Pennsylvania Chiropractic Continuing Education

• Cite statistics on the scope of child abuse in Pennsylvania
• Define the term child
• Define the term perpetrator
• Differentiate the commission of abuse from failure to act
• Explain the religious exemption to neglect
• Describe the effects of domestic violence on children in the home
• Define human trafficking
• List the risk factors to children / adolescents becoming victims of human trafficking
• Compare and contrast Child Protective Services and General Protective Services
• List the responsibilities of the Child Protective Services agencies
• Explain the goals of General Protective Services
• Outline the investigative process that occurs once a report is filed
• Indicate the additional procedures involved when the alleged perpetrator is a school or child services employee
• Define mandatory reporter and permissive reporter
• Explain the reporting requirements of mandatory reporters
• Outline the process of making a report of suspected abuse – Childline
• Summarize the suspension of privileged communication and the exemptions
• Define Presumption of Good Faith
• Explain the granting of immunity to mandatory and permissive reporters
• List the penalties for failure to report suspected child abuse by mandatory reporters
• List signs of abuse and neglect
• Explain the appropriate history and examination components in cases of suspected abuse and neglect
• Cite resources for patient education

• Cite statistics on the scope of child abuse in Pennsylvania
• Define the term child
• Define the term perpetrator
• Differentiate the commission of abuse from failure to act
• Explain the religious exemption to neglect
• Describe the effects of domestic violence on children in the home
• Define human trafficking
• List the risk factors to children / adolescents becoming victims of human trafficking
• Compare and contrast Child Protective Services and General Protective Services
• List the responsibilities of the Child Protective Services agencies
• Explain the goals of General Protective Services
• Outline the investigative process that occurs once a report is filed
• Indicate the additional procedures involved when the alleged perpetrator is a school or child services employee
• Define mandatory reporter and permissive reporter
• Explain the reporting requirements of mandatory reporters
• Outline the process of making a report of suspected abuse – Childline
• Summarize the suspension of privileged communication and the exemptions
• Define Presumption of Good Faith
• Explain the granting of immunity to mandatory and permissive reporters
• List the penalties for failure to report suspected child abuse by mandatory reporters
• List signs of abuse and neglect
• Explain the appropriate history and examination components in cases of suspected abuse and neglect
• Explain the reasons victims do not report abuse
• Outline the psychological sequelae to abuse during childhood
• Recognize the DSM-5 criteria for psychiatric conditions associated with victims of abuse
• Cite resources for patient education

• 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

• This contains all courses with the educational objectives listed from Acupuncture 205 through Acupuncture 211

• Identify the 3 types of acupuncture points and identify what a homeostatic point is
• Describe the phases (latent, passive and active) of acupuncture points
• Illustrate the anatomical characteristics that make up all acupuncture points
• Outline the location of 25 commonly used homeostatic acupuncture points
• Differentiate discrete anatomical characteristics that make up homeostatic acupuncture points
• Explain the common indications and cautions for use of the homeostatic acupuncture points
• Review the neuroanatomy of spinal nerves and explain how it relates to paravertebral (Bladder Shu) points
• Discuss and demonstrate needling technique for the homeostatic acupuncture points
• Demonstrate point location on live models

• Describe and summarize the mechanisms by which acupuncture exerts effect on pain modulation and musculoskeletal function
• Describe joint and muscle mechanoreceptor anatomy and physiology and how they relate to acupuncture
• Define and discuss the ascending and descending neurological pathways affected by acupuncture
• Outline the importance of cortical representation and the sensory/motor homunculus and relate them to acupuncture points with examples
• Demonstrate the importance of the cerebellum and its role in acupuncture treatment of musculoskeletal disorders

• 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

• Identify common acupuncture point classification groups
• Compare the use of different point categories in clinical practice
• Describe the point location for points within commonly used groups
• Explain the local anatomy and neurology involved with key points
• Outline indications for use of some points and point categories

• Describe the history of the San Jiao
• Associate the San Jiao to Vagal Nerve function
• Breakdown each of the 3 “burners” into their component parts
• Review the salient points on the San Jiao Meridian
• Summarize the function and indications of the Shu Points and apply that to the San Jiao channel

