Forensic Documentation

20 "Online" CE Credits

*CE Credits are issued for Doctors of Chiropractic only.

This 20 Hour course covers how to get the doctor to understand documenting demonstratively bodily injuries and functional losses in forensic environment.

The forensic documentation course has been engineered to allow you to thrive in the most confrontational medical legal environment: the courtroom. The modules were created to help you understand how to create demonstrative documentation so that your clinical findings are easily understood and can withstand scrutiny upon cross examination. This course gives you the tools to take your evaluation, reevaluation and treatment notes to be fully understood and teaches you how to craft them in such a manner to withstand the courtroom environment.

Part 1: An Introduction to report writing in medical-legal environment.  This section discusses how to organize your charts and prepare  demonstrative examples based upon your clinical findings.

Part 2: Reviews how to document spinal biomechanical findings in both words and images.

Part 3: Illustrates how to document causality and bodily injury in cervical flexion and extension injuries.

Part 4: How to forensically document bodily injuries, inclusive of utilizing imaging studies that are labeled as part of your documentation.

Part 5:Understating that your curriculum vitae is part of your documentation; how to prepare it and present it in the medical-legal environment.  How to use peer-reviewed medical literature in your documentation inclusive of appropriate citations.

Part 6: Documenting your credentials so they are admissible in a medical-legal environment.

Part 7: Organizing and presenting your documentation in a medical-legal environment. (Direct Examination) Part 1

Part 8: Organizing and presenting your documentation in a medical-legal environment. (Direct Examination) Part 2

Part 9: Organizing and defending your documentation in a medical-legal environment. (Cross Examination) Part 1

Part 10: Organizing and defending your documentation in a medical-legal environment. (Cross Examination) Part 2

   FEE: $750.00

Instructors:
The doctor's CV can be found by clicking on "Faculty" on the top toolbar

  Mark Studin DC, FASBE(C), DAAPM, DAAMLP, Chiropractor

Dan Rosner Esq.

Accepted language to be added to your CV

Forensic Documentation

CV Citations

Module 1:

Forensic Documentation-Report Writing, Report writing in a medical-legal case inclusive of causality, bodily injury, persistent functional loss and restrictive sequela from trauma. Demonstratively documenting bodily injury utilizing models, graphs and patient image of x-ray and advanced imaging. Cleveland University, Kansas City, PACE Recognized by the Federation of Chiropractic Licensing Boards, Academy of Chiropractic, Post-Doctoral Division, Long Island NY, 2019

Module 2:

Forensic Documentation- Demonstrative Documentation, Demonstratively reporting spinal biomechanical failure and spinal compensation. How in a medical-legal environment to ethically report pre-existing injuries vs causally related current injuries and what is permissible in a legal proceeding. Cleveland University, Kansas City, PACE Recognized by the Federation of Chiropractic Licensing Boards, Academy of Chiropractic, Post-Doctoral Division, Long Island NY, 2019

Module 3:

Forensic Documentation- Reporting Direct Opinions , Cauality, bodily injury and persistent functional losses documented and reported in a medical-legal environment as your direct opinion. Avoiding hearsay issues to ensure ethical relationships. Cleveland University, Kansas City, PACE Recognized by the Federation of Chiropractic Licensing Boards, Academy of Chiropractic, Post-Doctoral Division, Long Island NY, 2019

Module 4:

Forensic Documentation- Initial, Final and Collaborative Reporting ,Preparing demonstrative documentation in a medical-legal case ensuring that you are familiar with all other treating doctor’s reports. Correlating your initial and evaluation and management (E&M) report and your follow-up E&M reports with the narrative upon maximum medical improvement documenting continuum of care.  Cleveland University, Kansas City, PACE Recognized by the Federation of Chiropractic Licensing Boards, Academy of Chiropractic, Post-Doctoral Division, Long Island NY, 2019

Module 5:

Forensic Documentation- Qualifications and Preparation of Documentation, How to prepare your documentation for courtroom testimony and ensuring your qualifications are documented properly on an admissible, professional curriculum vitae. How to include indexed peer-reviewed literature in medical-legal documentation,  Cleveland University, Kansas City, PACE Recognized by the Federation of Chiropractic Licensing Boards, Academy of Chiropractic, Post-Doctoral Division, Long Island NY, 2019

