CE Requirements for Alabama Chiropractors - ChiroCredit



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Alabama Chiropractic Continuing Education

Alabama Accepts ChiroCredit.com / OnlineCE.com Online Courses

 

Alabama Continuing Education Requirements: 18 hours per fiscal year 
Alabama Accepts 8 hours of Online Continuing Education Course (6 hours + 2 hours of Alabama Laws and Board Rules)


Special Requirements: All licensees must obtain two (2) hours per year in Alabama Law and Board Rules and Regulations as part of the minimum 18 per year. New licensees must obtain four (4) hours prior to first license renewal and 2 hours per year for each renewal after that. All clinic owners with a Non Licensed Practice Permit must obtain two (2) hours per year in Alabama Law as part of the permit renewal.

 

ChiroCredit.com is an FCLB Approved PACE Continuing Education Provider.  Scroll down to view courses and Alabama Board of Chiropractic approval codes.

When logged in, as long as your licenses are entered on your account, each course is clearly identified as being approved or not approved.

 

New Licensee Information: New licensees must complete four (4)hours of continuing education in Board approved courses on chiropractic regulation and compliance with the Alabama Chiropractic Practice Act and Board Rules as a condition of renewal for the year following their initial licensure. The continuing educational requirement for the purpose of license renewal for any person who has graduated from a recognized CCE chiropractic college within the licensure year immediately preceding the licensure year indicated on the license renewal form except for the four (4) hours required above, may be met through attendance at a recognized CCE chiropractic college (a minimum of 18 hours). This applies only to the first license renewal period after initial licensing.

 

Reporting Requirements: Licensee submits Certificates of Completion



State of Alabama Continuing Education Requirements

Alabama Continuing Education requirements posted on this page are based upon the most up to date information available. Alabama continuing education requirements are subject to change and therefore, Alabama Chiropractic licensee's are ultimately responsible for being up to date with the Alabama continuing education requirements.


Continuing education courses offered on OnlineCE.com provide Online CEU for Alabama Chiropractic Physicians (DC). The online courses enhance the knowledge bases of Doctor of Chiropractic to enhance their clinical therapy practice. Free 1 hour approved online home study CE credit course for new Alabama Chiropractic Physician registered users at www.OnlineCE.com

 
  • Found 14 courses in 6 seconds

  • Acupuncture 400 - 461
    104.0

    $1560.00 USD

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    • This contains all courses with the educational objectives listed from Acupuncture 400 through Acupuncture 461

    Course Group includes all Acupuncture Courses numbered 400 thru 461

    James Ventresca, DOM

    AudioVisual Course
    Multiple Formats
    Text

    240134
    PACE Approved AL Course
    Expires: 2024-12-31

    Alabama Chiropractic Law 201
    2.0

    $40.00 USD

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    • Evaluate and apply the Alabama State Board of Chiropractic Examiners Chiropractic Practice Act
    • Cite the rights and duties of Chiropractors in Alabama
    • Perform acceptable advertising
    • Engage in the practice of acceptable care in the practice of Chiropractic in Alabama
    • Comprehend injunctive actions
    • Develop a working knowledge of the creation and composition of the Alabama Board of Chiropractic and its powers and duties
    • Discuss those actions which are grounds for disciplinary action by the Board
    • Review refusal, revocation and suspension of licenses by the Alabama Board of Chiropractic
    • Comprehend the administrative process of hearings as held by the Alabama Board of Chiropractic

