Garreth MacDonald DC , CCST
115 W 8th Ave STE 200, Eugene, OR, 97401
Phone: 541-343-4343
docmacdonald@hotmail.com
http://www.eugeneautoinjurydoc.com
SELECTED OCCUPATIONAL HISTORY
Clinic Director, Cascade Health Center, Eugene, OR, 2000 - Present
Staff Chiropractor, Serenity Lane, Coburg, OR, 2017 - Present
EDUCATION AND LICENSURE
Doctor of Chiropractic, Licensed in the State of Oregon, License # 3211, 2000-
Doctorate of Chiropractic, Logan College of Chiropractic, Chesterfield, Missouri, 1999
National Board of Chiropractic Examiners, Part I, 1998
National Board of Chiropractic Examiners, Part II, 1998
National Board of Chiropractic Examiners, Part III, 1998
National Board of Chiropractic Examiners, Part IV, 1999
National Board of Chiropractic Examiners, Physiotherapy, 1999
BSc. in Kinesiology, University of Waterloo, Waterloo, Ontario, Canada, 1992

SELECTED POST-GRADUATE EDUCATION, CERTIFICATIONS AND DIPLOMATES

Acute Concussion Management, Defining traumatic brain injuries, clinical assessment, application of field testing and neurological testing, approaches to improving cognition, balance and vision issues, and RTP/RTS guidelines Oregon Chiropractic Association, Lincoln City, OR, 2019
Whiplash, Spinal Trauma, and the Personal Injury Case, How Insurers deny claims, medical doctors and chiropractors working together, documentation of injuries, proper use of medical-legal representation, IME reviews, concussions, post traumatic etiology and spine trauma. Adler Giersch, SeaTac, WA, 2019
Stroke Anatomy and Physiology: Brain Vascular Anatomy, The anatomy and physiology of the brain and how blood perfusion effects brain function. A detailed analysis of the blood supply to the brain and the physiology of ischemia. 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, Cleveland University – Kansas City, Buffalo, NY, 2018
Stroke Anatomy and Physiology: Stroke Types and Blood Flow, Various types of stroke identifying ischemia, hypoperfusion, infarct and penumbra zones and emboli. Cardiac etiologies and clinical features as precursor to stroke with associated paradoxical emboli and thrombotic etiologies. Historical and co-morbidities that have etiology instroke inclusive of diabetes, coagulopathy, acquired and hereditary deficiencies. 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, Cleveland University – Kansas City, Buffalo, NY, 2018
Stroke Principles of Treatment an Overview for the Primary Care Provider, Stroke type and treatments performed by vascular specialists. The goals of treatment with the physiology of the infarct and penumbra zones and the role of immediate triage in the primary care setting. Detailing the complications of stroke and future care in the chiropractic, primary care or manual medicine clinical setting. 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, Cleveland University – Kansas City, Buffalo, NY, 2018
Clinical Evaluation and Protocols for Identifying Stroke Risk, The neurological history and examination for identifying stroke risks with a focus on supra and infratentorial regions, upper and lower motor lesions, cranial nerve signs, spinal cord pathology, motor and sensory pathology and gait abnormalities. Examining genetic and family histories along with dissection risk factors. Stroke orthopedic testing and clinical guidelines pertaining to triage for the primary care provider. 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, Cleveland University – Kansas City, Buffalo, NY, 2018
Heads Up To Clinicians - Addressing Concussions in Sports Among Kids and Teens, Recognition of concussion, signs and symptoms, assessment, management and return to play protocols. CDC, American College of Sports Medicine, Oregon, 2018
Whiplash, Spinal Trauma, and the Personal Injury Case for today's Health Care Professional, Examination of current literature regarding trauma, pain, and inflammation. Dealing with MMI and pre-existing conditions. Mild traumatic brain injuries (mTBI) was discussed with proper diagnosis, and best practices for documentation and treatment. Adler Geirsch Law Firm, Washington State Chiropractic , Bellevue, WA, 2018
Spinal Biomechanical Engineering: Cartesian System, The Cartesian Coordinate System from the history to the application in the human body. Explanation of the x, y and z axes in both translation and rotations (thetas) and how they are applicable to human biomechanics. 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
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 Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017
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 Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017
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. 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
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. 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
Spinal Biomechanical Engineering: Cervical 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, 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
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. 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
Medical-Legal-Insurance Documentation, Accurate and compliant documentation of history and clinical findings inclusive of functional losses, loss of activities of daily living, duties under duress and permanent loss of enjoyment of life. Prognosing static vs. stable care, gaps in care both in the onset and in the middle of passive care with a focus on detailed diagnosing. The integration of chiropractic academia, the court system and the insurance reimburser’s requirements for complete documentation Texas Chiropractic College, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2017
