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  • Treatment of Post-Surgical Continued Spine Pain (PSCP) Using Cox® Flexion Distraction: A Discussion of Past, Present and Future Research

    Contains 5 Component(s), Includes Credits Includes a Live Web Event on 06/18/2020 at 1:00 PM (EDT)

    This presentation by Dr. James Cox, DC and Dr. Ralph Kruse, DC will discuss the treatment of post-surgical continued spine pain patients starting with case studies and progressing through retrospective reviews and ending with the current prospective multi-practice IRB approved study at Keiser University.

    This presentation by Dr. James Cox, DC and Dr. Ralph Kruse, DC will discuss the treatment of post-surgical continued spine pain patients starting with case studies and progressing through retrospective reviews and ending with the current prospective multi-practice IRB approved study at Keiser University.

    Learning Objectives:
    1. Assess knowledge of the incidence, outcomes and sequela of spinal surgery. 
    2. Identify clinical outcomes reported for the use of Cox Flexion Distraction for post-surgical spine conditions.
    3. Evaluate knowledge of current research, and the necessity of future research for a growing patient population will be provided.

    Dr. James Cox

    Chiropractic Associates Inc

    Bio

    Ralph A. Kruse, Jr., D.C., FACO, DABCC

    Attending Clinician, Keiser University Spine Care Clinic; Assistant Professor, Keiser University College of Chiropractic Medicine,

    Dr. Kruse completed his pre-medical degree at the State University of New York (Stony Brook) and went on to receive his Doctor of Chiropractic Degree from National College of Chiropractic (now National University of Health Sciences) in 1990.  He subsequently earned diplomate status with the American Board of Chiropractic Orthopedics and the American Board of Chiropractic Consultants.  His professional interests are in the area of flexion-distraction decompression manipulation for chronic and post-surgical back pain.  Dr. Kruse practiced in Chicago from 1991-2017.

  • Step-By-Step Success: An Implementation Strategy for Compliant Documentation

    Contains 5 Component(s), Includes Credits Includes a Live Web Event on 06/04/2020 at 1:00 PM (EDT)

    This presentation by Dr. Ellen Fitzenrider, DC will focus on ways chiropractors can properly implement compliant documentation into their practice. These steps include transitioning patients to episodic care (Active vs. Maintenance), documenting to carrier guidelines and cutting out unneeded information from your notes, and other important aspects. Dr. Fitzenrider will focus on making sure assessment tools, scores, deficiencies, and goals are in the notes, the importance of having updated macros which are being used properly, EHR retraining, and more.

    This presentation by Dr. Ellen Fitzenrider, DC will focus on ways chiropractors can properly implement compliant documentation into their practice.  These steps include transitioning patients to episodic care (Active vs. Maintenance), documenting to carrier guidelines and cutting out unneeded information from your notes, and other important aspects.  Dr. Fitzenrider will focus on making sure assessment tools, scores, deficiencies, and goals are in the notes, the importance of having updated macros which are being used properly, EHR retraining, and more.

    Learning Objectives: 

    After viewing this program, registrants will be able to:
    1. Identify and understand where the deficiencies in their documentation.
    2. Recognize how to "reframe" their mindset, from fear to INFORMED. And to make compliant documentation a priority from a place of empowerment, not panic.
    3. Communicate more effectively with patients about their role in compliant care, and be clear about what 'medically necessary' care is.
    4. Propose significant steps towards being confident in their documentation, and feel less overwhelmed as they continue on their evolving journey of compliance.

    Ellen Fitzenrider, DC

    Owner, "It’s Me, Dr. E"

    Bio

    Dr. Fitzenrider is a 1991 graduate of Palmer College of Chiropractic, and a former insurance claims adjuster. She have built and sold 2 successful chiropractic practices in 2 states over the past 28 years. She is an industry advocate and policy advisor to local, state and national legislatures regarding Chiropractic as well as Special Education. She is also a founding member of the Virginia Chiropractor Association’s Anthem Audit Task Force. After having been the “recipient” of a devastating Anthem insurance audit in 2018, she is currently dedicating herself to what is a crisis in our profession today: compliant insurance documentation, for the 82% of DCs in the U.S. who STILL have non-compliant documentation