    Updated August 2018

    Paul Powers, DC, DABCN

    Text

    240131
    PACE Approved AL Course
    Expires: 2024-12-31

    Alabama Chiropractic Law 201 - 202
    4.0

    $80.00 USD

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    • Evaluate and apply the Alabama State Board of Chiropractic Examiners Chiropractic Practice Act
    • Cite the rights and duties of Chiropractors in Alabama
    • Perform acceptable advertising
    • Engage in the practice of acceptable care in the practice of Chiropractic in Alabama
    • Comprehend injunctive actions
    • Develop a working knowledge of the creation and composition of the Alabama Board of Chiropractic and its powers and duties
    • Discuss those actions which are grounds for disciplinary action by the Board
    • Review refusal, revocation and suspension of licenses by the Alabama Board of Chiropractic
    • Comprehend the administrative process of hearings as held by the Alabama Board of Chiropractic
    • Discuss Alabama Administrative Code, Chapter 190-X-1 through Chapter 190-X-7 , Alabama State Board of Chiropractic Examiners
    • Review the Administrative Code pertaining to Organization, Administration and Procedure
    • Appraise the requirements of licensure
    • Comprehend the requirements of specialty certification
    • Assess the Code as it pertains to Disciplinary Actions
    • Adhere to the rules of Professional Conduct •
    • Review the requirements for amendment of rules
    • Discuss the requirements of the preceptor and extern/intern program
    • Review a Professional Boundaries presentation given by the Alabama Board of Chiropractic

    Updated August 2018

    Paul Powers, DC, DABCN

    Text

    240133
    PACE Approved AL Course
    Expires: 2024-12-31

    Exploring Subluxation Neurology Part 1
    Bridging the Gap Part 1

    8.0

    $240.00 USD

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    • Explore contemporary healthcare issues from the perspective of Robert Lustig, MA and John Abramson, MD.
    • Integrate the relevance of these issues to the chiropractic profession.
    • Evaluate at the concept of evidence-based “medicine,” especially the “randomized controlled trial,” and describe how it applies to the chiropractic profession.
    • Discriminate recent examples of “randomized controlled trials,” especially as related to pain syndromes and opioid drugs.Discusss the importance of the 2021 Nobel Prize for the chiropractic profession and mechanical-based care.
    • Detail the physiology of the Piezo1 mechanical receptor.
    • Introduce the concepts of mechanical function and mechanical neurology.
    • Integrate the importance of the cerebellum to mechanical integrity and mechanical based care.
    • Explain a randomized clinical trial that supports mechanical-based chiropractic care for visceral physiology.
    • Distinguish the basic physiology of the neurotransmitter norepinephrine.
    • State the basic physiology of the neurotransmitter dopamine.
    • Outline the basic physiology of the neurotransmitter serotonin.
    • Integrate the balance of the neurotransmitters dopamine and serotonin.
    • Recite the relationship between the neurotransmitters dopamine, epinephrine and norepinephrine.
    • Explore the concept of Heart Rate Variability (HRV).
    • Integrate upper cervical chiropractic care, spinal chiropractic care, and HRV.

    Dan Murphy, DC, DABCO

    AudioVisual Course

    240158
    PACE Approved AL Course
    Expires: 2024-12-31

    Functional Medicine and Nutrition Virtual Classroom 201 - 210
    10-Course Basic Certificate Program

    21.0

    $795.00 USD

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    • This course contains all courses with the educational objectives listed from Functional Medicine and Nutrition Virtual Classroom 201 through 210

    NCCAOM Providers:  By registering for this course, I understand that the information in this course presented by the Provider and/orInstructor(s) is for educational purposes only and should only be applied with appropriateclinical judgment and used by a trained and licensed practitioner. Governmental laws andregulations vary from region to region and the contents of this course vary in permissibleusage. The participant is required to check their local, state, and federal laws and regulationsregarding the practice requirements and scope of practice issues and the use of theinformation of this course including, but not limited to, theory, herbal medicine, andacupuncture. I acknowledge that NCCAOM does not endorse any specific treatment regimensof any kind. Furthermore, if I use any modalities or treatments taught in this course, I agree towaive, release, indemnify, discharge, and covenant not to sue NCCAOM from and against anyliability, claims, demands, or causes of action whatsoever, arising out of any injury, loss, ordamage that a person may sustain related to the use of the information in this course. I understand that this Release is governed by the laws of District of Columbia, U.S.A. and shallsurvive the termination or expiration of this course.