Module 6:

Forensic Documentation- Reporting Patient History and Credentials ,Preparing patient history in a medical-legal case based upon your initial intake forms and understanding the work, social, academic, household and social activities of your patient. Understanding and explaining your doctoral and post-doctoral credentials in the courtroom.  Cleveland University, Kansas City, PACE Recognized by the Federation of Chiropractic Licensing Boards, Academy of Chiropractic, Post-Doctoral Division, Long Island NY, 2019

Module 7:

Forensic Documentation- Reporting Chiropractic Care and Injured Anatomy , Preparing demonstrative documentation in a medical-legal case to report the bodily injuries of your patients , inclusive of loss of function and permanent tissue pathology.  Cleveland University, Kansas City, PACE Recognized by the Federation of Chiropractic Licensing Boards, Academy of Chiropractic, Post-Doctoral Division, Long Island NY, 2019

Module 8:

Forensic Documentation- Reporting Temporary vs. Permanent Issues, Preparing documentation in a medical-legal case ensuring that you can communicate permanent vs. temporary functional losses and permanent vs. temporary tissue pathology. How to maintain and explain ethical relationships in medical-legal cases, Cleveland University, Kansas City, PACE Recognized by the Federation of Chiropractic Licensing Boards, Academy of Chiropractic, Post-Doctoral Division, Long Island NY, 2019

Module 9:

Forensic Documentation- Reporting Bodily Injury, How to report bodily injury and functional losses as supported by your credentials in a medical-legal case. Clinically correlating causality and permanent tissue pathology as sequela to trauma, Cleveland University, Kansas City, PACE Recognized by the Federation of Chiropractic Licensing Boards, Academy of Chiropractic, Post-Doctoral Division, Long Island NY, 2019

Module 10:

Forensic Documentation- Record Review and Documentation Reporting, How to report records of collaborative treating doctors and communicating your scope of practice in the management of your case. How to ethically report your role as a doctor in medical-legal cases, Cleveland University, Kansas City, PACE Recognized by the Federation of Chiropractic Licensing Boards, Academy of Chiropractic, Post-Doctoral Division, Long Island NY, 2019

Objective: To get the doctor to understand how to document demonstratively bodily injuries and functional losses in a forensic environment.

EVALUATION & MANAGEMENT

This 12 Hour course covers how to get the doctor to understand the evaluation and management process from a documentation prospective.

The Evaluation and Management course has been engineered to allow the doctor to understand how to document the initial, re-evaluation and visit encounters. These educational modules were created to help you understand how to be compliant in covering the required elements based upon the level of evaluation and subsequently billed.  This program offers a single solution for all financial classes (Fee for Service, Personal Injury, Workers Compensation, Medicare and Managed Care) as they all need similar required elements predicated on the level of service billed.

Part 1: An Introduction to documentation. This section discusses why note taking is critical to tell the story of your patient’s condition at the time of your evaluation, inclusive of co-morbidities, pre-existing conditions, family and social considerations and medical-legal implications. It also covers hand written notes vs. electronic medical records and the importance of documenting at the academic standard.

Part 2: Reviews on how to conclude a chief complaint, history and what needs to be considered in a physical examination. This covers in dept the required elements for chief complain, 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.

Part 3: Coding and Spinal Examination: This module covers 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.

Part 4: Neurological Evaluation: This module covers a 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.

Part 5: Documenting Visit Encounters: This module covers the S.O.A.P. note process for visit encounters. It discusses the necessity for clinically correlating symptoms, clinical findings and diagnosis with the area(s) treated. It also discusses how to modify treatment plans, diagnosis, document collaborative care and introduce test findings between evaluations.

Part 6: 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.

 FEE: $325.00

CE approved in 30 states & territories

              Click here to view

1.  Minimum 20mbs download speed

2.  Firefox Browser preferable

3.  Do NOT to use a mobile device. It is not allowable and not ideal for learning as the graphics will be too small. 

Below is the description of the course and the citations/language for your curriculum vitae.