  • A Functional Approach to the Blood-Brain Barrier in Health and Trauma

    Contains 5 Component(s), Includes Credits Includes a Live Web Event on 05/14/2020 at 1:00 PM (EDT)

    Join Dr. Robert Silverman for a webinar which will explore the blood brain barrier (BBB), a physical barrier between the brain and the circulating blood, which restricts the movement of all soluble proteins greater than 400 Da from the blood across to the brain. Dr. Silverman will discuss the importance of the BBB and risks to it, citing specific examples, including concussion or other traumatic brain injury (TBI), the BBB and intestinal barrier fail. He will explore scenarios which may allow for the invasion of intestinal bacterial toxins, neuronal tissue-binding food proteins or cross-reactive food protein antibodies into the once protected nervous system, and other risk factors related to BBB damage. Finally, Dr. Silverman will discuss the importance of implementing a pro-brain dietary protocol and treatment strategy to heal the broken BBB. By taking proactive strategies, the risk of neurological disease occurring after the concussion or other TBI, can be significantly reduced. ​

    Join Dr. Robert Silverman for a webinar which will explore the blood brain barrier (BBB), a physical barrier between the brain and the circulating blood, which restricts the movement of all soluble proteins greater than 400 Da from the blood across to the brain.  Dr. Silverman will discuss the importance of the BBB and risks to it, citing specific examples, including concussion or other traumatic brain injury (TBI), the BBB and intestinal barrier fail.  He will explore scenarios which may allow for the invasion of intestinal bacterial toxins, neuronal tissue-binding food proteins or cross-reactive food protein antibodies into the once protected nervous system, and other risk factors related to BBB damage.  Finally, Dr. Silverman will discuss the importance of implementing a pro-brain dietary protocol and treatment strategy to heal the broken BBB.  By taking proactive strategies, the risk of neurological disease occurring after the concussion or other TBI, can be significantly reduced. 


    Learning Objectives:  

    After viewing this webinar, registrants will be able to:

    1.) Discuss the role of the blood-brain barrier in health and trauma 

    2.) Assess the gut and the brain for better management of chronic neurological disorders 

    3.) Analyze intestinal and blood-brain barrier dysfunctions 

    4.) Explain patient-friendly protocols to repair essential barriers when they are broken 

    Dr. Robert Silverman

    DC, MS, CNS, CCN, CSCS, CKTP, CES, CIISN, DACBN, DCBCN, HKC, SASTM

    Westchester Integrative Health Ctr.

    Bio

  • A Common Link Between Alzheimer’s, Arthritis and Metabolic Disorders

    Contains 5 Component(s), Includes Credits Includes a Live Web Event on 04/30/2020 at 1:00 PM (EDT)

    This presentation by Dr. Robert Silverman, DC will explore the commonalities between Alzheimer’s disease, arthritis, and metabolic disorders. They can all be induced by systemic gut bacterial toxins. The pathogens involved in gut dysbiosis possess inflammatory toxins such as lipopolysaccharides (LPS) and cytolethal distending toxins (CDT). The release of these toxins in the gut opens intestinal tight junctions and degrades epithelial cells allowing for unfettered infiltration of LPS and CDT into the periphery. Once in circulation, the inflammatory LPS and CDT can travel throughout the body, opening the blood-brain barrier, inflaming joint tissues, dysregulating the thyroid, and initiating insulin resistance. This therapeutic opportunity applies to many of the patients seen each week. Detection of systemic bacterial toxins can guide an appropriate gut-healing protocol. Repairing and maintaining the intestinal barrier is a key component in combating many extra-intestinal disorders.

    This presentation by Dr. Robert Silverman, DC will explore the commonalities between Alzheimer’s disease, arthritis, and metabolic disorders. They can all be induced by systemic gut bacterial toxins.  The pathogens involved in gut dysbiosis possess inflammatory toxins such as lipopolysaccharides (LPS) and cytolethal distending toxins (CDT).  The release of these toxins in the gut opens intestinal tight junctions and degrades epithelial cells allowing for unfettered infiltration of LPS and CDT into the periphery.  Once in circulation, the inflammatory LPS and CDT can travel throughout the body, opening the blood-brain barrier, inflaming joint tissues, dysregulating the thyroid, and initiating insulin resistance.  This therapeutic opportunity applies to many of the patients seen each week.  Detection of systemic bacterial toxins can guide an appropriate gut-healing protocol.  Repairing and maintaining the intestinal barrier is a key component in combating many extra-intestinal disorders. 