    This package course includes a FREE 1 hour Bonus course:  The GI Microbiome and Autoimmunity: Case Studies

    multiple

    AudioVisual Course

    240135
    PACE Approved AL Course
    Expires: 2024-12-31

    Got Documentation 201 - 204
    12.0

    $240.00 USD

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    Hours 1 - 3

    • Discuss ethical standards of insurance reporting and coding
    • Illustrate how documentation can affect state board complaints
    • Discuss why insurance companies file complaints against chiropractors
    • Discuss why patients file board complaints against chiropractors
    • Define the Problem Oriented Medical Record (POMR)
    • Illustrate taking a thorough history using the OPQRST method
    • Discuss the components of the ortho/neuro exam
    Hour 4 - 6
    • Discuss the misrepresentation of certain orthopedic tests
    • Illustrate sensitivity and specificity of orthopedic tests
    • Define the 2021 changes to Evaluation and Management codes
    • Discuss the differences between using time vs. medical decision making for E/M
    • Distinguish between subjective and objective outcome assessments Illustrate methods of proving medical necessity
    • Illustrate the CMS requirements of chiropractic documentation
    • Illustrate condition-specific functional outcome questionnaires
    • Define the A of P.A.R.T. from Centers for Medicare/Medicaid Services
    • Define the R of P.A.R.T. from Centers for Medicare/Medicaid Services
    • Illustrate the different methods of evaluating spinal range of motion
    • Define the T of P.A.R.T. from Centers for Medicare/Medicaid Services
    • Describe the timing of the first re-assessment
    • Demonstrate proper coding for range of motion measurements
    • Describe the P.A.R.T. format of documentation
    • Define the P of P.A.R.T. from Centers for Medicare/Medicaid Services
    • Describe the concept of outcome assessments in clinical practice
    Hour 7 - 9
    • Illustrate different outcome assessments for the T of P.A.R.T
    • Demonstrate the POMR and P.A.R.T. formats for the initial patient encounter
    • Integrate the POMR and P.A.R.T. formats for subsequent patient encounters
    • Discuss proper diagnosing in notes and on a claim form
    • Define the short, moderate and long-term diagnoses for Medicare
    • Define proper Assessments
    • Illustrate how to determine an assessment for each condition
    • Illustrate complicating factors that can be documented for each condition
    Hours 10 - 12
    • Illustrate the two types of Plan
    • Discuss common therapeutic modalities
    • Demonstrate proper documentation for time-based codes
    • Illustrate how to document measurable treatment goals
    • Describe the red flags of a record review
    • Demonstrate the determination of causation for a motor vehicle collision
    • Discuss the different mechanisms of injury for motor vehicle collisions
    • Discuss some of the key value drivers of Colossus
    • Discuss the difference between impairment and disability
    • Illustrate the determination of the end of justifiable treatment
    • Define the main components of an impairment evaluation
    • Illustrate Duties Under Duress and Loss of Enjoyment
    • Illustrate the important diagnoses for personal injury cases
    • Define the 5 Colossus prognoses
    • Demonstrate the 5 grades of injury severity for the Croft Guidelines for the Treatment of CAD Injuries

    Gregg Friedman, DC

    AudioVisual Course

    240130
    PACE Approved AL Course
    Expires: 2024-12-31

    Laser 219
    Practical Personal Injury

    6.0

    $120.00 USD

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    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.

