SELECTED POST-GRADUATE EDUCATION, CERTIFICATIONS AND DIPLOMATES
MRI Protocols Clinical Necessity, MRI slices, views, T1, T2, STIR axial, stacking, FFE, FSE and sagittal images. Clinical indication for the utilization of MRI and pathologies of disc in both trauma and non-trauma sequellae, including bulge, herniation, protrusion, extrusion and sequestration. CMCS, ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2012
MRI Interpretation of Cervical Herniations, MRI slices, views, T1, T2, STIR Axial, FFE, FSE and sagittal images in the interpretation of lumbar herniations. With the co-morbidities and complications of stenosis, pseudo-protrusions, cantilevered vertebrate, Schmorl's nodes and herniations. morphology of lumbar disc pathologies of central and lateral herniations, protrusions, extrusions, sequestration, focal and broad based herniations are defined and illustrated. Spinal cord and canal compromise interpretation with management. CMCS, ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2012
MRI Interpretation of Lumbar Herniations, MRI slices, views, T1, T2, STIR axial, stacking, FFE, FSE and sagittal images in the interpretation of lumbar herniations. With the co-morbities and complications of stenosis, pseudo-protrusions, cantilevered vertebrate, Schmorl's nodes and herniations. Morphology of lumbar disc pathologies of central and lateral herniations, protrusions, extrusions, sequestration, focal and broad based herniations are defined and illustrated. Central canal and cauda equina compromise interpretation with management. CMCS, ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2012
MRI Interpretation of Cervical Degeneration/Bulges, MRI slices, views, T1, T2, STIR axial, stacking, FFE, FSE and sagittal images in the interpretation of lumbar degeneration. With the co-morbidities and complications of stenosis, pseudo-protrusions, cantilevered vertebrate, Schmorl's nodes and herniations. Spinal cord and canal compromise interpretation with management. CMCS, ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2012
MRI Interpretation of Cervical Herniations, MRI slices, views, T1, T2, STIR Axial, FFE, FSE and sagittal images in the interpretation of lumbar herniations. With the comorbidities and complications of stenosis, pseudo-protrusions, cantilevered vertebrate, Schmorl's nodes and herniations. morphology of lumbar disc pathologies of central and lateral herniations, protrusions, extrusions, sequestration, focal and broad based herniations are defined and illustrated. Spinal cord and canal compromise interpretation with management. CMCS, ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2012
MRI Interpretation of Degenerative Spine and Disc Disease with Overlapping Traumatic Insult to Both Spine and Disc, MRI slices, views, T1, T2, STIR Axial, FFE, FSE and sagittal images in the interpretation of degenerative spondylolesthesis, spinal canal stenosis, Modic type 3 changes, central herniations, extrusions, compressions, nerve root compressions, advanced spurring and thecal sac involvement from an orthopedic, emergency room, chiropractic, neurological, neurosurgical, physical medicine perspective. CMCS, ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2012
Applied Physics for the Traffic Crash Investigator, Math overview, work-energy relationships and applications, conservation of linear momentum/impulse (with vector sum analysis using mathematical and graphical methods), uniform projectile ,otion/airborne equations, uniform circular motion/critical speed, tire forces and tire mark evidence, time-distance relationships, energy loss in collisions/CRUSH, ratinal mechanics/rotation after collision and pitch down in take off, low speed collision considerations including coefficient of restitution.. Institute of Police Technology and Management, Vancouver, Washington, 2012
