Quebec Naturopathic Physician Continuing Education

Hour 1

• Explain the necessity of evidence for infant healthcare
• Describe what mothers want from healthcare for their newborn?
• Outline the need for and development of the United Kingdom Infant Questionnaire
• Cite the outcomes of infant care in chiropractic practice and the adaptability of a parent-reported outcome measure to the infant population

Hour 1 

• Describe recommended health guidance for infants.
• Analyze evidence-based research with regards to the efficacy of spinal mobilization and soft tissue treatment in the infant.
• Develop a treatment plan in how to teach parents how to anticipate safety needs and promote healthy musculoskeletal practices for their babies.

 Hour 2

• Discuss important developmental changes that mark the transition from infancy to early childhood.
• Describe recommended health guidance for toddlers.
• Analyze the data surrounding chiropractic care for the toddler child, with a focus on spinal manipulation.
• Identify safety precautions that can be implemented in and outside of the office for toddlers.

Hour 3

• Discuss the developmental changes that mark the transition from the toddler to school-aged child.
• Describe recommended health guidance for preschoolers.
• Analyze the data surrounding chiropractic care for the school aged child, with a focus on spinal manipulation.
• Discuss the motor, verbal and neurological findings of developmental milestones in children.

• Compare the effectiveness of chiropractic spinal manipulation versus sham manipulation in children aged 7-14 with recurrent headaches.
• Outline current evidence on the functional changes associated with neck pain in adolescents.
• Investigate the role of chronic physical illness, mental health disorders and psychological conditions as potential triggers or risk factors for low back pain in children, adolescents, and young adults.
• Estimate whether carrying a heavier schoolbag (> 10% of bodyweight) is associated with a higher prevalence of low back pain in children between the ages 9 and 16.
• Examine the changes that are occurring in young athlete’s development and implications on movement, performance, and injury.

• Identify examples of traumatic spine, soft tissue and other commonly missed injuries
• Develop a post-traumatic diagnostic imaging algorithm and protocol 
  
• Recognize and develop an awareness for PI patient, carrier and attorney risks and liabilities
• Discuss several areas of PI documentation scrutiny including the causation statement

• Identify examples of traumatic spine, soft tissue and other commonly missed injuries
• Develop a post-traumatic diagnostic imaging algorithm and protocol 
  
• Recognize and develop an awareness for PI patient, carrier and attorney risks and liabilities
• Discuss several areas of PI documentation scrutiny including the causation statement

• This contains all courses with the educational objectives listed from Personal Injury 201 - 204

Hour 1 - PI Case Management Part 1

• Identify and avoid common PI history mistakes and liabilities
• Recognize many keys to a quality initial PI patient history
• Develop an awareness for the materials and tools necessary for a PI history
• Create a plan and protocol to improve the quality and thoroughness of the PI history

Hour 2 - PI Case Management Part 2

• Recognize common PI history red flags and contraindications 
• Identify symptoms and clinical history for two common PI traumatic injuries 
• Create a plan to identify and eliminate common patient errors pertaining to the PI history
• Develop an awareness for potential med-legal issues that can arise from a PI history

Hour 3 - How to Humanize Your PI Cases

• Create a protocol to consistently implement outcome assessments into PI cases 
• Recognize other options and opportunities available to humanize PI cases   
• Identify common outcome assessments utilized in PI cases
• Improve awareness of clinical decisions that can be made from humanizing cases

Hour 1 - Your Personal Injury History: Part 1

• Identify and avoid common PI history mistakes and liabilities
• Recognize many “keys’ to a quality initial PI patient history
• Develop an awareness for the materials and tools necessary for a PI history
• Create a plan and protocol to improve the quality and thoroughness of the PI history

Hour 2 - Your Personal Injury History: Part 2

• Recognize common PI history “red flags” and contraindications
• Identify symptoms and clinical history for two common PI traumatic brain injuries 
• Create a plan to identify and eliminate common patient errors pertaining to the PI history
• Develop an awareness for potential med-legal issues that can arise from a PI history