    S. Scott Tauber,DC,DABCO,CPC

    AudioVisual Course

    240142
    PACE Approved AL Course
    Expires: 2024-12-31

    Management of Common Conditions 257 - 259
    6.0

    $120.00 USD

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    Hour 1:  The TMJ
    • Explain the biomechanics of the TMJ
    • Describe the examination of the TMJ
    • Describe the pathological conditions of the TMJ
    • Demonstrate soft tissue treatments for pathological conditions of the TMJ
    • Define functional relationships of the TMJ with associated regions
    Hour 2:  Soft Tissue Injury and Treatment
    • Explain injury and healing of soft tissues
    • Perform somatic technique and strain/counterstrain
    • Utilize friction massage and post isometric relaxation
    • Perform active release and myofascial release
    • Apply trigger point ultrasound, exercise, stretching and manipulation
    Hour 3 - 6:  The TMJ:  Examination and Treatment
    • Distinguish the anatomical structures involved in TMJ dysfunction, including the temporomandibular joint, mandible, and associated muscles and the different types of jaw movements and their biomechanical implications.
    • Interpret the normal biomechanics of the temporomandibular joint during various jaw movements.
    • Identify the key ligaments and soft tissues supporting the temporomandibular joint and the factors that can lead to abnormal biomechanics and dysfunction of the temporomandibular joint.
    • Explain the role of muscle imbalances and joint misalignments in TMJ dysfunction.
    • Differentiate the relationship between the temporomandibular joint and adjacent anatomical structures.
    • Appraise the various assessment tools used in evaluating TMJ dysfunction, such as patient history, physical examination, and imaging studies.
    • Arrange a comprehensive physical examination of the temporomandibular joint, including range of motion assessment, palpation, loading, stressing, and compressing.
    • Demonstrate the ability to perform a comprehensive evaluation of TMJ dysfunction and posture, including assessing range of motion, muscle strength, joint stability, and postural alignment.
    • Discriminate the indications of differential diagnoses for TMJ dysfunction.
    • Analyze the findings from a TMJ dysfunction and posture assessment to formulate an accurate clinical diagnosis.
    • Develop a holistic approach to managing TMJ dysfunction, considering both conservative and interventional treatment options.
    • Apply specific chiropractic techniques and adjustments aimed at restoring normal joint alignment and function of the temporomandibular joint and about occlusal splints and their use in managing TMJ dysfunction.
    • Propose a role of therapeutic exercises and stretching in improving jaw mobility and strengthening supporting muscles and the importance of patient education and lifestyle modifications in the management of TMJ dysfunction.
    • Develop a treatment plan for patients with TMJ dysfunction and posture issues, incorporating therapeutic exercises, manual therapy techniques, postural re-education, and other appropriate interventions.
    • Evaluate the efficacy of potential benefits and risks associated with various treatment modalities for TMJ dysfunction and posture problems, considering evidence-based practices and patient-specific factors
    • Develop effective communication skills to educate patients about TMJ dysfunction, its causes, and treatment options.
    • Establish efficient and patient-centered procedures for the assessment and management of TMJ dysfunction in a chiropractic practice.
    • Recognize the importance of interdisciplinary collaboration in managing complex cases of TMJ dysfunction specific to the role of dentists in assessing and managing occlusal factors contributing to TMJ dysfunction.
    • Foster collaborative relationships with other healthcare providers involved in the management of TMJ dysfunction to ensure coordinated and comprehensive patient care.
    • Stay updated with current research and advancements in the field of TMJ dysfunction and posture, fostering a commitment to lifelong learning and professional development.

    This course contains the same content as found in the individual courses Management of Common Conditions 257, 258 and 259

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    AudioVisual Course

    240144
    PACE Approved AL Course
    Expires: 2024-12-31

    Nutrition 164 - 168
    6.0

    $120.00 USD

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    Hour 1  Nutrition and the Immune System
    • 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.

    Hour 2 - 3  Ideal Nutrition for Optimal Health

    • Define and explain the chronic illnesses so prevalent in today’s society.
    • Recognize and calculate life expectancy statistics
    • Describe the difference between traditional and modern (commercial diets)
    • Distinguish the differences between raw and pasteurized milk
    • Recognize the difference between healthy and commercial butter and eggs
    • Discuss the difference between hydrogenated and non-hydrogenated fats/oils
    • Contrast the differences between lacto fermented and non-fermented soy (tofu, edamame)
    • Compare breast milk to soy formula
    • Identify the difference between sea salt and industrialized salt
    • Summarize the benefits of cholesterol
    • Explain the dangers of cholesterol lowering drugs
    • List the benefits of sunlight
    Hour 4  Nutrition and Osteoporosis
    • Identify the risk factors associated with osteoporosis
    • Outline a beneficial diet for osteoporosis
    • Determine an appropriate supplement protocol
    • Examine the role of exercise in the treatment of osteoporosis
    Hour 5  Natural Anti-Inflammatories

    • Identify different types of natural anti-inflammatories.
    • Determine which anti-inflammatory is best for a particular patient.
    • Develop an anti-inflammatory diet.
    Hour 6  Nutrition and the Gastrointestinal System

