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 not approved in California

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

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Evidence-Based Clinical Chiropractic + MRI Mastery + Demonstrative Documentation

Become the evidence-based spine authority MDs refer to — and attorneys trust.

This advanced, literature-driven program trains doctors of chiropractic to align their clinical practice with today’s national healthcare trends, using current MRI spine interpretation standards, demonstrative reporting, and compliant documentation that protects your reputation and reduces risk.

If you want to become a stronger primary spine provider, build collaborative relationships with medical specialists, and produce documentation that stands up in court — this course was built for you.

✅ Fee: $399
✅ Format: Modular, case-based, clinically focused
✅ Ideal for: Clinical spine DCs, PI providers, MRI-focused clinicians, and medical-legal consultants

[Enroll Now] (Primary CTA)
[Download the Full Course Outline] (Secondary CTA)

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Learn from a multi-disciplinary faculty across chiropractic, neuroradiology, and neurosurgery

This course is taught by experts actively working at the intersection of clinical spine care, imaging, and legal defensibility, including experienced chiropractic educators and medical specialists.

Instructor Team Includes:

• Mark Studin, DC, FPSC, FASBE(C), DAAPM

• Michael Schonfeld, DC, DABCO

• Don Capoferri, DC, FBST, FPSC

• Magdy Shady, MD - Neurosurgeon, Neuro-Trauma Fellow

• Kevin Baker, MD - Radiology, Musculoskeletal Radiology

• Robert Peyster, MD - Radiology, Neuroradiology

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What This Program Helps You Do (Conversion Section)

By the end of this course, you’ll be able to:

• Interpret MRI spine studies using modern sequences and terminology (T1/T2/STIR/PD, sagittal + axial)

• Identify and demonstrate disc, ligamentous, and neurologic pathology with clarity

• Build demonstrative documentation that makes pathology visually understandable

• Create compliant, legally defensible records that reduce exposure and enhance credibility

• Use evidence-based biomechanics to document a patho-neuro-biomechanical lesion with accuracy

• Improve referral confidence with MD PCPs, specialists, urgent care, and ER teams

• Strengthen medical-legal reporting for causality, bodily injury, and financial loss integration

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Why This Matters Now 

Healthcare is rapidly shifting toward:

• Evidence-based documentation

• Demonstrable imaging-based diagnosis

• Collaborative, patient-centered spine care

• Higher standards for compliance and defensibility

This course shows exactly how clinical chiropractic fits into these national trends — and how to position yourself as the first-choice conservative spine provider.

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Who This Course Is For

This program is designed for doctors of chiropractic who want to:

• Expand clinical confidence interpreting MRI spine pathology

• Improve outcomes through biomechanics + imaging correlation

• Build reputation-based referral relationships

• Avoid documentation errors that create legal vulnerability

• Develop high-level capability in medical-legal / PI environments

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Course Modules 

Module 1 (2 Hours) — MRI Spine Case Review

A clinical review of MRI cases including sagittal and axial imaging, with instruction on identifying:

• Vertebrae, spinal cord, discs, nerve roots, thecal sac

• Posterior longitudinal ligament, epidural veins, fat saturation pulses
  Pathology covered: bulges, herniations, protrusions, extrusions, myelomalacia, cord edema, Schmorl’s nodes, and more.

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Module 2 (2 Hours) — Demonstrative Documentation Reporting

Learn how to create documentation that is demonstrable by design — making pathology visually clear and professionally defensible.
You’ll learn how to prepare records that are:

• Accurate

• Legally defensible

• Easily understood by third parties (attorneys, adjusters, providers)

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Module 3 (2 Hours) — Age-Dating Herniated Disc & Trauma

Age-dating disc pathology and trauma is a critical skill for spine experts. This module teaches how to combine:

• X-ray + MRI interpretation

• Imaging-based joint pathology analysis

• Evidence-based prognosis reasoning
  Essential for collaboration with physicians and for medical-legal case work.