    Learning Objectives:  

    After viewing this webinar, registrants will be able to:

    1) Assess triggers, barrier integrity, neuron regeneration, and neuronal degeneration 

    2) Discuss nutritional protocols for Alzheimer's and metabolic disorders and their common links 

    3) Explain the gut and brain axis for better management of autoimmune disorders 

    4) Identify modern lifestyles and environmental triggers that are affecting the gut-brain axis and contributing to the neuroautoimmune epidemic 

    Dr. Robert Silverman

    DC, MS, CNS, CCN, CSCS, CKTP, CES, CIISN, DACBN, DCBCN, HKC, SASTM

    Westchester Integrative Health Ctr.

    Bio

  • Ten Evidence-Informed Ways to Improve the Effectiveness of the Adjustment

    Contains 5 Component(s), Includes Credits Includes a Live Web Event on 04/16/2020 at 1:00 PM (EDT)

    Join Dr. David I Graber, DC for this presentation on how improve the effectiveness of Chiropractic adjustments by applying some of the latest evidence. Dr. Graber will discuss neurological, mechanical, and contextual effects of spinal manipulation. He will then explore the most accurate methods of analysis for finding where and how to adjust a patient. Finally, Dr. Graber will examine the adjustment itself, citing natural history, contextual effects, and the physical procedure performed.

    Join Dr. David I Graber, DC for this presentation on how improve the effectiveness of Chiropractic adjustments by applying some of the latest evidence. Dr. Graber will discuss neurological, mechanical, and contextual effects of spinal manipulation.  He will then explore the most accurate methods of analysis for finding where and how to adjust a patient.  Finally, Dr. Graber will examine the adjustment itself, citing natural history, contextual effects, and the physical procedure performed.

    Learning objectives

    After viewing this webinar, registrants will be able to:
    - Explain and perform specific “hacks” to improve the delivery of their spinal manipulation/chiropractic adjustments.
    - Express and illustrate a better understanding of how evidence-based practices inform cervical spine adjustments.

    David I. Graber

    Founder- Graber Chiropractic Center

    Bio

    Dr. David Graber  has developed and taught over 30 courses on spinal and extremity adjusting techniques, low tech rehabilitation, the science of manipulation and manual care, contextual healing, and other topics.He is a diplomate of the American Board of Chiropractic Sports Physicians, the chairman of the Association of New Jersey Chiropractors (ANJC) Council on Technique and Clinical Excellence, and was the 2012 ANJC Chiropractor of the Year. Dr. Graber is in private practice in Parsippany, New Jersey.

  • All Things Physical (Exams, That Is)

    Contains 5 Component(s), Includes Credits Includes a Live Web Event on 04/07/2020 at 1:00 PM (EDT)

    This presentation by Dr. Michael John Megehee, DC focuses on significant practice opportunities for DCs. Some of these opportunities require training and certification such as performing physical exams for commercial drivers for which DCs have been paid $300,000,000 in the past 18 months. Some services only require completion of training such as DOT Alcohol and Drug testing which can be performed entirely by staff. For some opportunities, training is optional, but advisable such as performing FAA BasicMed exams for private pilots. Adding any of these services to your chiropractic practice will add revenue, a solid client base. Learn how to become qualified to offer these services to a new client market.

    This presentation by Dr. Michael John Megehee, DC focuses on significant practice opportunities for DCs.  Some of these opportunities require training and certification such as  performing physical exams for commercial drivers for which DCs have been paid $300,000,000 in the past 18 months.  Some services  only require completion of training such as DOT Alcohol and Drug testing which can be performed entirely by staff.  For some opportunities, training is optional, but advisable such as performing FAA BasicMed exams for private pilots.  Adding any of these services to your chiropractic practice will add revenue, a solid client base.  Learn how to become qualified to offer these services to a new client market.