Instructor
The doctor's CV can be found by clicking on "Faculty" on the top toolbar

Mark Studin DC, FASBE(C), DAAPM, DAAMLP, Chiropractor

Michael Barone DC, DISCN, DIBE

Bryan Weissman DC

Accepted language to be added to your CV

CV Citations

Module 1:

Evaluation and Management, An overview of the evaluation and management process inclusive of utilizing electronic medical records to conclude evidenced-based conclusions with the utilization of macros. The importance of adhering to an academic standard and considering co-morbidities. Cleveland University, Kansas City, PACE Recognized by the Federation of Chiropractic Licensing Boards, Academy of Chiropractic, Post-Doctoral Division, Long Island NY, 2019

Module 2:

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 complain, 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, PACE Recognized by the Federation of Chiropractic Licensing Boards, Academy of Chiropractic, Post-Doctoral Division, Long Island NY, 2019

Module 3:

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, PACE Recognized by the Federation of Chiropractic Licensing Boards, Academy of Chiropractic, Post-Doctoral Division, Long Island NY, 2019

Module 4:

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, PACE Recognized by the Federation of Chiropractic Licensing Boards, Academy of Chiropractic, Post-Doctoral Division, Long Island NY, 2019

Module 5:

Evaluation and Management, Documenting Visit Encounters: 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, PACE Recognized by the Federation of Chiropractic Licensing Boards, Academy of Chiropractic, Post-Doctoral Division, Long Island NY, 2019

Module 6:

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, PACE Recognized by the Federation of Chiropractic Licensing Boards, Academy of Chiropractic, Post-Doctoral Division, Long Island NY, 2019

Objective: To get the

Electrodiagnostics: Electromyogram/Nerve Conduction Velocity (EMG/NCV) Diagnosis & Interpretation

*CE Credits are issued for Doctors of Chiropractic only.

Part 1: Anatomy and Physiology of Electrodiagnostics:.  This section is an in-depth review of basic neuro-anatomy and physiology dermatomes and myotomes to both the upper and lower extremities. It covers the neurophysiology of axons and dendrites along with the myelin and function of saltatory for conduction. This section goes into depth into explaining the sodium and potassium pump’s function in action potentials.

Part 2: Nerve Conduction Velocity (NCV) Part 1: This section discusses 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.

Part 3: Nerve Conduction Velocity (NCV) Part 2: This section covers a continuation of 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 

Part 4: Needle Electromyogram (EMG) Studies: This section covers what  EMG do 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. It covers 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.

Part 5: Electrodiagnostic (EMG/NCV) Overview and Clinical Grand Rounds: This module a complete overview of what EMG and NCV procedures, results, diagnoses and documentation. It covers 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.

 FEE: $325.00

PAYMENT CODE:

1.  Minimum 20mbs download speed

2.  Firefox Browser preferable

3.  Do NOT to use a mobile device. It is not allowable and not ideal for learning as the graphics will be too small. 

Below is the description of the course and the citations/language for your curriculum vitae.

Instructors
The doctor's CV can be found by clicking on "Faculty" on the top toolbar

Anthony Inglese DC, FIANC, DABCE, DIBCN, DIBE

Mark Studin DC, FASBE(C), DAAPM, DAAMLP

John Edwards MD, Neurosurgery

Michael Barone DC, DISCN, DIBE

Accepted language to be added to your CV

Concussion &Traumatic Brain Injury

*CE Credits are issued for Doctors of Chiropractic only.

*The following states are pending approval: Florida, Oklahoma, Arizona, California, District of Columbia, Hawaii, Kansas, Minnesota, Missouri, New Hampshire, New Jersey, New Mexico, Pennsylvania, Texas.

This 10-hour course covers how to understand traumatic brain injury in concussion. When there is a head injury inclusive of direct trauma or coup-contrecoup type trauma the brain can sustain a myriad of injuries. The primary spine care provider must understand the signs and symptoms for early detection as this can have either pathological cognitive sequella or death at the most extreme. This course covers the clinical examination, advanced imaging and advanced neurodiagnostic testing to conclusively diagnose traumatic brain injuries and any necessary triage. Also, this program emphasizes the urgency of triage pending a clinical evaluation.

Part 1: Traumatic Brain Injury and Concussion Overview:.  This section is an in-depth overview of traumatic brain injury in concussion. It discusses that all brain injuries are traumatic and dispels the myth of a “mild traumatic brain injury.” Also, this covers triage protocols and the potential sequela of patients with traumatic brain injuries.

