Quebec Naturopathic Physician Continuing Education

• Define an IME and identify key concepts
• Comment on ideal qualifications of the examiner
• Discuss IME methodology and procedures
• Suggest a generalized report format and quality assurance
• Discuss the job task analysis (ABFP) for the IME process

• Define the terminology of decontamination, disinfection and sterilization in a clinical setting.
• Explain the basis of universal precautions and its implementation
• Discuss the latest research and evidence for risk of treatment table contamination in chiropractic and manual therapy offices.
• Learn the recommended evidence based disinfection methods of clinician hands, tables and equipment for manual providers.
• Identify the Spaulding Classification System for disinfection and sterilization of patient care items and equipment.

• Recall and integrate the function of the individual endocrine organs and all hormones into the diagnosis and treatment plan
• Identify the causative factors present in the patient that led to a hormonal imbalance
• Discuss Estrogen Dominance and thus educate the patient
• Diagnose Metabolic Syndrome
• Differentiate Adrenal Fatigue from menopause and perimenopause
• Explain lifestyle modifications to the patient
• Prepare for the intricacies of treating the hormonally imbalanced patient

• Summarize the advantages and disadvantages of salivary hormone testing, its interfering factors and hormones
• Illustrate hormone metabolism and biochemistry, and identify diseases that are associated with hormonal imbalances
• Outline the biochemistry of tryptophan and its metabolites
• Discover salivary adrenal functional assessments and the measurement of cortisol, DHEA and DHEAS
• Discuss nutritional support for women's health and define the action of phytoestrogens, saw palmetto and zinc on hormone balance

• Utilize reproducible, implementable protocols in your practice
• Apply neurodynamic tests and corrective laser protocols
• Assess and understand traumatic brain injuries (concussion, neurodegenerative diseases)
• Summarize strategies to initiate the positive impact of gut health on the musculoskeletal system
• Elucidate the science of the different types of fasting
• Discuss the breakthrough technique for non-invasive fat reduction
• Apply clinical breakthroughs in the treatment of musculoskeletal injuries
• Appreciate new laser research and its clinical applicability
• Assess intestinal and blood-brain dysfunctions
• Perform laser applications

• Integrate infection, evolution, immunity, inflammation, fibrosis, blood flow, mitochondria, ATP, oxidative stress, and DNA.
• Integrate mechanical integrity in gravity, weight, load, levers, posture, mechanoreception, mechanotransduction, mechanobiology, tensegrity, neurology, blood flow, and DNA.
• Justify high vegetable, low lectin, low glycemic dietary habits, and their influence on physiology.
• Summarize problems with refined carbohydrates, monosodium glutamate, aspartame, and chemical toxins.
• Support high intensity interval training, weight lifting, brain derived neurotrophic factor, human growth hormone, and interleukin-10.
• Explain the biphasic nature of laser photon therapy, wavelength, frequency, speed of light, fluence, penetration, secondary and primary physiological influences.
• Develop the relationship between mitochondria, free radicals, ATP, cytochrome c oxidase enzyme, and laser photon therapy
• Justify why all people need between 5-8 different supplements and explain why.
• Diagram a protocol for influencing immunology and the brain through the intestinal tract; integrating the vagus nerve and the nucleus tractus solitarius.
• Integrate a protocol for brain function that discusses trauma, degenerative, and vascular compromise.
• Demonstrate a protocol for chronic low back pain that integrates the intervertebral disc, posture, mechanics, exercise, and laser therapy.
• Support a protocol for acute whiplash that includes applying controlled motion and anti-inflammation strategies.
• Apply a protocol for remodeling scar tissue and the fibrosis of repair.