Event Data Recorder Use in Traffic Crash Reconstruction , • Select the proper imaging method based upon the situation• Analyze any set of EDR data you encounter, regardless of manufacturer• Recognize the six vehicle operational conditions where EDR speed data has been improperly used• Determine the effect that equipment modifications have on EDR speed data• Use precrash data to identify when a vehicle lost control in order to select the peak speed before the vehicle lost control• Calculate the appropriate ranges for speed at impact for different EDR’s• Use accelerator pedal release and brake application timing as the first reaction to an impending crash• Use time-distance analysis to estimate the point of first perception• Utilize EDR data to gain previously unavailable insight into driver behavior and approach speed rather than impact speed• Use EDR analysis methods that will work for any manufacturer’s data, even those not yet released to publicly available imaging tools• Use OEM specific Excel© templates to analyze EDR data• Understand the new National Highway Traffic Safety Administration Part 563 rule (effective September 2012) that will standardize EDR data and make more data available in more severe crashes. Institute of Police Technology and Management, Atlanta, Georgia, 2012
Occupant Kinematics for the Traffic Crash Reconstruction, Calculation of Principal Direction of Force - Occupant movement - Types of injury: contact and non-contact - Injury forces - Vehicle interior examination - Injury terminology - Occupant protection systems - Reading medical and autopsy records - Calculation of delta V. Institute of Police Technology and Management, Jacksonville, Florida, 2012
Documentation and Triage in Trauma, ICD-9 and CPT requirements in coding for the traumatically injured including integrating electronic health records including informed consent, evaluation and management, testing orders. The utilization of research in medical reports for both the trauma and non-trauma patients. Clinical coordination of care and reporting to healthcare and legal providers. Federation of Chiropractic Licensure Boards, Academy of Chiropractic, American Academy of Medical-Legal Professionals, Hollywood, Florida, 2012
Medical-Legal Research and the Documentation of Causal Relationship, Prognosis and Treatment of the Traumatically Injured, Review of current research published in peer reviewed medically indexed journals focusing on traumatic injuries and how current literature affects the diagnostic conclusion and how to formulate treatment plans. Federation of Chiropractic Licensure Boards, Academy of Chiropractic, American Academy of Medical-Legal Professionals, Hollywood, Florida, 2012
MRI Spine Interpretation of Disc Bulge and Herniation, Spinal MRI findings related to degenerative changes vs. traumatic changes of the intervertebral disc by using definitions provided by the American Society of Neuroradiology. Anatomy of the intervertebral disc, spinal cord, nerve roots and spinal ligaments correlated to T1, T2, STIR sagittal, stacking and axial images. Anatomical MRI differentiation of normal, degenerative and traumatic changes. Federation of Chiropractic Licensure Boards, Academy of Chiropractic, American Academy of Medical-Legal Professionals, Hollywood, Florida, 2012
Electrodiagnostics Interpretation, EMG/NCV, Somato-sensory evoked potentials, brain stem auditory evoked potential and visual evoked potential utilization, physiology and interpretation, electrodiagnostic testing as a clinical component in part of the neurological work-up of the traumatically injured patient in both the peripheral and central nervous system. Inductions and contraindications to electrodiagnostic procedures . The utilization of electrodiagnostics in concluding radiculopathy, myelopathy and plexopathy and determining recent trauma or chronic pathology. Federation of Chiropractic Licensure Boards, Academy of Chiropractic, American Academy of Medical-Legal Professionals, Hollywood, Florida, 2012
Biomechanics of Spinal Trauma and its Relationship to Pre-Existing Injuries and Degenerative Changes, Whiplash associated disorders and the biomechanics of side impact vs. rear impact with emphasis on traumatic forces and body position, the mechanism of whiplash injury phases with their relationships to physiologic tolerance to trauma, specific diagnosis of disc pathology and annular tear, disc herniation, fracture, ligamentous injury and instability. Details of spinal nerve root stretching injury and dimensions of the spinal canal during whiplash was outlined particular to significant spinal injury resulting from low level accelerations including pediatric spinal trauma and physiological normals. Spinal surgical intervention techniques including ordering diagnostic studies using MRI, CT and digital motion x-ray. Federation of Chiropractic Licensure Boards, Academy of Chiropractic, American Academy of Medical-Legal Professionals, Hollywood, Florida, 2012
