• Explain how needle manipulation works on a physiological basis and extrapolate as to when to apply these techniques
• Summarize some of the more relevant literature surrounding the use of one of the most commonly used acupuncture points: Stomach 36
• Describe the physiology of tongue color, shape, coating and spirit (movement)
• Compare clinical examples of tongue appearance and identify key components of the tongue exam
• Interpret the meaning of clinical findings during the tongue exam and correlate them to physiology

• Identify the layers of integument that you are piercing while doing acupuncture
• Compare and contrast the physiological consequences of superficial, medium and deep needling
• Differentiate which depth of needling is appropriate for the desired effect
• Describe the neurological pathways involved with acupuncture needling
• Explain the significance of needle retention time

• Examine the origin of the Qi symbol
• Define Qi Identify and describe the types of Qi
• Explain Qi as it relates to triple warmer metabolism
• Describe and compare the types of Qi pathology
• Review the pertinent points on the Pericardium channel
• Explain how the neurological development of the brachial plexus relates to the pericardium meridian function
• Demonstrate the local anatomy of the pericardium channel in the upper extremity

• Discuss the Ren Mai’s overall function
• Introduce a selection of clinically useful points on the Ren Mai (Conception Vessel) meridian
• Discuss the Du Mai’s overall function
• Introduce a selection of clinically useful points on the Du Mai (Governing Vessel) meridian
• Explore the anatomy and indications surrounding LV14

• Discuss the layers of the skin as related to a practitioner’s perception during acupuncture
• Review the neurological pathways involved with acupuncture
• Summarize the local, segmental and cortical effects of acupuncture
• Contrast the physiological effects of depth of insertion and retention time of acupuncture

• Outline the basics of clean needle technique, including defining “clean field” and offering recommendations as it related to acupuncture
• Discuss the most common methods of sterilization
• Contrast sterilization vs disposable needles
• Present the most common complications of acupuncture
• Discuss contraindications to acupuncture
• Present the most common infectious agents as risk factors for acupuncture

• Develop diagnostic tools and complementary treatment approaches to common foot disorders
•  Outline a complete approach to treatment from assessment to acupuncture to patient advice
•  Discover major points and regions used most to achieve better treatment outcomes
•  Apply palpation and needling concepts to regions affecting/affected by foot disorders
•  Devise treatment plans specific to patient’s foot complaint

• Develop diagnostic tools and complementary treatment approaches to lateral ankle issues, inversion injuries and sinus tarsi syndrome
• Discover the association between lateral ankle injuries and sinus tarsi syndrome
• Outline a complete approach to treatment from assessment to acupuncture to patient advice
• Gain a better understanding of the distribution, pathology and function of the six leg muscle channels
• Devise a treatment plan specific to patient’s lateral ankle injury and sinus tarsi syndrome

• Develop diagnostic tools and complementary treatment approaches to Morton’s metatarsalgia, capsulitis and forefoot pain
• Outline a complete approach to treatment from assessment to acupuncture to patient advice
• Discover major foot points and regions used most to achieve better treatment outcomes
• Apply palpation and “grid” needling concepts to regions affecting/affected by Morton’s metatarsalgia, capsulitis and forefoot pain
• Devise treatment plans specific to patient’s forefoot complaint

• Develop diagnostic tools and complementary treatment approaches to Metatarsophalangeal joint pain, Turf toe and first Metatarsophalangeal (MTP) joint issues
• Outline a complete approach to treatment from assessment to acupuncture to patient advice
• Discover major foot points and regions used most to achieve better treatment outcomes
• Apply palpation and traction needling concepts to regions affecting the first metatarsophalangeal joint
• Devise treatment plans specific to patient’s first metatarsophalangeal joint complaint

• Develop diagnostic tools and complementary treatment approaches to heel pain, plantar fasciitis and plantar fascia disorders
• Outline a complete approach to treatment from assessment to acupuncture to patient advice
• Discover major points and regions used most to treat plantar fascia disorders
• Apply palpation and needling concepts to regions affecting/affected by heel pain, plantar fasciitis and plantar fasciopathy
• Devise treatment plans specific to the patient’s plantar fascia complaint

• Develop diagnostic tools and complementary treatment approaches to tarsal tunnel syndrome
• Outline a complete approach to treatment from assessment to acupuncture to patient advice
• Discover major points and regions used most to treat issues related to the tarsal tunnel of the foot
• Apply palpation and needling concepts to regions affecting/affected by tarsal tunnel syndrome
• Devise treatment plans specific to the patient’s medial foot/tarsal tunnel complaint

• Develop diagnostic tools and complementary treatment approaches to Achilles tendinopathy and related Achiiles tendon issues
• Outline a complete approach to treatment from assessment to acupuncture to patient advice
• Discover major points and regions used most to treat Achilles tendon issues
• Apply palpation and needling concepts to regions affecting/affected by Achilles tendinopathy
• Devise treatment plans specific to the patient’s Achilles tendon issue

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

• Explain Universal Precautions
• Prepare a Clean Field for administering acupuncture
• Secure, handle and dispose of Biohazard material, normally encountered in an acupuncture practice
• Recognize, avoid, and handle acupuncture side effects
• Explain the cautions and contraindications of acupuncture treatment

• Identify the various types of acupuncture needles
• List the main formats for administering moxibustion
• Set up and maintain a clean field
• Recognize and take steps to avoid the main risks to acupuncture providers
• Recognize and take steps to avoid the main risks to acupuncture patients

• Identify the various sizes of acupuncture needles
• Describe needle techniques to tonify and sedate acupuncture points
• Demonstrate the common needle insertion angles
• Compare and contrast the size of acupuncture needles with other common needles
• Infer safe and appropriate needle depths for many common acupuncture points

• Identify the various grades of moxa
• Describe various methods for applying indirect moxa
• Demonstrate safe procedures for administering indirect moxa
• Compare and contrast direct and indirect moxibustion
• Determine appropriate methods for administering moxibustion in specific clinical

• Identify conditions which are amenable to treatment with electro-acupuncture
• Distinguish between invasive and non-invasive electro-acupuncture devices and administrative practices.
• Demonstrate safe procedures for administering electro-acupuncture
• Compare and contrast milliamp stimulation with microamp stimulation
• Determine appropriate frequency and intensity settings for administering electro-acupuncture, based on clinical findings

• Identify conditions which are amenable to treatment with cupping and gua sha
• Identify various types of cups and gua sha instruments
• Demonstrate safe procedures for administering gua sha
• Describe post-treatment recommendations and procedures for gua sha & cupping
• Demonstrate safe procedures for administering cupping with both fire silicone cups

• Identify conditions which are amenable to treatment with Laser and TDP Lamp.
• Identify various types and wavelengths of lasers employed in acupuncture
• Demonstrate safe procedures for administering laser acupuncture
• Describe the physical mechanisms associated with photobiology
• Demonstrate safe procedures for administering TDP Lamp

• Define HIV
• Outline HIV epidemiology and symptoms
• Discuss the effects of HIV on health and wellness
• Review current facts about the HIV and AIDS epidemic both in the U.S. and worldwide

• Define HIV
• Outline HIV epidemiology and symptoms
• Discuss the effects of HIV on health and wellness
• Review current facts about the HIV and AIDS epidemic both in the U.S. and worldwide
• Discuss strategies for preventing HIV in the health care workplace
• Outline universal precautions and additional precautions to prevent transmission of HIV by blood
• Apply what to do when there has been a possible exposure to HIV infection
• Define and discuss confidentiality laws covering the medical records of HIV/AIDS patients
• Define and discuss behavioral interventions for HIV/AIDS patients
• Outline the screening of HIV-infected persons for HIV transmission risk

• Discuss strategies for preventing HIV in the health care workplace
• Outline universal precautions and additional precautions to prevent transmission of HIV by blood
• Apply what to do when there has been a possible exposure to HIV infection

• Define and discuss confidentiality laws covering the medical records of HIV/AIDS patients
• Define and discuss behavioral interventions for HIV/AIDS patients
• Outline the screening of HIV-infected persons for HIV transmission risk

Hour 1

• Indicate the immune system’s complexity as it fits into the body’s function
• Give examples of various Interleukins involved in the immunity
• List neurotransmitters, and vasoactive dilators
• Contrast TH1 and TH2 immune cells and apply a working knowledge of their clinical phenotype.