    Learning Objectives:  

    After viewing this webinar, registrants will be able to:

    1. Compare CDL Physical to any other DC opportunity 

    2. Recognize, identify, and discuss public service with revenue opportunity 

    Michael John Megehee, DC

    President

    TeamCME

    Bio

    Dr. Megehee was appointed by the Federal Motor Carrier Safety Administration (FMCSA) in 2005 as a member of the National Registry of Certified Medical Examiner (NRCME) Brainstorming Sessions. He was appointed as a Subject Matter Expert/ Member of the National Registry Working Integrated Product Team (WIPT) that developed the Survey instrument used to establish the basis for NRCME certification. He was subsequently appointed to the National Registry Education Team that developed the core curriculum for the accredited physician training and he assisted the National Registry Test Team to develop and write test questions for the National Registry Certification Test. He is currently a FMCSA National Registry “Champion”.  Dr. Megehee is a contact with the Federal Aviation Administration regarding the FAA BasicMed program for private pilots and the chiropractic profession.  

    Dr. Megehee is a featured speaker/instructor with the Owner Operator Independent Driver Association Driver (OOIDA) Education series and assists OOIDA with their members’ medical exam concerns. He is a nationally published author and radio show guest and has traveled the U.S. training physicians regarding the DOT physical exam. He was the first Doctor of Chiropractic to be designated as a Walmart Distribution Center Medical Examiner to perform CDL physicals for Walmart drivers. 

    Dr. Megehee served as Vice President of the American Chiropractic Association Council on Occupational Health. He is a Post-Graduate Faculty member of the University of Western States, a Master Lifeloc Breath Alcohol Technician Trainer, and a past DATIA Certified Professional Collector Trainer having completed DATIA Advanced Drug Testing Management training. Dr. Megehee completed AAMRO’s Medical Review Officer, Alcohol & Drug Testing, and Substance Abuse Evaluation training. He is a past Secretary/Member of the Oregon Board of Chiropractic Examiners, Alternate Delegate to the National Board of Chiropractic Examiners and Delegate to the Federation of Chiropractic Licensing Boards. He is past Vice President of the Safe Drivers, Safe Roads Coalition, a nonprofit organization.  

    Dr. Megehee founded TeamCME in 2010. As President of the nation’s largest provider network of National Registry Certified Medical Examiners, he is the expert resource to over 750 TeamCME member clinics.  TeamCME is a FMCSA Accredited National Registry Training Organization having provided the NRCME accredited physician training to over 5000 Medical Examiners. TeamCME provides advanced medical examiner training to its members and is the only nationally recognized CME network as an OOIDA partner in providing fair, ethical Driver Helpful® DOT physical exams nationwide. TeamCME is the national distributor of SensiCardiac computerized heart auscultation for DOT physicals and the Chiropractic profession. TeamCME is the exclusive provider network for Stone Three’s TruckerHearts campaign to “Save” trucker’s hearts. 

  • An Audit from the Inside

    Contains 5 Component(s), Includes Credits Includes a Live Web Event on 04/02/2020 at 1:00 PM (EDT)

    ​Much of the information available for Chiropractors about insurance compliance audits is presented by attorneys, billing or documentation specialists, state associations that may or may not have current data to share/various degrees of assistance, Chiropractic malpractice insurance carriers (who may offer legal defense coverage for DCs), or companies who are trying to sell DCs services related to documentation reviews. In this webinar, Dr. Ellen Fitzenrider, DC will give a timeline for what happens in a typical audit, including the inital request for a review documentation for a number of patients for a specific time-frame, to how to prepare and deal with a typical audit, including what legal sources recommend before sending off your “big box of notes”, handling an audit call if your malpractice insurance carrier does not offer audit legal representation, and more. Finally, Dr. Fitzenrider will discuss what happens if you happen to fail an audit, including how to prepare for and be proactive in the face of pre-payment review, getting access to your denials information, staying on top of responding before things get far behind, and supporting yourself and your staff though the process.