Concussion in Sport, Introduction to coaches about the recognition of concussion, including signs & symptoms. When to take a player out of a game or practice and when to safely RTP. Certification in Concussion in Sports, CDC, National Federation of State High School Associations, Eugene, OR, 2017
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. Diplomate, 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, Texas Chiropractic College, Buffalo, NY, 2017
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 Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Texas Chiropractic College, Buffalo, NY, 2017
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 Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Texas Chiropractic College, Buffalo, NY, 2017
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 Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Texas Chiropractic College, Buffalo, NY, 2017
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. 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, Texas Chiropractic College, Buffalo, NY, 2017
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 Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Texas Chiropractic College, Buffalo, NY, 2017
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 Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Texas Chiropractic College, Buffalo, NY, 2017
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 Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Texas Chiropractic College, Buffalo, NY, 2017
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 Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Texas Chiropractic College, Buffalo, NY, 2017
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 Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Texas Chiropractic College, Buffalo, NY, 2017
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 Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Texas Chiropractic College, Buffalo, NY, 2017
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 Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Texas Chiropractic College, Buffalo, NY, 2017
Othropedic Testing: Clinical Grand Rounds, , Integration of orthopedic testing in the clinical setting utilizing both simple and complex patient scenarios. It includes potential stroke, or vertebrobasilar insufficient patients and understanding the nuances in a clinical evaluation with orthopedic testing as a critical part of the evaluation and screening process. How to integrate orthopedic testing in the clinical setting utilizing both simple and complex patient scenarios. It includes potential stroke, or vertebrobasilar insufficient patients and understanding the nuances in a clinical evaluation with orthopedic testing as a critical part of the evaluation and screening process. Diplomate, Academy of Chiropractic Post Doctoral Division, Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, 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 Diplomate, Academy of Chiropractic Post Doctoral Division, Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, 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 Diplomate, Academy of Chiropractic Post Doctoral Division, Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Buffalo, NY, 2016
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 Diplomate, Academy of Chiropractic Post Doctoral Division, Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Buffalo, 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 Diplomate, Academy of Chiropractic Post Doctoral Division, Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, 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 Diplomate, Academy of Chiropractic Post Doctoral Division, Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Buffalo, NY, 2016
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 Diplomate, Academy of Chiropractic Post Doctoral Division, Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, 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 gray matter, thalamus and cortices involvement Diplomate, Academy of Chiropractic Post Doctoral Division, Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, 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 Diplomate, Academy of Chiropractic Post Doctoral Division, Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, 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 Diplomate, Academy of Chiropractic Post Doctoral Division, Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Buffalo, NY, 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, dislocationa and functional loss are also detailed in relation to impairment ratings Diplomate, Academy of Chiropractic Post Doctoral Division, PACE Program of the Federation of Chiropractic Licensing Boards, Long Island, NY, 2015
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 Diplomate, Academy of Chiropractic Post Doctoral Division, PACE Program of the Federation of Chiropractic Licensing Boards, Long Island, NY, 2015
MRI Spinal Anatomy, Protocols and Disc Pathology, Normal anatomy of axial and sagittal views utilizing T1, T2, gradient and STIR sequences of imaging. Degeneration and annular fissuers of discs in both trauma and non-trauma patients and the biochemical properties of joints in age dating pathology. Disc bulges from degenerative and sequalla to osseous issues, herniation pathology and protrusion, extrusion, migrated and sequestered variations. Clinical scenarios as sequella to disc and pre-existing pathologies Diplomate, Academy of Chiropractic Post Doctoral Division, PACE Program of the Federation of Chiropractic Licensing Boards, Long Island, NY, 2015
