Primary Spine Care 15

*Please note this course is not approved for CE credit in the state of CA

**Please note this course is not approve for CE credit in the state of OK.

Ethics, Streamlining Documentation & Case Management Webinar

November 11-12, 2023

Syllabus

15 CE Hours

Course Description: This program helps create collaborative relationships between chiropractors and medical specialists based upon the evidence in the literature, complete and accurate documentation, accurate diagnosis, and functioning at an ethical level. It covers how to create your evaluation and management reports from an initial evaluation, through a reevaluation and a courtroom narrative. This program teaches you how to use the evidence in the literature to age date pathology, along with dispelling the dogma of nonspecific back pain based upon the scientific evidence.

Saturday, November 11, 2023

9 am – 11 am

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

Don Capoferri DC

Current and Future Trends in Documentation & Practice Growth

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.

11:00 am – 12:30 pm

Patricia Roche DO, Radiology, Neuroradiology

Mark Studin DC

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.

1pm – 2 pm

Mark Studin  DC

Don Capoferri DC

Age-Dating Herniated Disc and Master-Class in Ligament Physiology, Part 1

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

2:30 pm – 4:00 pm

Mark Studin  DC

Don Capoferri DC

Age-Dating Herniated Disc and Master-Class in Ligament Physiology, Part 2

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

4:00 pm – 5:00 pmMark Studin DC

Don Capoferri DC

Updated Trends in Spinal Biomechanics

Diagnosis and management of ligament (connective tissue) pathology in chronic and acute patients. Evidence-based physiology of the morphology, mechanisms, and sequella to trauma inclusive of compensatory actions of the human spine.

5:00 pm – 6:00 pm

Mark Studin DC

Don Capoferri DC

Case History Presentation

Clinical grand rounds of a case include disc, ligament, and spinal pathology. The creation of the diagnosis, prognosis, and treatment plan. The changing of treatment plans and diagnosis based upon follow-up examinations.

Sunday, November 12, 2023

9 am – 11 pm

Mark Studin DC

Don Capoferri DC

Updating the Non-Specific Back Pain Dogma

An evidence-based approach to spinal diagnosis and dispelling “non-specific back pain.” A tutorial on taking the evidence and collaboratively with medical specialists managing cases based upon the conclusive diagnosis.

11 am – 12:30 pm

Mark Studin DC

Paul Birinyi MD, FAANS, Neurosurgeon

Building Neurosurgical Collaborative Relationships

Case collaboration on a patient with significant extrusion-type herniation with cord compression and myelomalacia as sequelae. Discussing where the chiropractor fits into the team approach as the primary spine care provider. 

1:30 pm – 3 pm

Mark Studin DC

Don Capoferri DC

Future Clinical Trends in Ethical Collaborative Relationships and the Documentation that Fosters Those Relationships

A concise review of elements required in documentation, inclusive of language, research, and clinical findings. This section reviews every part of an evaluation and management report.

3 pm – 5 pm

Mark Studin DC

Don Capoferri DC

Discussing the Future trends in chiropractic and clinical record keeping is an integral part of good professional practice and delivering quality healthcare. But as healthcare changes with new technology and reimbursement models, so should clinical documentation. It can be helpful to go back to the basics. In this step-by-step guide to taking perfect clinical notes, we will cover:

• Why write clinical notes
• The importance of context
• What to include in a clinical note
• Tips for better clinical documentation
• Basic legal considerations
• Open clinical notes
• How to keep documentation efficient

Final Exam