Hour 2

• Discuss signs and symptoms of anaphylaxis and current therapy.
• List the major immune cells responsible for allergic reactions
• Name the major receptor responsible for IgE sensitization, and what cells it is primarily found on.
• Summarize the meaning of WAO.
• List signs and symptoms of a typical allergic response after re-exposure to a sensitized allergen
• List different methods of allergy testing and critique their strengths and weaknesses.
• Give an example of a complicating factor that might skew an IgE(total) test result
• Apply the terms sensitivity and specificity in lab tests
• Categorize who is at risk of allergic sensitization.

Hour 3

• List 1-2 examples of research supporting IgE sensitization prevention.
• List 1-2 examples of factors which may increase risk of IgE sensitization.
• Explain the effect of smoking on IgE
• Have working knowledge of the effect of SO2 on health, and its primary source.
• Describe how and why it Ragweed is fast becoming worse of a problem throughout the US and worldwide.
• Indicate a potential sequela of Rhinoconjunctivitis and why it is meaningful to treat
• Identify and name a treatment backed by clinical evidence for Ragweed allergy and its meaning for natural therapy to be used by non-prescribing practitioners
• Describe a potential problem with medical Sublingual allergy therapy, and then defend it.
• Outline the major allergens in Ragweed.
• Give an example of co-sensitivity
• Define Pan allergen and give an example

Hour 1

• List the cells where histamine is predominantly found.
• Describe the role of the Mast Cell.
• Explain histamine’s function and recall what causes its release.
• List the Histamine receptor types and where each are each found.
• Summarize or give examples of symptoms in over activation of histamine receptors.
• Many of our patients are on OTC Antihistamine medications.  List their effects, positive and negative.

Hour 2

• Quote what OAS stands for.
• Define OAS and describe what happens to those with this problem.
• Recognize at what age(s) OAS occurs.
• Memorize, recognize and describe 1-5 OAS examples.
• Educate your patient on how to deal with OAS.
• Describe NFkB as a system
• Describe NFkB’s role in canonical and non-canonical pathways
• Explain what IκBα is and its potential role in downregulating inflammation

Hour 3

• Discuss how specific herbs, nutrients, and Vitamin E work to manage histamine at both a macro and microscopic level.
• Be able to describe allergic inflammation
• Discover how NSAIDs are being noted to reduce CNS diseases with inflammation and may help manage allergic disorder(s). 
• Identify what particular NSAID is naturally occurring and available to us and your patients to help them manage their allergic inflammation.  Calculate its clinical dose and avoid its lethal dose.
• List various SPMs (Specialized Proresolving Mediators)
• Describe how SPMs can control IgE production and play a potential role in the treatment of Alzheimer’s Disease.
• Relate histamine’s role in IBS (Irritable Bowel), name and synthesize the type of 2 known GI receptors involved.

• Discuss the salient points of conducting a visual gait analysis
• Review the gait cycle and associated kinetics and kinematics
• Discuss step length, stride length and how they are affected in a case of a person with posterior compartment weakness
• Review the biomechanics associated with heel rise
• Propose rehabilitation strategies for specific cases that were reviewed

• Discuss the pitfall of video assessment of gait cases
• Review the gait cycle with respect to stance phase abnormalities in a gait case
• Differentiate between step length and stride length
• Review heel rise and the windlass mechanism
• Discuss the function of the long flexors of the toes in gait
• Evaluate pelvic posturing as it relate to a gait case
• Discuss the gait pathomechanics that result from a herniated disc

• Review the pertinent anatomy of the knee
• Review the kinematics and kinetics of knee function during the gait cycle
• View and discuss case studies involving knee function
• Predict pathomechanics that will arise from the gait abnormalities presented
• Propose remedies for the gait abnormalities seen

• Review the pertinent anatomy of the hip
• Review the kinematics and kinetics of hip function during the gait cycle
• View and discuss case studies involving hip function and common clinical scenarios
• Predict pathomechanics that will arise from the gait abnormalities presented
• Propose remedies for the gait abnormalities seen

• Review the walking gait cycle
• Review the running gait cycle
• Identify the key differences between walking and running gait
• Review the kinematics and kinetic differences between walking and running gait
• View case studies involving different walking and running gait styles
• Predict pathomechanics that may arise from gait abnormalities presented

• Review anatomical vs functional short leg
• Review the kinematics and kinetics of the short leg during the gait cycle
• View and discuss case studies looking at functional and anatomical short legs
• Predict pathomechanics that will arise from a short leg
• Propose remedies for the gait abnormalities seen

• Review fore foot to rearfoot relationships
• Review the different rear foot types
• Review the kinematics and kinetics of rear foot function during the gait cycle
• View and discuss case studies involving different rear foot types
• Predict pathomechanics that will arise from gait abnormalities presented
• Propose remedies for the gait abnormalities seen

• Breakdown the gait cycle into its component parts
• Recognize some less common gait abnormalities seen in gait analysis
• Assess actions of the lower kinetic chain during gait
• Predict pathomechanics that will arise from gait abnormalities presented

• Review how to determine foot type
• Describe and identify the five common foot types
• Explain how foot type effects gait biomechanics
• Compare and contrast different clinical examples of each foot type
• Discuss some treatments that can be utilized when a client presents with a particular foot type

• Briefly describe the history of the pedograph
• Compare pedographs with other technologies available for foot imprinting
• Explain how to obtain a reproducible pedograph
• Discuss pedograph interpretation and what it means clinically

• Discuss retraining CNS sensory and motor patterns
• Present several key concepts in visual gait analysis
• Introduce lesser known anatomical points of interest in the sacroiliac joint
• Discuss some rehabilitation strategies for the sacroiliac joint
• Discuss the ideal kinetics and kinematics of the walking gait cycle
• Present the normal lower extremity parameters/ontogeny surrounding the requisites for gait
• Explore the impact of lower extremity torsions on foot progression angle
• Highlight the differences between tibial and femoral leg length discrepancies
• View video examples of different aspects of gait
• Review the mechanics of the bridge exercise
• Discuss the current indexed literature surrounding the bridge exercise
• Describe potential pitfalls in performing and prescribing the bridge exercise
• Point out the differences of maintaining a "neutral spine" versus an increased or decreased lumbar lordosis
• Identify potential ways to correct faulty mechanics and optimize performance of the bridge exercise
• describe a new, novel test to diagnose gluteus medius tears
• explain the various functions of the gluteus maximus and medius
• explore the effects of a resistance band around the knees on the gluteus maximus, quadricep and valgus angles on the knees during a back barbell squat
• contrast gluteus medius resistance and rehabilitation exercises with respect to maximal recruitment
• discuss electromyographic activity in the gluteus medius, gluteus maximus, biceps femoris, vastus lateralis, vastus medialis and rectus femoris during the Monopodal Squat, Forward Lunge and Lateral Step-Up exercises

• Review the mechanics of the bridge exercise
• Discuss the current indexed literature surrounding the bridge exercise
• Describe potential pitfalls in performing and prescribing the bridge exercise
• Point out the differences of maintaining a "neutral spine" versus an increased or decreased lumbar lordosis
• Identify potential ways to correct faulty mechanics and optimize performance of the bridge exercise

The bridge exercise has been a staple amongst conditions seeking to rehabilitate everything from lower back pain to gait abnormalities. Traditionally, this is predominantly a gluteus maximus exercise however we often find that it is dominated by the hamstrings. This presentation goes through the recent research surrounding this exercise as well as ways to optimize its efficacy and clinical utility.

• describe a new, novel test to diagnose gluteus medius tears
• explain the various functions of the gluteus maximus and medius
• explore the effects of a resistance band around the knees on the gluteus maximus, quadricep and valgus angles on the knees during a back barbell squat
• contrast gluteus medius resistance and rehabilitation exercises with respect to maximal recruitment
• discuss electromyographic activity in the gluteus medius, gluteus maximus, biceps femoris, vastus lateralis, vastus medialis and rectus femoris during the Monopodal Squat, Forward Lunge and Lateral Step-Up exercises.

• Review ideal walking gait biomechanics
• Discuss the current indexed literature surrounding sandals and open back footwear relative to musculoskeletal symptoms
• Describe pathomechanics associated with wearing flip flops and open back footwear
• Contrast the ideal gait cycle with the gait cycle while wearing flip flops, sandals and open back footwear
• Identify potential ways to correct faulty mechanics associated with wearing open back footwear

Ever wonder if “flip flops” are bad for you? How about open back shoes? With the prevalence of sandal and open back footwear use, we thought it appropriate to talk about the biomechanics and potential pitfalls of this type of footwear. In this preservation we examine the biomechanics, pathomechanics literature and potential sequelae of sandals and open back shoes.