Healthy Aging and Laserology, Concept review of laser physiology, Newtonian concepts, wavelengths, mitochondria and ATP formation with Cytochrome C-Oxidase, quantum biological concepts, laser variables for the treatment of degenerative disc disease, low back pain, acute trauma, scar tissue and chronic pain Northwestern Health Sciences University, Portland, OR, 2015
Whiplash, Spinal Trauma, and the Personal Injury Case, How Insurers deny claims, medical doctors and chiropractors working together, documentation of injuries, proper use of medical-legal representation, IME reviews, post traumatic etiology and spine trauma Adler Giersch, Bellevue, WA, 2015
Subluxation Neurology and Systemic Health, A review of current literature regarding the scientific basis of immunoneurological function in the human body and the effect chiropractic can have on systemic health Chiropractic BioPhysics, Atlanta , GA, 2015
Brain Injuries, Current concepts of brain injuries were discussed including assessment, diagnosis, treatment, management, legal implications, reporting, imaging studies and case studies Oregon Chiropractic Association, Portland, OR, 2014
Strengthening Posture for Rehabilitation, Performance and Active Aging, Posture assessment and rehab experience in a lecture/lab format, providing relevant posture facts and research and interactive exercises University of Western States, Portland, OR, 2014
International Conference on Human Nutrition and Funtional Medicine, To describe and consensus-approaching advances in basic science and clinical trials research related to topics of nutrition, molecular biology, and metabolism that are appropriate for translation into clinical practice. To demonstrate and exemplify the actual clinical applications of new research and evidence so that physicians can apply this data to clinical practice and patient utilization and treatment compliance International College of Human Nutrition and Functional Medicine, The University of Texas Medical Branch, Portland, OR, 2013
Concussion in Sports- What You Need to Know, A review of the current concepts in recognition, management and treatment of concussions in sports. Return to play criteria were discussed USA Hockey, National Federation of State High School Associations, 2013
Laserology: Low Level Laser Therapy, Concept review of laser physiology, Newtonian concepts, wavelengths, mitochondria and ATP formation with Cytochrome C-Oxidase, quantum biological concepts, laser variables for the treatment of degenerative disc disease, low back pain, acute trauma, scar tissue and chronic pain Erchonia, Portland, OR, 2013
Whiplash, Spinal Trauma, and the Personal Injury Case, Mechanisms of injury and repair of whiplash and spinal trauma, evaluation and treatment of ligament sprains in the cervical spine, nutrition and repair of soft tissue injury, spinal trauma and biomechanics of TOS, use of upright MRI, and recent medical-legal research studies in the area of evaluation, diagnosis, and treatment of whiplash and spinal trauma Adler Giersch, Bellevue, WA, 2013
Whiplash and Spinal Trauma: Four facets of a chiropractic trauma management practice and documentation. , A review of current knowledge and concepts in whiplash trauma including pain and nutrition, mechanisms of injury, prognosis, phases of healing, and management University of Western States, Portland, OR, 2013
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 Diplomate, Academy of Chiropractic Post Doctoral Division, PACE Program of the Federation of Chiropractic Licensing Boards, Long Island, NY, 2012
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 Diplomate, Academy of Chiropractic Post Doctoral Division, PACE Program of the Federation of Chiropractic Licensing Boards, 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 Diplomate, Academy of Chiropractic Post Doctoral Division, PACE Program of the Federation of Chiropractic Licensing Boards, Long Island, NY, 2012
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 Diplomate, 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 Diplomate, Academy of Chiropractic Post Doctoral Division, PACE Program of the Federation of Chiropractic Licensing Boards, 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 Diplomate, Academy of Chiropractic Post Doctoral Division, PACE Program of the Federation of Chiropractic Licensing Boards, Long Island, 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 Diplomate, Academy of Chiropractic Post Doctoral Division, NYCC, Long Island, NY, 2012
Brain Trauma, A review of the current scientific literature on brain injuries including, mild traumatic brain injuries, concussions, diagnosis, treatment and management strategies Oregon Chiropractic Association, Portland, OR, 2012
Litigating Auto Accident Case, Discovery in Auto Injury Cases;Depositions—what to ask, IMEs and treating physician IMEs, Bio-Mechanics of Accidents and Injuries; junk science and how or how not collisions cause injuries, and the use of Medical Experts Oregon Law Institute, Portland, OR, 2012
Whiplash and Spinal Trauma, Clinical impact of case management choices and goals, significance of specific factors that affect patient injury and healing, critical research findings on key issues and insights with injury prognosis, the balance relationship between perception of pain, spinal joint mobility, adjusted technique, chiropractic diagnostics and adjustment management goals, and soft tissue injury issues with inflammation, pain, brain trauma and diet Life West Chiropractic College, International Chiropractic Association, Reno, NV, 2011
Whiplash, Spinal Trauma, and the Personal Injury Case, How Insurers deny claims, medical doctors and chiropractors working together, documentation of injuries, proper use of medical-legal representation, IME reviews, post traumatic etiology and spine trauma Adler Giersch, Bellevue, WA, 2011