Part 2: Head Trauma and Traumatic Brain Injury Part 1: This section discusses gross traumatic brain injuries from trauma and significant bleeding with both epidural and subdural hematomas. There are numerous case studies reviewed inclusive of neurosurgical intervention and postsurgical outcomes.

Part 3: Head Trauma and Traumatic Brain Injury Part 2: This section continues with multiple case studies of gross traumatic brain injuries from trauma requiring neurosurgical intervention and also discusses recovery sequela based upon the significance of brain trauma. This module also concludes with concussion protocols in traumatic brain injury short of demonstrable bleeding on advanced imaging.

Part 4: Concussion And Electroencephalogram Testing: This this section covers concussion etiology and cognitive sequela where gross bleeding has not been identified on advanced imaging. It discusses the significance of electroencephalogram testing in determining brain function and pathology (if present). This module also covers the understanding of waveforms in electroencephalogram testing in both normal and abnormal scenarios.

Part 5: Concussion And Electroencephalogram Testing Pathological Results: This module covers amplitude, conduction and conduction delays as sequela to traumatic brain injury to diagnose concussion and traumatic brain injury in the absence of gross bleeding and advanced imaging. This section covers electroencephalograms and event-related potentials which measures the brain response that is a direct result of specific sensory or motor events. It is a stereotype electrophysiological response to a stimulus and provides a noninvasive means of evaluating brain function. In this module multiple case studies are discussed with ensuing triage protocols pending the results.

 FEE: $325.00

Approved for Chiropractic CE through Cleveland University- Kansas City & PACE Approved for the Federation of Chiropractic Licencing Boards

Approved for Medical CME Category 1 AMA PRA Credits through the ACCGME in consjunct5ion with The State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences

Educating the Lawyer Chiropractic-Legal Ethics

12 “Online” Hours

Faculty

Mark Studin DC, FASBE(C), DAAPM, DAAMLP

Daniel Rosner Esq, Certified Civil Trial Attorney

Pre-Test 30 Minutes

Module 1 – Introduction, Documentation Standards and Chiropractic Specialities – 90 Minutes

This module is an introduction to ethical reporting and the pitfalls of industry suggestions on how to re-structure your notes to maximize cases for lawyers and patients. It is a lesson on following the academic and Federal standards (they are the same) in the documentation of an evaluation and management visit. This module also covers the different types of specialties within the chiropractic profession compared to medicine.

Module 2 – “Failure To” in Clinical Practice– 90 Minutes

This module explains the clinical “academic” standards in ordering diagnostic tests and what can potentially be missed in concluding and accurate diagnosis, prognosis and treatment plan. It also explains how that can be reflected in the chiropractic-legal arena and both destroy your reputation and prevent your patient from having the truth in a medical-legal arena.

Module 3 – Chiropractic Credentials – 90 Minutes

How to fully explain your doctoral and post-graduate credentials. Understanding the difference between “certified” and “credentialed-in.” Ensuring that you report your full credentials in a manner consistent with both your licensure board and the courts. The accurate reporting of post-doctoral courses on an admissible curriculum vitae. 

Module 4 – Creating Ethical Chiropractic-Legal Relationships Utilizing the Patient’s Entrance Documentation  – 90 Minutes

Preparing documentation that resolves; 1) Release of information 2) Right to Receive Information 3) Right to Receive Payment 4) Assignment of Rights 5) Right to Lien 6) Right for Information. These are legal standards, which guide your ethical relationships.

Module 5 – Preventing and Resolving Potential Unethical Relationships – 90 Minutes

This module is a lesson on the “Rules of Professional Conduct” mandated by license for lawyers. It explains why lawyers act in many circumstances and help guide you to maintain ethical chiropractic-legal relationships.

Module 6 – Lien Negotiations and Documentation – 90 Minutes

A significant arena in practice regarding ethics is negotiating lien settlements with understanding “anti-kickback” laws and being legally defensible in the setting of your fees. This module teaches you how to use your initial patient documentation to conclude a case and ensure you are within the ethical boundaries of getting paid.