• Review common conditions and how low-level laser affects treatment outcome
• Describe the Opioid Epidemic
• Discuss Low Level Laser Therapy FDA Clearances
• Analyze FDA Study details and research validation
• Perform myotome Testing - Neck and Shoulder 
• Utilize 635 nm red correction
• Perform Myotome Testing - Neck and Shoulder
• Utilitze 405 nm FDA Clearance correction
• Utilize 405 nm identifying hidden weaknesses
• Demonstrate Soft tissue/percussion - Neck and Shoulder
• Explain laser physics at a cellular level
• Perform myotome Testing - Low Back 
• Utilize 635 nm red correction
• Demonstrate Soft tissue/percussion - Lower back
• Discuss Low Level Laser Therapy FDA Clearance Plantar Fasciitis
• Utilize rehabilitation - Slant Board / Calf Master
• Identify normal vs abnormal length and strengthen the low physical capacity related to foot/knee symptoms of the patient
• Recite PubMed studies in regard to the health benefits of scoring and improving structure and soft tissue
• Examine how your physical capacity score predicts Activities of Daily Living and health outcomes
• Discuss a neuro-mechanical treatment approach
• Provide nutritional support for your patients

• Summarize the volume of research that led to the USSR implementing laser by 1974 as standard care
• Summarize the differences between LEDs and different classes of lasers
• Discover which wavelength was preferred by the Soviets, and has 18 of the 21 FDA clearances
• Utilize case studies to support that this is not a placebo
• Summarize the results of the level 1, double blind study that showed a 635 nm class 2 laser was more effective than opioids for chronic low back pain of a minimum duration of 8 years
• Discover how to easily integrate laser therapy into an existing practice for better patient outcomes
• contrast the difference in clearances and uses for a class 4 laser vs a class 2 laser for chronic condition for better implementation into treatment protocols
• illustrate treatment applications and contraindications with videos and pictures
• identify the injuries that respond to laser therapy and the research that supports them
• generate a treatment plan with lasers for each condition described
• Contrast the effectiveness of different types of lasers and NSAIDS and Opioids vs laser
• Illustrate techniques via video/pictures
• Identify the specific pathways that research has shown that laser can be beneficial for support of these conditions when applied transcranially
• Classify which conditions are contraindications and which types of lasers are contraindicated transcranially
• Summarize the findings on the autism study and its submission to the FDA for review
• Summarize what occurs on a cellular level after a concussion, and what occurs when laser is applied, and nutrients are utilized
• Classify which injuries and conditions respond well to low level laser
• Illustrate set up methods and treatment protocols for several conditions
• Utilize case studies with video/picture demonstrations
• Summarize the studies that showed improvement from laser therapy in performance metrics like muscle strength, endurance, and recovery
• Discuss the studies that show a 25 to 35% faster recovery for several sports injuries and auto accident injuries when laser therapy is applied
• Determine how to use laser therapy with athletes in the office both for injuries and for performance enhancement

• Identify the common threads of most health challenges that patients are currently presenting with in our offices.
• Examine the facets and protocols that are most effective for mitochondrial dysfunction, systemic inflammation, and chronic pain syndromes.
• Apply practical applications of Low Level Laser Therapy or photobiomodulation for the improvement of mitochondrial dysfunction, reducing systemic inflammatory cascades, and improving overall quality of life.
• Integrate the most researched skill sets and protocols to achieve powerful results.
• Test inflammatory markers to determine proper treatment protocols and efficacy.
• Compare the level of weakness for brachial and lumbar plexus before and after treatments.
• Measure the degree of neuroinflammation and its impact on cerebellar function with the sway test.
• Assess cognitive decline accurately with Montreal cognitive assessment form and specific lab
• Application of Low Level Laser Therapy to chronic pain syndromes of the plantar fascia.
• Solve the issue of chronic pain with FDA approved Low Level Laser Therapy
• Predict the recovery time for specific conditions for treatment plan accuracy.
• Utilize and blend these proven methods to take your confidence and clinical outcomes to a higher level.