Admissibility Standards of the Medical Expert in Trauma, Documentation requirements of the courts in a medical-legal case including causality, bodily injury and persistent functional losses, ethically reporting of functional loss as it pertains to the integrity of the joint and activities of daily living and implications of chronicity, reporting of normal findings, maximum medical improvement and the release of the patient in the medical-legal arena. Federation of Chiropractic Licensure Boards, Academy of Chiropractic, American Academy of Medical-Legal Professionals, Hollywood, Florida, 2012
Intro to Functional Testing, Evaluation, and Assesment: Module One - Itroduction to Functional Testing, Functional Capacity Assessments and Functional Capacity Evaluations., Use of functional testing in post-offers, fit for duty exams, physical capacity evaluations, functional capacity evaluations, work hardening and/or work conditioning programs, and any other types of objective functional evaluations. JTech Medical, Los Angeles, California, 2011
Mid-Level Functional Testing, Evaluation ans Assessment - Hands on Functional Capacity Evaluation Workshop., Functional capacity testing tools and procedures learned include subjective and algometry pain, manual and computerized strength testing, static lifting, pushing and pulling, work activities and work postures, essential functions and critical demands, dexterity, cardiovascular testing, and heart rate capture. JTech Medical, Los Angeles, California, 2011 , 2012
Whiplash Biomechanics & Injury Traumatology Module 2, Management Principles: Diagnostics, Forensic Documentaion, & Auto Crash Reconstruction (ACR). Certification in Advanced Whiplash Biomechanics and Traumatology, Spine Research Institute of San Diego, Los Angeles College of Chiropractic, Atlanta, Georgia, 2011
Whiplash Biomechanics& Injury Traumatology Module 3, Principles of Impairment; Writing & Expert Documentation. Certification in Advance Whiplash Biomechanics & Injury Traumatology, Spine Research Institure of San Diego, Los Angeles College of Chiropractic, Chicago, Illinois, 2011
Whiplash Biomechanics & Injury Traumatology Module 4, Medicolegal Fundamentals for Practitioners and Experts. Certification in Advanced Whiplash Biomechanics & Injury Traumatology, Spine Research Institute of San Diego, Los Angeles College of Chiropractic, Chicago, Illinois, 2011
Advanced Traffic Crash Investigation, -Speed estimates from kinetic energy, skidmarks, scuffmarks amd airborne situations -Vehicle dynamics and motion -Time, distance, and motion equations -Conservation of momentum equations -Center of mass calculation -Vehicle lamp examination -Tire damage evaluation -Vector sum analysis. Institute of Police Technology and Management, University of North Florida, Jacksonville, Florida, 2011
Traffic Crash Reconstruction, Derivation and origin of the commonly used speed formulas -Speed of vehicles at impact using conservation of linear momentum -Behavior of vehicles in a collision using Newton's three laws of motion -Discussions of commercial vehicle and motorcycle dynamics in collisions -The determination of direction of travel, initial contact and position of vehicles on the road. Institute of Police Technology and Management, University of North Florida, Jacksonville, Florida, 2011
Impairment Rating & Disability, Guides to the Evaluation of Permanent Impairment, 6th Edition. Pain related impairment, specific disorders of the spine, upper and lower extremity impairments, coding for impairment ratings, evidence-based documentation, establishing medical necessity, courtroom preparation & legal issues. . North Carolina Chiropractic Association, Charlotte, North Carolina, 2011
Cox Recertification Course, Intervertebral disc herniation induced stenosis, research project findings, non-discogenic casues of low back pain, full spine examination of the back pain patient,- establishing diagnosis & treatment proctosis, healing time, low back wellness school and rehabilitation procedures, spinal nutrition, stabilization and prevention recurrence, cervial spine: biomechanics, diagnosis, treatment with Cox Protocol . National University of Health Science, Chicago, Illinois, 2011
