Namibia Chiropractic Continuing Education

• Define and explain the difference between "calories in, calories out" versus the “carbohydrate-insulin model of obesity”. Discuss the causes of increased intestinal permeability in competitive athletes and identify strategies to combat the condition. Identify the energy intake athletes require by calculating their total energy expenditure.
• Recall the quality and function of macronutrients and their role in physical performance.
• Describe common micronutrient deficiencies seen in competitive athletes and identify strategies to prevent such occurrences.

• Summarize the physiological energy and macronutrient requirements of the sprint/power athlete and game-playing athlete. Identify supplement strategies to support the sprint/power athlete and game-playing athlete.
• Summarize the physiological energy and macronutrient requirements of the endurance athlete.
• Identify supplement strategies to support the endurance athlete.
• Outline an effective whole food diet to support competitive athletes.

• Describe the secondary metabolites in whole foods.
• Understand the role of phytochemicals.
• Demonstrate an understanding of how they interact with our cells.
• Explain how to preserve them during cooking.

• Recognize the challenges caused by ultra-processed foods
• Identify the compounds in the Brassicaceae family
• Explain the health benefits of sulforaphane
• Explain the importance of preserving secondary metabolites
• Recognize the benefits of the fungal kingdom

Hour 1

• Describe the characteristics and mechanisms of actions of essential oils.
• Explain several key controversies in aromatherapy and the implications.
• Generalize the safety and quality issues surrounding the clinical use of essential oils.
• Compare the various modes of applications of essential oils.
• Summarize the pharmacology and biotransformation of essential oils and its constituents.
• Recognize the potential interactions of essential oils with medications and nutraceuticals.

Hour 2 

• Generalize the various considerations for prescribing essential oils.
• Calculate equivalent dosages of essential oils using several different units of measurement.
• Apply the guidelines for appropriate prescribing the internal use of essential oils.
• Determine the proper application and dosage for various essential oils used for digestive health.
• Specify the usage and dose determination for essential oils for mental health.

• Analyze the concept of central pain processing and the consequences of dysfunction of descending inhibition.
• Associate FM with trauma and abuse, depression, anxiety, sleep disorder and pain processing disorders with emphasis on limbic system dysfunction, aberrant stress physiology, and ultimate failure of descending anti-nociception. 
• Assess the difference between regionalized somatic pain and true central allodynia
• Describe the accurate differential diagnosis of patients presenting with suspicion of FMS
• Identify common subsets of clinical disorders that may lead to an erroneous diagnosis of FMS (i.e., “pseudo” FMS)

• Describe and Identify the functional medicine approach to common pediatric problems
• Develop a comprehensive functional medicine assessment and treatment of common pediatric problems such as constipation, headaches and migraines, upper respiratory infections and otitis media, food sensitivities, allergies, asthma and atopy
• Examine the salient features of history, physical examination and laboratory testing to best implement functional medicine interventions to common pediatric problems
• Utilize a functional medicine approach to assess what each child may need to get or get rid of to treat each of these common pediatric problems 
• Summarize the literature supporting the use of functional medicine in pediatrics
• Recognize the four pillars of a functional medical approach to chronic pediatric illness – gastroenterologic, immunologic, metabolic and neurologic
• Classify and explain the importance of the genetic and genomic susceptibilities/predisposition and environmental triggers of chronic pediatric illnesses
• Utilize a functional medicine approach to assessing and treating chronic pediatric disease such as ADHD, Autism, Autoimmune Encephalitis, Anxiety, Allergy and Atopy
• Interpret the literature citations and develop protocols based on emerging evidence supporting a functional medicine approach to these chronic pediatric problems
• Appraise the assessment and management of the importance of the microbiome in immune tolerance, allergy and autoimmunity.

• Discuss the catecholamine pathway will be presented in an organized fashion with emphasis on real world applications. 
• Review clinical case studies. 
• Assess different genetic mutations within the catecholamine pathway . 
• Individualize treatment plans in practice. 
• Demonstrate a basic road map of the catecholamine pathway. 
• Use genetic parsing software and the tools attained form this course to highlight and modulate genes/SNPs of interest. 
• Derive natural therapeutic agents to modulate epigenetic expression. 
• Utilize basic nutrigenomic assessment and treatment knowledge in the catecholamine pathway.