Review of Powerpoint slides for each module: 2 Hours

Post Test – 30 Minutes

Total Hours: 12

Post-Coronavirus PI Practice Strategy with Lawyers and MD's:  Where MRI, Colossus and Documentation Fits

Academy of Chiropractic

SYLLABUS:

30 Minutes: Transitioning from Telemedicine to in-office 99212-99215 re-evaluation and documentation requirements

30 Minutes: Personal Injury specific documentation

30 Minutes: MRI ordering protocols

30 Minutes: Understanding  MRI reports and Interpretation of images to corroborate findings

TOTAL EDUCATION TIME: 120 Minutes

Subject: Documentation

This is both a live presentation and enduring material

3 CE Credits

*CE Credits are issued for Doctors of Chiropractic only.

*Please note this course is not approved in the state of FL.

*Please note this course is not approved in the state of PA.

Part 1:  Integration of "Colossus type" insurance algorithms and court documentation requirements with current academia standards. Protocols and documentation standards in ordering diagnostics and treatment regimens.                                           2 Hours

Part 2: Documenting functional losses, both duties under duress and loss of enjoyment of life and the 36 points utilized by the courts, "Colossus type" insurance algorithms and required by academia.                                                                                   1 Hour

*Due to PA guidlines this class is not available for CE credits in the state of PA only*

Below is the description of the course and the citations/language for your curriculum vitae.

Instructor:

 Mark Studin DC, FASBE(C), DAAPM, DAAMLP, Chiropractor

Accepted language to be added to your CV

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 or PACE Recognized by The Federation of Chiropractic Licensing Boards], Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2017

Course Objective: To be able to document historical and clinical findings meeting the standards of academia, licensure boards, the courts and the carriers.

Course Goals: To teach the student how to complaintly document the findings of a complete evaluation, inclusive of clinical findings and mangement of the patient meeting the standards of academia, licensure boards, the courts and the carriers.

Fellowship in Spinal Biomechanics and Trauma - Clinical Rotation 1 - Pain Management 

Our ONLY LIVE Seminar this year

Every Top office in the country ALWAYS attends out live seminars… Be HERE!!!!!!

Friday, October 26, 2018 9am - 5pm (Bonus Members Only Day)

Dr. Wiegand: Spinal Biomechanics

Dr.’s Studin/Owens: Collections/Documentation

Friday Night Extravagant (really) Dinner for Fellow and Trauma Team Members

Saturday, October 27, 2018 8am - 6pmSunday, October 28, 2018   8am - 1pm 

Managing & Triaging Cases, Early Stroke Diagnosis, DC vs. PT & Ensuring Chiropractic as the 1^st Referral Option

Guest Panel

Robert Peyster MD, Neuroradiology

Magdy Shady MD, Neurosurgery, Neuro Trauma Fellow, Masters in Lumbar Spine Pathology

Candace Perkins MD, Neurology, Vascular Neurology

PRIMARY SPINE CARE SERIES #6

Topics

1. When to Order Diagnosing Testing2. Early Detection for (all types) Stroke3. The Research of Why Chiropractic over PT for Spine4. Get Long-Term Chiropractic Care Approved5. Be the First Referral Option for:     a) Emergency Rooms     b) Spine Surgeons     c) Medical Primary Care Providers     d) Lawyers

Melville Marriott Long Island

Address: 1350 Walt Whitman Rd, Melville, NY 11747

Spinal Disc and Ligaments Neurology and Pathology

7 CE Credits

*CE Credits are issued for Doctors of Chiropractic only.

*Please note this course is not approved in the state of FL.

The neurology of ligament pathology is an inclusive course covering ligaments and spinal disc (also ligaments). As discs are integral in spinal biomechanics, we discuss the role that a herniated or bulged disc plays in aberrant biomechanics and when the patient can undergo corrective care vs. management of care. The course also explains why long-termed chiropractic care is clinically indicated. 

This course details the roles of mechanoreceptors, proprioceptors and nociceptors in a pathological spine and one that is undergoing compensation as sequellae to trauma and tissue pathology. This course prepares you to be expert on spinal pathology and the mechanisms of compensation in addition to the why a patient “might” need lifetime care, no different than the diabetic, who needs lifetime care. In addition, this course will prepare you for patients who have “shifting pain” as a natural course of compensation. 

