Primary Spine Care 8: DC vs. PT. vs. MD vs. DRUGS AS 1st
OPTION FOR SPINE
12 Credit Hours
*CE Credits are for Doctors of Chiropractic.
Module 1
Chiropractic Evidence – Updated
research-based evidence of current physiological models of how the chiropractic
adjustment affects nociceptors, mechanoreceptors and proprioceptors and its
role in central neurological modulation. Literature-based comparison of DC vs.
PT vs. MD vs. drugs for the spine.
Mark Studin DC, FASBE(C),
DAAPM, DAAMLP
Module 2
MRI Spine
Interpretation.
Recent evidenced-based nomenclature changes in diagnosing and reporting disc bulges
from trauma and how that affects spinal diagnosis in traumatically induced
pathology. Triage of patients based upon pathology and updating current
standards in ordering MRI’s as well as the correct triage based on the
pathology diagnosed. Age-dating herniated discs based upon the literature and
the aberrant biomechanics that occur as sequella.
Module 3
Management
and Triage. What
tests to order and when to consider collaborating with medical specialists
based upon clinical and test results. An in-depth review of imaging and
neurodiagnostic testing as correlates to clinical findings. The following
modalities will be discussed: MRI, CAT, X-Ray, EMG/NCV, pf-NCS, SSEP, BAER,
V-ENG, VEP, Bone Scan. Application of diagnostic findings in contemporary
chiropractic practice.
Module 4
Evidenced-Based
Treatment Protocols: Utilizing evidenced-based literature in the medical-legal
environment while maintaining ethical relationships in determining causality,
bodily injury and persistent functional loss when clinically applicable as
evidenced demonstrably.
Mark Studin DC, FASBE(C),
DAAPM, DAAMLP
Module 5
Documentation – The spine-brain connection in
managing acute and chronic pain patients and the documentation requirements
required in insurance, medical-legal and interprofessional environments. The
clinical findings, treatment pathways and documentation requirements in
maintaining ethical-relationships with hospitals, medical specialists and
medical primary care providers.
Module 6
8:00 am – 10:00 am
Chiropractic
evidenced-based model
that is the basis for Interprofessional care and the foundation for
chiropractic care to be delivered in a hospital system inclusive of emergency
rooms and appropriate care paths. This protocol is based upon connective tissue
disorders and the neurological connection between spine, ligament and the
central nervous system based upon the literature and chiropractic and medical
academia.
Mark Studin DC, FASBE(C),
DAAPM, DAAMLP
Module 7
Interprofessional Grand Rounds - Case management and triage of multiple cases in a
clinical setting and in a collaborative setting with Robert Peyster MD,
Neuroradiologist, Magdy Shady MD, Neurosurgeon, Neuro-Trauma Fellow, John
Edwards MD, Neurosurgeon, Candace Perkins MD, Vascular Neurologist.
Goal: To learn how to utilize the research
in positioning the chiropractor as an expert based upon outcomes.
Objective: To teach the doctors how to utilize
research and outcome studies in positioning themselves in the medical community
to create peer-peer relationships when building a collaborative medical team to
triage as clinically indicated.
Final
Exam: 1 Hour
Total Education
Time: 12 Hours