Accident Reconstruction: Terms, Concepts and Definitions, The forces in physics that prevail in accidents to cause bodily injury. Quantifying the force coefficients of vehicle mass and force vectors that can be translated to the occupant and subsequently cause serious injury. CMCS Post Doctoral Division, New York Chiropractic Council, New York State Department of Education, Board for Chiropractic, Long Island, New York, 2010
Accident Reconstruction: Causality, Bodily Injury, Negative Acceleration Forces, Crumple Zones and Critical Documentation, Factors that cause negative acceleration to zero and the subsequent forces created for the vehicle that get translated to the occupant. Understanding critical documentation of hospitals, ambulance reports, doctors and the legal profession in reconstructing an accident. CMCS Post Doctoral Division, New York Chiropractic Council, New York State Department of Education, Board for Chiropractic, Long Island, New York, 2010
Accident Reconstruction: Skid Marks, Time, Distance, Velocity, Speed Formulas and Road Surfaces, The mathematical calculations necessary utilizing time, distance, speed, coefficients of friction and acceleration in reconstructing an accident. The application of the critical documentation acquired from an accident site. CMCS Post Doctoral Division, New York Chiropractic Council, New York State Department of Education, Board for Chiropractic, Long Island, New York, 2010
Accident Reconstruction: Research, Causality and Bodily Injury, Delta V issues correlated to injury and mortality, side impact crashes and severity of injuries, event data recorder reports correlated to injury, frontal impact kinematics, crash injury metrics with many variables and inquiries related to head restraints. CMCS Post Doctoral Division, New York Chiropractic Council, New York State Department of Education, Board for Chiropractic, Long Island, New York, 2010
Whiplash Injury Biomechanics & Traumatology Module 1, Biomechanics, Injury Mechanisims, Epidemiology. Certification in Advanced Whiplash Injury Biomechanics & Traumatology, Spine Research Institute of San Diego, Los Angeles College of Chiropractic , Atlanta, Georgia, 2010
Whiplash Biomechanics & Traumatology Module 2, Managment Principles: In-depth training on all aspects of management of trauma, from beginning to end; a comprehensive primer on crash reconstruction.. Certification in Advanced Whiplash Injury Biomechanics & Traumatology, Spine Research Institute of San Diego, Los Angeles College of Chiropractic, Atlanta, Georgia, 2010
Whiplash Injury Biomechanics & Traumatology Module 3, Principles of Impairment, Writing, and Expert Documentation. Certification in Advanced Whiplash Injury Biomechanics & Traumatology, Spine Research Institute of San Diego, Los Angeles College of Chiropractic, Atlanta, Georgia, 2010
Whiplash Injury Biomechanics & Traumatology Module 4, Medicolegal Fundamentals for Practitioners and Experts. Certification in Advanced Whiplash Injury Biomechanics & Traumatology, Spine Research Institute of San Diego, Los Angeles College of Chiropractic, Atlanta, Georgia, 2010
15th Annual SRISD Scientific Conference, The Advanced Recertification Program. Spine Research Institute of San Diego, Coronado , California, 2010
At-Scene Traffic Crash/Traffic Homicide Investigation, Physical evidence from the roadway. Physical evidence from the vehicle. The Human element and occupant kinematics. Mathematical principles and equations. Skid marks and vehicle speeds. Measuring and scale diagramming. Information analysis and case preparation. Institute of Police Technology and Management, University of North Florida, Jacksonville, Florida, 2010
MRI Clinical Application, The clinical application of the results of space occupying lesions. Disc and tumor pathologies and the clinical indications of manual and adjustive therapies in the patient with spinal nerve root and spinal cord insult as sequellae. CMCS Post Doctoral Division, New York Chiropractic Council, New York State Department of Education, Board for Chiropractic, Magdy Shady MD, Neurosurgeon, State University of New York at Stony Brook, Long Island, New York, 2009