• Review ideal walking gait biomechanics
• Discuss the indexed literature surrounding movement patterns, gait remodeling and therapeutic uses of a split treadmill
• Rehab gait movement patterns
• Develop a deeper understanding of arm swing, leg swing, and interlimb timing and coordination.

• Identify ideal walking gait biomechanics
• Discuss the indexed literature surrounding movement patterns, gait impairments and compensations.
• Analyze arm swing, leg swing, and interlimb timing and coordination.
• Interpret local foot biomechanics and compensations.

• Review the gait cycle and gait cycle biomechanics
• View and discuss case studies of gait pathologies
• Assess actions of the lower kinetic chain during gait
• Predict pathomechanics that will arise from gait abnormalities presented
• Propose remedies and rehabilitation strategies for the gait abnormalities seen

Hour 1

• Identify some common gait abnormalities seen in gait analysis and develop mental strategies in evaluating the 3 cardinal planes of motion and potential failures in the loading of these planes.
• Categorize the Fast and Slow phases of an imbalance asymmetrical gait and define rehabilitation strategies to remedy the gait pathology.
• Develop a conceptual overview of how step length and stride length change in a limping gait.
• Breakdown portions of the gait cycle into its component parts, including compensation patterns
• Conceptualize the gait changes oriented around a hallux (great toe) amputation and learn to predict gait compensations off of a fixed anatomic anomaly.
• Describe arm swing and how it plays out in gait, particularly asymmetrical, and develop some treatment concepts in addressing this asymmetry.

Hour 2

• Discuss the critical function of the deep neck flexors and transverse abdominus, and how they related to gait, especially the running athlete.
• Identify the 3 compartments of the thoracolumbar fascia and translate them into gait concepts and treatment concepts.
• Develop treatment concepts in addressing this asymmetry and define in-phase and out-of-phase arm and leg swing assimilation
• Discuss on a surface level the concepts of speed in gait, and how to adjust the speed of one's gait to break down gait components that might lead to better treatment directions.
• Describe central pattern generators and relate to arm swing on a neurologic level.
• Recognize some common gait abnormalities seen in gait analysis such as arm swing, step length, the cross over gait, and develop mental strategies in evaluating the 3 cardinal planes of motion and potential failures in the loading of these planes when it comes to these gait parameters.

• Define and discuss professional boundaries
• Define and discuss sexual misconduct
• Sensitize The D.C. To Issues Relating to Sexual Interaction With The Patient
• Discuss the problem of sexual misconduct, either real or perceived
• Define and discuss specific examination procedures
• Provide methods for recording examinations and incidents
• Discuss case of alleged sexual misconduct
• Discuss strategies to avoid misunderstandings that may lead to charges of sexual misconduct

• Recognize disability in your practice.  Today one in five Americans has a disability and this percent will continue to increase because of medical advances and the aging of our population.
• Become familiar with the range of disabilities including those involving mobility, hearing, speech, vision as well as the wide range of non-apparent disabilities.
• Integrate the course's Seven Themes for Setting Appropriate Boundaries with the Disability Community into your everyday practice.
• Avoid limiting beliefs about what people with disability can or cannot do.  Today people with disability have access to technological and other adaptive techniques that make full inclusion possible.
• Gain disability competence through skillful navigation of physical boundaries as well as psychological, emotional and social boundaries.

• Appreciate how your patients with disability have learned to adapt so you can work with their adaptive techniques and compensatory skills.
• Integrate do’s and don’ts about how to respond to specific disabilities.
• Surface – and learn to overcome – your hidden prejudices and stereotypes.
• Recognize how non-apparent disabilities can impact effective communication, compliance and other important health care outcomes.
• Familiarize yourself with legislative and technological breakthroughs that can support your patients during healing and recovery.

• Recognize the barriers that people with disability face in securing employment and aim to dismantle those barriers whenever you can.
• Become familiar with specific workplace accommodations for employees with disability.  These can be easy to execute and inexpensive.
• Commit to making your own workplace more inclusive by adopting simple changes to aid employees as well as patients.
• Accept your own uncomfortable feelings about disability in order to move beyond their grip.

• Identify the purpose of professional boundaries
• Differentiate between boundary violations and boundary crossings
• Identify the various factors related to dual relationships
• Identify issues related to bartering, gifts and boundaries

• Recognize the challenges of social networking and boundaries
• Evaluate issues specific to boundaries
• Clarify guidelines for maintaining professional boundaries
• Reflect on the maintenance of professional boundaries

• Describe the biomechanics of rotation of a thoracic ring at the levels T1-T7.
• Describe the biomechanics of the Cervical spine, Thoracic spine, ribs, clavicle and manubrium with elevation of the right or left shoulder.
• Describe the biomechanics of flexion and extension at the Costotransverse joint at T9.
• Describe the differences in motion of the mobile segments between T3 -T7 with side flexion occurring first in the Thoracic spine.

• Describe the physiology of breathing and how altered pH can affect the body.
• Describe two functions of the diaphragm.
• Identify limited chest expansion and Bradcliff angles and ski jumps
• Identify limited lateral costal breathing and how to facilitate normal lateral costal breathing

• Describe how altered breathing patterns can alter pH and how this can affect the body.
• Describe the autonomic nervous system and function.
• Name three physiological consequences of respiratory alkalosis.
• Describe suboptimal breathing patterns and their effect on the cervical spine and chronic pain.

• Name and describe the different types of sleep apnea.
• Describe the three levels of Apnea-hypopnea index AHI.
• List five symptoms of sleep apnea.
• List two treatments for sleep apnea.

• Describe the physiological response of aerobic exercise on the respiratory system.
• Describe the effect of running on the viscera and the diaphragm.
• Describe the response to inspiratory muscle fatigue on the body.
• List one device than may increase endurance of the respiratory muscles.

• Describe the anatomical structure of the diaphragm including innervation and blood supply.
• List four causes that may damage the innervation to the diaphragm and effect normal function.
• Describe the factors involved in Intensive Care Unit Acquired Weakness.
• Be able to describe the pros and cons of early mobilization in the ICU.

• Outline the most commonly encountered neurological complaints of pregnancy that a D.C. might encounter in practice
• Differentiate between similar complaints to establish best course of care
• Modify normal practices, techniques and methods to accommodate for the biomechanical changes of the pregnancy patient
• Integrate other palliative therapies to relieve these complaints
• Analyze and adjust according to the complaint and concomitant exam findings

• Outline eight commonly encountered complaints of pregnancy that a DC might encounter in practice
• Differentiate between similar complaints to establish best course of care
• Understand the various causes of each complaint and how to address these causes
• Integrate other palliative therapies to relieve these complaints
• Analyze and adjust according to the complaint and concomitant exam findings

• Outline the most common herbal and homeopathic remedies that may be useful to a DC who cares for pregnant patients
• Differentiate between helpful remedies and those contraindicated for use during pregnancy
• How and when to successfully integrate these palliative therapies to relieve common complaints of pregnancy
• Recognize the basics of homeopathy, why and how it works, how to administer remedies and proper use and storage of remedies
• Generalize the use and need for these remedies to accommodate the special needs and concerns of the pregnancy patient

• Outline necessary dietary requirements for the mother to be
• Differentiate between safe and unsafe exercises that can be recommended to the expectant mother
• Give examples of safe exercise practices to the pregnant patient
• Identify the normal and customary weight gain during a healthy pregnancy
• Offer dietary recommendations and healthy food choices to the pregnant patient

• Identify the most common birth trauma(s) to a newborn
• Assess the biomechanics of the pregnant pelvis
• Recognize how certain maternal pelvic misalignments can lead to increased incidence of various birth traumas
• Modify adjustive techniques and methods to better care for the pregnant patient
• Reduce the prevalence of certain birth traumas due to distortions and misalignments in the maternal pelvis

• Identify the most common medical tests and procedures performed on pregnant and laboring women
• Recognize the risks of these tests and procedures
• Assess the benefits of these tests and procedures
• Effectively explain these risks and benefits to the pregnant patient
• Assist in the preparation of a well thought out and defined birth plan for the pregnant patient

• Outline commonly encountered misalignment and/or subluxation patterns that present with a breech presentation
• Outline commonly encountered misalignment and/or subluxation patterns that present with various common complaints of pregnancy
• Identify the various causes of a breech presentation and how to address these causes
• Integrate or eliminate other palliative therapies to aid in the reversal of a breech presentation and common complaints of pregnancy
• Analyze and adjust according to the patient history and concomitant exam findings

• Discuss the role of chiropractic manipulation and the evidence surrounding reduced back pain in pregnant women.
• Discuss the role of chiropractic manipulation and the evidence surrounding musculoskeletal conditions related to pregnancy
• Describe the somatovisceral reflex
• Review options for conservative pain management for musculoskeletal conditions related to pregnancy
• Interpret evidence-based data for safety of spinal manipulation of pregnant women.
• Describe presentation of musculoskeletal conditions seen in postpartum patients
• Perform evaluation of musculoskeletal conditions seen in postpartum patients
• Discuss treatment options for musculoskeletal conditions seen in postpartum patients
• Formulate a nutritional plan for women

Hour 1 and 2

• Describe the components of the core and the function of the core.
• Describe the function of the diaphragm as it relates to posture, muscular relationships and stability of the spine.
• Describe the function and structure of the superficial muscle system of the body.
• Describe two concepts of spinal stability. 