• Recognize areas of risk and liability within Personal Injury cases
• Identify common med-legal concerns
• Recognize various important components associated with the Personal Injury history
• Improve the accuracy and thoroughness of the initial Personal Injury history
• Examine and document common Personal Injury traumatic injuries 
• Create a plan to minimize patient risk and improve provider outcomes
• Recognize the versatility and benefits of low level laser therapy for musculoskeletal injuries  
• Develop clinical protocols for low lever laser application and documentation for musculoskeletal injuries  
• Recognize conditions, injuries and symptoms requiring advanced imaging 
• Apply diagnostics and humanize trauma cases
• Discover the importance and relevance of Personal Injury case management 
• Identify opportunities for improved clinical decision making and case management

• Summarize the differences between the effects of 635 nm laser and 405 nm laser
• Illustrate effective protocols with the laser and exercises to support each condition
• Discuss case studies to demonstrate potential therapeutic outcomes
• Summarize the results of the level 1, double blind study that showed the effectiveness of class 2 635 nm for chronic pain and inflammation
• Discuss how inflammation can lead to many chronic musculoskeletal conditions that affect people in the United States
• Use lab testing to identify inflammation
• Illustrate treatment applications and contraindications
• Identify the conditions that respond to laser therapy for support, the research that supports them, and to identify which conditions are either not supported with laser therapy or are contraindicated
• Aggregate which class of lasers can be used for support and which are contraindicated
• Generate a treatment plan with lasers for different musculoskeletal conditions
• Categorize the negative impacts of scar tissue on range of motion, pain, and function
• Classify which conditions are contraindications and which types of lasers are contraindicated 
• Summarize the changes that occur in scar tissue and when movement of tissue or a joint triggers pain for a prolonged period
• Apply low level laser to musculoskeletal injuries that respond well to low level laser
• Summarize the studies that have been published on PubMed for these conditions being supported with lasers
• Set up methods and treatment protocols for several conditions
• Summarize the studies that showed improvement from laser therapy in performance metrics like muscle strength, endurance, and recovery
• Comprehend the studies that show a 25 to 35% faster recovery for several sports injuries and auto accident injuries when laser therapy is applied
• Use laser therapy with athletes in the office both for injuries and for performance enhancement by rehabilitating their balance and coordination with lasers

Hour 1

• Breakdown the implications of inflammation on epigenetics and relate inflammation to genetic damage and musculoskeletal disease.
• Develop a plan for clinical anti-inflammatory protocols

Hour 2

• Interpret blood chemistry markers related to inflammation and translate into laymen’s terms for patient understanding.
• Devise office strategies for obtaining blood chemistry markers, delivering the report of findings to the patient
• Discuss the physiological mechanisms of the gut-brain axis, distinguish the molecular players in gut-brain axis syndromes, and identify behavioral modifications and nutritional therapies
• Demonstrate knowledge of calcium ions as an egregious free radical

Hour 3

• Identify blood chemistry markers
• Differentiate between different classes of lasers, Class I, II, IIIA, IIIB, and IV lasers, and outline the therapeutic effects of each

Hour 4

• Explain the difference between nIR and fIR saunas, and identify key physiological mechanisms
• Discuss Low Level Laser Therapy wavelengths as they pertain to various upregulation of metabolic functions and integrate into the health of the body.
• Differentiate between Class 1, Class 2, Class 3R, Class 3B, and Class 4 lasers, and determine proper clinical application of each laser
• Develop plans to calculate Joules of output for various lasers using physics and demonstrate fundamental understanding of laser frequency output to address various clinical cases.

Hour 5

• Discuss Clinical Cases and outcomes citing specific patient histories and medical studies from the National Institute of Health and PubMed.com; integrate these ideas and extrapolate health plans into current clinical situations.
• Discuss how low-level laser therapy affects the body
• Discuss supplementation and integrate effective neuroprotective supplementation protocols in a clinical setting based on the work of the world’s best universities’ studies

Hour 6

• Outline the basic types of intermittent fasting, relate to patient goals as determined in nutritional consultations, and design intermittent fasting protocols for clinical settings.
• Summarize the concepts of ketosis, brain energy utilization, and neuroprotection; relate to medium-chain triglyceride consumption.

