Description
Risk 146 : Chiropractic Patients: Obligations in the Context of Patients Rights Credit Hours 1.0
Compare the various Responsibilities that patients owe to the doctor-patient relationship
Describe the doctor-patient relationship as a dynamic one that relies on the active participation of patient and doctor alike, and enlists aspects of trust in order for the interaction to render optimal benefits.
Recognize how the Hippocratic Oath contributed significantly to the development of chiropractic patient rights
Discuss the historical evolution of Patients' Rights in the United States and their application to chiropractic
Explain the various Patients’ Rights
Present case studies to illustrate how patient rights and responsibilities can be applied in practice.
Analyze how Patient Obligations contribute to the success of the doctor-patient interaction and can favorably impact patient outcomes.
Explain how chiropractors’ efforts to enhance profitability could negatively impact both public perception and the bottom line.
Physical Diagnosis 187 : Chiropractic In Office Neurological Examination Credit Hours 4.0
List the major divisions and subcomponents of the neurological examination.
List, contrast and compare the neurological signs associated with “release phenomenon” and “deficit phenomena”.
Contrast and compare the effects of neurological lesions on the neurological examination of the central nervous system versus the peripheral nervous system.
Recite the implications of neurological examination findings on disorders involving various components of the central and peripheral nervous system.
Draw the anatomy of the lower motor neuron in its relation to the spinal cord, nerve root, spinal nerve, and the neuro-myal junction.
Describe the physical positioning of the patient during aspects of the neurological examination.
List the subjects to question when in taking a good patient history.
Describe and perform aspects of the neurological examination of the Cranial Nerves of the patient.
Draw the neurologic pathways associated with the eye light reflexes. Include reference to cells of the retina, the optic nerve, the optic chiasm, the optic tract, the Pretectal nucleus, and the Edinger Westphal nucleus.
Describe and perform aspects of the neurological examination of the Motor Systems of the patient.
Describe and perform aspects of the neurological examination of the Sensory Systems of the patient.
Recite findings related to neurological “drift” performed during the neurological examination.
Describe and perform aspects of the neurological examination of the Reflex Systems of the patient.
Illustrate components of the muscle stretch reflex including the role of the Alpha motor neuron, Gama motor neuron, and large sensory fibers in relation to the muscle fibers and spinal cord.
Discuss the common shorthand used for grading muscle stretch reflex responses and discuss the results of the neurological examination associated with each grade.
Perform and discuss three versions of the extensor plantar response (extensor toe sign, Babinski sign).
Describe and perform aspects of the neurological examination of movement of the patient.
Nutrition 177 : Innate Nutrition for Chiropractors and Their Patients - Diet Supplements And Much More Credit Hours 6.0Cannot Use Prepaid Credits
Discuss healthy habits vs. genetics in healthy aging.
Review the importance of evolutionary biology in determining healthy habits.
Name and Define the “legs” of the Epidemiological Triad.
Emphasize the “Host Health Leg” in the practice of chiropractic.
Explain the history of the mitochondria as a synergistic organelle with its own genetic material.
Outline the basics of mitochondrial physiology and the clinical interventions to affect mitochondrial function.
Explain why modern humans should take 5 supplements.
Give an overview of what these supplements do physiologically and the risks associated with their deficiency.
Explain the greatest impact of magnesium on neurophysiology and energy production.
Identify the forms and discuss the protocols for magnesium supplementation.
Outline the evolutionary biology of omega-6/omega-3 ratios in inflammation and infection.
Summarize the importance of omega-3 derived molecules call resolvins for health and disease prevention.
Neurology 141 : Introduction and overview, Parkinson's Disease rating scales A Credit Hours 2.0
Classify a Parkinson's disease patient using the H and Y scale
Formulate a specific treatment plan for musculoskeletal symptoms experienced by an individual patient.
Use the Parkinson's Autonomic Rating Scale to formulate a treatment plan for non-motor symptoms of Parkinson's disease.
Recognize and utilize the three main staging and scoring scales of the conditions.
Utilize the three major components of the Unified Parkinson's Disease Rating Scale to formulate a specific treatment plan for your patient.
Understand how the autonomic scoring scale for Parkinson's overlaps and interacts with the Unified Parkinson's Disease Rating Score.
Combine the rating scales to formulate a stage for disability for the Parkinson's patient.
Utilize the United Parkinson's Rating Scale to craft a patient-specific rehabilitation program.
Recognize Parkinsons and refer to appropriate healthcare providers as indicated.