Hour 3

• Demonstrate how to determine the length of quadratus lumborum and erector spinae. 
• Demonstrate how to evaluate Transversus abdominus function
• Demonstrate how to facilitate the core and initiate a core training program

Hour 4

• List three pathologies related to less than optimal core function.
• Describe three postural strategies that the patient may develop when the core is in dysfunction.
• Describe how weakness of the abdominals can alter diaphragm contractions.
• Explain how respiratory fatigue can alter core control.

• Identify the need for cultural competence in health care and in medical literature.
• Examine and Research the historical perspectives
• Examine your world view or cultural beliefs about diversity and explain how you can develop an attitude of cultural competence.
• Analyze the five aspects of ethnicity used to describe cultural differences in the health care environment. 

• Review and explain the racial and ethnic disparities in health care.
• Explain the role of health care providers and organizations as mechanisms to reduce racial and ethnic disparities in health care. 
• Explain how language and communication of the health care provider can be a barrier to establishing relationships.
• Identify tools that can foster empathy for differing cultures.

• Explain the need for improving cultural awareness in the workplace to build cultural competency.
• Identify five practices that can be implemented to increase cultural awareness in the workplace.
• List the benefits of building an organization's cultural competence
• Explain how to deliver culturally competent care.

• Demonstrate The ability to communicate clearly and concisely with current and future patients 
• Describe ways to establish and maintain relationships and facilitate constructive interactions with individuals and diverse groups.
• List strategies to align personal and organizational conduct with ethical and professional standards that include a responsibility to the patient and health care community. 
• Demonstrate an understanding of the healthcare system and the environment in which healthcare managers and providers function.

This module focuses on culturally sensitive practices and conflicts within the health care organizations and examines some of the culturally responsive strategies that an organization needs to address to protect the diverse cultural needs within the internal and external communities of the health care environment.

• Comprehend basic diagnostic ultrasound terminologies and definitions. 
• Outline general diagnostic ultrasound equipment and image formation. 
• Identify the normal sonographic appearance of muscle, tendon, ligament, bone, nerve and cartilage. 
• Identify sonographic artifacts. 
• Utilize diagnostic ultrasound in the assessments and diagnosis of common musculoskeletal conditions. 

• Comprehend basic diagnostic ultrasound terminologies and definitions. 
• Outline general diagnostic ultrasound equipment and image formation. 
• Identify the normal sonographic appearance of muscle, tendon, ligament, bone, nerve and cartilage. 
• Identify sonographic artifacts. 
• Utilize diagnostic ultrasound in the assessments and diagnosis of common musculoskeletal conditions. 
• Review normal anatomy of the shoulder 
• Discuss the ultrasound examination scanning techniques of the shoulder 
• Recognize normal sonographic anatomy of the shoulder 
• List the complete standard sonographic protocol of the shoulder 
• Distinguish abnormal sonographic findings and pathologies of the shoulder 
• Review normal anatomy of the ankle
• Discuss the ultrasound examination scanning techniques of the ankle
• Recognize normal sonographic anatomy of the ankle
• List the complete standard sonographic protocol of the ankle
• Distinguish abnormal sonographic findings and pathologies of the ankle
• Review normal anatomy of the knee
• Discuss the ultrasound examination scanning techniques of the knee
• Recognize normal sonographic anatomy of the knee
• List the complete standard sonographic protocol of the knee
• Distinguish abnormal sonographic findings and pathologies of the knee

• Review normal anatomy of the ankle
• Discuss the ultrasound examination scanning techniques of the ankle
• Recognize normal sonographic anatomy of the ankle
• List the complete standard sonographic protocol of the ankle
• Distinguish abnormal sonographic findings and pathologies of the ankle

• Review normal anatomy of the knee
• Discuss the ultrasound examination scanning techniques of the knee
• Recognize normal sonographic anatomy of the knee
• List the complete standard sonographic protocol of the knee
• Distinguish abnormal sonographic findings and pathologies of the knee

• Differentiate between active and maintenance care in clinical documentation
• Execute the use of advance notice in third party patients correctly and accurately
• Identify and implement strategies to clarify the difference between active and maintenance care in documentation
• Recognize and adopt best practices in proper notification about maintenance care vs. active treatment

• Properly document findings and recommendations around muscle therapies
• Master the documentation necessary in daily visits to verify medical necessity
• Identify and implement strategies the most important findings and rationale necessary to add muscle therapies to the treatment plan
• Recognize how to differentiate between various manual therapies to meet the requirements of third-party payers' medical review policy

• Compose Complete and Accurate Treatment Plans
• Formulate multiple Standard Treatment Protocols for better compliance and efficiency
• Differentiate patient care plans per Patient condition severity
• Propose recommendations based on exam findings, not third party coverage

• Discover all the elements necessary for appropriate documentation of an episode of care, from the initial visit through the discharge from active treatment
• Have clearer delineation of the beginning and end of episodes of patient care
• Decide when an active episode of care should turn into maintenance care, and document the decision making appropriately
• Identify the required components of documentation as they are outlined in state board documentation requirements, Medicare documentation requirements and other entities’ regulations

• Define and recognize common procedures that may be deemed unproven, investigational or experimental
• Determine how individual state boards and payers view these various treatments
• Recognize guidance or rulings from state boards that dictate the need for informed consent
• Properly document the procedures in the medical record
• Apply correct coding to describe the procedure provided
• Personalize a sample Consent to Treat for the procedure provided

• Awareness of the value of orderly documentation to you and others
• Ability to duplicate key documentation components that auditors and reviewers expect
• Steps necessary to address how poor documentation can turn a simple record review into a full audit
• Ability to identify commonly missed links connecting documentation to treatment

• Evaluate the necessary elements to properly document established patient re-evaluations of all types
• Deliver appropriate evaluation and management services to justify continued care, assess progress, and discharge from this active care when the time is right
• Report the necessary components of documenting the transitional diagnosis and treatment plan after a periodic re-evaluation
• Complete the fundamentals of documenting the assessment of change since the last evaluation as it applies to federal regulations in Medicare

• Recognize the mandatory enrollment guidelines for chiropractors and apply the rules to daily practice
• Distinguish between active and maintenance care and employ proper procedure to administrate both types of care
• Complete and document required elements of documentation of active treatment
• Prepare patients to best differentiate care that Medicare considers medically necessary from care that the patient is expected to pay for
• Apply the Medicare standard of financial transactions with patients in order to stay within the Federal collection guidelines

• Discover how proper documentation impacts the revenue cycle and profitability of your office
• Distinguish between Medically Necessary and Clinically Appropriate Care
• Demonstrate how your office compliance program either leaves you vulnerable or reduces your risk
• Develop understanding of compliant fee systems
• Evaluate federal guidelines regarding discounting and/or hardship

• Cite the difference between Therapeutic Exercise and Therapeutic Activities
• Properly document all aspects required when utilizing timed therapy services
• Assimilate payer policy details to ensure proper code utilization
• Discuss common errors when documenting and billing exercise therapy services

• Demonstrate why each and every digit of the DX tells the payer something important Distinguish the nuances of specialized DX coding rules for carriers such as Medicare.
• Discover the importance of DX pointing, and which CPT codes are an absolute MUST to point to DX
• Illustrate how to diagnose with a higher level of specificity and through proper hierarchy Identify the role of the diagnosis in the documentation process'

• Understand the necessary components of initial and routine visit documentation
• Recognize and evaluate the relationship between documentation and billed codes
• Demonstrate how to conduct a complete baseline audit of medical record documentation
• Establish the parameters for subsequent audit requirements

• Demonstrate the components of recognizing Medical Necessary Care vs. Clinically Appropriate
• Identify CMT coding trends and indicators as they relate to medical necessity
• Properly manage treatment effectiveness for exacerbations and reoccurrences
• Determine Proper Diagnosis and Assessment for Federal Patients
• Acknowledge and audit CMT coding ratios to evaluate the potential risk

