• Understand basic concepts of health
• Identify the health spectrum
• Investigate the various facts associated with aging
• Investigate the various theories of aging

Hour 1

• Determine appropriate protocols for patient progress.
• Discuss tools to reduce vertigo symptoms.
• Incorporate nutritional support for better brain function.
• Utilize brain therapy programs to improve cognition.
• Apply traction therapy to reduce intrathecal pressure.

 Hour 2

• Evaluate balance and stability with a variety of tools.
• Demonstrate mobility exercises to improve musculoskeletal function.
• Discuss cardio exercise to stimulate blood flow to the brain.
• Apply exercise therapy to stimulate neogenesis.
• Devise strength protocols using graduated isometrics.

Hour 3

• Discuss the benefits of flexibility training.
• Define contra-indications for flexibility training.
• Interpret evaluation tools to discover zones of tension.
• Measure pain, agility and crepitus with outcome-based tools.
• Integrate PreActive StretchingSM protocols to improve agility.

• Define Evidence Based Practice (EBP)
• Identify problems/obstacles to EBP
• Outline the process of EBP
• Learn how to ask good clinical questions: PICO
• Describe how to search PubMed and learn how PubMed translates a search query
• Define MeSH terms and describe their use
• Illustrate how to limit or broaden your search to find the appropriate content
• Compare the results of boolean operators AND, OR and NOT

Hour 1: Low Speed Collisions and Minor Vehicle Damage 

• Point out the mathematics of how a low-speed vehicle to vehicle collision can result in passenger injury. 
• Explain why vehicle damage should not be used as a proxy for passenger injury. 

Hour 2: Assessing Instability 

• Whiplash-mechanism injuries can cause instability to the cervical spine segments. 
• Show the mechanism for traumatically induced cervical spine instability. 
• Show a practical assessment for traumatically induced cervical spine instability. 

Hour 3: Cervical Angina 

• Whiplash induced cervical spine nerve root irritations can mimic cardiac events. 
• Point out the anatomical basis for cervical spine nerve root irritations causing angina. 
• Discuss the management of cervical angina. 

Hour 4: The General Principles of Pain Management 

• Explain the chiropractic adjustment as related to the Gate Theory of Pain. 
• Detail the chiropractic management of eicosanoids and cytokines as related to conservative care. 

Hour 5: Measurement Outcomes 

• Explain the use of measure outcomes to determine patient progress and establish maximum improvement. 
• Review the 3 most commonly used measurement outcomes used for the whiplash-injured patient. 

Hour 6: Treatment Duration, Frequency, and Prognosis 

• Summarize the biology and published data on treatment frequency and duration for whiplash spinal trauma. 
• Reference the incidence of acceleration of spondylosis in long-term studies following a whiplash injury.

• Analyze the role between diet and the immune system
• Design a nutrition supplement program to stimulate the immune system
• Develop a nutrition program for colds, flu, sore throat and infections
• Understand basic detoxification techniques
• Examine the role of nutrition and diet in regards to chronic fatigue syndrome

Educational Objectives: for Documentation portion:

Hour 1 and 2

Educational Objectives:  Documentation

• Discuss key items related to the OIG reports regarding chiropractic services
• Discuss Executive Order issued by the White House titled reducing improper payments and eliminating waste in Federal Programs
• Discuss what triggers an audit and key items to consider if audited
• Discuss Medicare’s guidelines for necessity of chiropractic care as it relates to covered services, x-ray/diagnostic reimbursements, Quality Payment Program (QPP), diagnosis coding requirements and Medicare’s appeals process  
• Discuss appropriate use of modifiers
• Discuss Medicare’s documentation requirements when utilizing Medicare’s ABN (Advanced Beneficiary Notification) form
• Recognize the key components regarding good documentation and record keeping
• Identify the legal requirements of informed consent and the key elements of the informed consent process
• Discuss why doctors are held to higher standards
• Describe the 21 NCQA guidelines for record keeping
• Document progress notes (SOAP) to meet insurance guidelines and medical necessity
• Apply the PARTS system and its transformation utilizing a new method AIR S & M
• Utilize CMT coding appropriately

Educational Objectives: for Ethics

Hour 3

• Perform communication with patients and the public at large such that it informs, instructs and doesn't mislead.
• Discuss the parallels between accurate communication and ethical conduct.
• Administer healthcare practice compliant with HIPAA, state confidentiality statutes, and relevant rules, regulations and state court cases applicable to patient confidentiality.
• Comprehend the commercial, regulatory, social and familial interests seeking to obtain and/or are served by the release of patient information.
• Develop effective office systems and policies for securing and documenting patients’ informed consent
• Appropriately disclose charges

Educational Objectives: for Risk Management

Hour 4

• Assess court and Office of Inspector General rulings relating to anti-kickback restrictions.
• Demonstrate how anti-kickback and Stark legislation is both viewed and enforced by relevant professional boards and state and federal enforcement agencies to avoid fraud
• Explain how to avoid misleading claims
• Identify specific conduct and activities within the practice of healthcare that violate a host of regulatory and statutory proscriptions relating to patient referral arrangements.
• Properly Delegate authority in your office
• Identify parallels between Stark self-referral laws and anti-kickback restrictions.

• Review the pertinent anatomy of the achilles tendon and adjacent structures
• Discuss watershed zones of microvascualrity and how they can be compromised 
• Discuss the mechanisms of how many achilles tendinopathies and pathologies occur
• Present some methods of treatment and remediation for achilles tendinopathies

• Review exercise physiology principles and techniques
• Analyze various exercise prescription principles
• Identify appropriate carbohydrate – fat – and protein recommendations
• Develop meal timing and fluid guidelines for the athlete