• Define and explain the different terms that identify exercise intensity and their relationship to maximal oxygen uptake (VO2 max).
• Discuss the history of exercise physiology and how technology influenced research and ultimately, exercise guidelines.
• Differentiate the physiological responses to sprint interval training and to low-to-moderate intensity continuous training.
• Reconstruct a lay explanation to patients and/or clients of why sprint interval training is an extremely effective strategy for improving overall health and fitness.
• Summarize key research studies that support sprint interval training.

Hour 2

• Recognize additional research that supports sprint interval training.
• Identify key physiological benefits of sprint interval training.
• Recall important case study benefits.
• Outline effective overall strategies for implementing sprint interval training.
• Distinguish appropriate sprint interval exercises for differing populations.

Hour 1:

• Summarize the differences between genomics, genetics, and epigenetics
• Illustrate how genomics can affect risk and outcomes in auto-immune and inflammatory conditions
• Interpret relative function of genes based on presence of relevant SNPs
• Identify genes and SNPS involved in autoimmune disease and chronic inflammation
• Assess Dietary, Lifestyle and Herb/Nutrient recommendations based on genomics

 Hour 2:

• Apply nutritional genomics in autoimmune and inflammatory diseases
• Outline basic disease pathogenesis in autoimmune and inflammatory diseases
• Explain which genes and SNPs are relevant depending on the clinical scenario
• Assess other contributors to chronic inflammation and autoimmune disease

• Define Small Intestinal Bacterial Overgrowth (SIBO) 
• List common causes/ associations/risk factors of SIBO
• Recall the various estimates of SIBO prevalence
• Explain why SIBO prevalence estimates vary
• Describe the trajectory of SIBO research over the past decades

• Explain the limitations of using breath tests for the diagnosis of SIBO compared to other alternatives.
• Describe the specific issues with glucose-based breath tests for SIBO diagnosis.
• Describe the specific issues with lactulose-based breath tests for SIBO diagnosis.
• Critique the North American consensus document on breath testing for SIBO

• Implement the 2020 ACG Guidelines as it relates to breath testing for patients with IBS.
• Implement the 2020 ACG Guidelines as it relates to breath testing for patients taking PPIs.
• Discriminate between normal and abnormal ppm of H2S on a breath test.
• Contrast between the microbial diversity of the small intestine in those with and without SIBO.
• Identify the aberrant organism most associated with SIBO in the REIMAGINE study.
• Implement the 2020 ACG Guidelines as it relates to testing IBS patients for food sensitivities.
• Implement the 2020 ACG Guidelines as it relates to the use of low FODMAP diets in IBS patients.
• Select the Gut Directed Hypnotherapy regimen associated with the largest effect size.
• Explain the need for GRADE within the context of Guideline development.
• Critique a guideline using the AGREE-II criteria.
• Define the concepts of pre- and post-test probability.
• Calculate a post-test probability.

• Describe the role of GRADE in Guideline development
• Recall the recommendations of the ACG SIBO Guidelines
• Identify key concepts of SIBO as delineated by the authors
• Appraise the ACG Guidelines

• Recall the pathophysiology of the progression of Barrett’s esophagus to adenocarcinoma
• Implement the 2022 ACG guidelines on the use of PPIs for Barrett’s esophagus
• Evaluate the conclusions from the three competing meta-analyses on PPIs for Barrett’s
• Apply relative risk reduction calculations to the determination of the benefit of PPIs for Barrett’s

Hour 1

• Distinguish what gases are measured with Aire versus Aire2
• Judge the diagnostic agreement between Quintron and Aire devices in patients suspected of having SIBO
• Map the relationship between ‘fermentation scores’ and ppm
• Illustrate how you could use the Aire device to conduct formal SIBO breath tests