Hour 3 - Your Personal Injury Examination – Part 1

• Recognize the key elements of the Personal Injury post-traumatic examination
• Identify clinical contraindications and precautions prior to an examination
• Develop and map out a post-traumatic cervical spine examination protocol
• Identify and examine common motor vehicle crash shoulder conditions

Hour 4 - Your Personal Injury Examination – Part 2

• Discuss the critical components of a Personal Injury neurological examination
• Develop a traumatic brain injury examination screening protocol
• Recognize the documentation elements necessary in a PI physical examination
• Create a protocol for medical consultations, diagnostic imaging and testing

• Recognize the importance diagnostic imaging and testing in Personal Injury and trauma
• Summarize several of the common diagnostic imaging and testing available  
• Justify medical necessity and clinical rationale for imaging/testing in the treatment records
• Determine both a protocol and clinical necessity for plain film radiographs

• Recognize elements of Personal Injury case management
• Identify common inherent risk within PI case management    
• Summarize several insurance carriers concerns regarding PI case management   
• Discuss current PI case management issues in the med-legal arena

• This contains all courses with the educational objectives listed from Personal Injury 205 through Personal Injury 212

• Discover the importance of identifying case management issues early   
• Summarize emergency, urgent care and early intervention management  
• Recognize med-legal issues in the early providers management  
• Outline the application of home and self-care as part of case management

• Recognize the importance of Personal Injury physical examination
• Outline the examination of common traumatic injuries and conditions       
• Summarize common examination tests and procedures associated with a PI examination    
• Demonstrate support for care and management with examination documentation

• Outline the preparation for traumatic injury care and case management 
• Summarize the application of passive and active modalities in traumatic injuries
• Develop a protocol for implementing active therapeutic procedures and clinical exercise       
• Identify common therapeutic and conservative care risks and mistakes

• Recognize the importance of diagnostic imaging in Personal Injury
• Summarize specific diagnostic imaging tests for common PI injuries  
• Identify several common clinical indicators for PI diagnostic imaging
• Develop a protocol for ordering and monitoring PI diagnostic imaging         

• Recognize the importance of humanizing traumatic patient injuries
• Demonstrate the general application of assessments and PI interrogatories
• Summarize the importance, applications and protocols of medical photography
• Interpret assessments and PI interrogatories for case management decisions

• Recognize the importance of Personal Injury co-management
• Design a process for finding providers for co-management consults and referrals
• Develop protocols for co-management with primary care providers
• Devise a plan to begin, apply and implement PI case management clinical decisions

• Determine options for co-management with pain management providers
• Identify co-management opportunities with orthopedic and neurology providers
• Develop documentation protocols to support co-management decisions
• Summarize and implement Personal Injury case management protocols and procedures

• Recognize the importance the 5 steps represent in PI cases      
• Develop a plan to identify common PI acute injuries and conditions
• Design an in-office process to improve consistency of documentation
• Identify and evaluate several acute injuries and conditions

• Estimate the risk for an association between exposure to neck pain from a motor vehicle accident and future neck pain
• Estimate the risk for an association between exposure to neck pain from a motor vehicle accident and future back pain
• Appraise the validity of employing a biomechanical approach to assess injury risk from minimal damage traffic crashes
• Assess which factors predict the risk of developing post-traumatic headache six months following a motor vehicle collision (MVC) in adult

• Describing hormones and their functions.
• Explaining how hormones secreted by anterior and posterior pituitary glands affect diseases and their treatment.
• Describing the role of the thyroid gland and its replacements and antagonistic medications.
• Discussing forms of steroids and corticosteroids and their role in treating disorders.
• Describing the role of antidiabetic agents and adjunctive agents in treating diabetes mellitus (DM).
• Describing role of glucose and glycogen in maintaining homeostasis.
• Providing patient education for compliance with medications used to treat diseases and conditions of the endocrine system.

