analyzing caloric intake vs. expenditures of energy during aerobic and anaerobic activities of daily living and exercise, identifying solutions to maintain healthy weight levels, educating patients in monitoring their daily caloric cycle of intake and output. ContinuingEducation.com, Recognized by the American Nurses Credentialing Center’s Commission on Accreditation, Silver Spring, Maryland, 2014

Managing Beverage Calories, Analyzing United States consumption patterns for sweetened beverages, diet beverages, and bottled water, analyzing laboratory studies on sweetness, hunger, and satiety, interpreting studies linking the consumption of beverages and body weight. ContinuingEducation.com, Recognized by the American Nurses Credentialing Center’s Commission on Accreditation, Silver Spring, Maryland, 2014

Can Low Calorie Sweeteners Help with Weight Management?, Analyzing factors that influence appetite, food intake, and eating behavior, the role of low calorie sweeteners in the diet and lifestyle behaviors. ContinuingEducation.com, Recognized by the American Nurses Credentialing Center’s Commission on Accreditation, Silver Spring, Maryland, 2014

Children’s Health and Wellness, Analyze pediatric obesity rates and consequences, treatment recommendations, parenting roles in treatment and prevention of pediatric obesity, strategies for parents to motivate children to adopt healthy habits, applying them in practice. ContinuingEducation.com, Recognized by the American Nurses Credentialing Center’s Commission on Accreditation, Silver Spring, Maryland, 2014

Managing Your Time: Work Smarter, Not Harder, Determining barriers to time management, delegation of time, keeping patients safe, strategies to improve time management. ContinuingEducation.com, Recognized by the American Nurses Credentialing Center’s Commission on Accreditation, Silver Spring, Maryland, 2014

Enhancing Communications with Families, Understanding appropriate strategies for conducting a family interview, assessing and intervening in family communications, techniques to encourage family communication. ContinuingEducation.com, Recognized by the American Nurses Credentialing Center’s Commission on Accreditation, Silver Spring, Maryland, 2014

What Health Professionals Need to Know about Aspartame, Understanding what aspartame is and how the body utilizes Aspartame, safety assessment of aspartame, acceptable daily intake of aspartame, consumer concerns of aspartame. ContinuingEducation.com, Recognized by the American Nurses Credentialing Center’s Commission on Accreditation, Silver Spring, Maryland, 2014

ASD: Review of Research and Evidence Related to Complementary and Alternative Medicine Therapies, Complementary and Alternative Medicine defined, when related to autism spectrum disorders (ASDs), research of nutritional and non-nutritional CAM therapies. ContinuingEducation.com, Recognized by the American Nurses Credentialing Center’s Commission on Accreditation, Silver Spring, Maryland, 2014

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. PACE Recognized by The Federation of Chiropractic Licensing Boards', Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2013

Medicare DME: Documentation, Billing, and Collections, Strategies for the constant changes in HME/DME reimbursement; How to avoid mistakes in billing; Techniques for cost efficiency, productivity, collections, and profitability. Cross Country Education, Recognized by the Accreditation Council for Pharmacy Education, Chicago, Illinois, 2012

Medical Records Keeping, Improving medical record keeping, meeting standards, laws, and regulations pertaining to medical documentation, for improved medical care, delivery of services, clear and accurate communications, risk management, skills for maintaining electronic medical records. Professional Boundaries, Inc., Recognized by the University of California-Irvine School of Medicine, Irvine, California, 2012

Professional Ethics in Medicine, Analyze the ethical and legal foundations for the professional practice of medicine in the U.S. Analyze the four historical models of the doctor-patient relationship and the ethical and legal implications associated with each model Describe the ethical/legal boundaries in the doctor-patient relationship and the recommendations by major medical associations to avoid professional misconduct; Explain the role and responsibilities of medical licensing boards and the disciplinary measures they employ to ensure protection of the public; and Recognize the interests and concerns of the public on professional accountability standards and national standards being developed for disclosing physician misconduct to the public. Rutgers University, Robert Wood Johnson Medical School, New Brunswick, New Jersey, 2012

Treatment for Persons with HIV, Etiology, epidemiology, transmission precautions, infection control, testing, counseling, clinical manifestations, treatment options, legal and ethical issues, psycho-social issues. Quantum Units Education, Recognized by the National Association of Alcohol and Drug Abuse Counselors, Alexandria, Virginia, 2009

Domestic Violence and Substance Abuse, trends, Risk Factors, Safety Concerns, associations between substance abuse and domestic violence, social work ethics, the role of the healthcare provider, responsibilities in reporting abuse, and recognizing signs of abuse. Quantum Units Education, Recognized by the National Association of Alcohol and Drug Abuse Counselors, Alexandria, Virginia, 2009

Screening and Assessment of Adults in the Criminal Justice System, Treatment improvement protocols, substance abuse treatment, screening for psychological and emotional problems, abuse and trauma issues, and making proper referrals to mental health professionals. Quantum Units Education, Recognized by the National Association of Alcohol and Drug Abuse Counselors, Alexandria, Virginia, 2009

Brief Strategic Family Therapy for Adolescent Drug Abuse, analysis of effectiveness of treatment of troubled children and adolescents by all relevant community, social service, and mental health protocols, and making the proper referrals to mental health professionals. Quantum Units Education, Recognized by the National Association of Alcohol and Drug Abuse Counselors, Alexandria, Virginia, 2009

Pharmacological Interventions: Naltrexone Treatment, Clinical usage for medical professionals utilizing Naltrexone treatment, side effects, efficacy rates, and proper use and dosages. Quantum Units Education, Recognized by the National Association of Alcohol and Drug Abuse Counselors, Alexandria, Virginia, 2009