Hour 2

• Extrapolate hydrogen levels in the background of high methane
• Compare and contrast the pros and cons of using the Aire device
• Implement the clinician dashboard for breath testing
• Clarify why CO2 levels are not needed for Aire

• Recall the most common symptoms which H2S patients present with 
• Identify which H2S treatment interventions led to a statistically significant rate of adequate patient response 
• Evaluate an H2S SIBO case with a focus on severity and treatment history 
• Determine reasonable treatment options for an H2S SIBO case

• Examine the impact of sexual boundaries on the health care relationship
• Recognize the most common misconceptions about sexual boundaries
• Distinguish between sexual misconduct and sexual harassment
• Demonstrate the need for providing safety for patients
• Identify the inherent dangers of being in a power position

• Define sex abuse
• Identify the characteristics of an abused individual
• Appraise the effects of abuse on the health care relationship
• Create an individualized Patient Protection Protocol
• Develop office procedures and policies that will create a safe and comfortable environment for all patients

• Summarize the effect of exercise on wound healing in older adults
• Discuss the relationship between trunk muscle composition and functional capacity
• Assess the effects of high-intensity strength training on balance
• Describe a study that examines the reliability and validity of a new steadiness measure
• Assess the effect of an endurance exercise program on depression, anxiety and quality of life

• Summarize the concept of mitochondrial degeneration
• Discuss the free-radical mitochondrial theory of aging and the susceptibility of the brain to oxidative stress
• Assess the relationship between mitochondrial decay and age-related neurodegenerative diseases, such as Alzheimer's disease (AD) and Parkinson's disease (PD)
• Illustrate the array of mitochondrial nutrients and the various vitamins that may improve mitochondrial function

• Breakdown the biomechanical processes of spinal degeneration
• Explain the biochemical processes that occur in the geriatric population in 
• Differentiate between various diagnosis of structural and chemical conditions seen in geriatric patients
• Analyze the radiological findings and how they influence clinical decisions
• Explain Syndrome X and how it affects physiology
• Differentiate trauma and its late effects on the body

• This contains all courses with the educational objectives listed from Geriatrics 103 through 106

Hour 1

• Describe psychoneuroimmunology and its application to clinical diagnosis of geriatric patients
• Apply psychoneuroimmunology to activities of daily living

Hour 2

• Differentiate clinical approaches to managing psychoneuroimmunology
• Measure clinical treatment outcomes

Hour 3

• Relate what factors contribute to this field in the elderly patient
• Incorporate hormonal balancing with nutrition in clinical treatment plans for Chiropractic Patients

• Implement nutrients that promote spinal and joint function to obtain positive clinical outcomes
• Explain Ph., alkalinity and acidity as it impacts the physiology of the body in regards to healing
• Categorize toxins in the environment that create clinical presentations of  geriatric patients clinical care
• Utilize vitamins herbals and supplements to augment patients’ care
• Factor nutritional aspects of protein, fats and carbs into clinical treatment plans to improve healing
• Create treatment goals and nutritional plans

• Assess various treatment modalities
• Implement treatment protocols as found in the latest research
• Progress patients to incorporate wellness into their lifestyle
• Perform postural evaluations and discuss clinical significance to the patient
• Appropriately factor radiographic findings into diagnosis and clinical decision making of the geriatric patient
• Examine physical findings and set specific and measurable patient treatment goals

• This contains all courses with the educational objectives listed from Geriatrics 106 through 108

• Review evidence-based recommendations regarding best practices for chiropractic care of older adults
• Outline the relationship between individual sagittal posture and risk falling in an elderly back pain population
• Explore the cost impact of utilizing chiropractic in older patients with chronic low back pain and multiple comorbidities
• Examine the effectiveness of nonpharmacological therapies for dizziness in older people
• Assess the impact of chiropractic care on measures of sensorimotor function associated with the risk of falls in older adults