• Explaining the difference between ophthalmic and otic preparations.
• Recognizing ophthalmic and otic medications and their uses.
• Describing drugs used in the treatment of ototoxicity and vertigo.
• Describing how to store ophthalmic and otic preparations to prevent their being inadvertently interchanged.
• Providing patient education for compliance with medications used to treat diseases and conditions of the eye and ear.

• Describing how topical medications are absorbed into skin.
• Explaining why some topical medications may have systemic effects.
• Discussing various classes of medications used to treat dermatologic conditions.
• Describing general properties of dermatologic preparations, both legend and over-the-counter (OTC), and their  indications.
• Defining and naming typical topical keratolytics, acne preparations, ectoparasiticidal agents, and agents for alopecia.
• Providing patient education for compliance with medications used to treat diseases and conditions of the skin.

• Describing causes and symptoms of joint and muscle pain.
• Discussing therapy for osteoporosis.
• Explaining classes of medications used to treat musculoskeletal conditions.
• Describing how muscle relaxants affect the body and appropriate patient education needed for patient safety.
• Identifying medications used for arthritis.
• Providing patient education for compliance with medications used to treat diseases and conditions of the musculoskeletal system.

• Describing how medications move through the gastrointestinal (GI) tract to be absorbed for the body’s use.
• Discussing medications used for prophylaxis in mouth and tooth disorders and as therapeutics for mouth diseases.
• Explaining actions of medications used for stomach and gallbladder conditions.
• Describing agents used for treatment of hepatitis B and C.
• Describing actions of pancreatic enzymes, antifatulents, antidiarrheals, carminatives, cathartics, and laxatives.
• Describing how anti-inflammatory agents are used with large bowel conditions.
• Discussing preparations used for anorectal disorders.
• Explaining proper choice and use of medications for intestinal parasites, including the needed prophylaxis to prevent recurrence.
• Discussing drugs used for appetite suppression and their side effects.
• Providing patient education for compliance with medications used to treat diseases and conditions of the gastrointestinal system.

• Briefly discussing the respiratory tract as a source for internal and external respirations.
• Describing the effects of antihistamines and decongestants and the use of nasal preparations with respiratory conditions.
• Briefly explaining the need for corticosteroids in acute and chronic respiratory tract diseases and associated side effects of long-term therapy.
• Discussing mucolytics, expectorants, and antitussives and their effects on respiratory secretions.
• Explaining medicinal inhibition of influenza.
• Describing medications for respiratory syncytial virus.
• Providing patient education for compliance with medications used to treat diseases and conditions of the respiratory system.

• Discussing specific electrolytes needed to achieve homeostasis and to balance extracellular and intracellular fluids.
• Describing how and what antiinfectives and antiseptics are used for urinary tract infections.
• Explaining the role of urinary tract analgesics and antispasmodics in treatment of urinary tract conditions.
• Discussing enuresis and medications used for treatment.
• Discussing medications used for treating an overactive bladder (OAB).
• Providing patient education for compliance with medications used to treat diseases and conditions of the urinary system.

• Construct examination/radiographic criteria for Osteochondritis Dissecans
• Dissect the elbow as it relates to lateral epicondylitis
• Develop a diagnostic and treatment approach for adhesive capsulitis
• Review possible causes of Intervertebral Disc Degeneration
• Create a list of differential diagnoses of foot pain

• Develop an understanding of shoulder anatomy and motion as they pertain to diagnosis and treatment of the injured shoulder
• Review examination techniques relative to diagnosis of injury in the overhead athlete
• Review the characteristics and diagnosis of shoulder injuries common to overhead athletes
• Understand the functional anatomy of joint and the classification of traumatic injuries of the acromioclavicular joint
• Develop understanding of the mechanisms, examination, diagnosis, radiography and treatment of common acromioclavicular joint injuries

• Identify common causes of patellofemoral syndrome
• Understand knee mechanics relative to patellofemoral syndrome
• Differentially diagnose patellofemoral syndrome from other knee conditions
• Define an appropriate treatment program for patellofemoral syndrome