Guidelines for Manual Techniques (Parts 1 and 2) Clinical treatment and efficacy rates analysis of spinal manipulative procedures, massage therapy, manual therapy, and osteopathic manipulation. Online Continuing Education, Recognized by the University of Bridgeport, College of Chiropractic, Bridgeport, Connecticut, 2009

Ergonomics, Assessment of office, home, and commuting ergonomics, relations of environmental stressors to biomechanical structures, facilitating environments to support posture. Online Continuing Education, Recognized by the University of Bridgeport, College of Chiropractic, Bridgeport, Connecticut, 2009

AIDS, Understanding the etiology of Acquired Immune Deficiency Syndrome, pathology, presentation, symptoms, prognosis, appropriate referral structure, caring for the infected patient, precautions, myths, and general overview of the epidemiology of the disease in the United States and abroad, Online Continuing Education, Recognized by the University of Bridgeport, College of Chiropractic, Bridgeport, Connecticut, 2009

Emergency Procedures, Understanding, Implementation of precautionary measures, worst-case scenarios, action plans for emergency situations, and appropriate referral structures, Online Continuing Education, Recognized by the University of Bridgeport, College of Chiropractic, Bridgeport, Connecticut, 2009

Spinal Decompression, Overview and Analysis of technology, usage in rehabilitation, outcome studies, treatment protocols, precautions, contraindications, and efficacy rates, Online Continuing Education, Recognized by the University of Bridgeport, College of Chiropractic, Bridgeport, Connecticut, 2009

Risk, Analysis of treatment risks inherit in a chiropractic clinic, legal issues, injuries to staff and patients, insurances, and planning Online Continuing Education, Recognized by the University of Bridgeport, College of Chiropractic, Bridgeport, Connecticut, 2009

Neurology, Anatomy, Neuroanatomy, clinical correlating neurological conditions, presentation, treatment plan, diagnosis, and prognosis, Online Continuing Education, Recognized by the University of Bridgeport, College of Chiropractic, Bridgeport, Connecticut, 2009

Insurance Collection and Patient Reimbursement, Proper billing, collections strategies, systems, appeals process, payment procedures, collection procedures, protocols, timelines, Doctor’s Assistance Corporation, Recognized by the California Board of Registered Nursing, La Mesa, California, 2005

Advanced Insurance Collection and Patient Reimbursement, Advanced techniques in appeals processes, collections procedures, internal, external collection strategies, compliance strategies, claims processing, avoiding errors, Doctor’s Assistance Corporation, Recognized by the California Board of Registered Nursing, La Mesa, California, 2005

Adjust, Support, and Rehab: A system for Improved Outcomes and Practice Expansion, Research and outcome studies analysis, rehabilitative protocols for chiropractic clinic, orthotic training, fitting, usage, coding, billing, therapeutic activities, therapeutic exercises, timed coding, federal guidelines for physical therapy, billing, coding, documentation, Cleveland Chiropractic Colleges, Postgraduate Education and Career Resources, Kansas City, MO, 2005

 

SELECTED MEMBERSHIPS

American Board of Independent Medical Examiners Board Certification 2017-Present

Academy of Chiropractic, Member, 2015-Present

Virginia Chiropractic Association, Member, 2004-Present

 

SPEAKING ENGAGEMENTS

Opening Speaker and Co-Presenter, The Pre-Existing Conditions Argument and Insurance Settlement Formulas, Virginia Manadatory Continuing Legal Education, VA State Bar Richmond, VA 23219-0026, Fairfax, Virginia 2019

Co-Presenter, Debunking Asymptomatic Herniated Discs & Serious Bodily Injury with No Herniation, Virginia Manadatory Continuing Legal Education, VA State Bar Richmond, VA 23219-0026, Fairfax, Virginia 2019

Co-Presenter, The Disc Seminar:  Whiplash and Disc Pathology and Insurance Settlement Formulas, Viginia Mandatory Continuing Legal Education, VA State Bar Richmond, VA 23219-0026, Fairfax, Virginia 2018

Co-Presenter, Neurology of Herniated and Bulging Discs from Trauma and Insurance Settlement Formulas,  Virginia Mandatory Continuing Legal Education, VA State Bar Richmond, VA, 23219-0026, Fairfax, Virginia, 2017

Co-Presenter, Disc Pathology from Trauma and Insurance Settlement Formulas, Virginia Mandatory Continuing Legal Education, Richmond VA, Fairfax, Virginia 2016

Co-Presenter, Spinal Biomechanical Engineering, Low Speed Accidents & Serious Bodily Injury, and Insurance Settlement Formulas, Virginia Mandatory Continuing Legal Education, Richmond VA, Fairfax, VA 2016

 

EXPERT WITNESS EXPERIENCE

Deposition 2006 (WC)                     Plaintiff Decision

General District Court 2009 (AA)        Plaintiff Verdict

General District Court 2018  (AA)       Plaintiff Verdict  

Fairfax Circuit Court 2017  (AA)         Defense Verdict  Accepted by the court to testify on MRI and Causality

Shenandoah Circuit Court 2019 (AA)  Defense Verdict  Accepted by the court to testfy on MRI and Causality

 

IME / DME  REPORTS and REBUTTALS

2019  MILITARY Veteran Impairment Rating Increased from 60% to 90% for a patient after submitting my additional findings

 

COMMUNITY SERVICE

Volunteer 2019 - Present:  Mother of Mercy Free Medical Clinic Manassas, Virginia

Volunteer 2015 - Present Soup Kitchen Bethesda Maryland Shelter

Volunteer 2017 - Present Church service worker Holy Cross Catholic Church Kensington, Maryland

Participant 2014 - Present Latino Festival Vendor  Manassas, Virginia

Volunteer 2015-2016 - Teacher Appreciation Days volunteer Manassas, Virginia