    • Develop an appropriate nutrition program for an ulcer
    • Identify the importance of diet in Celiac’s disease (non-tropical sprue)
    • Outline a nutrition program for a patient with lactose intolerance
    • Design a nutrition treatment program for GERD
    • Examine the role of nutrition and supplements in irritable bowel syndrome

    This course contains the same content as found in the individual courses Nutrition 164 through 168

    multiple

    AudioVisual Course

    240143
    PACE Approved AL Course
    Expires: 2024-12-31

    Pain 200
    Fundamental concepts of pain and How pain assessed, quantified, and communicated

    7.0

    $140.00 USD

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    • Explain the complex multidimensional and individual specific nature of pain
    • Present the theories and science for understanding pain
    • Define the terminology for describing pain and associated conditions
    • Describe the impact of pain on society
    • Explain how cultural, institutional, societal and regulatory influences affect assessment and management of pain  
    • Use valid and reliable tools for measuring pain and associated symptoms to assess and reassess outcomes as appropriate for the clinical context and population.
    • Describe patient, provider, and system factors that can facilitate or interfere with effective pain assessment and management
    • Assess patient preferences and values to determine pain-related goals and priorities
    • Demonstrate empathetic and compassionate communication during pain assessment

    multiple

    AudioVisual Course

    240137
    PACE Approved AL Course
    Expires: 2024-12-31

    Physical Therapy 101
    1.0

    $20.00 USD

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    • Discuss the use of electrotherapy to control pain
    • Establish parameters for wobble board rehabilitation of the ankle
    • Describe how SI manipulation affects anterior knee pain
    • Discuss the use of post-fracture manipulation
    • Construct therapeutic exercises for patients with lumbar spinal stenosis

    Paul Powers, DC, DABCN

    AudioVisual Course
    Interactive Dissection
    Multiple Formats
    Text

    240136
    PACE Approved AL Course
    Expires: 2024-12-31

    Rehab 135 - 136
    6.0

    $120.00 USD

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    Hours 1 - 3:  The Overhead Athlete: Injury Prevention, Rehabilitation & Performance Training
    • Recall 2 pathological pitching mechanical patterns that may lead to injury
    • List 3 injury risk factors in in the overhead athlete
    • Provide 4 injury prevention screening tests for the overhead athlete
    • With respect to shoulder strength, cite 3 metrics  that can be used as red flags to identify players who are at higher risk for incurring an injury to the shoulder /elbow
    • Describe 1 clinical test to evaluate anterior and posterior shoulder instability
    • List the 3 components of an evidence -based test cluster  to assess rotator cuff pathology in the overhead athlete
    • Identify 2 components in the rehabilitation program for shoulder instability
    • List and define the 3 types of shoulder impingement
    • Recall 2 Performance factors in pitching
    • Cite 2 return to play criteria for the overhead athlete
    • Identify one advantage of weighted ball holds
    • Identify one disadvantage of weighted ball programs
    Hours 4 - 6:  The Athlete's Lumbar Spine: Evaluation and Treatment
    • Recall the most common types of lumbar spine injuries among athletes participating in different sports.
    • Identify one advantage and one disadvantage of the treatment-based classification system as it applies to the treatment of the athlete’s lumbar spine.
    • List 3 contemporary treatment models that can be applied to the management of lower back pain in the athlete.
    • Recall the definition and importance of red and yellow flags during the medical screening process.
    • Identify 3 red flags that may implicate a non-mechanical source of lower back pain.
    • List the difference between central and peripheral sensitization.
    • List one treatment goal in phase 2 rehabilitation of the athlete’s lumbar spine.
    • Cite one treatment principle in phase 3 rehabilitation of the athlete’s lumbar spine.
    • Summarize two variations of the squat exercises that can be used to decrease strain on the lumbar spine.
    • Recall three variations of the deadlift exercises that can be used to decrease strain on the lumbar spine.
    • Summarize the McGill core endurance ratio tests that can be used to guide the return to sport decision making processes

    This course contains the same content as found in the individual courses Rehab 135 and 136