• Recognize the key documentation requirements and components required to be eligible to treat Veterans Administration referrals
• Compose documentation that meets these required VA elements, while avoiding missteps most commonly found in denials and audits
• Appraise and self-audit the VA process from referral through discharge,
• Determine key factors known to be often missing, and understand what to do to correct the deficiency
• Demonstrate the proactive steps to take in treating VA patients from clinical and financial submisisons

• Apply the new algorithm to choose your E/M code appropriately using either time or decision making
• Disucss existing E/M codes were deleted and details on the new Prolonged Service codes
• Uses the the new process for typical chiropractic evaluations
• Identify elements that count as Time-Activities and how to calculate appropriately
• Discuss what it means to do a clinically appropriate history and exam

• Apply the changes in the 2022 ICD-10 code set to the clinical diagnosis process
• Compare examination findings, couple with history, to select the most appropriate written diagnosis
• Document within the clinical record your thought process of selecting diagnostic codes
• Classify diagnoses in order of severity and hierarchy to match projected treatment plan

• Properly document “doctor thinking” daily in routine patient visit documentation
• Recognize the role of the PART documentation process in Routine Office Visit notes
• Identify and execute the key components of written assessment in daily documentation
• Recognize aspects of documentation and coding of Route Office Visits (ROV) whether active treatment, preventative maintenance, or wellness care.
• Distinguish the unique components of Subjective, Objective, Assessment and Plan

Hour One: Documentation and Compliance Overview, Rules and Regulations

• Recognize and avoid or correct behavior that is contrary to the rule of “no opt-out for chiropractors”
• Apply compliance rules set forth by governmental agencies that apply to providers of service to Federally insured patients
• Demonstrate day-to-day application of guidance on Federal Program and state requirements for coding, billing, and finances
• Differentiate between active and maintenance care, according to the official Medicare definitions and other third-party guidelines
• Interpret the four types of risk the Office of Inspector General (HHS) expects providers to focus on with Policy and Procedure, per the OIG Guidance for Small Practices
• Recognize the limitations of experimental, investigational, and unproven technologies

 Hour Two: Documentation of Initial Visits-New Patients, New Episodes, and New Conditions

• Identify and apply concepts that differentiate types of initial visits, from new patients to updated episodes
• Produce documentation of initial visits that comply with board requirements for chiropractors
• Summarize documentation requirements as they apply to the new initial Evaluation and Management guidelines set forth January 1, 2021
• Establish medical necessity for your care and know with surety that initial visit documentation is complete
• Rank complicating factors and contraindications according to priority and include with initial assessment
• Populate a required treatment plan for care, whether for short- or longer-term care

 Hour Three: Documentation and Case Management for Routine Visits, Preventive Maintenance, and Wellness Care

• Differentiate between requirements for medically necessary services vs. maintenance which is self-pay
• Apply primary subluxation vs secondary compensation logic to mitigate risk for the full-spine adjustment
• Reproduce the key elements of routine chiropractic visits in documentation as set forth by third-party, State and Federal guidelines
• Interpret functional data to determine stages and levels of care
• Demonstrate the ability to implement therapeutic withdrawal and to document its results
• Recognize maximum therapeutic benefit (MTB) and properly document discharge from active treatment

 Hour Four: The Risks Associated Billing and Financial Compliance Regulations

• Give examples of billing and financial compliance that cross the line of False Claims Act and Anti-Kickback Statute violations
• Apply billing and financial compliance regulations to the day-to-day operations of the practice, including payment and prepayment plans
• Execute random auditing of charges and collections to meet OIG compliance guidelines
• Recognize and apply the rules of offering financial hardship discounts
• Produce advertising that falls within the guidelines of board and federal rules

• Distinguish the meaning and implications of many important terms pertaining to the clinical practice of filiform needling therapies.
• Categorize the most common types of trigger points.
• Incorporate myofascial stress patterns into previously learned myofascial frameworks.
• Compare & contrast the legal, theoretical & practical commonalities & differences associated with the filiform needling therapies of dry needling & acupuncture.

• This contains all courses with the educational objectives listed from Dry Needling 201 through 206

• Demonstrate Clean & Safe needle handling, application, & disposal
• Recognize and reduce risks To Dry Needle Providers
• Recognize and reduce risks To Dry Needle Patients
• Integrate Dry Needling into an Existing Practice
• Document Dry Needling Diagnosis & Treatment

• Identify common filiform needle sizes and types.
• Select appropriate filiform needles for various applications.
• Integrate trigger point releasing concepts & practices.
• Apply effective trigger point releasing needle techniques.
• Outline common myofascial stress patterns.

• Identify Common Myofascial Stress Patterns.
• Discuss the differences commonalities & differences associated with myofascial stress patterns and traditional acupuncture meridians.
• Palpate & Locate Primary Points for Releasing Posterior Myofascial Stress Patterns.
• Palpate & Locate Primary Points for Releasing Anterior Myofascial Stress Patterns.
• Palpate & Locate Primary Points for Releasing Lateral Myofascial Stress Patterns.

• Diagnose & Treat Posterior Myofascial Stress Patterns & Related Trigger Points.
• Diagnose & Treat Lateral Myofascial Stress Patterns & Related Trigger Points.
• Diagnose & Treat Anterior Myofascial Stress Patterns & Related Trigger Points.
• Diagnose & Treat Head & Neck Myofascial Stress Patterns & Related Trigger Points.

• Integrate information from previous 5 classes to efficiently diagnose painful myofascial conditions, create effective treatment plans, and locate effective trigger points in the head & neck regions.
• Integrate information from previous 5 classes to efficiently diagnose painful myofascial conditions, create effective treatment plans, and locate effective trigger points in the Traps & Upper Back.
• Integrate information from previous 5 classes to efficiently diagnose painful myofascial conditions, create effective treatment plans, and locate effective trigger points in the Shoulder, Arm, Chest, Elbow, Wrist, Hand.
• Integrate information from previous 5 classes to efficiently diagnose painful myofascial conditions, create effective treatment plans, and locate effective trigger points in the Mid-Back, Lower Back, Hip/Thigh, Knee/Leg, Ankle, & Foot.

• Demonstrate the importance of communicating in an ethical manner and what that entails
• Develop an understanding of what 'spin' is, why it is unethical and how to monitor and minimize/stop it
• Evaluate the barriers to effective and ethical communication
• Develop an understanding of exactly what takes place/needs to take place during the provider/client interaction
• Discover what it is that patients want from their visits to a provider
• Appraise how to deal with challenging clients and situations
• Discover how to become a skilled helper by studying the tools of communication
• Apply listening skills to the provider's repertoire
• Demonstrate the importance of the impact of nonverbal communication on the caregiver/client relationship
• Develop, analyze and apply the verbal and nonverbal skills that will help to gather information and support the patient effectively
• Write an Ethical Communication Protocol (EPC) for your practice

• Differentiate between assault and battery
• Outline various kinds of legal problems that may result from sexual impropriety claims
• Identify and describe distinctions between innocent flirtatious behavior and sexual misconduct
• Evaluate possible defenses to sexual misconduct Disciplinary complaints
• Discuss the applicability of the transference phenomenon to Doctors of Chiropractic

• Recognize the legal and ethical implications of billing, collections, fees, bartering, and financial gain
• Navigate the tricky waters of appropriate interaction with vendors/suppliers.
• Understand the fiduciary relationship that governs patient-doctor interactions.
• Grade your role as the chiropractor in all professional inter-relationships, including staff, patients, peers.
• Use self-assessment techniques to stay compliant in all areas of ethics and boundaries.

• Identify legal prohibitions against promising healthcare cures, guaranteeing treatment results, and deceptive patient communication.
• Distinguish between appropriate and inappropriate communication relating to patients' healthcare prognoses and progress.
• Explain scientific literature linking patients' mental states with healthcare outcomes.
• Demonstrate alignment between compliance with states' current patient communication restrictions and instances of patient encouragement that foster mental states favorable to desired healthcare outcomes.
• Explain office procedures and staff training which are likely to ensure ongoing ethical patient communication and the documentation thereof.

• 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.

