Primary Spine Care 12 - CASE MANAGEMENT & DOCUMENTATION 

 20 Credit Hours 

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 *CE Credits are for Doctors of Chiropractic.

**CME Credits are for Medical Doctors and Doctors of Chiropractic

***This course is approved for 8 credits in California THRU 11/31/22, approved for 19 credits until 11/30/23.  Please note this course will not be approved in the state of CA after 11/30/23.

****This course is approved for 19 credits in California from 12/1/22-11/30/23.

*****This course is approved for 8 credits in Oklahoma.

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This program focuses on the trends in healthcare and how clinical chiropractic, based upon the evidence in the literature, fits into the national trends. It shows the doctor of chiropractic the critical role of compliant documentation in reputation building and to prevent adverse legal issues with complaint records. The course also covers the latest MRI spine interpretation terminology and identifies biomechanical pathology using the latest mensurating tools.

Module 1 – 2 Hours

MRI Spine Case Review

Clinical case review of MRI's including sagittal, axial, T1, T2, STIR, and proton density sequences. The vertebrate, spinal cord, discs, nerve roots, thecal sac, posterior longitudinal ligament, epidural veins, and fat saturation pulses will be identified. Pathology will include bulges, herniations, protrusions, extrusions, myelomalacia, cord edema, and Schmorl's nodes.

Module 2 – 2 Hours

Demonstrative Documentation Reporting

Creating documentation that is demonstrable in design to show pathology visually. How to prepare demonstrable records that are legally defensible and accurate in the description of the pathology.

Module 3 – 2 Hours

Age-Dating Herniated Disc and TRauma

Age dating herniated discs and trauma is a critical skill for an expert in spine. It combines the clinical skills of interpreting X-ray, MRI, and other imaging modalities with a clinician's understanding of joint pathology. This level of expertise is critical when collaborated with other physicians or working in the medical-legal environment as an expert. Age dating pathology is also central to creating a prognosis on your patient's recovery and must be evidence-based in rationale.

Module 4 – 2 Hours

Stroke Evaluation and Risk Factors in a Chiropractic Practice

Diagnosing, triaging, and documenting headaches, migraines, and vascular incidents (stroke) in the primary provider's office. Imaging protocols based upon history and clinical presentation will be presented, along with analyzing imaging findings in determining the etiology. There will be an extensive question and answer session following the instructional presentation.

Module 5 – 1 Hour

2022 Trends in Documentation

Evidence-Based demonstrative documentation is typically the arbiter for creating successful patient-centered collaborative care. This "reputation building" focus has already helped develop relationships with MD PCPs, MD Specialists, ERs, and Urgent Care Centers.  This demonstratively removed the Non-Specific Back Pain "Dogma" that too many have held because technology and the evidence have not supported what chiropractic has known for over a century. We now have those tools and once learned, chiropractic utilization "skyrockets because of the evidence.

Module 6 – 1 Hour

Documentation made easy. Effectively creating demonstrative medical-legal documentation and meeting the needs of the courts, and making your "4-Corner" (narrative) report to build your reputation as an evidence-based provider. The step-by-step minutiae of building a report, accomplishing report writing timely and effectively by understanding the regulatory and administrative rules. Learn how to educate the lawyer on bodily injury through evidence-based demonstrative reporting.

Module 7 – 1.5 Hours

MRI Nomenclature and the Evidence of the Chiropractic Lesion

The latest nomenclature in MRI spine interpretation [lots of changes], and incorporating spinal biomechanics to create an accurate diagnosis and get paid. The reason medicine gets paid more than chiropractic is they have demonstrable diagnostics. We must institute protocols that WE ALREADY HAVE to confirm patho-neuro-biomechanical lesions [Subluxations] are present.  A "MASTER CLASS" in Strain-Sprain in fully understanding the permanency of this connective tissue disorder and how to certify long-term care with a demonstrable diagnosis. 

Module 9 – 2 Hours

Imaging Joint Ligamentous Instabilities

Identifying different types of arthritis in both plain film and MRI. Inclusive of Osteo, Psoriatic, Rheumatoid, Gout, Infections, and Spondyloarthropathies. Dr. Baker is an Assistant Professor of Clinical Radiology at the State University of New York at Stony Brook, School of Medicine, and teaches the radiology and MSK radiology programs.Module 9 – 2 Hours

Module 9 – 1.5 Hours

Master-Class in Ligament Physiology and Pathology

Master-Class in ligaments; anatomy, physiology, vascularization, neurological innervation, tissue repair and how they all relate to clinical practice.  Ligament pathology correlating to the mechanisms of patho-neuro-biomechanical lesions (vertebral subluxation complex). Also, how ligaments play a critical role in a chiropractic spinal adjustment and defining the chiropractic spinal adjustment mechanisms. 