• 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

• Describe the origins of the 8 extra vessels and review Chinese embryology
• Review the locations and functions associated with each of the 8 extra vessels and extraordinary meridians
• Discuss the meaning of moving Qi between the kidneys, Ming Men, Dan Tien, Ching Mai, Ren Mai, Du Mai, Dai Mai, Yin Qiao Mai, Yin Wei Mai, Yang Qiao Mai and Yan Wei Mai

• Describe the functions of the 3 warmers/burners
• Apply the influential points for each burner/warmer
• Discuss the different types of Qi
• Summarize the formation of Qi, Jing, Shen, blood and pure fluids, according to Chinese medicine

• 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

Hour 1:

• Review and expand on, from a Western perspective, the neurophysiological basis of acupuncture
• Outline the pain pathway from the periphery to the central nervous system
• Review excitation/contraction coupling and muscle contraction theory
• Discuss the functions and distribution of alpha and gamma motor neurons

Hour 2:

• Explain and emphasize the functions of interneurons in the spinal cord
• Discuss muscle spindles and golgi tendon organs anatomy
• Explain the role of muscle spindles and golgi tendon organs in acupuncture
• Contrast slow versus fast stretch
• Introduce the concept of the “central integrated state” as it relates to acupuncture and acupuncture therapy
• Emphasize the relevance of cerebellar function to acupuncture as it relates to cerebellar output and modulation

• Acquaint the clinician with the physiological effects of acupuncture and needling
• Provide supportive literature for the physiological effects of acupuncture and needling
• Present the concept of central desensitization as it relates to acupuncture and needling
• Discuss how needling affects pain modulation, range of motion, muscle activation and the chemical environment surrounding trigger points

• Review the 2 major afferent pain pathways
• Discuss the local, segmental and cortical responses to pain and a painful stimulus
• Describe the major, descending inhibitory pathways for pain including the enkephalinergic, serotonergic and noradrenergic pathways
• Describe the cholinergic inhibitory pathway for pain
• Explain how acupuncture affect these pain pathways

• 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

• Outline current concepts in trigger point theory
• Discuss the neurophysiology of current concepts in trigger point theory
• Distinguish between sclerotomes, dermatomes, myotomes and discuss their importance and trigger point diagnosis
• Discuss objective findings present in trigger point diagnosis
• Explain the importance of segmental relationships and 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

• This contains all courses with the educational objectives listed from Acupuncture 222 through 228

• 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

• Identify the various styles of acupuncture
• List the branches of Chinese Medicine
• List the various way of stimulating acupuncture points
• Recognize the strengths and weakness of various acupuncture related treatments
• Describe the application of each of the Branches of Chinese Medicine

• This contains all courses with the educational objectives listed from Acupuncture 400 through Acupuncture 420

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

• Describe the paradigm and progression of Traditional Chinese Medicine.
• Define the five branches of Chinese medicine.
• Explain the basic relationships and theoretical constructs of Yin and Yang
• Identify the most clinically useful associations of Yin and Yang
• Summarize the most clinically useful functions of Yin and Yang

• Compare and contrast Yin and Yang disorders.
• Describe the Yin and Yang relationships within the human body.
• Give Examples of how the Eight Principles relate to one another and to Yin and Yang
• Summarize how the Eight Principles function in relation to human physiology
• Explain how the Eight Principles relate to pathology

• Differentiate Uses of 5 Element Theory in Chinese Medicine
• Reconstruct the Five Elements according to the Creative and Control Cycles
• Explain the functioning of the Creative Cycle
• Explain the functioning of the Control Cycle
• List the Organs Associated with each Element

• Compare and contrast the qualities and characteristics associated with the Five Elements
• Summarize the qualities and characteristics associated with the Five Elements
• Point out the major differences between the Five Elements
• Reconstruct the major Correspondences of the Five Elements
• Differentiate Individuals based on the Five Elements

• Outline the times of day associated with the Organs in Chinese Medicine
• Interpret the significance specific times with regard to Organs
• Relate the Essential substances in Chinese Medicine
• Explain theoretical process of Substance Production
• Reconstruct the role of the three warmers in Qi, Blood, and Fluid Production

• Relate the Theoretical Process of Jing Formation
• Give examples of The Functions of Jing
• Describe Functions of Shen
• Diagram Fluid Production
• Assess Common Fluid Pathologies