• Hypothesize situations where being able to critically evaluate research on your own may be particularly important
• Recall the original definition of evidence-based medicine
• Identify point-of-care resources for high quality evidence
• Categorize the evidence-based resources into point-of-care, summaries, syntheses etc.
• Define “bias” in the context of research studies
• Discover risk of bias in randomized controlled trials as it relates to unmasking and blinding
• Paraphrase the meaning of a “straw man” in the context of study design
• Discover risk of bias in randomized controlled trials as it relates to industry sponsorship, specifically referencing spin, straw man design, selective outcome reporting
• Identify the aspects of ‘non-specific effects’
• Define minimal (clinically) important difference
•  Explain why minimal important differences may be more relevant than p values
• Apply research findings to the patient in front of you

• Comprehend Florida Board of Chiropractic Medicine Rules Chapter 64B2 and statutes 456 and 460
• Apply Florida Board of Chiropractic Medicine Rules and Statute to your clinical practice
• Reduce potential risk exposures that may lead to complaints by the public and/or actions being taken against you by the Chiropractic Board
• Engage in practice by per the Florida Board of Chiropractic Medicine Rules

Hour 1:

• Discuss PNI and its relationship to musculoskeletal conditions
• Review the interaction of the Hippocampus-Pituitary-Adrenal axis with PNI and its effect on musculoskeletal conditions Discuss clinical approach to managing these syndromes

Hour 2:       

• Explain what factors affect the baby boomer population
• Establish Patient education and doctor patient relationship
• Establish protocols to improve treatment outcomes

Hour 3:

• Mind over matter- how the brain and neuropathways affect musculoskeletal conditions
• Describe cellular structure connections
• Evaluate patients with musculoskeletal conditions and consider the effect of the mind, body, cellular and neurological alterations manifesting of these conditions.

• Identify the Importance of the Microbiome in Leaky Gut Syndrome
• Examples of symptoms of Leaky Gut Syndrome
• Discuss the health conditions caused by Leaky Gut Syndrome
• Breakdown the causes of Leaky Gut Syndrome
• Explain Nutritional Therapies used to heal Leaky Gut Syndrome

• Explain the importance of Glutathione as a Nutritional Therapy.
• Demonstrate the Symptoms of Alzheimer’s, Liver dysfunction, Lung conditions and Eyes, Ears, Nose and Throat conditions and the benefits of Glutathione therapy in each case.
• Discuss abstracts that illustrate the benefits of Glutathione therapy in Alzheimer’s, Liver and lung dysfunction and conditions of the Eyes, Ears, Nose and Throat.
• Illustrate the primary benefit of Glutathione therapy for Alzheimer’s and conditions of the liver, lung and ears, eyes, nose, and throat.
• List the primary precursors for Glutathione in the body.

• Explain how beneficial commensal microbes support gastrointestinal health
• Describe the major components of the intestinal barrier
• Summarize the microbial composition of a typical stool sample
• Explain the role of comprehensive stool testing in assessing gastrointestinal health

• Recognize the three most common types of microbial dysbiosis
• Describe common factors that can reduce beneficial microbes and disrupt the intestinal barrier
• Assess pathogens and opportunistic microbes identified with comprehensive stool testing
• Discuss how the selection of microbial testing methodology may affect the identification of pathogens and opportunists
• Outline therapeutic approaches that address common dysbiosis types identified via comprehensive stool testing

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

• Describe the current epidemiologic trends in autoimmune incidence, morbidity and mortality.
• Associate the linkage between autoimmune disease prevalence and factors including the GI microbiota composition, food immune reactions, stealth infections, molecular mimicry, lack of early diverse antigen exposure, and other elements.
• Examine the available clinical laboratory testing related to autoimmune disease risk assessment, diagnosis, and clinical management, including qPCR molecular-based evaluation of the GI microbiota.
• Explain the difference between quantitative molecular testing (qPCR) versus next-generation sequencing of the GI microbiota in the support of clinical decision making.
• Appraise the available evidence-based integrative and complementary therapeutic interventions for autoimmune disorders.

• Describe the current common routes and mechanisms of toxic exposure for individuals living in the industrialized world.
• Associate the linkage between chronic diseases, including mitochondrial dysfunction, obesity, diabetes, Alzheimer’s disease, Parkinson’s disease, cancer and others with increased levels of exposure to various environmental and food toxins.
• Examine the available clinical laboratory testing related to toxic load and related disease risk assessment, diagnosis, and clinical management using various lifestyle and nutritional approaches.
• Explain the difference between the various methods to assess toxic burden and detoxification at the level of the individual in the support of clinical decision making.
• Appraise the available evidence-based integrative and complementary therapeutic interventions for lowering toxic load and improving detoxification function.

Hour 1

• Describe the general diagnostic criteria of Metabolic Syndrome and CVD.
• Demonstrate an understanding of the enhanced diagnostic criteria and the importance of investigating these potential earlier markers.
• Demystify the “Cholesterol and HDL hypothesis” and explain the compensation mechanisms of the body for this.
• Recognize the biometric and physical signs of the progressive nature of CVD, CHD and MetS.
• Investigate Lifestyle Modification Programs as the major intervention strategy for the reversal and stagnation of these comorbidities. 

• Describe the general dietary interventions of Metabolic Syndrome and CVD.
• Demonstrate an understanding of sodium/salt as it relates to CVD/HTN.
• Demystify the confusion of major supplements and foods as it relates to CVD/HTN. 
• Recognize the associations between insomnia and CVD, CHD and MetS.
• Investigate various peer reviewed studies and the outcomes of nutritional interventions.  

• Provide an understanding of the clinical applications of biochemical/metabolic evaluations to determine a patient’s hormonal status
• Explain the differences between various assessments of hormonal status
• Evaluate hormonal imbalances and disorders
• Evaluate nutrient needs in metabolic disorders Plan and monitor nutrient interventions to correct abnormalities found by the tests

• Describe the origin of mitochondria from an evolutionary perspective.
• Understand the critical role that the thyroid plays in metabolism and how this relates to healthy mitochondrial function.
• Explain how to test for mitochondrial function/dysfunction.
• Show how living in a thermos neutral modern society contributes to obesity.
• Recognize how antibiotics can damage mitochondria and how that can play a role in obesity.
• Give examples of toxins/drugs that can adversely affect mitochondria.

• Describe how common mitochondrial genetic problems are in the general population.
• Explain how mitochondria are needed to produce glutathione and why glutathione is needed for healthy mitochondria.
• Discover how oxidative stress can be both good and bad for the body.
• Discuss how mitochondrial dysfunction plays a key role in a variety of diseases ranging from Parkinson’s, Cancer, NASH, Alzheimer’s, Autism and Diabetes.
• Discover key ways to optimize mitochondrial function in patients.

• Describe the associations of micronutrient deficiencies as it relates mental health disorders.
• Demonstrate an understanding of major prescriptive medications and their negative influence on mental health disorders. 
• Explain the overlap of certain pathophysiological conditions and mental health disorders.
• Recognize the current lack of proper diagnosis of mental health disorder.

• Describe the associations of micronutrient and nutritional deficiencies as it relates mental health disorders.
• Demonstrate an understanding of the major biochemical pathways, their enzymes and nutritional elements as it relates to psychological issues.
• Explain the importance of fatty acids in mental health disorders.
• Recognize the current lack of proper nutritional interventions as it pertains to TBI, mTBI and PCS.

• Provide an understanding of the clinical applications of biochemical/metabolic evaluations to determine a patient’s status of nutrients, toxicants and cell regulators, and functional gastrointestinal status.
• Explain the differences between various assessments of element status
• Evaluate specific nutrient deficiency states
• Determine weaknesses in digestive, assimilative and intestinal microbiological status
• Plan and monitor nutrient interventions to correct abnormalities found by the tests

• Define and explain the difference between "calories in, calories out" versus the “carbohydrate-insulin model of obesity”. Discuss the causes of increased intestinal permeability in competitive athletes and identify strategies to combat the condition. Identify the energy intake athletes require by calculating their total energy expenditure.
• Recall the quality and function of macronutrients and their role in physical performance.
• Describe common micronutrient deficiencies seen in competitive athletes and identify strategies to prevent such occurrences.

• Summarize the physiological energy and macronutrient requirements of the sprint/power athlete and game-playing athlete. Identify supplement strategies to support the sprint/power athlete and game-playing athlete.
• Summarize the physiological energy and macronutrient requirements of the endurance athlete.
• Identify supplement strategies to support the endurance athlete.
• Outline an effective whole food diet to support competitive athletes.

• Describe the secondary metabolites in whole foods.
• Understand the role of phytochemicals.
• Demonstrate an understanding of how they interact with our cells.
• Explain how to preserve them during cooking.