PRE-TEST

Module #1: Introduction, Ligament physiology and pathology                                              81 minutes recording, 28 slides

Module #2: Spinal Biomechanics & Disc Pathology                                                                53 minutes, 84 slides + Handout

Module #3: Innervation of disc and brain as sequellae to herniation                                   120 minutes, 80 slides

POST -TEST

Total Hours: 7

The Neurology of Chiropractic Care and Ligament Pathology from Trauma: Primary Spine Care 3 Online

12 CE Credits

*CE Credits are issued for Doctors of Chiropractic only.

*Please note this course is not approved in the state of FL.

*Please note this course was only approved for 10 CE credits in the state of CA.

Module 1: Chiropractic Evidence in Ligamentous Pathological State & the Tools Required                        

61 minnute webinar, 13 review slides

Module 2: MRI Anatomy, Neurology and Protocols                                        

80 minute Webinar, 64 review slides, pre test - post test

Module 3: Evidence Based Practice in Collaborative Environments & Reversing Trends in the Opioid Epidemic             

73 minute Webinar, 38 review slides, pre test - post test

Module 4: The Neurology, Mechanism & Central Nervous System Role of the Chiropractic Adjustment            

63minute Webinar, 69 review slides, pre test - post test

Module 5: Chiropractic Evidence in a Medical-Legal Environment                              

65 Minute Webinar, 64 review slides, pre test - post test

Module 6: Documentation, Compliance & Requirements in a Medical & Legal Paradigm                                    

43 minute Webinar 38 review slides, pre test - post test

Module 7: Lawyers, Ethical Relationships, Colossus Documentation, Credentials and Courtroom Mandates

47 minute Webinar 43 review slides, pre test - post test

Module 8: Research in a Spinal Biomechanics, Hospitals, Medical Specialists and Educating the Medical Community

56 minute Webinar 39 review slides, pre test - post test

CE Hours: 12

Instructors:

1. Mark Studin DC, FASBE(C), DAAPM, DAAMLP
2. William J. Owens DC, DAAMLP

Instructor: The doctor's CV can be found by clicking on "Faculty" on the top toolbar

COURSE OBJECTIVES

Module 1: Chiropractic Evidence in Ligamentous Pathological State   - The objective of this course is to help the graduate student understand what is required to be considered an expert in Chiropractic Evidence in Ligamentous Pathological State at the peer level in the both medical specialist and legal communities and realize the academic tools and credentials required to be accepted at that level. In addition, to learn what is required to focus future studies on in acquiring the requisite knowledge base to be the expert. 

Module 2: MRI Anatomy, Neurology and Protocols  - The objective of this course is to help the graduate student understand the basics of  MRI spine pathology and the abberant neurologi9cal sequella from an etiology perspective. The MRI component is also designed to help the graduate student understand the basics of MRI spine interpretation inclusive of the latest literature standards in nomenclature. 

Module 3 & 5: Spine Brain Neurological Role in Pathology  - The objective of this course is to help the graduate student understand the central nervous system conection to the brain and the role of the ligaments inclusinve of nociceptors, mechainoreceptros and proprioreceptors. 

Module 4: Chiropractic Evidence in a Medical Collaborative Environment  - The objective of this course is to help the graduate student understand administering and managing patients in a hospital environment inclusive of documenting care plans in conjunction with hospital attending’s and ancillary hospital staff.

Module 6 & 8 : Chiropractic Evidence in a Medical-Legal Environment - The objective of this course is to help the graduate student understand how to initially create legally defensible documentation that meets current academic and licensure standards. In addition the graduate student will learn how to justify their diagnosis, prognosis and treatment plans when challenged based upon clinical findings. 

Module 7 :  Evidence in Spinal Biomechanics and Collaboraing in a Medical-Legal Environment - The objective of this course is to help the graduate student understand how to initially create legally defensible documentation that meets current academic and licensure standards. In addition the graduate student will learn how to justify their diagnosis, prognosis and treatment plans when challenged based upon clinical findings. 