• Relate the Theoretical Process of Jing Formation
• Give examples of The Functions of Jing
• Describe Functions of Shen
• Diagram Fluid Production
• Assess Common Fluid Pathologies

• Differentiate the External Pathogenic Factors
• Explain Internal Pathogenic Factors
• Describe How External Pathogenic Factors Influence the body
• Recognize Miscellaneous Pathogenic Factors
• Discuss the TCM viewpoint on the Causes of Disease

• List the Yin & Yang Organs
• Compare and Contrast Yin & Yang Organs
• Reconstruct the Yin/Yang Organ Relationships
• Summarize the similarities and differences of Yin & Yang Meridians
• Reconstruct the SIx Division Meridian Pairs

• Relate the common symptoms associated with the Lungs & Large Intestines
• Define properties of the Lungs & Large Intestines
• Describe the functions of the Lungs & Large Intestines
• Discuss the most common disharmonies of the Lungs & Large Intestines
• Explain the clinically relevant “nicknames” of the Lungs & Large Intestines

• Relate the common symptoms associated with the Spleen & Stomach
• Define properties of the Spleen & Stomach
• Describe the functions of the Spleen & Stomach
• Discuss the most common disharmonies of the Spleen & Stomach
• Explain the clinically relevant “nicknames” of the Spleen & Stomach

• Relate the common symptoms associated with the Organs of the Fire Element
• Define properties of the Organs of the Fire Element
• Describe the functions of the Organs of the Fire Element
• Discuss the most common disharmonies of the Organs of the Fire Element
• Explain the clinically relevant “nicknames” of the Organs of the Fire Element

• Relate the common symptoms associated with the Liver & Gall Bladder
• Define properties of the Liver & Gall Bladder
• Describe the functions of the Liver & Gall Bladder
• Discuss the most common disharmonies of the Liver & Gall Bladder
• Explain the clinically relevant “nicknames” of the Liver & Gall Bladder

• Relate the common symptoms associated with the Kidney & Urinary Bladder
• Define properties of the Kidney & Urinary Bladder
• Describe the functions of the Kidney & Urinary Bladder
• Discuss the most common disharmonies of the Kidney & Urinary Bladder
• Explain the clinically relevant “nicknames” of the Kidney & Urinary Bladder

• Compare the major point categories
• Derive Tonification and Sedation points
• Describe The 12 Main Meridians
• Contrast the functions of Yin and Yang Meridians
• Explain the 6 major Meridian Categories

• List the 14 Acupuncture Meridians that possess acupoints
• Summarize the clinical applications of Yin and Yang Meridians
• Point out the beginning and end points of each of main Meridians
• Outline the main functions of each of the main meridians
• Illustrate the trajectories of the main meridians

• Name the Extraordinary Organs
• Distinguish Extraordinary Organs from Yin & Yang Organs
• Name the Extraordinary Meridians
• Discuss the functions of the Extraordinary Meridians
• Reconstruct the classical treatment sequence for Extraordinary Meridians.

• List the areas of the tongue, as they apply to different aspects of the body
• Relate the common features of the tongue, which indicate disharmonies
• Utilize tongue colors, shapes, coats, and movements for diagnosis
• Determine common Organ disharmonies based on tongue observation
• Distinguish between excess and deficient conditions, based on tongue observation

• Describe normal and common pathological pulses
• Diagnose pathological signs associated with pulse speed
• Explain common pulse qualities
• Summarize usual pulse combinations
• Recognize tongue and pulse combinations associated with common disorders

• 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

• List the types of acupuncture meridians
• Distinguish between various types acupuncture meridians
• Describe the functions of various types acupuncture meridians
• Determine and apply individual patient measurements, in order to locate acupuncture points
• List the Transport Points

• This contains all courses with the educational objectives listed from Acupuncture 421 through Acupuncture 436

• Distinguish between acupuncture points categories
• Create supplementing & reducing treatments based on the Five Element points
• Describe the functions of various categories acupuncture points
• Compare and contrast Acupuncture point actions and indications

• Describe and point out the general pathway of the Du Meridian
• Locate each of the individual points on the Du Meridian
• Recognize Du Meridian points that are associated with contraindications
• Compare and contrast the actions and indications of the main points on the Du Meridian

• Describe and point out the general pathway of the Ren Meridian
• Locate each of the individual points on the Ren Meridian
• Recognize Ren Meridian points that are associated with contraindications
• Compare and contrast the actions and indications of the main points on the Ren Meridian

