Primary Spine Care 14 Online
Case Management and Documentation 

15 CE Credits

*Please note: This course is not approved in state of CA.

**Please note: This course is only approved for 10 CE credits in the state of Texas.

Primary Spine Care 14

Case Management & Documentation (Enduring Material)

Master evidence-based, demonstrative documentation and clinical decision-making for complex spine cases—so you can diagnose with confidence, collaborate with medical specialists, and become the first option for spinal referral.

✅ Evidence-based.
✅ Collaborative-care focused.
✅ Built for real-world complicated cases.
✅ Designed to elevate you as a Primary Spine Care Provider.

Cost: $299

Who This Program Is For

This enduring material program is designed for Doctors of Chiropractic who want to:

• Strengthen their diagnostic accuracy for complex spine cases

• Build evidence-based prognosis and treatment plans for complicated presentations

• Create demonstrative documentation that clearly communicates pathology

• Integrate imaging and biomechanics into practical case management

• Collaborate effectively with MD PCPs, specialists, urgent care, ERs, and neurosurgery when indicated

• Position themselves as the Primary Spine Care Provider (first option for referral + triage + conservative management)

If you’re seeing complicated cases—or want consistent professional referral relationships—this is built for you.

What You’ll Learn

This program trains you to use clinical acumen + documentation to create:

✅ Accurate Diagnosis

Learn to identify spine pathology—including disc and connective tissue/ligament injury—with clear evidence-based rationale.

✅ Evidence-Based Prognosis

Build a defensible prognosis using clinical findings, imaging, and pathology timelines (including age-dating herniations and trauma).

✅ Treatment Planning for Complicated Cases

Develop treatment plans that evolve appropriately based on follow-up examinations and clinical response.

✅ Collaborative Care Competency

Know how and when to collaborate with medical specialists—and how to document it so your records support patient-centered care.

Why This Course Matters Now

Modern spine care is changing fast. Successful chiropractors are no longer judged solely by outcomes—they’re judged by records that demonstrate why those outcomes are expected, defensible, and evidence-based.

This course directly addresses:

• The growing demand for collaborative care integration

• The need to move beyond “non-specific back pain” assumptions

• The expectation that documentation supports triage, diagnosis, and prognosis

• The reality that referrals grow when your records show clear, demonstrable pathology

Instructors:

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

A recognized authority in spine biomechanics, documentation, case management, and collaborative care. This program is built on the evidence, literature, and practical implementation used in high-level clinical and medico-legal environments.

Don Capoferri, DC, FBST, FPSC

Experienced educator and clinician focused on applying evidence-based documentation and clinical strategy to real-world chiropractic practice.

Featured Faculty

• Patricia Roche, DO (Radiology / Neuroradiology) — MRI case review and pathology identification

• Dan Rosner, Esq — Legally defensible demonstrative documentation reporting

• Paul Birinyi, MD, Neurosurgeon— Collaboration on severe extrusion-type herniation with myelomalacia and cord compression

Program Breakdown (9 Modules)

Module 1 — Trends in Documentation

Mark Studin, DC | Don Capoferri, DC
Learn how evidence-based demonstrative documentation has become the arbiter of successful collaborative care. Build professional credibility and strengthen referral relationships by moving beyond outdated “non-specific back pain” dogma using today’s technology and research.

Module 2 — MRI Spine Case Review

Patricia Roche, DO | Mark Studin, DC
A guided clinical case review of MRI sequences including sagittal, axial, T1, T2, STIR, and proton density. Identify key anatomy and pathology including:

• Bulges, protrusions, herniations, extrusions

• Myelomalacia, cord edema

• Schmorl’s nodes

• Thecal sac, nerve roots, ligaments, epidural structures

Module 3 — Demonstrative Documentation Reporting

Mark Studin, DC | Dan Rosner, Esq
Create documentation that is demonstrable by design—records that visually communicate pathology and stand up to scrutiny. Learn how to prepare records that are accurate, defensible, and clearly support clinical conclusions.

Module 4 — Age-Dating Herniated Disc + Master-Class in Ligament Physiology

Mark Studin, DC | Don Capoferri, DC
Develop the clinical skill of age-dating disc pathology and trauma, integrating imaging interpretation with joint pathology science. Plus an advanced ligament master-class covering:

• Anatomy & physiology

• Vascularization & neurological innervation

• Tissue repair and relevance to patient care

• Ligament pathology and the path-neuro-biomechanical lesion

• Ligaments’ role in spinal adjustment biomechanics

Module 5 — Updated Trends in Spinal Biomechanics

Mark Studin, DC | Don Capoferri, DC
Diagnosis and management of ligament/connective tissue pathology in chronic and acute patients. Understand the morphology, mechanism, and sequelae of trauma, including compensatory patterns of the human spine.

Module 6 — Case Presentation (Clinical Grand Rounds)

Mark Studin, DC | Don Capoferri, DC
Work through a full complicated case covering disc, ligament, and spinal pathology. Build diagnosis, prognosis, treatment plan—and learn how to update them based on follow-up exams.

Module 7 — Disproving Non-Specific Back Pain

Mark Studin, DC | Don Capoferri, DC
Learn documentation-based case management that integrates spinal biomechanics, MRI, and clinical findings when working with medical specialists and attorneys. Use case management to support:

• Consistent referrals

• Long-term forensic consulting relationships

• Evidence-based refutation of “non-specific back pain” dogma

Module 8 — Neurosurgical Collaboration

Magdy Shady, MD | Mark Studin, DC
Collaborate on a case involving significant extrusion-type herniation, cord compression, and myelomalacia. Learn where chiropractic fits in the team approach—especially when acting as the primary spine care provider.

Module 9 — Future Clinical Trends in Chiropractic & Documentation

Mark Studin, DC | Don Capoferri, DC
A forward-looking guide to modern documentation and record keeping as healthcare evolves. Includes a step-by-step framework for “perfect clinical notes”:

• Why write notes and what they protect

• Context and clinical relevance

• What to include (and what to avoid)

• Legal considerations and open clinical notes

• Efficiency without losing defensibility

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: 

Estimated time to complete: 15 Hours
Supported devices: PC only (no iPhone/iPad)
Minimum internet speed: 20 Mbps download

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

Financial Relationships of Planners, Presenters and Others: The following planners, presenters and others have either indicated financial relationships with ineligible companies or that no financial relationships exist. An ineligible companyis any entity whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. Policies and guidelines for identifying and mitigating relevant financial relationships of planners, presenters, and others involved in accredited continuing education are in compliance with the ACCME Standards for Integrity and Independence in Accredited Continuing Education

The following planners/presenters/others do not have any relevant financial relationships with ineligible companies:

Activity Director, Presenter:

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

Presenters:

Paul Birinyi, MD, Neurosurgeon

Don Capoferri DC

Patricia Roche DO

Dan Rosner ESQ

Commercial support for this activity:None