CURRICULUM VITAE ENTRIES

Connective Tissue Spinal Disc Permanent Pathology, Primary Spine Care, Herniated, bulged, protruded and extruded discs, etiology and morphology. Age-dating disc pathology inclusive of Modic changes, piezoelectric effect, Wolff’s Law and radicular clinical presentation, Academy of Chiropractic Post-Doctoral Division, Texas Chiropractic College, Long Island NY 2017

Connective Tissue Pathology and Research, Primary Spine Care, Utilization in spinal models considering the opioid abuse and various spinal models in contemporary health care. Care paths for mechanical spine pain and the evidence for conservative chiropractic care, Academy of Chiropractic Post-Doctoral Division, Texas Chiropractic College, Long Island NY 2017

Bio-Neuro-Mechanical Lesions and Spine Care, Primary Spine Care, Mechanoreceptor, proprioceptor, nociceptor innervation and control of the spinal system with central nervous system action and interaction. The integration of the pain processing network and the HPA Axis (hypothalamus, adrenal and pituitary) with the chiropractic spinal adjustment, Academy of Chiropractic Post-Doctoral Division, Texas Chiropractic College, Long Island NY 2017

Ethics, Documentation and Research, Primary Spine Care, Maintaining ethical Interprofessional relationships based upon an evidenced based practice inclusive of triage, diagnostics and reporting. Creating thorough documentation that reflects your complete findings encompassing descriptive ICD-10 codes and concludes the presence or absence of pathology. Academy of Chiropractic Post-Doctoral Division, Texas Chiropractic College, Long Island NY 2017

10 CE Credits

The Stroke Anatomy & Evaluation course is engineered to help you understand the vessels of the brain from both a structural and functional perspective. The course has an extensive review of the anatomy and physiology of brain hemodynamics along with detailing the variations of stroke etiology, types and complications. It covers in detail what to include and how to perform an extensive "stroke risk" history and neurological examination that allows the practitioner to be "time efficient," yet thorough. 

This course for the first time, gives the chiropractor/manual medicine provider risk factors and evaluation tools that can be performed in any clinical setting, to be able to assess and manage risk prior to delivering care. In addition, this course offers a "Clinical Protocol" to triage your patient based upon examination findings and has a section on Clinical Grand Rounds to give further insight in creating an accurate diagnosis, prognosis and treatment plan. 

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 CMCS Management, Inc.

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

Please note this course is only approved for 8 credits in the state of Arizona.

CERTIFICATION

The University at Buffalo Jacobs School of Medicine and Biomedical Sciences designates this Enduring Material activity for a maximum of 10.0AMA PRA Category 1 Credit(s)TM.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

NOTE: It has been well documented (click here for the reference) that there is no direct relationship between stroke and chiropractic in a healthy population.

Module 1: Stroke Anatomy and Physiology - Part 1 

Module 2:  Stroke Anatomy and Physiology - Part 2 

Module 3: Stroke Principles of Treatment an Overview for the Primary Care Provider 

Module 4: Clinical Evaluation & Protocols for Identifying Stroke Risk

TOTAL 10 Hours

***Please be aware that although the course is approved in AZ it is only approved for 8 CE credits.***

Instructors

1. Candice Perkins MD, Neurology & Cerebrovascular Neurology
2. Mark Studin DC, FASBE(C), DAAPM, DAAMLP

Faculty Disclosures

1. Candice Perkins MD, Neurology & Cerebrovascular Neurology - None to Report
2. Mark Studin DC, FASBE(C), DAAPM, DAAMLP - None to Report
   

Below is the description of each course and the citations/language for your curriculum vitae.

Module 1-Stroke Anatomy and Physiology  Part 1

 Chiropractors

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

 Medical Doctors

 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, Buffalo, NY, 2017

Module 1 Objective: To understand the anatomy and physiology of brain hemodynamics and stroke types

Module 2-Stroke Anatomy and Physiology Part 2

 Chiropractors

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 in stroke 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

 Medical Doctors

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 in stroke 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, Buffalo, NY, 2017

Module 2 Objective: To understand stroke types and etiologies both historical and historical risk factors

Module 3- Stroke Principles of Treatment an Overview fo rthe Primary Care Provider

Chiropractors

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

 Medical Doctors

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, Buffalo, NY, 2017

Module 3 Objective: To understand stroke treatment and the role of the primary care provider in early detection and triage 

Module 4- Clinical Evaluation & Protocols for Identifying Stroke Risk

Chiropractors

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