Module 10 – 1 Hour

Disproving Non-Specific Back Pain

Case Management incorporating Spinal Biomechanics, MRI, and clinical findings when collaborating with medical specialists and lawyers. Using Case Management as the foundation for both consistent referrals and long-term forensic consulting relationships. Disproving based upon the evidence, the Dogma of “non-specific back pain.”

Module 11 – 1 Hour

Spinal Disc Pathology in Clinical Practice

A roundtable discussion of diagnosing spinal pathology in clinical practice. Dr. Peyster is a Harvard-trained neuroradiologist published extensively over the last 40 years. He will be presenting typical cases managed in chiropractic offices with an in-depth discussion. He will be focusing on collaborating with a radiologist on case reviews.

Module 12 – 1.5 Hours

Neurosurgical Roundtable Discussion

A roundtable discussion of collaborative spine care. Dr. Shady has 30 years of extensive experience in both working with and supporting chiropractic care. 

Module 13 – 1.5 Hours

DC vs. MD vs. PT; The Evidence

Chiropractic vs. Physical Therapy vs. medication for mechanical spine issue; extensive research verifying chiropractic as the best first choice, resolving the non-specific back pain issue as dogma, with the evidence. The latest [overwhelming] research will institute the re-direction of MD referral patterns from PTs to DCs. The latest physiological basis for why the chiropractic adjustment works and what constitutes a patho-neuro-biomechanical lesion [Subluxations].

 Fee: $399

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Course Objective:To be able to integrate causality, bodily injuries, and persistent financial losses demonstratively

Instructor(s):

Mark Studin DC, FASBE(C), DAAPM

Michael Schonfeld DC, DABCO

Don Capoferri DC

Magdy Shady MD, Neurosurgeon, Neuro-Trauma Fellow

Instructions: Once you purchase the course online, it will be immediately active in your account. If you have any issues, please contact Cara 631-804-2845 or CaraRoss220@Gmail.com

 Troubleshooting Suggestions: 

1. This course is supported by PC's and Mac devices
2. Minimum 20mbs download speed
3. Mobile device are not ideal as tracking is automated and often not mobilized

This course is Pace approved by the Federation of Chiropractic Licensing Boards.

ACCREDITATION

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the University at Buffalo Jacobs School of Medicine and Biomedical Sciences and Cleveland University Kansas City, College of Chiropractic, Post-Graduate Department.

The University at Buffalo Jacobs School of Medicine and Biomedical Sciences is accredited by the ACCME to provide continuing medical education for physicians.

CERTIFICATION

The University at Buffalo Jacobs School of Medicine and Biomedical Sciences designates this live activity for a maximum of 20.0 AMA PRA Category 1 Credit(s)TM.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

PLANNING COMMITTEE & SPEAKER DECLARATIONS

The Accreditation Council for Continuing Medical Education (ACCME) and the University at Buffalo Jacobs School of Medicine and Biomedical Sciences Standards for Commercial Support require that presentations are free of commercial bias and that any information regarding commercial products/services be based on scientific methods generally accepted by the medical community. The following planners and presenter(s) have disclosed financial interest/arrangements or affiliations with organization(s) that could be perceived as a real or apparent conflict of interest in the context of the subject of their presentation(s). Only the current arrangements/interests are included. *Planning Committee

Activity Director and Instructor:

Mark Studin DC, FASBE(C), DAAPM  – Nothing to Report

Michael Schonfeld DC, DABCO - Nothing to Report

Don Capoferri DC - Nothing to Report

Magdy Shady MD, Neurosurgeon, Neuro-Trauma Fellow - Nothing to Report

ACCME Standards of Commercial Support of CME require that presentations be free of commercial bias and that any information regarding commercial products/services be based on scientific methods generally accepted by the medical community. When discussing therapeutic options, faculty are requested to use only generic names. If they use a trade name, then those of several companies should be used. If a presentation includes discussion of any unlabeled or investigational use of a commercial product, faculty are required to disclose this to the participants.

ACCME Original Launch Date: February 9, 2022 Termination Date: February 9, 2025