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.