• Describe and point out the general pathway of the Lung Meridian
• Locate each of the individual points on the Lung Meridian
• Recognize Lung Meridian points that are associated with contraindications
• Compare and contrast the actions and indications of the main points on the Lung Meridian

• Describe and point out the general pathway of the Large Intestine Meridian
• Locate each of the individual points on the Large Intestine Meridian
• Recognize Large Intestine Meridian points that are associated with contraindications
• Compare and contrast the actions and indications of the main points on the Large Intestine Meridian

• Describe and point out the general pathway of the Stomach Meridian
• Locate each of the individual points on the Stomach Meridian
• Recognize Stomach Meridian points that are associated with contraindications
• Compare and contrast the actions and indications of the main points on the Stomach Meridian

• Describe and point out the general pathway of the Spleen Meridian
• Locate each of the individual points on the Spleen Meridian
• Recognize Spleen Meridian points that are associated with contraindications
• Compare and contrast the actions and indications of the main points on the Spleen Meridian

• Describe and point out the general pathways of both the Heart & Pericardium Meridians
• Locate each of the individual points on both the Heart & Pericardium Meridians
• Recognize Heart & Pericardium Meridian points that are associated with contraindications
• Compare and contrast the actions and indications of the main points on both the Heart & Pericardium Meridians.

• Describe and point out the general pathway of the Small Intestine Meridian
• Locate each of the individual points on the Small Intestine Meridian
• Recognize Small Intestine Meridian points that are associated with contraindications
• Compare and contrast the actions and indications of the main points on the Small Intestine Meridian

• Describe and point out the general pathway of the Bladder Meridian
• Locate each of the individual points on the Bladder Meridian
• Recognize Bladder Meridian points that are associated with contraindications
• Compare and contrast the actions and indications of the main points on the Bladder Meridian

• Describe and point out the general pathway of the Kidney Meridian
• Locate each of the individual points on the Kidney Meridian
• Recognize Kidney Meridian points that are associated with contraindications
• Compare and contrast the actions and indications of the main points on the Kidney Meridian

• Describe and point out the general pathway of the San Jiao Meridian
• Locate each of the individual points on the San Jiao Meridian
• Recognize San Jiao Meridian points that are associated with contraindications
• Compare and contrast the actions and indications of the main points on the San Jiao Meridian

• Describe and point out the general pathway of the Gall Bladder Meridian
• Locate each of the individual points on the Gall Bladder Meridian
• Recognize Gall Bladder Meridian points that are associated with contraindications
• Compare and contrast the actions and indications of the main points on the Gall Bladder Meridian

• Describe and point out the general pathway of the Liver Meridian
• Locate each of the individual points on the Liver Meridian
• Recognize Liver Meridian points that are associated with contraindications
• Compare and contrast the actions and indications of the main points on the Liver Meridian

• Describe and point out the Location of 31 Extraordinary Points
• Recognize Extraordinary Points that are associated with contraindications
• Recognize both the English and Chinese names of 31 Extraordinary Points
• Compare and contrast the actions and indications of 31 Extraordinary Points
• Describe specific needling associated with those acupuncture points which require unconventional needling techniques or directions

• List the similarities in treatment associated with all acupuncture microsystems
• Describe and point out the location of 17 discrete hand acupuncture points
• Describe and recreate a useful somatotope associated with hand acupuncture
• Compare and contrast 3 different styles of hand acupuncture
• Describe specific needling techniques associated with those hand acupuncture points which require specific needling techniques and/or directions

• This contains all courses with the educational objectives listed from Acupuncture 437 through Acupuncture 440

• List the similarities associated with ear acupuncture and other acupuncture microsystems
• Describe and recreate a clinically-useful somatotope/homunculus associated with ear acupuncture
• Locate the physical structures of the ear, such as the helix, antihelix, triangular fossa, antitragus, etc.
• Describe and point out the location of the major landmarks for auriculotherapy point location
• Describe and point out the location of 36 or more discrete ear acupuncture points

• List the similarities associated with Chinese Scalp Acupuncture and other acupuncture microsystems
• Describe and find treatment areas associated with the somatotope of the cortex of the brain
• Describe and point out the location of the major landmarks, lines, and points, used to find Chinese Scalp Acupuncture treatment areas and lines.
• Describe and point out the location of the 10 most commonly used Chinese Scalp Lines/Areas
• Describe and find the correct layer for needling Chinese Scalp lines, and begin practicing the techniques needed to use this form of acupuncture in clinical practice.