Medical Errors 205
Hour One:
Discuss common medical errors made in the process of choosing diagnostic imaging for patients with cervical spine injuries
Discuss the role of Clinical Prediction Rules and their role in preventing common errors in overutilization of radiographic studies in patients with cervical spine injuries
Describe the Canadian C-Spine Rule, Canadian Head CT Rule and NEXUS Low-Risk Criteria, as well as their limitations and exceptions
Review the literature supporting the use of Clinical Prediction Rules in the prevention of medical errors
Hour Two:
Discuss limitations of plain film radiography in the evaluation of injured patients, and strategies to avoid medical errors due to inappropriate selection of imaging modalities
Discuss relevant clinical indications for ordering advanced imaging studies in the evaluation of patients with cervical spine injuries
Review common advanced imaging studies and their role in preventing medical errors of commission or omission
Discuss the clinical relevance of recognizing loss of cervical motion segment integrity in the evaluation and management of injured patients
Management of Common Conditions 278 : Mastering the Biopsychosocial Approach: A Contemporary Lens for Chiropractors Credit Hours 4.0
Section 1: What is the Biopsychosocial (BPS) Framework?
Discuss the importance of philosophical frameworks in clinical practice.
Summarize prominent pain theories throughout history.
Explain the origin of the biopsychosocial (BPS) model and critique the traditional application of the BPS approach.
Outline best practices for the care of musculoskeletal pain.
Breakdown the concepts of patient-centered care, shared decision making and brief action planning.
Recognize the enactive approach as a modern application of the BPS model, incorporating humanism and empathy to foster a strong therapeutic alliance.
Integrate evidence-based strategies to facilitate effective self-care strategies for your patients.
Describe psychologically-informed care as a clinical construct
Relate BPS framework concepts to your clinical approach for pain
Fine tune your clinical processes to deliver a great patient experience.
Leverage evidence-based techniques when receiving a patient’s history.
Deliver a diagnosis and pain education in a BPS framework.
Structure a treatment plan in collaboration with your patient.
Identify strategies to manage pain flare-ups.
Summarize practical ways to enhance the use of BPS principles in your practice
Laser 221 : Powering Recovery - Mitochondria, the Electromagnetic Spectrum and Lasers Credit Hours 4.0
Hour 1: The Electromagnetic Spectrum (Basic Sciences)
Explore the basics of both visible and invisible “light”
Compare of the concepts of Power versus Energy
Explain the basic flow of electrons through the ETC
Discuss the basics of the ETC in the Mitochondria, ATP production, increase ROS and systemic disease caused by stalling. Examples Osteoarthritis, Alzheimers, effects on BBB, Autism and other neurodegenerative diseases.
Hour 2: The Role of Dysfunctional Mitochondria in Disease Processes (Basic Sciences)
Assess factors which negatively the electron transport chain (Pharma/ OTC NSAID/genetics)
Discuss the role of mitochondria dysfunction in common disease processes
Propose treatment options for restoring proper mitochondria function.
Summarize the role light in stimulating Complex 1-4 in the ETC
Integrate low level laser wavelength, frequency, energy, depth of penetration as it relates to human Physiology.
Hour 3: Indications for Low Level Laser
Evaluate the efficacy for LLL in the treatment of common musculoskeletal injures and post operative pain.
Explore the physiologic basis for pain and its related pathway.
Discuss the Arndt Schults Law and its role in comparing and contrasting Class 2 lasers to Class 3 & 4 lasers
Analyze case studies using the application of low level laser by wavelength, disease, and injury type
Hour 4: Soft Tissue Technique
Review anatomy for optimal soft tissue and skeletal manipulation.
Demonstrate the inverse relationship between range of motion and pain.
Integrate laser therapy to manipulate the physiology of the Human body, Chiropractic Manipulation & Manual Therapy Techniques to increase functional mobility (ROM) and facilitate pain reduction.
Functional Medicine 209 : Evaluating and Addressing Common Chronic Patient Conditions - Part One Credit Hours 3.0
Simplify the progressive cause-effect relationship of disease from biochemical imbalances to physiological disturbances to cellular/organ degeneration to disease manifestation
Identify the five primary underlying etiologies of virtually all chronic degenerative disease
Analyze the most common antecedents and triggers that predispose your patients to disease
Devise an evaluation algorithm that efficiently guides your testing recommendations
Discover novel in-office testing procedures that cost-effectively demonstrate patients’ nutrient insufficiencies; unmanaged stress; toxic burden; and sleep “debt”
Evaluate Heart Rate Variability test results to easily measure and demonstrate patients’ stress adaptability as well as their response to treatment modalities
Discriminate the meaningful information gleaned from Bio-Impedance Analysis (BIA) testing for monitoring your patients’ health restoration progress
Interpret evaluation results to efficiently identify which primary factors are contributing to your patients’ health challenges
Prioritize treatment plans that address both short-term goals (symptomatic relief) and long-term goals (correction, stabilization and prevention)
Distinguish which nutraceuticals best support patient needs based on history, exam, testing and symptomatology
Communicate the functional medicine model of health and disease with your patients with greater clarity and ease
Florida Chiropractic Law and Rules
Comprehend Florida Board of Chiropractic Medicine Rules Chapter 64B2 and statutes 456 and 460
Apply Florida Board of Chiropractic Medicine Rules and Statute to your clinical practice
Reduce potential risk exposures that may lead to complaints by the public and/or actions being taken against you by the Chiropractic Board
Engage in practice by per the Florida Board of Chiropractic Medicine Rules
Ethics 107 : Ethics and Law Credit Hours 2.0
Hour 1
Define Ethics
Review various ethical issues recently reported on
Identify ethics as related to the whistleblower
Discuss Ethical standards specific to laws in various states
Hour 2
Discuss Ethical standards specific to laws in various states (cont’d)
Summarize awareness related to anti-discrimination
Classify various aspects of professional boundaries and sexual misconduct
Documentation 200 : ICD 10 Documentation Credit Hours 4.0
Hour 1
Label the main driver is for “Medical Necessity”, how and why you must communicate this to 3rd party payers
List the foundation of coding and be able to apply pertinent ICD10 coding guidelines
Discover how correct coding may dictate our strength to 3rd parties and have national implications for our profession.