• Recognize the challenges caused by ultra-processed foods
• Identify the compounds in the Brassicaceae family
• Explain the health benefits of sulforaphane
• Explain the importance of preserving secondary metabolites
• Recognize the benefits of the fungal kingdom

Hour 1

• Describe the characteristics and mechanisms of actions of essential oils.
• Explain several key controversies in aromatherapy and the implications.
• Generalize the safety and quality issues surrounding the clinical use of essential oils.
• Compare the various modes of applications of essential oils.
• Summarize the pharmacology and biotransformation of essential oils and its constituents.
• Recognize the potential interactions of essential oils with medications and nutraceuticals.

Hour 2 

• Generalize the various considerations for prescribing essential oils.
• Calculate equivalent dosages of essential oils using several different units of measurement.
• Apply the guidelines for appropriate prescribing the internal use of essential oils.
• Determine the proper application and dosage for various essential oils used for digestive health.
• Specify the usage and dose determination for essential oils for mental health.

• Analyze the concept of central pain processing and the consequences of dysfunction of descending inhibition.
• Associate FM with trauma and abuse, depression, anxiety, sleep disorder and pain processing disorders with emphasis on limbic system dysfunction, aberrant stress physiology, and ultimate failure of descending anti-nociception. 
• Assess the difference between regionalized somatic pain and true central allodynia
• Describe the accurate differential diagnosis of patients presenting with suspicion of FMS
• Identify common subsets of clinical disorders that may lead to an erroneous diagnosis of FMS (i.e., “pseudo” FMS)

• Describe and Identify the functional medicine approach to common pediatric problems
• Develop a comprehensive functional medicine assessment and treatment of common pediatric problems such as constipation, headaches and migraines, upper respiratory infections and otitis media, food sensitivities, allergies, asthma and atopy
• Examine the salient features of history, physical examination and laboratory testing to best implement functional medicine interventions to common pediatric problems
• Utilize a functional medicine approach to assess what each child may need to get or get rid of to treat each of these common pediatric problems 
• Summarize the literature supporting the use of functional medicine in pediatrics
• Recognize the four pillars of a functional medical approach to chronic pediatric illness – gastroenterologic, immunologic, metabolic and neurologic
• Classify and explain the importance of the genetic and genomic susceptibilities/predisposition and environmental triggers of chronic pediatric illnesses
• Utilize a functional medicine approach to assessing and treating chronic pediatric disease such as ADHD, Autism, Autoimmune Encephalitis, Anxiety, Allergy and Atopy
• Interpret the literature citations and develop protocols based on emerging evidence supporting a functional medicine approach to these chronic pediatric problems
• Appraise the assessment and management of the importance of the microbiome in immune tolerance, allergy and autoimmunity.

• Discuss the catecholamine pathway will be presented in an organized fashion with emphasis on real world applications. 
• Review clinical case studies. 
• Assess different genetic mutations within the catecholamine pathway . 
• Individualize treatment plans in practice. 
• Demonstrate a basic road map of the catecholamine pathway. 
• Use genetic parsing software and the tools attained form this course to highlight and modulate genes/SNPs of interest. 
• Derive natural therapeutic agents to modulate epigenetic expression. 
• Utilize basic nutrigenomic assessment and treatment knowledge in the catecholamine pathway.

• Define and explain the different terms that identify exercise intensity and their relationship to maximal oxygen uptake (VO2 max).
• Discuss the history of exercise physiology and how technology influenced research and ultimately, exercise guidelines.
• Differentiate the physiological responses to sprint interval training and to low-to-moderate intensity continuous training.
• Reconstruct a lay explanation to patients and/or clients of why sprint interval training is an extremely effective strategy for improving overall health and fitness.
• Summarize key research studies that support sprint interval training.

Hour 2

• Recognize additional research that supports sprint interval training.
• Identify key physiological benefits of sprint interval training.
• Recall important case study benefits.
• Outline effective overall strategies for implementing sprint interval training.
• Distinguish appropriate sprint interval exercises for differing populations.

• Summarize the current state of legal status and research on fecal microbial transplants (FMT)
• Describe the state of research of FMT for irritable bowel syndrome
• Describe the state of research of FMT for hepatic encephalopathy
• Describe the state of research of FMT for antibiotic associated diarrhea/dysbiosis
• Describe the state of research of FMT for ulcerative colitis
• Describe the state of research of FMT for Clostridium difficile infection
• Describe the state of research of FMT for autism

• Define leaky gut
• Recall basic histology/molecular biology involved in leaky gut
• List conditions associated with leaky gut
• Compare diagnostic tools in the differential diagnosis of leaky gut
• Recite how the lactulose mannitol test works
• List therapeutic interventions for leaky gut

• Define Small Intestinal Bacterial Overgrowth (SIBO) 
• List common causes/ associations/risk factors of SIBO
• Recall the various estimates of SIBO prevalence
• Explain why SIBO prevalence estimates vary
• Describe the trajectory of SIBO research over the past decades

• Explain the limitations of using breath tests for the diagnosis of SIBO compared to other alternatives.
• Describe the specific issues with glucose-based breath tests for SIBO diagnosis.
• Describe the specific issues with lactulose-based breath tests for SIBO diagnosis.
• Critique the North American consensus document on breath testing for SIBO

• Implement the 2020 ACG Guidelines as it relates to breath testing for patients with IBS.
• Implement the 2020 ACG Guidelines as it relates to breath testing for patients taking PPIs.
• Discriminate between normal and abnormal ppm of H2S on a breath test.
• Contrast between the microbial diversity of the small intestine in those with and without SIBO.
• Identify the aberrant organism most associated with SIBO in the REIMAGINE study.
• Implement the 2020 ACG Guidelines as it relates to testing IBS patients for food sensitivities.
• Implement the 2020 ACG Guidelines as it relates to the use of low FODMAP diets in IBS patients.
• Select the Gut Directed Hypnotherapy regimen associated with the largest effect size.
• Explain the need for GRADE within the context of Guideline development.
• Critique a guideline using the AGREE-II criteria.
• Define the concepts of pre- and post-test probability.
• Calculate a post-test probability.

• Summarize the effect of exercise on wound healing in older adults
• Discuss the relationship between trunk muscle composition and functional capacity
• Assess the effects of high-intensity strength training on balance
• Describe a study that examines the reliability and validity of a new steadiness measure
• Assess the effect of an endurance exercise program on depression, anxiety and quality of life

• Summarize the concept of mitochondrial degeneration
• Discuss the free-radical mitochondrial theory of aging and the susceptibility of the brain to oxidative stress
• Assess the relationship between mitochondrial decay and age-related neurodegenerative diseases, such as Alzheimer's disease (AD) and Parkinson's disease (PD)
• Illustrate the array of mitochondrial nutrients and the various vitamins that may improve mitochondrial function

• Breakdown the biomechanical processes of spinal degeneration
• Explain the biochemical processes that occur in the geriatric population in 
• Differentiate between various diagnosis of structural and chemical conditions seen in geriatric patients
• Analyze the radiological findings and how they influence clinical decisions
• Explain Syndrome X and how it affects physiology
• Differentiate trauma and its late effects on the body

Hour 1

• Describe psychoneuroimmunology and its application to clinical diagnosis of geriatric patients
• Apply psychoneuroimmunology to activities of daily living

Hour 2

• Differentiate clinical approaches to managing psychoneuroimmunology
• Measure clinical treatment outcomes

Hour 3

• Relate what factors contribute to this field in the elderly patient
• Incorporate hormonal balancing with nutrition in clinical treatment plans for Chiropractic Patients

• Implement nutrients that promote spinal and joint function to obtain positive clinical outcomes
• Explain Ph., alkalinity and acidity as it impacts the physiology of the body in regards to healing
• Categorize toxins in the environment that create clinical presentations of  geriatric patients clinical care
• Utilize vitamins herbals and supplements to augment patients’ care
• Factor nutritional aspects of protein, fats and carbs into clinical treatment plans to improve healing
• Create treatment goals and nutritional plans

• Assess various treatment modalities
• Implement treatment protocols as found in the latest research
• Progress patients to incorporate wellness into their lifestyle
• Perform postural evaluations and discuss clinical significance to the patient
• Appropriately factor radiographic findings into diagnosis and clinical decision making of the geriatric patient
• Examine physical findings and set specific and measurable patient treatment goals

• 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

• 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

• 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

• 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

• Prepare to manage and document protocols, for litigation protection, in a crisis, such as Covid.
• Discover how to avoid a HIPAA investigation and becoming a ‘HIPAA statistic’, often by surprise.
• Operate an office with protocols to avoid ransom ware and other Cyber-attacks.
• Complete a HIPAA program to be prepared for document production, demanded by the government, when a complaint (or even a simple inquiry) is made by a patient, peer, or ex-employee.