MRI Methodology of Analysis, MRI interpretation sequencing of the cervical, thoracic, and lumbar spine inclusive of T1, T2, STIR and 3D gradient studies to ensure the accurate diagnosis of the region visualized. CMCS Post Doctoral Division, New York Chiropractic Council, New York State Department of Education, Board for Chiropractic, Robert Peyster MD, Neuroradiologist, State University of New York at Stony Brook, Long Island, New York, 2009
MRI Spinal Pathology, MRI interpretation of bone, intradural, extradural, cord, and neural sleeve lesions. Tuberculosis, drop lesions, metastasis, epedymoma, schwannoma, and numerous other spinal related tumors and lesions. CMCS Post Doctoral Division, New York Chiropractic Council, New York State Department of Education, Board for Chiropractic, Robert Peyster MD, Neuroradiologist, State University of New York at Stony Brook, Long Island, New York, 2009
MRI Disc Pathology & Spinal Stenosis, MRI interpretation of bulged, herniated, protruded, extruded sequestered and fragmented disc pathologies in etiology and neurological sequelae in relationship to the spinal cord and spinal nerve roots. CMCS Post Doctoral Division, New York Chiropractic Council, New York State Department of Education, Board for Chiropractic, Robert Peyster MD, Neuroradiologist, State University of New York at Stony Brook, Long Island, New York, 2009
MRI Anatomy & History, Normal anatomy of axial and sagittal views utilizing T1, T2, 3D Gradient and STIR sequences of imaging. Standardized and desired protocols in views and sequencing of MRI examination to create an accurate diagnosis in MRI. CMCS Post Doctoral Division, New York Chiropractic Council, New York State Department of Education, Board for Chiropractic, Robert Peyster MD, Neuroradiologist, State University of New York at Stony Brook, Long Island, New York, 2009
MRI Physics and History, Magnetic fields, T1 and T2 relaxations, nuclear spins, phase encoding, spin echo, T1 and T2 contrast, magnetic properties of metals and the historical perspective of the creation of NMR and MRI. CMCS Post Doctoral Division, New York Chiropractic Council, New York State Department of Education, Board of Chiropractic, Terry Button, PhD, Medical Physicist, State University of New York at Stony Brook, Long Island, New York, 2009
AMA Guides to the Evaluation of Permanent Impairment 6th Edition, Clinically coordinating spinal pathology with neurological and functional sequelae including station & gait, migraines, sexual dysfunction, sleep & arousal disorders, paroxysmal disorders, radiculopathic disorders and central nervous system disorders. CMCS Post Doctoral Division, New York Chiropractic Council, New York State Department of Education, Long Island, New York, 2009
Neurodiagnostics, Imaging Protocols, and Pathology of the Trauma Patient, An in-depth understanding o f the protocols in triaging and reporting the clinical findings of the trauma patient. Maintaining ethical relationships with the medical-legal community. CMCS Management Post Doctoral Division, New York Chiropractic Council, New York State Department of Education Board for Chiropractic, Long Island, New York, 2008
Crash Dynamics and its Relationship to Causality, An extensive understanding of the physics involved in the transference of energy from the bullet car to the target car. This includes G’s of force, Newton’s, gravity, energy, skid marks, crumple zones, spring factors, event data recorder and the graphing of the movement of the vehicle before, during, and after the crash. Determining the clinical correlation of forces and bodily injury. CMCS Management Post Doctoral Division, New York Chiropractic Council, New York State Board of Education Department for Chiropractic, Long Island, New York, 2008
MRI, Bone Scan & X-Ray Protocols, Physiology and Indications for the Trauma Patient, MRI interpretation, physiology, history and clinical indications, Bone Scan interpretation, physiology and clinical indications, x-ray clinical indications for the trauma patient. CMCS Management Post Doctoral Division, New York Chiropractic Council, New York State Board for Chiropractic, Long Island, New York, 2008
Neurodiagnostic Testing Protocols, Physiology and Indications for the Trauma Patient, Electromyography (EMG), Nerve Conduction Velocity (NCV), Somato Sensory Evoked Potential (SSEP), Visual Evoked Potential (VEP), Brain Stem Auditory Evoked Potential (BAER), and Visual-Electronystagmosgraphy (V-ENG), interpretation, protocols, and clinical indications for the trauma patient. CMCS Management Post Doctoral Division, New York Chiropractic Council, New York State Education Department, Board for Chiropractic, Long Island, New York, 2008