    Much of the information available for Chiropractors about insurance compliance audits is presented by attorneys, billing or documentation specialists, state associations that may or may not have current data to share/various degrees of assistance, Chiropractic malpractice insurance carriers (who may offer legal defense coverage for DCs), or companies who are trying to sell DCs services related to documentation reviews.  In this webinar, Dr. Ellen Fitzenrider, DC will give a timeline for what happens in a typical audit, including the inital request for a review documentation for a number of patients for a specific time-frame, to how to prepare and deal with a typical audit, including what legal sources recommend before sending off your “big box of notes”, handling an audit call if your malpractice insurance carrier does not offer audit legal representation, and more.  Finally, Dr. Fitzenrider will discuss what happens if you happen to fail an audit, including how to prepare for and be proactive in the face of pre-payment review, getting access to your denials information, staying on top of responding before things get far behind, and supporting yourself and your staff though the process.  

    Learning Objectives:  

    After viewing this program, registrants will be able to

    1). Discuss the sequence of events in a typical audit.  

    2). Review the steps on how to prepare for an audit.  

    Ellen Fitzenrider, DC

    Owner, "It’s Me, Dr. E"

    Bio

    Dr. Fitzenrider is a 1991 graduate of Palmer College of Chiropractic, and a former insurance claims adjuster. She have built and sold 2 successful chiropractic practices in 2 states over the past 28 years. She is an industry advocate and policy advisor to local, state and national legislatures regarding Chiropractic as well as Special Education. She is also a founding member of the Virginia Chiropractor Association’s Anthem Audit Task Force. After having been the “recipient” of a devastating Anthem insurance audit in 2018, she is currently dedicating herself to what is a crisis in our profession today: compliant insurance documentation, for the 82% of DCs in the U.S. who STILL have non-compliant documentation

  • Disparities in Pain Care: Chiropractic Solutions for Patients, Communities, and Your Practice

    Contains 5 Component(s), Includes Credits Includes a Live Web Event on 03/10/2020 at 1:00 PM (EDT)

    This webinar by Dr. Chuck Simpson will help Doctors of Chiropractic understand health disparities around pain care and offer some practical tips to better serve pain patients. It is better for patients, better for our communities and better for our profession. This webinar will focus on selected populations of pain patients that are frequently encountered in the community and often in a chiropractic office.

    Clinically appropriate care of patients with pain is often not widely available in today’s health care. Disparities in outcomes of pain treatment occur across a variety of diverse special populations whether defined by national origin, culture, ethnicity, race, gender, or social circumstances. As we get better at understanding the complexity of the origin and perpetuation of pain and what the most effective treatments for pain look like, the role of Doctors of Chiropractic and their evidence based clinical tool kit has advanced DCs to the front lines of first-choice interventions for patients with pain. 

    This webinar by Dr. Chuck Simpson will help Doctors of Chiropractic understand health disparities around pain care and offer some practical tips to better serve pain patients. It is better for patients, better for our communities and better for our profession. This webinar will focus on selected populations of pain patients that are frequently encountered in the community and often in a chiropractic office. 

    Learning Objectives:

    At the conclusion of this activity, participants will
    • Identify disparities in health outcomes for patients with pain
    • Recognize how the social determinants of health affect pain problems
    • Apply practical insights and tools to assist the chiropractic management of pain

    Chuck Simpson

    DC, DABCO

    Chuck Simpson, DC, DABCO, graduated from, Washington State University and received a Doctor of Chiropractic degree from University of Western States in 1978. From 1979 until 2003, he maintained a private chiropractic practice in Cornelius, Oregon, an ethnically diverse community near Portland.

    He served on the Oregon Board of Chiropractic Examiners and has volunteered for the Council on Chiropractic Education as a site visitor and currently serves as a CCE Councilor.

    He has contributed textbook chapters to Quality and Standards of Practice in Chiropractc,  Integrating Complementary Medicine in Health Systems, and Bonica’s Management of Pain.   He was a content expert for the NIH Center for Substance Abuse and Treatment clinical practice guideline Managing Chronic Pain in Persons with or in recovery from Substance Abuse Disorders and has published reviews of complementary medicine in chronic pain treatment for Physical Medicine and Rehabilitation Clinics of North America.