• Build the ultimate back: from chronic back pain to high performance
• Evaluate exercise’s effect on hormones and human performance
• Create a flowchart explaining laser therapy and its application during the correlated stages of healing
• Review the newest laser research and its clinical applicability
• Apply neurodynamic tests and advanced corrective laser protocols
• Evaluate techniques for non-invasive fat reduction
• Elucidate the science of different types of fasting
• Utilize advanced clinical breakthroughs in the treatment of musculoskeletal injuries
• Implement strategies to initiate the positive impact of gut health on the musculoskeletal system
• View hands-on reproducible, implementable protocols 
• Incorporate laser effectively into your practice
• Assess intestinal and blood-brain barrier dysfunction
• Integrate leading-edge protocols for SIBO
• Identify modern lifestyle and environmental triggers that affect the gut brain axis

Hour 1

• Discuss the etiology, pathophysiology, and symptoms of trauma and post-auto whiplash.
• Translate how low-level laser impacts inflammation and trauma.
• Explain modern neuron theory and how low-level laser can optimize cellular communication within the PNS/CNS.
• Conceptualize how to change the brain and body by using low-level laser and sensory inputs to modify central circuitry.

Hour 2

• Discuss the interplay between the sympathetic and parasympathetic systems.
• Explain how changes in autonomic function affect the brain and body following trauma.
• Share relevant research about the gut/brain connection.
• Give an overview of the neuroinflammatory cascade of trauma and how low-level laser impacts inflammatory processes.

Hour 3

• Discuss the anatomy/physiology of the cerebellum and it’s integration with the cervical spine.
• Outline how changes in cerebellar function and the cervical spine affect the brain and body following trauma
• Explain how low-level laser therapy can optimize structural, neurological, and metabolic parameters following trauma.
• Create a greater understanding for providers to know how to utilize their skillset to treat complex cases.

Hour 4

• Discuss the anatomy and physiology of the visual and vestibular systems.
• Identify how changes in the visual and vestibular system affect the brain and body following trauma.
• Share mechanisms and treatment applications for utilizing low-level laser therapy.
• Create awareness around the modern utilization of structural, neurological, and metabolic treatment paradigms for complex cases.

Hour 1:

• Integrate the following concepts as it pertains to laser therapy:  wavelength, frequency, speed of light, fluence, penetration, secondary and primary physiological influences
• Contrast the differences between thermal and non-thermal laser therapy

Hour 2:

• Conceptualize the relationship between mitochondria, free radicals, ATP, cytochrome coxidase enzyme, and laser photon therapy
• Explain the biphasic nature of laser therapy

Hour 3:

• Introduce evidence as to the integrative physiology between chiropractic care for musculoskeletal pain syndromes and improved systemic health.
• Develop a neuroanatomical and neurophysiological model for the influence of spinal mechanical function with visceral neurology.

Hour 4:

• Correlate upper cervical spine symmetry and the function of the nucleus tractus solitarius of the vagus nerve.
• Explore the mechanical, vascular and cerebrospinal fluid dynamics as related to spinal anatomy.

Hour 5:

• Show the history and modern-day evidence for the influence of exposure to non-ionizing electromagnetic field waveforms.
• Detail the two most plausible mechanisms of exposure non-ionizing electromagnetic field waveforms on human biology.

Hour 6:

• Explore the various relationships from a functional neurological perspective.
• Contrast the relationship between various neurochemicals

Hour 7:

• Justify why many people need between 5-8 different supplements and explain why.
• Connect the link between dietary lectins, leak gut, systemic inflammation and autoimmune conditions.

Hour 8:

• Explain some of the physiological complications to COVID-19.
• Review studies that explain the biological plausibility related to COVID-19.

• This contains all courses with the educational objectives listed from Laser 215 through Laser 216

Hour 1

• Discuss the physiology associated with laser therapy
• Describe the electron transport chain
• Examine common cervical and plexus pathologies through orthopedic and soft tissue testing
• Treat the scapular area using non-thermal lasers
• Outline a description of electron volts

Hour 2

• Summarize important factors regarding wavelengths relative to using laser therapy
• Describe mitochondiral function
• Recognize damage to mitochondria and appreciate its role in disease
• Examine patients with potential upper extremity nerve entrapments using orthopedic testing, soft tissue testing 

Hour 3

• Discuss neuron receptors
• Explain pain to patients
• Identify soft tissue structures
• Summarize the function of progenitor cells

Hour 4

• Perform an evaluation of the shoulder
• Perform an evaluation of the elbow
• Perform an evaluation of the wrist and the hand
• Perform an evaluation of the lower extremities

