• Recognize normal thoracic spine MRI anatomy and accurately distinguish it from common pathological findings relevant to chiropractic practice.
• Discuss the fundamental principles of MRI image acquisition, interpretation, and signal characteristics (T1, T2, STIR) as they apply to the thoracic spine.
• Identify common thoracic spine pathologies—including degenerative disc disease, herniations, stenosis, fractures, and myelopathy—on MRI and relate them to patient presentation.
• Apply MRI findings to develop safe, evidence-based chiropractic treatment plans and determine when imaging results warrant modification of care or referral to another provider.
• Integrate MRI knowledge into clinical communication by effectively discussing imaging results with radiologists, other healthcare professionals, and patients to support interdisciplinary collaboration.

Hour 1:

• Describe the tensegrity model as it relates to biomechanics from a cellular to organism level.
• Define fascia, including anatomical lines and physical properties.
• Describe the Dural Fascial Kinetic Chain and its relationship to Adverse Mechanical Tension (AMT) on the spine and CNS.
• Describe the clinical relevance of biotensegrity, and how to apply these updated architectural and biomechanical principles to the delivery of chiropractic adjustments.

Hour 2:

• Explain the impact of chronic stress
• Recognize common signs and symptoms of sympatheticotonia during initial patient presentation.
• Outline the diagnostic process for sympatheticotonia, including both testing and interpretation.
• Summarize clinical considerations for the patient with sympatheticotonia.

Hour 3:

• Recognize and describe the common signs and symptoms of imbalance during initial patient presentation.
• Outline and demonstrate testing procedures for imbalance.
• Describe clinical interpretation of test results for imbalance.
• Make referral for imbalance when appropriate.

Hour 4:

• Describe statistical incidence and association with head and neck trauma
• Be able to recognize in clinical practice the common signs and symptoms of head and neck trauma
• Outline the diagnostic process for head and neck trauma, including both testing and interpretation.
• Summarize clinical considerations for the patient with head and neck trauma

• Define hallux limitus
• Discuss the biomechanics of hallux limitus
• Perform differential diagnoses of hallux limitus
• Apply rehabilitation strategies for hallux limitus
• Utilize orthotic therapy and hallux limitus

Nutrition

• Develop components of a typical healthy meal plan for athletes
• Differentiate between healthy and unhealthy food choices in each category of FAT, CHO, PRO
• Identify problem foods specific to the individual athlete
• Explain CHO loading and examples of high glycemic index foods
• Describe meal plan for post-exercise "window of recovery"
• Describe benefits and sources of branched chain amino acids for athletic recovery
• Explain purpose of omega 3 fatty acids during recovery phase of athletic activity
• Define components of female athlete triad
• List vitamins and minerals required to rebuild bone health in female athlete triad
• Name ergogenic nutrients acceptable to the World Anti-Doping Agency

Dehydration

• Explain difference between dehydration and hyponatremia
• Recognize early or acute signs and symptoms of dehydration and hyponatremia
• Discuss benefits of each method of determining hydration status
• Demonstrate treatment intervention for heat cramps
• Compare energy drink to sports drink

• Design an effective nutrition treatment program for carpal tunnel syndrome
• Develop a nutritional treatment program for Multiple Sclerosis
• Investigate the role of nutrition and supplements in regards to the treatment of headaches
• Understand how nutrition and nutrition supplements can influence dementia
• Identify appropriate diet and supplement agents in the treatment of dementia

Educational Objectives: for Documentation portion:

Hours 1 and 2

• 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
• Utilize E/M (Evaluation/Management) coding appropriately to meet insurance guidelines and medical necessity
• Identify the 3 categories and 2 subcategories of E/M codes
• Identify the 4 levels of E/M services for new and established patients
• Recognize the importance of a medically appropriate history and physical exam
• Identify the 2 key elements used to determine the level of E/M service
• Select the appropriate level of E/M services utilizing 4 simple steps

Educational Objectives: for Ethics

Hour 3

• Identify challenging/inappropriate patient requests and behaviors encountered by chiropractors.
• Explain prevention strategies, office procedures and effective responses to inappropriate patient activity.
• Describe safety concerns associated with a patient's inappropriate acts and communications, as well as ethical principles related thereto.
• Illustrate legal and ethical issues arising where the doctor/patient relationship is terminated due to inappropriate patient behavior.
• Analyze how aberrant patient behavior presents risks to staff, the treating doctor, and to fellow patients, and how proper documentation is important in such instances.

Educational Objectives: for Risk Management

Hour 4

• Comprehend the association between the doctor-patient relationship and the charge of patient abandonment.
• Evaluate the role voluntariness plays in the establishment of the doctor-patient relationship, in informed consent, and in abandonment as associated with the inappropriate termination of the professional relationship.
• Contrast and compare "ostensible agency" with "voluntary association" for purposes of assessing potential patient malpractice liability.
• Comprehend the requirement for the continued administration of healthcare for purposes of determining possible patient abandonment issues.
• Carry out proper documentation as demonstrates non-existence of abandonment.
• Effect policies that systematize screening of non-compliant patients and execute relevant medical record documentation to ensure no patient is legally "abandoned."
• Discuss prepaid treatment programs

• Analyze charges and documentation on a daily or per visit basis to ensure accuracy and compliance
• Compile accurate and comprehensive responses to documentation or record requests
• Recognize and avoid confusing HIPAA privacy issues that can cost you time and money
• Identify key areas that lack written policies causing increased risk in the practice
• Evaluate your current written procedures and appraise the need for additional content

• Develop and overview of Adult Golf Injury Assessment and Rehab
• Identify the nature of balance and applying balance assessment to golfers
• Review and Understand the concepts of coordination as applied to golf

Hour 1

• Examine the role of immunosenescence in background systemic inflammation.
• Discuss the role mesenchymal stem cell senescence in osteoporosis.
• Demonsrate senolytic therapy in eliminating senescent cells in osteoporosis.
• Contrast inflammatory resolution with inflammatory suppression.
• Discuss the role of micronutrients in the prevention and treatment of osteoporosis..

Hour 2

• Discuss the role of vitamins D & K2 and minerals the prevention and treatment of osteoporosis.
• Explain the effectiveness of osteo-inductive nutraceuticals in the treatment of osteoporosis.
• Examine the research on the use of hydrolyzed collagen peptides in bone density and strength.
• Discuss the use of bovine bone morphogenic proteins in osteoporosis.
• Contrast the ability of nutrients, therapeutic modalities and medications in the ability of normalize bone remodeling.

Hour 3

• Examine the role of exercise in the prevention and treatment of osteoporosis.
• Discuss the evidence supporting the efficacy of laser therapy in osteoporosis including in vitro cell studies, animal models and human studies both for fracture and osteoporosis.
• User laser therapy to normalize the bone remodeling cycle in osteoporosis.
• Discuss the cell receptor and signaling pathways in osteoblasts and osteoclasts that are receptive to pulsed electromagnetic frequency (PEMF) therapy interventions.
• Apply the “cross-talk” effect of PEMF therapy on bone.

 Hour 4

• Discuss the evidence supporting the efficacy of pulsed electromagnetic frequency therapy in osteoporosis including in vitro cell studies, animal models and human studies both for fracture and osteoporosis.
• Examine the positive “spillover effect” of laser therapy and PEMF therapy of osteoarthritis in the treatment of osteoporosis.
• Summarize the clinical trials of PEMF therapy for osteoporosis.
• Discuss the importance of pulse frequency in the application of PEMF therapy.
• Examine the comorbidity between osteoporosis and osteoarthritis.