• Prepare for the required OIG compliance program, required for all who treat one of more Medicare patients per year.
• Aid in understanding and preparing required written documented policies under the HIPAA law.
• Identify what thieves do with stolen patient information.
• Discover what is included in a comprehensive table of contents for a HIPAA compliance program.
• Describe the type and number of complaints against doctors and their often surprise origins
• Use of required accounting logs

• Classifying what you say and when, when notified of an investigation or audit, to avoid saying the wrong thing and complicating your case.
• Examine what every office must do, regarding the ONC law, to deliver patient records electronically if so requested, even if you don’t have computers.
• Show a step-by-step approach to responding to the government in the event of a breach, investigation, or audit.
• Solve the puzzle as to avoiding audits and compliance investigations.

• Explain tele-health pros and cons.
• Categorize the risks that lead to being turned in for violations, often not knowing you were doing anything wrong.
• Point out the most common HIPAA scams that involve impersonating a federal official.
• Examine the parts of the HIPAA law that enforcers are enforcing and those parts they are not enforcing.

• Discover how to conduct the required ISAR (information system activity review) that leads to maximum fines if not completed.
• Aid you and/or your staff in conducting the required risk analysis that leads to maximum fines, if not completed.
• Prepare an electronic device maintenance schedule to protect yourself relative to data breaches.
• Examine how to reduce your exposure to HIPAA fines.

• Discover illegal fee structures and the legal options that do exist.
• Prepare the four requirements relative to the notice of patient privacy policy.
• Generate a legally required BAA process for every individual or company with whom you share or provide access to your patient data.
• Discuss the requirements for data recover and emergency mode operations under HIPAA.

• Prepare a protocol for creating required policies under HIPAA.
• Assess the risks of seeing Medicare patients with inadequate use of the ABN form.
• Operate proper procedures to appropriately use the ABN form in a Medicare practice.
• Summarize the Ohio workers’ compensation requirements that elevate chiropractic and put restrictions upon spinal surgeons.

• Generate proper staff training to meet HIPAA requirements.
• Examine the pitfalls around a physical plant audit and what you must do to avoid them.
• Completing a required disciplinary policy that will pass an investigation.
• Classify the little-known training requirements above and beyond the ‘annual HIPAA training’.

• Summarize the latest HIPAA updates and risk areas as encouraged by the Office of Civil Rights (OCR), Department of Health and Human Services (HHS)
• Establish the parameters of what a proper HIPAA program entails, together with the required elements set forth by HHS.
• Outline the missing elements most reported on HIPAA OCR audits.
• Understanding of the two most important elements in privacy: Customization of the Notice of Privacy Practices and Business Associate Agreement
• Assess the significance of the required annual Risk Assessment (RA) within your HIPAA Security program

• Summarize some of the key components of HIPAA Privacy Rule.
• Breakdown what a compliant Notice of Privacy Practice should look like.
• Summarize HIPAA Use & Disclosure- the often-overlooked portion of Notice of Privacy Practice
• Demonstrate how to respond to a patient’s request for a copy of their medical record.
• Determine how to avoid a Right of Access violation.

• Define and describe Human Trafficking
• Cite national and state statistics on Human Trafficking and discuss where it occurs
• List 3 types of Human Trafficking and differentiate between sex trafficking and labor trafficking
• List and describe 5 indicators for identifying a victim of Human Trafficking
• State how to report a case of Human Trafficking
• List 5 resources that are available to victims of Human Trafficking

• Describe the symptoms of COVID-19 and differences between it and influenza
• Explain the chiropractic response to COVID-19
• Propose workflow changes to staff, space and treatment in response to the current pandemic
• Demonstrate proper mask use and instruct others in the process of wearing and removing masks
• Categorize the types of equipment necessary for cleaning and disinfecting your space and equipment and recall methods to do so

• 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

• Contrast benefits of non‐thermal versus thermal lasers     
• Discuss the history and method of action of non‐thermal lasers         
• Distinguish the unique benefits of non‐thermal violet lasers     
• Demonstrate the easy of using non-thermal lasers           
• Utilize basic applied clinical nutrition information to support the foundation  for healing in patients   
• Explain the 4 keystones of health     
• Identify digestive dysfunction and create a plan for correction     
• Assess acid reflux and hypochlorhydria
• Review the importance of gallbladder function in liver detoxification   
• Outline the basics of leaky gut   
• Explore the cascade of poor health   
• Integrate clinical tips and suggestions        
• Recognize the opportunity of when to use non‐thermal laser therapy and  which conditions respond best to it     
• Review non‐thermal laser techniques for resolving immune, pain, brain and  organ system presentations   
• Discuss multiple non‐thermal laser therapy applications          
• Determine whether to treat empirically or test    
• Interpret basic laboratory values using functional levels   
• Selecting from the specialty lab test options for objective feedback and to  target treatment plans     
• Integrate non‐thermal laser therapy with acupuncture treatments for  exponential patient outcomes   
• Perform non‐thermal laser treatments for FDA cleared conditions and  successful therapies for conditions not yet formally studied    
• Demonstrate using non‐thermal laser for immune system strengthening and  faster infection resolution      
• Apply non‐thermal laser techniques to balance energy or emotional centers  of patients to enhance acupuncture treatments

• Summarize optimal treatment parameters of low level lasers
• Outline at least 3 major physiological effects that low level lasers have on the human body
• Describe the 4 major pathophysiological changes in degeneration
• Identify lab markers that can be used to assess the integrity of tight junction barriers
• Give examples of nutrition and other factors that may damage barrier systems
• Recognize how low level laser can directly and indirectly the body
• Integrating basic neurology and low level laser applications to support normal adaptive physiology for common disorders
• Discuss how low level laser can be used to affect physiological and biological effects in the body
• Describe pain from peripheral and central mechanisms. 
• Specify how to use low level lasers for chronic pain management for low back pain
• Summarize base low level laser protocols

• Identify the principles of photobiomodulation
• Discuss the ability of the body to repair itself
• Explain the scope of non-thermal low-level laser
• Summarize the action the laser has at a chemical level
• Explain Medawar’s Hypothesis and Kirkwood’s addition to it
• How Non-Thermal Low-Level Laser Therapy helps maintain a healthy life
• Classify different ways of using Non-Thermal Low-Level Laser Therapy
• Outline the research about Non-Thermal Low-Level Laser Therapy
• Summarize the areas that Non-Thermal Low-Level Laser Therapy is used in
• Discuss the differences between 405, 532, and 635nm Non-Thermal Low-Level Laser Therapy
• Give Examples of the immunological benefits of treatment
• Relate the of 405, 635 nm combo in tissue healing
• Explain the differences between Non-Thermal Low-Level Laser Therapy, Hot Laser and LED
• State the uses and effects of hot laser
• Indicate the benefits of LED
• Assess the science behind Non-Thermal Low-Level Laser Therapy
• Apply Non-Thermal Low-Level Laser Therapy

• 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 radicals

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:

• 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.

Hour 1

• Assess treatment of the neck, nerve roots & plexus using ortho testing & soft tissue testing
• Examine common cervical and plexus pathologies through ortho & soft tissue testing
• Explain treatment of the scapular area using non-thermal lasers
• Demonstrate treatment of the shoulders using non-thermal lasers
• Demonstrate treatment of the AC Joints using ortho testing, soft tissue and non-thermal lasers

Hour 2

• Explain standard hand, finger and biomechanical injuries
• Demonstrate treatment of the elbows using ortho testing, soft tissue & non-thermal laser treatment
• Complete treatment of the upper extremity nerve entrapments using ortho testing, soft tissue & non-thermal laser treatment
• Demonstrate treatment of the wrists using ortho testing, soft tissue & non-thermal laser treatment

Hour 3

• Compare common treatments of the knees
  Contrast treatments of the ankles and feet
• Demonstrate treatment of the thoracic and lumbar spine using ortho testing, soft tissue & non-thermal laser treatment
• Demonstrate treatment of the hips and SI joints using ortho testing, soft tissue & non-thermal laser treatment

Hour 4

• Differentiate treatments available for most common abdominal musculature and the abdomen presentations
• Justify treatment of appropriate rib mechanics and thoracic cavity based on structure & function
• Measure involvement of the brain with movement and joint stability during ortho & soft tissue testing
• Complete treatment of core musculature using ortho testing, soft tissue & non-thermal laser treatment

• 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

• Ssummarize 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 also 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 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 video’s 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.

• 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.

• NOTE: Recommend taking Management of Common Conditions 203 prior to taking this course.

• 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.