The Independent Medical Evaluation: Training for Chiropractors, Focus on the AMA and ABIME standards for proper implementation and documentation. Report writing and rebuttal strategies were reviewed. Sample IME’s were reviewed and critiqued Oregon Chiropractic Association, Portland, OR, 2010
Introduction to Sports Chiropractic and the Spine in Sport, The first class in the certification process for Chiropractic Sports Physician covering diagnosis of athletes in various sports, including concussions and return-to-play criteria. Diplomate, American Chiropractic Association, American Chiropractic Board of Sports Physicians, University of Western States, Portland, OR, 2010
Emergency Procedures – Sports Physician, Field assessment of sports injuries and their management including medical emergencies, procedures and on-field management. Diplomate, American Chiropractic Association, American Chiropractic Board of Sports Physicians, University of Western States, Portland, OR, 2010
Assessment and Management of the Extremities, A focus on extremity injuries in the athlete, proper assessment and diagnosis, treatment and management options were discussed. Case studies were presented Diplomate, American Chiropractic Association, American Chiropractic Board of Sports Physicians, University of Western States, Portland, OR, 2010
Whiplash Conference, Chiropractic BioPhysics, Park City, UT, 2010
Work Comp 101 and Going to Court: How to Become an Effective Expert Witness with "Mock Trial”, Used in the recent cases the example with direct questions to qualify as an expert in the eyes of the jury. Direct questions to preempt the defense cross-examination, to explain injury, and effective use of courtroom exhibits to explain your patience injuries. Cross examination questions, typical defense tactics and how to respond effectively Oregon Chiropractic Association, Portland, OR, 2009
Motor Vehicle Collision Injuries – Injury Biomechanics, Diagnosis and Management, A focus on rear impact biomechanics, radiographic strategies, mild traumatic brain injuries, report writing, evidence based medicine concepts, peer reviewed literature review and DJD onset and delayed onset were discussed University of Western States, Portland, OR, 2008
12th World Congress on Pain, A 5 day, 6000+ international attendees, 18 plenary sessions, 1818 poster presentations on various topics of pain and all the various methods and research on pain. International Association for the Study of Pain (IASP), Glasgow, Scotland, UK, 2008
AMA Guides to the Evaluation of Impairment Rating (6th Ed.) Certification, A 36 hour class focusing on the newest Impairment rating guides utilization. Attention was given to the proper use of the guides for different parts of the body, including cases to perfect the calculations Certification in Impairment Ratings, Oregon Chiropractic Association, College of Forensic Sciences (CFS), Albany, OR, 2008
Whiplash Biomechanics & Injury Traumatology, Certification in Basic Certification, Spine Research Institute of San Diego, 2007
Medical Legal Issues; Fundamentals for Practitioners and Forensic Experts, Foundations for Successful Outcome and Medical Legal Cases with Preparation for Depositions, Arbitrations and Court, Use of demonstrative evidence with instruction in common pitfalls, avoidance of them and taking advantage of opponents weaknesses in medical legal proceedings Spine Research Institute of San Diego, Southern California University of Health Sciences, Las Vegas, NV, 2007
International Whiplash Trauma Congress, To improve the current understanding of whiplash trauma, related to whiplash injury and its sequelae. Topics included whiplash and post-traumatic headache, neurologic mechanisms of posttraumatic headache, use of the dynamic MRI for visualizing upper cervical functional abnormality and injury, biomechanics of neck pain and whiplash, and soft tissue injuries in the cervical spine facet joints, MRI assessment of cranialcervical ligaments and membranes after whiplash trauma. Spinal Injury Foundation, Miami, FL, 2007
Principles of Impairment Rating and Forensic Documentation, Comprehensive and compelling narrative report construction as well as how to avoid common mistakes and pitfalls. The latest cutting-edge techniques and rebuttal strategies as well as critical forensic documentation skills and impairment requirements Spine Research Institute of San Diego, Southern California University of Health Sciences, Chicago, IL, 2007
Motor Vehicle Collision Injuries – Injury Biomechanics, Diagnosis and Management, A focus on rear impact biomechanics, radiographic strategies, mild traumatic brain injuries, report writing, evidence based medicine concepts, peer reviewed literature review and DJD onset and delayed onset were discussed University of Western States, Portland, OR, 2007
Management Principles in Personal Injury and Forensic Documentation, Critical history taking, risk analysis, and physical examination skills as well as other radiographic and advanced imaging including CET, MRI, scintigraphy, packed, SPECT, and others. Review of electrodiagnostic tests and their applications in whiplash in addition to therapeutic approaches to successful management of whiplash and mild dramatic brain injuries. Spine Research Institute of San Diego, Southern California University of Health Sciences, Las Vegas, NV, 2007
Whiplash Injury Biomechanics and Traumatology Advanced Topics; The Fundamental Sciences, Review of current state of knowledge of the whiplash phenomenon, including all factors affecting injury risk in outcome. In depth biomechanics, traumatology, epidemiology, review of outcome studies, and common sick while I of whiplash, including brain injuries, pain syndromes, thoracic outlet syndrome, carpal tunnel syndrome, and chronic pain disorders as well as risk analysis Spine Research Institute of San Diego, Southern California University of Health Sciences, Las Vegas, NV, 2007