• Summarize the United Nations (UN) Decade of Healthy Aging and its initiatives
• Describe challenges specific to conducting clinical research on older patients
• Examine epidemiological trends and opportunities related to an aging population
• Define agism and elderspeak
• Explore relevant concepts of, and goals for, healthy aging
• Outline relevant clinical considerations for aging patients in a chiropractic practice
• Specify red flags in older patients that would warrant clinical referral
• Assess general function in elderly patients using simple clinical tests
• Examine our unique clinical opportunities (and challenges) relating to providing chiropractic care for older patients
• Recognize the clinical impact of multi-site pain in elderly patients
• Cite existing data on chiropractic care patterns for older patients
• Summarize and critique the existing body of research on chiropractic care for spinal conditions in older patients
• Explore the relationship between hip and spine function in elderly patients
• Integrate existing literature pertaining to the patient experience and understand what matters to them
• Summarize best practices for providing chiropractic care for older patients
• Discuss the rational use of imaging in chiropractic practice
• Define osteoarthritis and review the societal impact of this condition
• Identify risk factors for the development of osteoarthritis
• Outline our current state of knowledge on the pathophysiology and diagnosis of osteoarthritis
• Appraise the state of the evidence regarding general treatment recommendations for osteoarthritis
• Explore the scientific literature regarding various treatment modalities for osteoarthritis
• Recognize the value of exercise for managing osteoarthritis
• Critique the literature regarding common medical interventions for osteoarthritis
• Define lumbar spinal stenosis and review the societal impact of this condition
• Classify pathognomonic signs and symptoms of lumbar spinal stenosis
• Differentiate lumbar spinal stenosis from other clinical conditions
• Breakdown the evolving evidence relating to the management of lumbar spinal stenosis
• Discover the important role chiropractic can play in the treatment of lumbar spinal stenosis
• Outline our current state of knowledge on the pathophysiology and diagnosis of degenerative cervical (spondylotic) myelopathy
• Recognize the importance of identifying this pathology in aging patients to facilitate appropriate care

• Discuss the history of HIPAA and its application to the Chiropractic office
• Interpret the terminology of HIPAA i.e.: PHI, IIHI, NPP, TPO, NPI, EIN, EDI, etc.
• Contrast covered entities vs. non-covered entities
• Create a HIPAA compliant practice
• Utilize appropriate Electronic Data Interchange (EDI), code sets, identifiers, security and privacy
• Apply the Privacy Rule, Patient Consent Form, Notice of Privacy Practices, Patient Authorization, Business Associate Agreements, Appointments of Privacy Officers and Staff training
• Provide patient their proper rights as it pertains to access of their medical information, records and your practice etc

• Recognize acute situations for which homeopathic remedies are appropriate and effective
• Apply limited homeopathic remedies to acute care situations that arise in practice and day- to-day life
• Evaluate methods of application of homeopathic remedies to fit the situation at hand
• Distinguish between the available homeopathic remedies for a specific situation in order to select the most appropriate remedy for the individual
• Use homeopathic remedies in concert with existing therapeutic training

• This course meets Human Trafficking CE requirement in Michigan
• Cite the statistics on the prevalence of human trafficking nationally and in the State of Michigan
• Define Human Trafficking
• Summarize Michigan law concerning human trafficking
• Describe the personal and social behaviors, work conditions and immigration status that can indicate human trafficking
• Give examples of interview questions that can help determine if a person is a victim of trafficking
• Explain the special considerations necessary during the patient interview
• List medical indicators of trafficking victims
• List steps to be taken in reporting adult victims of human trafficking
• Cite the reporting requirements for minor victims

• This course meets Human Trafficking CE requirement in Ohio
• Cite the statistics on the prevalence of human trafficking nationally and in the State of Ohio
• Define Human Trafficking
• Summarize Ohio law concerning human trafficking
• Describe the personal and social behaviors, work conditions and immigration status that can indicate human trafficking
• Give examples of interview questions that can help determine if a person is a victim of trafficking
• Explain the special considerations necessary during the patient interview
• List medical indicators of trafficking victims
• List steps to be taken in reporting adult victims of human trafficking
• Cite the reporting requirements for minor victims