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Module 4 (2 Hours) — Stroke Evaluation & Risk Factors in Chiropractic Practice

Diagnose, triage, and document headaches, migraines, and vascular events in primary care.
Includes:

• Imaging protocols based on history and presentation

• Imaging findings that help determine etiology

• Extensive Q&A session after instruction

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Module 5 (1 Hour) — Trends in Documentation (Evidence-Based, Demonstrative Care)

Demonstrative documentation is often the key driver behind:

• Better collaboration

• Stronger referrals

• Increased chiropractic utilization
  This module covers how evidence + technology removes outdated “non-specific back pain” assumptions and positions chiropractic as a clear first-line solution.

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Module 6 (1 Hour) — Documentation Made Easy (Medical-Legal + 4-Corner Reports)

Step-by-step instruction for creating:

• Demonstrative medical-legal documentation

• Court-ready reporting that meets regulatory and administrative standards

• “4-corner” narrative reports that strengthen your professional reputation
  Includes how to educate attorneys on bodily injury through demonstrative evidence.

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Module 7 (1.5 Hours) — MRI Nomenclature & Evidence of the Chiropractic Lesion

A modern MRI terminology update (with significant changes) plus biomechanics-based diagnosis.
Includes a master-class in:

• Strain-sprain mechanisms

• Ligament/connective tissue permanency

• Evidence-based certification of long-term care needs
  Focus: making patho-neuro-biomechanical lesions clinically demonstrable and reimbursable.

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Module 8 (2 Hours) — Imaging Joint Ligamentous Instabilities

Identify multiple arthritis types across plain film and MRI, including:

• Osteoarthritis

• Psoriatic arthritis

• Rheumatoid arthritis

• Gout

• Infections

• Spondyloarthropathies
  Instructor: Dr. Baker, MD (Stony Brook School of Medicine)

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Module 9 (1.5 Hours) — Master-Class in Ligament Physiology & Pathology

Anatomy, physiology, vascularization, neurological innervation, and tissue repair — and how it applies clinically.
Includes ligament pathology correlation to mechanisms of:

• Patho-neuro-biomechanical lesions

• Vertebral subluxation complex
  Also covers ligament roles in spinal adjustment mechanisms.

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Module 10 (1 Hour) — Disproving “Non-Specific Back Pain”

Evidence-based case management using:

• Biomechanics

• MRI findings

• Clinical correlation
  Includes how to build consistent referral pipelines and forensic consulting relationships — while disproving “non-specific back pain” dogma using the literature.

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Module 11 (1 Hour) — Spinal Disc Pathology in Clinical Practice (Roundtable)

A clinical roundtable on diagnosing spinal pathology in chiropractic practice.
Featuring: Dr. Peyster, MD (Harvard-trained neuroradiologist)
Includes case examples and best practices for collaborating with radiologists for case review.

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Module 12 (1.5 Hours) — Neurosurgical Roundtable Discussion

A collaborative spine care discussion led by:
Magdy Shady, MD, neurosurgeon with 30 years of experience working with and supporting chiropractic care.

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Module 13 (1.5 Hours) — DC vs. MD vs. PT: The Evidence

Deep dive into research comparing chiropractic care vs. PT vs. medication for mechanical spine conditions.
Includes:

• Evidence supporting chiropractic as the best first choice

• Physiologic basis for why adjustments work

• Updated definitions and evidence for patho-neuro-biomechanical lesions
  Objective: support stronger MD referral patterns toward DCs based on the science.

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Course Objective 

Course Objective

To integrate causality, bodily injury, and persistent financial losses into documentation and reporting demonstratively, using evidence-based rationale and modern imaging standards.

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Tuition: $399

Includes all modules, case-based instruction, and multi-specialty training content.

[Enroll Now]
[Request Group Training Options]

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FAQ 

Is this course evidence-based?
Yes. The program emphasizes clinical chiropractic aligned with the literature, imaging standards, and current healthcare documentation expectations.

Will this help with PI and medical-legal documentation?
Yes. Multiple modules focus on demonstrative, legally defensible reporting and court-appropriate documentation systems.

Do I need advanced MRI experience?
No. The course includes foundational MRI sequence review and progresses into advanced interpretation and pathology identification.

Will this improve referrals and collaboration?
Yes. The program is built around helping DCs become demonstrable, evidence-based providers — the key driver for professional trust with MDs and case stakeholders.

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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, FPSC, 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