Primary Spine Care 15

*This course is only approved for 8/15 credits in the state of OK.

**This course is only approved for 10/15 credits in the state of TX.

Ethics, Demonstrative Documentation, CAT Scan Interpretation and Social Media

Syllabus

15 CE Hours

Course Description: This program focuses on demonstrative reporting in an evidence-based paradigm. It teaches you how to use the evidence in the literature to age-date pathology and dispel the dogma of nonspecific back pain based on scientific evidence. We start to delve into CAT Scan interpretation and the correlation of MRI to CAT Scan images. We also focus on building the reputation of chiropractic and your office through social media using your credentials as clinically excellent. This has never been done before and is making significant changes in the referral process. 

Module 1 – 2 Hours - Current and Future Trends in Documentation & Practice Growth

Mark Studin DC, FPSC, DAAPM

Don Capoferri DC, FSBT, FPSC, BCN

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 2 – 2 Hours - Master Class in Connective Tissue Pathology – The Understanding of Biomechanical Pathology (Subluxation).

Mark Studin DC, FPSC, DAAPM

Don Capoferri DC, FSBT, FPSC, BCN

Master Class in Connective Tissue Pathology – The Understanding of Biomechanical Pathology (Subluxation). Connective tissue is the basis for the non-surgical treatment of mechanical spine disorders. Understanding the micro and macroscopic physiology of ligaments as they relate to the peripheral nervous system, muscles, and tendons as they relate to the central nervous system, including plasticity, is critical. Identifying the roles of proprioception and mechanoreception with a chiropractic spinal adjustment vs. manipulation as key to CNS changes and is fully detailed. 

Module 3 – 1.5 Hours - Biomechanical Pathology Demonstrative Diagnosis

Mark Studin DC, FPSC, DAAPM

Don Capoferri DC, FSBT, FPSC, BCN

The basics of biomechanics in spinal anatomy help give a foundation for creating an accurate diagnosis, prognosis, and treatment plan. This module explains the concepts of sagittal balancing along with using technology to determine biomechanical pathology in an evidence-based, reproducible paradigm that renders a conclusive diagnosis. Using the same technology, we'll also give you the foundation to demonstratively validate pathology as equality trauma and then the necessity for long-term care when clinically indicated. The same technology will also identify the dysfunctional segments of the spine and give the practitioner a road map as to where to adjust, what vectors to adjust and when MMI has been attained.

Module 4 – 2 Hours – Master Class in Spinal Disc Pathology and Trauma

Mark Studin DC, FPSC, DAAPM

Don Capoferri DC, FSBT, FPSC, BCN

This module focuses on the microanatomy and physiology of the spinal disc. It covers the function and cellular makeup of the nucleus pulposis annulus fibrosis as it relates to normal function versus pathology as sequela to trauma. It then goes into demonstrative MRI interpretation and how to colorize MRI images to depict disk pathology best as it relates to the spinal cord and spinal nerve roots. This segment also teaches you how to “language” those findings to make it easily understandable for collaborative physicians and the “layperson” in an ethical relationship. This also teaches how to document the 10 most common tissues injured in trauma demonstratively.

Module 5 – 2 Hours – Age-Dating Bodily Injuries

Mark Studin DC, FPSC, DAAPM

Don Capoferri DC, FSBT, FPSC, BCN

This module focuses on age-dating spinal injuries with a focus on discs. There are now twenty ways, based upon the evidence and the literature, to age date trauma, which has never been done before. This helps identify the proximate cause of the tissue pathology, which in turn helps the practitioner create a prognosis and treatment plan based on the stage of tissue repair or permanency of the injured body part. This is integral, and working with collaborative physicians when considering triage and essential for ethical relationships when documenting these injuries. This segment also teaches you how to demonstratively document those injuries and explain the acute versus chronic injury.

Module 6 – 2.5 Hours – CAT Scan Interpretation Correlated to MRI Findings

Patricia Roche DO, Radiology, Neuroradiology

Mark Studin DC, FPSC, DAAPM

Don Capoferri DC, FSBT, FPSC, BCN

This segment gives you the basics of understanding spinal CAT scan interpretation, including sequencing, image acquisition, reformatting, and using the “windows” available. These windows include bone, abdomen, chest, and others to help create the appropriate gradients in concluding an accurate diagnosis. This module also reviews MRIs related to those same CAT scans to identify pathology better. This covers MRI  T1, T2, STIR, proton density, Dixon sequences, and T2 fat saturation sequences. It is often necessary, based upon the type of pathology identified, to order a corresponding CAT scan or MRI to fully diagnose the patient as well as comorbidities that prevent either technology from being utilized. Those comorbidities are extensively detailed, and why they affect imaging modalities. This segment also covers the appropriate approach to analyzing all sequences in both MRI and CAT scans to ensure an accurate diagnosis.

Module 7 – 1 Hour – Using Social Media

Mark Studin DC, FPSC, DAAPM

Don Capoferri DC, FSBT, FPSC, BCN

This segment covers how to use social media ethically when working on building the reputation of the chiropractic profession and the individual doctor. This segment is not about marketing but how to use the advanced credentials of the doctor to get the public to understand that, just like in the medical profession (which they already understand), chiropractors now have the pathway to advanced education now through chiropractic and medical academia. By using the credentials through social media it gives the entire chiropractic profession and the individual doctors who have chosen to take advantage of that graduate level education the exposure the public has never seen to realize that our profession is evolving through “advanced Clinical Excellence.”

Module 8 – 2 Hours – Demonstrative Documentation and Collaborative Relationship

Mark Studin DC, FPSC, DAAPM

Don Capoferri DC, FSBT, FPSC, BCN

Demonstrative documentation has been integral in forging collaborative relationships with medical specialists and in the medical-legal community. Utilizing readily available technology has given the practitioner the tools required to document pathology in a simplistic, understanding manner that resonates well with collaborative specialists and in the medical-legal community. This section explains how understanding MRI is critical, including an immediate, accurate diagnosis before you treat the patient, and is the basis for documenting anatomical pathology (fracture, tumor, infection, herniation). This section also covers biomechanical pathology without anatomical pathology and the technology required to document connective tissue pathology demonstrably. When conclusively documenting connective tissue pathology and rendering an accurate diagnosis, you can then create a specific treatment plan for your patient that is not predetermined, and that's the basis for concluding the necessity for long-term care when clinically indicated.