• Integrate concepts in laser photon therapy: wavelength, frequency, speed of light, fluence, penetration, secondary and primary physiological influences
• Contrast the differences between thermal and non-thermal laser therapy
• Develop the relationship between mitochondria, free radicals, ATP, cytochrome c oxidase enzyme, and laser photon therapy
• Discuss the physiology of applying laser therapy to both the anatomical part of injury/complaint and to the nerve roots that innervate that anatomical part
• Explain the biphasic nature of laser photon therapy as related to evolutionary biology and current clinical applications

• Summarize the volume of research that led to the USSR implementing laser by 1974 as standard care
• Discuss the differences between LEDs and different classes of lasers
• Identify which wavelength was preferred by the Soviets, and has 18 of the 21 FDA clearances
• Analyze case studies to identify that the effect is not a placebo
• Prevent cyber-attacks on your data
• Create protocols to prevent willful neglect fines
• Develop guidelines for patient rights to access their own information
• Perform a self-audit on your practice
• Identify the most common HIPAA fines issued to doctors and create procedures to prevent them
• Realize who gets investigated and how to lower your risk
• Identify the documentation you will have to provide if investigated
• Recognize what to do if you are investigated
• Discuss the results of the level 1, double blind study that showed a 635 nm class 2 laser was more effective than opioids for chronic low back pain of a minimum duration of 8 years
• Integrate laser therapy into an existing practice for better patient outcomes
• Contrast the difference in clearances and uses for a class 4 laser vs a class 2 laser for chronic condition for better implementation into treatment protocols
• Analyze videos and pictures in regard to treatment applications and contraindications

Hour 1:   

• Improve specific elements of the four PI office visits.
• Outline the documentation steps of a causation statement.

Hour 2:  

• Identify med-legal considerations associated with PI documentation.
• Develop an outline to create a PI final discharge report.

Hour 3: 

• Recognize and evaluate several commonly missed traumatic injuries.  
• Create a to plan improve the capture of acute objective findings.

Hour 4:  

• Recognize LLLT versatility and benefits with PI-related conditions.   
• Develop clinical protocols for LLLT application in PI cases.

 Hour 5:  

• Identify and avoid inherent risks within PI case management.       
• Create an algorithm for case management clinical decisions.

Hour 6:  

• Discover the importance and relevance of PI co-management.
• Assess cases for co-management decisions and opportunities.

• Describe the concept of intersectionality and how it can affect the lives of young black gay and bisexual men
• Identify factors contributing to adverse health outcomes in young black gay and bisexual men
• Summarize special considerations for the care of LGBTQ youth
• Identify strategies that individual providers can use to provide more patient-centered care for LGBTQ youth
• Summarize the current knowledge in scope, clinical presentation, screening and management of eating disorders
• Identify the prevalence of body image dissatisfaction and eating disorders in sexual minority adolescents

• Recognize lumbar disc signs and symptoms.
• Differentiate disc prolapse from disc extrusion.
• Identify anatomical structures related to lumbar disc conditions.
• Describe neuro-muscular physiology as it relates to disc injuries.
• Determine appropriate exam procedures for diagnosing disc conditions.
• Assess static range of motion coupled with cross-plane evaluation.
• Analyze dynamic joint motion using outcome-based assessment tools.
• Interpret manual muscle testing using eccentric break testing protocols.
• Grade muscle tone and discover muscle palpation techniques.
• Interpret neurological tests to determine levels of disc involvement.
• Design treatment plans based on exam findings.
• Apply manual manipulation techniques to address the lumbo-pelvic joint lesions.
• Demonstrate manual methods to reduce abdominal and pelvic muscular dysfunction.
• Create new muscle memory patterns to correct chronic conditions.
• Compare pre- and post- treatment findings to support care plans.