Certified Chiropractic Spinal Trauma, CCST Certification in Spinal Trauma, International Chiropractic Association, Hayward, CA, 2006
Integrative Care Strategies - Case Management Components, Update of current medical literature on whiplash, paper review issues, Quebec Task Force review, case reviews and junk science International Chiropractic Association, Life West Chiropractic College, Hayward, CA, 2006
Chiropractic Jurisprudence, Examination of attorney views on personal injury cases, evidence code, types of evidence, standards of admissibility for scientific expertise, tort principles, practice guidelines and standards-justifying care, accident collision reconstructionist and biomechanical experts, Independent medical examinations, depositions, and trial Life West Chiropractic College, International Chiropractic Association, Hayward, CA, 2006
Practical Clinical Case Management – Assessment, Care and Rehabilitation (Part 2), Review of current state of knowledge of whiplash, whiplash and MS, whiplash and TMD, and brain injury International Chiropractic Association, Life West Chiropractic College, Hayward, CA, 2006
Practical Clinical Case Management - Assessment, Care and Rehabilitation, Clinical updates utilizing peer reviewed journal articles, canalith repositioning for benign paroxysmal positional vertigo (BPPV), whiplash related facet pain was reviewed International Chiropractic Association, Life West Chiropractic College, Hayward, CA, 2006
International Whiplash Trauma Congress, Various scientific papers were presented on current whiplash related topics including why all do not recover from whiplash injury, mechanical and physiological pathologic mechanisms of painful cervical facet capsule injury, whiplash injury epidemiology, and whiplash injuries with TBI Spinal Injury Foundation, Portland, OR, 2006
Recordkeeping, Patient Examinations, and Documentation, A focus on proper documentation and recordkeeping was reviewed with emphasis on communication with other services including attorneys and medical providers International Chiropractic Association, Life West Chiropractic College, Hayward, CA, 2006
General Insights in Clinical Trauma Management, A focus on current research literature knowledge on whiplash injury at low speed collisions, including whiplash mechanics International Chiropractic Association, Life West Chiropractic College, Hayward, CA, 2006
Biomechanics of Low-Speed Impacts: Injury Mechanisms, Examination of the biomechanics associated with whiplash-related disorders and injuries. Topics included the anatomical and neurophysiological aspects of the injured tissues, biomechanics and traffic accident reconstruction, injury mechanisms, head/neck kinematics, and pain issues. The course also examined several case studies and issues of liability International Chiropractic Association, University of California – Riverside, Hayward, CA, 2006
Validating Chiropractic: Chiropractic and Exercise, Focus on restoring function, difficulty diagnosing the cause of back pain,, and a cute mechanical back pain and soft tissues sub failure injuries, recent literature reviews of spinal manipulation, recent clinical trials, neurology and the cervical spine, causes of disturbed proprioception, neural plasticity, segmental control of nociception, tissue injury and repair, and degeneration. International Chiropractic Association, Life West Chiropractic College, Las Vegas, NV, 2006
Understanding Mechanisms of Vehicular Accident Injury, Focus on anatomy of soft tissue injuries, physics and biomechanics of injury, structures injured in whiplash, ACR, damage related to injury and variablility, healing of soft tissue injuries, pain from WAD, diagnosis and treatment, and medical studies for WAD International Chiropractic Association, Life West Chiropractic College, Hayward, CA, 2006
Accident Imaging: X-Ray, MRI, CT, VF, and Analysis, A review of radiographic mensurations, CT imaging, MRI imaging, use of SPECT and VF imaging International Chiropractic Association, Life West Chiropractic College, Hayward, CA, 2006
Principles of Soft Tissue Injury and Repair, A continuation of review of neurologic principles of injury mechanisms including suprasegmental descending inhibition of nociception, altered thresholds and supersensitivity, neuroplasticity, referred pain, central canal stenosis, three phases of healing, fibrosis of repair, and concepts of motion. International Chiropractic Association, Life West Chiropractic College, Hayward, CA, 2006
Trauma Neurology and Chiropractic, A review of neurology principles and how they relate to trauma cases. Review of current medical literature in relation to neurology and treatment management of trauma cases International Chiropractic Association, Life West Chiropractic College, Hayward, CA, 2006
International Whiplash Trauma Congress, . A review of current journal articles by the authors including Neurogram SPECT quantification in the detection and treatment of MTBI, conservative treatments in whiplash, proper application of vehicle damage to refute injuries, the probability of causation in litigation, and neuropsychological evaluation and treatment of patients with Whiplash-induced MTBI Spinal Injury Foundation, Breckenridge, CO, 2005
Whiplash Update Seminar, A review of the current scientific literature on Whiplash including diagnosis, injury management and treatment, prognosis and soft tissue repair International Chiropractic Association, BC Chiropractic Association, Victoria, BC, 2004