• List the similarities associated with YNSA Scalp Acupuncture and other scalp acupuncture microsystems
• Describe and find treatment areas associated with the YNSA somatotope
• Describe and point out the location of the major landmarks used to find YNSA Scalp Acupuncture points.
• Describe and point out the location of the most commonly used YNSA Scalp Points
• Describe and find the correct procedure and needling technique for treating YNSA Scalp Points, and begin practicing the techniques needed to use this form of acupuncture in clinical practice.

• 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

• This contains all courses with the educational objectives listed from Acupuncture 441 through Acupuncture 446

• 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

• Differentiate most painful conditions according to TCM theory
• Compare and contrast pain associated with Cold, Heat, Damp, Qi, & Blood Stagnation
• Assess local, distal and adjacent points for the treatment of pain
• Select appropriate modalities for various painful conditions
• Formulate meridian based treatment strategies for many painful conditions

• This contains all courses with the educational objectives listed from Acupuncture 447 through Acupuncture 451

• Identify many primary points for the treatment of pain
• Describe the relationships of the individual meridians within yangming, shaoyang, and taiyang classifications
• Formulate treatment strategies based on the 6 Divisions
• Compare and contrast yangming, shaoyang, and taiyang areas of influence
• Choose appropriate techniques for treating trigger points

• Describe the special pathways of the sinew meridians relevant to the treatment of pain
• Identify Jing points for the treatment of pain according to main and sinew meridian pathways
• List the points used to activate the anterior, posterior, lateral and medial  treatment zones
• Compare and contrast posterior, lateral and medial zones as they relate to acupuncture treatment
• Describe the procedure using zonal treatment for treating pain

• Identify the most common painful disorders of the head and neck that can be treated effectively with acupuncture
• Choose effective points for treating many painful disorders of the head and neck
• Identify the most common painful disorders of the upper extremity and trunk that can be treated effectively with acupuncture
• Choose effective points for treating many painful disorders of the upper extremity and trunk
• Determine appropriate treatment modalities for common painful conditions of the upper body

• Identify the most common painful disorders of the back and lower extremity that can be treated effectively with acupuncture
• Choose effective points for treating many painful disorders of the back and lower extremity
• Compare and contrast the Bladder and Gall Bladder Meridians an their influences on the lower back
• Compare and contrast the zones and meridians associated with the back and leg
• Choose appropriate treatment modalities for painful conditions of the back and leg

• Interpret phenomena in terms of Yin &Yang
• Apply the theory of Yin-Yang to Chinese medicine
• Describe the concepts of deficiency and excess of Yin & Yang
• Identify phenomena according to the Five Elements
• Apply the theory of Five Elements to Chinese medicine
• Summarize the interrelationships of the Generating, Controlling, and Over-acting Cycles of the Five Elements  
• Differentiate the origin, nature, & functions of Pre-Heaven Essences
• Explain the functions of Qi in the body
• Outline the relationship between Blood and Qi
• Explain the relationship between Blood and Essence
• Contrast and Compare Blood and Body Fluids
• Identify the different aspects of the Mind as it is understood within Chinese medical theory

• This contains all courses with the educational objectives listed from Acupuncture 452 through Acupuncture 461

• Describe the functional activities of Qi and their associated physiological processes in the body
• Explain the role of the Original Qi as the dynamic motive force for transformation
• Analyze the interrelationship of the Essence and the Fire of the Gate of Life
• Explain the process of the movement of Qi in the body
• Summarize the role of the bones as one of the deepest energetic layers
• Paraphrase how the entering and exiting of Qi from the space between the skin and  muscles regulates sweating
• Describe how Qi enters and exits from the joints, and how this process can become interrupted
• Explain the nature and functions of the Yin and Yang organs in general, and the essential differences between them
• Infer how the Kidneys, as the foundation of Yin and Yang and the origin of Fire and Water in the body, impact the other Organs
•  Give examples of how the role of the Stomach and Spleen as the “center,” impacts the body’s function
•  Summarize the relationships between Heart and Blood
• Outline how anger affects the Liver and how a Liver disharmony affects our moods