    Robert McCabe, PT, OCS

    AudioVisual Course

    240145
    PACE Approved AL Course
    Expires: 2024-12-31

    Soft Tissue Injuries 106

    The Cervical Spine: Biomechanics, Pathology and Soft Tissue Treatment


    6.0

    $120.00 USD

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    • Explain the structural anatomy of the bones and joints of the cervical spine, ligaments and muscles of the cervical spine and the nerves, blood vessels and fascia of the cervical spine
    • Explain the functional anatomy of the bones and joints of the cervical spine, the ligaments and muscles of the cervical spine and the nerves, blood vessels and fascia of the cervical spine
    • Demonstrate the passive examination of the bones and joints of the cervical spine, the ligaments and muscles of the cervical spine and the nerves, blood vessels and fascia of the cervical spine
    • Demonstrate the active examination of the bones and joints of the cervical spine, the ligaments and muscles of the cervical spine and the nerves, blood vessels and fascia of the cervical spine
    • Discuss imaging of the cervical spine
    • Discuss advanced testing of the soft tissue of the cervical spine
    • Describe pathological conditions of the bony structures, joints, ligaments, tendons, muscles, nerves, blood vessels and fascia of the cervical spine
    • Explain the mechanism of acceleration/deceleration impact
    • Explain the effects on the cervical spine from acceleration/deceleration injury, and specifically the effects on the soft tissues structures
    • Explain the grading system for acceleration/deceleration injury
    • Demonstrate soft tissue treatments for the pathological conditions of the bony structures, joints, ligaments, tendons, muscles, blood vessels, nerves and fascia of the cervical spine
    • Demonstrate soft tissue treatments for the sequela of acceleration/deceleration injury
    • Define relationships of the cervical spine with other regions

    Linda Simon, DC

    Text

    240147
    PACE Approved AL Course
    Expires: 2024-12-31

    Xray 193 - 195
    6.0

    $120.00 USD

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    Hour 1:  Non-traumatic wrist pain
    • Discuss the pertinent anatomy of the forearm, wrist and hand
    • Differentially diagnose disorders of each location of the wrist
    • Assess imaging findings of representative cases in the list of differential diagnosis
    • Quantify and access different imaging modalities and gauge their use in evaluating wrist pain
    Hour 2:  Clinical Utility & Outcomes
    • Conduct and evidence-based assessment of the diagnostic, therapeutic and clinical utility of routine and repeat radiographs (without red flags) for the structural and functional assessment of the spine by chiropractors
    • Summarize the current evidence for the use of spinal x-rays within chiropractic practice, with consideration to the related risks and benefits
    • Determine if diagnostic imaging influences clinical outcomes in patients with low back pain presenting for chiropractic care
    • Analyze whether an association between vertebral endplate structural defects and back pain exists
    • Assess the relationship between movement-related pain in the shoulder and the number or severity of rotator cuff MRI findings
    Hour 3 - 6:  Diagnostic Imaging for Clinical Practice
    • Select the appropriate imaging modality for suspected foreign bodies
    • Identify foreign bodies on radiographs
    • Identify foreign bodies CT
    • Identify foreign bodies MRI
    • Identify foreign bodies Ultrasound
    • List various indications for radiographic evaluation in relationship to specific clinical scenarios
    • List various limitations for radiographic evaluation in relationship to specific clinical scenarios
    • Identify fracture patterns on radiographic imaging
    • Identify radiographic abnormalities within the soft tissues
    • List various indications for MRI and CT imaging evaluation in relationship to specific clinical scenarios
    • List various limitations for MRI and CT imaging evaluation in relationship to specific clinical scenarios
    • Identify osseous landmarks on MRI and CT imaging
    • Identify abnormalities within the bones and soft tissues on MRI and CT imaging
    • List various indications for ultrasound imaging evaluation in relationship to specific clinical scenarios
    • List various limitations for ultrasound imaging evaluation in relationship to specific clinical scenarios
    • Identify osseous landmarks on ultrasound imaging
    • Identify abnormalities within the bones and soft tissues on ultrasound imaging

    This course contains the same content as found in the individual courses Xray 193, 194 and 195

    multiple

    Adobe PDF Download
    AudioVisual Course
    Journal Article Review
    Multiple Formats

    240146
    PACE Approved AL Course
    Expires: 2024-12-31