SCHOLARLY PRESENTATIONS

MacDonald, G. (2017, August). Current Concepts in Concussions Powerpoint presented at the Seminar USA Hockey - Pacific District, Las Vegas, NV.
MacDonald, G. (2017, August). Historical Perspectives of Concussions Powerpoint presented at the Seminar USA Hockey - Pacific District, Las Vegas, NV.
MacDonald, G. (2017, September). Historical Perspectives on Concussion Powerpoint presented at the Seminar USA Hockey - Pacific District, Bellevue, WA.
MacDonald, G. (2017, September). Current Concepts on Concussion Powerpoint presented at the Seminar USA Hockey - Pacific District, Bellevue, WA.

SELECTED TEACHING/INSTRUCTING/LECTURING/CONSULTING

Presenter, Whiplash: Fact or Fiction, Pain Society of Oregon (PSO), Eugene, OR, 2010-
Presenter, Whiplash: The Epidemic – Legal Version, Eugene Trial Lawyers (OTLA), Eugene, OR, 2007-
Presenter, Chiropractic Case Study on Pain Management, PSO Annual Conference, Eugene, OR, 2007-
Presenter, Chiropractic and Pain Management, PSO Annual Conference, Eugene, OR, 2006-
Presenter, Low back pain –“Can we help”, PSO Annual Conference, Eugene, OR, 2003-
Presenter, Low Back Pain-Case Study, PSO-Monthly Meeting, Eugene, OR, 2003-
Presenter, Breakout Panel on Migraines, PSO Annual Conference, Eugene, OR, 2002-

SELECTED PUBLICATIONS

MacDonald, G. (2013). Can Ankle Sprains Teach Us About Managing Whiplash? . Dynamic Chiropractic, 31(21),
MacDonald, G. (2010). Pregnant Patients: A Unique Clinical Consideration. Dynamic Chiropractic, 28(15),
MacDonald, G. (2009). MVA, Pregnancy & Torticollis. Dynamic Chiropractic, 27(16),

SELECTED MEMBERSHIPS

American Academy of Medical Legal Professionals, Member, 2015 - Present
American Chiropractic Association (ACA), Member, 2009 - Present
International Chiropractic Association (ICA), Member, 2009 - Present
Oregon Chiropractic Association (OCA), Platinum Member, 2009 - Present
College of Forensic Sciences (CFS), Member, 2009 - Present
Council on Chiropractic Orthopedics (CCO), Member, 2009 - Present
Brain Injury Association of Oregon (BIAO), Member, 2009 - Present
Association for the Advancement of Automotive Medicine (AAAM), Member, 2009 - Present
American Society of Biomechanics (ABS), Member, 2008 - Present
Council on Applied Chiropractic Sciences (CACS), Member, 2006 - Present
Pain Society of Oregon, Member, 2001 - Present
International Association for the Study of Pain (IASP), Member, 2008 - 2009

SELECTED HONORS AND AWARDS

Outstanding Clinical and Academic Achievement, Logan College of Chiropractic, 1999
Certificate of Merit, Logan College of Chiropractic, 1999
Clinical Proficiency Certificate, Logan College of Chiropractic, 1999

SELECTED COMMUNITY SERVICE

Eugene Generals, Eugene, Oregon, 2007 - Present