    In his non professional life, he enjoys sailing, kayaking, gardening and reading. 

  • Neurology of the Posture System

    Contains 5 Component(s), Includes Credits Includes a Live Web Event on 03/05/2020 at 1:00 PM (EST)

    The purpose of this presentation by Dr. Krista Burns, DC, is to illustrate the neurology of the Posture System, provide evidence-based research of how "Tech Neck" posture is impacting brain and physical function, and to demonstrate brain-based postural correction strategies that Doctors of Chiropractic can integrate into their clinical treatment plans. With the rampant decline of posture from being on smartphones and seated workers at their computers, this is a relevant and timely presentation. "Tech Neck" is a public health concern in the digital age that is impacting the quality of lives of adolescents and adults.

    The purpose of this presentation by Dr. Krista Burns, DC, is to illustrate the neurology of the Posture System, provide evidence-based research of how "Tech Neck" posture is impacting brain and physical function, and to demonstrate brain-based postural correction strategies that Doctors of Chiropractic can integrate into their clinical treatment plans. With the rampant decline of posture from being on smartphones and seated workers at their computers, this is a relevant and timely presentation.  "Tech Neck" is a public health concern in the digital age that is impacting the quality of lives of adolescents and adults.   

    Learning Objectives:  

    1) Analyze postural distortion patterns from a brain-based perspective. 

    2) Defend how Tech Neck Posture impacts brain and physical function. 

    3) Perform brain-based postural correction exercises to stimulate specific parts of the brain and implement with treatment plans 

    Krista Burns, DC, PhD, CPN, CPE

    Co-Founder

    American Posture Institute

    Bio:

    Dr. Krista Burns is a Certified Postural Neurologist, Certified Posture Expert, Ph.D. in Global Health Policy, and Doctor of Chiropractic.  She is the Co-founder of the American Posture Institute and has helped thousands of students in more than 35 countries worldwide.  She is a highly sought after international speaker, speaking at conferences such as the World Congress of Neurology and the International Chronic Diseases Conference.  As the author of the textbook, “The Posture Principles” her goal is to inspire audiences worldwide to understand the importance of posture.  Posture is declining at the speed of technology; Dr. Krista provides modern day postural correction solutions to improve neurologic function, energy expenditure for increased productivity, and longevity of vitality.  

  • Integrating Chiropractic Care Into College Athletics

    Contains 5 Component(s), Includes Credits Includes a Live Web Event on 02/25/2020 at 1:00 PM (EST)

    This presentation by Dr. Jude Miller will highlight the skills needed to work in a collegiate sporting environment. We will discuss clinical skills, the importance of inter & intra professional skills, communication, and more. This is a fast-paced presentation that is sure to engage both new and seasoned clinicians.

    This presentation by Dr. Jude Miller will highlight the skills needed to work in a collegiate sporting environment. We will discuss clinical skills, the importance of inter & intra professional skills, communication, and more. This is a fast-paced presentation that is sure to engage both new and seasoned clinicians.

    Learning Objectives:

    • Identify the various opportunities for chiropractic physicians within a sports medicine team and evaluate what structure would be most beneficial for his/her individual practice.  

     • Identify and the key sports medicine staff and their roles within the sports medicine team 

     • Recognize your role within the sports medicine team 

     • Create evidence informed treatment strategies for athletic injuries

    Jude Miller, DC, MS, CCSP, CME

    Chiropractic Sports Physician

    Dr. Jude Miller is a champion of integrative care settings, having practiced in private practice, hospital settings and now as a full-time member of the sports medicine team at the University of Memphis.
    He currently cares for all 20 athletic sports programs at the University of Memphis, integrating chiropractic care with many disciplines. Through his faculty position at Logan University, Dr. Miller is responsible for training chiropractic sports medicine residents and supervising clinical internships for chiropractic students.
    Dr. Miller is a lifelong learner of many forms of martial arts. He enjoys all things outdoors, including kayaking, hiking, biking and gardening. He is a father to two young sons, Tristan & Noah, and is married to Dr. Holly A. Tucker, a chiropractic acupuncturist. Together they enjoy traveling, often in leadership roles in the chiropractic profession.