• Discuss different types of lumbar stretching and their effects.
• Define therapeutic stretching goals, protocols and precautions for the lumbar spine.
• Measure lumbar pain, agility and joint crepitus associated with therapeutic stretching.
• Apply lumbo-pelvic circumduction training to improve disc related joint mobility.
• Integrate PreActive therapeutic stretching techniques to reduce lumbo-pelvic muscle tension.
• Devise strengthening protocols for the lumbo-pelvic region using graduated isometric protocols.
• Discuss mobility during lumbar traction to reduce disc pressure.
• Compare static traction versus dynamic traction.
• Define contra-indications for decompression therapy of the lumbar spine.
• Apply appropriate lumbar decompression therapy to various patient populations.
• Demonstrate lumbar mobility training exercises used to enhance decompression effectiveness.
• Justify reimbursement through accurate documentation of lumbar disc treatment progression.
• Diagnose lumbar disc conditions with clarity.
• Select outcome-based assessment tools to monitor patient progress.
• Illustrate lumbar range of motion and muscle testing deficiencies concisely.
• Summarize patient status for lumbar mobility, crepitus and pain intensity.

• Recognize concussion signs and symptoms.
• Differentiate concussion grades.
• Identify anatomical structures related to concussions.
• Describe pathophysiology as it relates to concussions.
• Determine appropriate exam procedures for diagnosing concussions.
• Apply diagnostic skills to on-field and clinic settings.
• Interpret diagnostic tests to evaluate concussion progress.
• Design treatment plans based on exam findings.
• Demonstrate manual manipulation techniques to address concussion symptoms.
• Compare pre- and post-treatment findings to support care plans.

• Discuss neurophysiology of musculoskeletal dysfunction.
• Create new memory patterns to restore neuromascular integration.
• Demonstrate manual methods to reduce muscular dysfunction.
• Address cranial nerve lesions with manipulation techniques.
• Introduce the half-somersault maneuver for vertigo relief.

• Recognize cervical disc signs and symptoms.
• Differentiate disc prolapse from disc extrusion.
• Identify anatomical structures related to cervical disc conditions.
• Describe neuro-muscular physiology as it relates to disc injuries.
• Determine appropriate exam procedures for diagnosing disc conditions.
• Assess static range of motion coupled with cross-plane evaluation.
• Analyze dynamic joint motion using outcome-based assessment tools.
• Interpret manual muscle testing using eccentric break testing protocols.
• Develop muscle palpation skills and grade muscle tonicity.
• Interpret neurological tests to determine levels of disc involvement.
• Design treatment plans based on exam findings.
• Apply manual manipulation techniques to address the cervical joint lesions.
• Demonstrate manual methods to reduce cervical muscular dysfunction.
• Create new muscle memory patterns to correct chronic conditions.
• Compare pre- and post-treatment findings to support care plans.

• This contains all courses with the educational objectives listed from Management of Common Conditions 204 through Management of Common Conditions 209

• Discuss different types of cervical stretching and their effects.
• Define therapeutic stretching goals, protocols and precautions for the cervical spine.
• Measure cervical pain, agility and joint crepitus associated with therapeutic stretching.
• Integrate PreActive therapeutic stretching techniques to reduce cervical muscle tension and improve disc related joint mobility.
• Devise strengthening protocols for the cervical region using graduated isometric protocols.
• Discuss cervical mobility during traction to reduce disc pressure.
• Compare static traction versus dynamic traction of the cervical spine.
• Define contra-indications for cervical decompression therapy.
• Apply appropriate cervical decompression therapy to various patient populations.
• Demonstrate cervical mobility training exercises used to enhance decompression effectiveness.
• Justify reimbursement through accurate documentation of cervical disc treatment progression.
• Diagnose cervical disc conditions with clarity.
• Select outcome-based assessment tools to monitor patient progress for cervical conditions.
• Illustrate cervical range of motion and muscle testing deficiencies concisely.
• Summarize patient status for cervical mobility, crepitus and pain intensity.

• Summarize the relationship between glenohumeral internal rotation deficit (GIRD), SLAP tears, posterior impingement, scapula dyskinesis and shoulder micro-instability
• Effectively diagnose SLAP tears, posterior impingement, scapula dyskinesis and shoulder mico-instability using screening and clinical tests.
• Cite common pitching pathomechanics and describe their association with specific elbow injuries.
• Paraphrase the peel back model for SLAP tears
• Relate proper pitching biomechanics with injury prevention strategies for the adolescent overhead athlete