Diagnostics, Risk Factors, Clinical Presentation and Triaging the Trauma Patient, An extensive understanding of the injured with clinically coordinating the history, physical findings and when to integrate neurodiagnostics. An understanding on how to utilize emergency room records in creating an accurate diagnosis and the significance of “risk factors” in spinal injury. CMCS Post Doctoral Division, New York Chiropractic Council, New York State Education Department Board for Chiropractic, Long Island, New York, 2008
Documentation and Reporting for the Trauma Victim, Understanding the necessity for accurate documentation and diagnosis utilizing state regulations on reimbursement issues pertaining to healthcare. CMCS Management Post Doctoral Division, New York Chiropractic Council, New York State Education Department, Board for Chiropractic, Long Island, New York, 2008
Documenting Clinically Correlated Bodily Injury to Causality, Understanding the necessity for accurate documentation, diagnosis, and clinical correlation to the injury when reporting injuries in the medical-legal community. Documenting the kinesiolpathology, myopathology, neuropathology, pathophysiology in both a functional and structural paradigm. CMCS Management Post Doctoral Division, New York Chiropractic Council, New York State Education Department, Board for Chiropractic, Long Island, New York, 2008
Documenting Clinically Correlated Bodily Injury to Causality, Understanding the necessity for accurate documentation, diagnosis, and clinical correlation to the injury when reporting injuries in the medical-legal community. Documenting the kinesiolpathology, myopathology, neuropathology, pathophysiology in both a functional and structural paradigm. CMCS Management Post Doctoral Division, New York Chiropractic Council, New York State Education Department, Board for Chiropractic, Long Island, New York, 2008
Whiplash and Brain Injury Traumatology Module 1, Comprehensive training program in whiplash and brain injury traumatology, emphasizing the biomechanics, injury mechanisms, and occupant kinematics. Spine Research Institute of San Diego, Los Angeles College of Chiropractic, Philadelphia, Pennsylvania, 2008
Whiplash and Brain Injury Traumatology Module 2, Comprehensive auto crash reconstruction and advanced diagnostics and case management of whiplash and related disorders. Spine Research Institute of San Diego, Los Angeles College of Chiropractic, Philadelphia, Pennsylvania, 2008
Whiplash and Brain Injury Traumatology Module 3, Narrative report writing, independent medical examination and application of AMA guidelines in personal injury and forensic practice. Spine Research Institute of San Diego, Los Angeles College of Chiropractic, Philadelphia, Pennsylvania, 2008
Whiplash and Brain Injury Traumatology Module 4, Medical-legal issues, arbitration, deposition, and testifying in court. Spine Research Institute of San Diego, Los Angeles College of Chiropractic, Philadelphia, Pennsylvania, 2008
Certification in Spinal Decompression Therapy, Kennedy Decompression Technique, Central City, Pennsylvania, 2008
CRASH, Vehicular crash test program and research project observation, utilizing human volunteers. State-of-the-art reconstruction of low speed rear impact collisions (LOSRIC), covering principles of mathematics, physics, biomechanics, and occupant kinematics. Included assistance with crash data collection in 2004. Spine Research Institute of San Diego and Center for Research into Automotive Safety and Health, Coronado, California, 2004
Certification in Low Speed Rear Impact Crash Reconstruction, Spine Research Institute of San Diego and Center for Research into Automotive Safety and Health, San Diego, California, 2004
Certification in Cervical Acceleration Deceleration Trauma, Spine Research Institute of San Diego, San Diego, California, 2004
Certification in Chiropractic Spinal Trauma, International Chiropractic Association & Palmer Chiropractic, Chicago, Illinois, 2004
Certification in Acupuncture, Academy of Medical Acupuncture, Richmond, Virginia, 1999
Certification in Acupuncture, Acupuncture Society of America, Kansas CIit, Missouri, 1995
|