Discuss critical questions of the benefits and risks of our Chiropractic diagnosis codes in the insurance industry.
Identify red flags, complicating factors, and have awareness of Risk management when documenting and coding.
Identify how insurance companies rank the importance of various diagnoses and its effect on claims’ coverage and processing
Hour 2
Apply critical ICD10 coding Guidelines, like sequencing, Excludes notes, and combination codes.
Recall how ICD10 categorizes common NMS diagnoses seen by the DC
Appraise the differences between Medicare’s coding guidelines for DC’s and the ICD10 guidelines.
Explain Medicare’s definition of medical necessity and produce correct documentation to support it by reviewing the NCD.
Solve the documentation issue that leads to incorrect diagnoses.
Analyze and print tables (slides) of coding to help you for clinic ASAP
Apply the knowledge gained within a visit to correctly document the encounter’s Assessment and diagnosis.
Apply critical thinking to diagnosing and coming up with an appropriate ICD10 code.
Hour 3
Review numerous printable tables that will expand your ICD10 knowledge base of NMS diagnoses.
Identify the differences in diagnosing, documenting, then coding numerous spinal disc disorders, spondylopathies and radiculopathies according to medical necessity and ICD10-CM’s categorization.
Using clinical examples, discover and demonstrate the appropriate manner of documenting the evolution of changing diagnoses within a Plan.
Recognize, document, diagnose and appropriately pair examples of specific etiologies of NMS inflammation with an ICD10 code.
Hour 4
Record, diagnose and code various possibilities of types of the elusive ICD10-CM’s Facet Syndrome, according to Dr. Shapiro.
Document and appropriately code for instabilities VS ligament laxity of spine and extremities.
Identify Kyphosis as a complicating factor to healing. Then evaluate and code its types, areas and corresponding ICD10 codes.
Design a comprehensive list of diagnoses from an MVA, that may help a PI attorney with their demand letter.
Documentation 198 : Routine Visits are Often Far from Routine Credit Hours 1.0
Properly document “doctor thinking” daily in routine patient visit documentation
Recognize the role of the PART documentation process in Routine Office Visit notes
Identify and execute the key components of written assessment in daily documentation
Recognize aspects of documentation and coding of Route Office Visits (ROV) whether active treatment, preventative maintenance, or wellness care.
Distinguish the unique components of Subjective, Objective, Assessment and Plan
Documentation 188 : Documentation and Coding of Exercise Services Credit Hours 1.0
Cite the difference between Therapeutic Exercise and Therapeutic Activities
Properly document all aspects required when utilizing timed therapy services
Assimilate payer policy details to ensure proper code utilization
Discuss common errors when documenting and billing exercise therapy services
Concussion 203 : Concussion Management: Binaural Beats Credit Hours 3.0
Hour 1
Recognize signs and symptoms of concussion and make appropriate referral.
Realize the pathophysiology of symptoms related to concussions.
Identify red flags and potential dangers of manipulation.
Realize concussion diagnostic testing efficacy.
Hour 2
Define binaural beats history and development.
Explore binaural beat frequencies.
Describe binaural beats impact
Distinguish binaural beats for sleep, vertigo, pain and memory.
Integrate binaural beats protocols
Hour 3
Combine binaural beat frequencies to enhance therapy results.
Monitor results of binaural beat therapy.
Review current research studies on binaural beats.
Discuss future utilization and research of binaural beats.
Biomechanics 237 : Case studies in Orthotic Therapy Credit Hours 1.0
Discuss actual cases of problems remediated by orthotic therapy
Discuss the pathomechanics of the problem and kinetics/ kinematics of the remediation
Show orthotic modifications for specific issues
Demonstrate additional therapies/exercises/modalities that assist in specific problem management