• Describe the importance of the Pericardium channel in acupuncture treatment
• Discuss the significance of the Triple Burner in the Qi mechanism
• Match the Heart with various emotions, substances, & organs
• Differentiate the relationships of Blood to the Heart, Liver, and Spleen
• Recognize the various aspects of the soul, and the organs to which those aspects are most closely related
• Give examples of how the Liver and Spleen interact in making and storing the Blood
• Explain the significance of the descending of Lung-Qi and the ascending of Liver-Qi
• Relate the free flow of Liver-Qi to the Spleen's function of transformation and transportation
• Explain how a deficiency of Spleen-Qi, leading to the formation of Phlegm, affects the Lungs
• Summarize the relationships between the Kidneys and the Spleen
• Discuss the complexities of the relationship of Blood to Spleen, Heart and Liver
• Distinguish the roles played by the Yin and Yang organs, in the management of fluids
• Diagram the more significant interrelationships of the five Yin organs
• Compare and Contrast the Extraordinary organs with the Yin & Yang organs

• Explain how climatic factors can become a cause of disease
• Assess the influence of the constitution on predisposition to health or disease
• Compare diagnostic signs of a strong or weak constitution
• Discuss how excessive physical work and exercise can cause disease
• Relate the significance of poor diet and eating habits as a cause of disease
• Summarize the importance of paying attention to a patient's constitutional type
• Interpret clinical meaning of changes in the tissues and other parts of the body
• Recognize the importance of the tongue as a pillar of diagnosis
• Integrate tongue and pulse diagnosis to confirm suspected patterns and indicate the presence of patterns not evident from other signs and symptoms
• Recognize the frequency of tiredness as a complaint in Western patients, and utilize  methods of questioning to ascertain appropriate patterns of disharmony
• Differentiate the clinical significance of feelings of cold, heat, and fever, and their different clinical significance in exterior and interior conditions
• Justify the importance of questioning and observing the patient's emotional state
• Recognize the significance of asking about menstruation, leucorrhoea, pregnancy, and childbirth
• Examine children's symptoms, in the areas of digestion, respiration, sleep and immunization

• Describe the role of the radial pulse in diagnosis
• Give examples of the problems inherent in pulse diagnosis
• Discuss the clinical significance of the three levels of the pulse
• List the factors to take into account when evaluating the pulse
• Recognize signs from palpating the temperature, moisture, and texture of the skin
• Explain how palpation of the abdomen provides valuable diagnostic information
• Recognize the various forms taken by 'Excess of Yang' and 'Deficiency of Yang'
• Recognize the various forms taken by 'Excess of Yin' and 'Deficiency of Yin'
• Summarize the diagnostic significance of the sounds of breathing, cough, vomiting, hiccup, borborygmi, sighing etc.
• Analyze the implications of ascending/descending and entering/exiting of Qi
• Point out the significance of the smell of bodily secretions
• Identify the Full/Empty nature of a condition, according to the presence or absence of a pathogenic factor and the strength of the body's Qi

• Identify the four pathological patterns of Qi disharmony
• Defend the importance of distention as a characteristic of Qi stagnation
• Identify the four Blood pathology patterns
• Distinguish between various types of Blood stasis in the Liver, Heart, Lungs, Stomach, Intestines and Uterus
• Recognize the causes of Blood stasis
• Identify the three types of pathological Body Fluid patterns
• Give examples of Phlegm in Chinese medicine
• Outline the role of the Spleen, Lungs and Kidneys in the production of Phlegm
• Differentiate between the various Heart pathologies
• Discuss how pathologies of the Pericardium differ from those of the Heart
• List the general characteristics of Liver pathology
• Differentiate between the various Liver pathologies

• Describe how exterior Wind (combined with Heat or Cold) can invade the Lung Exterior portion to cause exterior patterns
• Discuss and differentiate the effects of Dryness and Dampness on the Lungs
• Recognize Lung Deficiency patterns
• Identify Lung Excess patterns
• Differentiate Lung Phlegm patterns
• Describe and differentiate Spleen Deficiency Patterns
• Compare and contrast Spleen Cold-Dampness and Damp-Heat in the Spleen
• Analyze the significance of the duality of Kidney-Yin and Kidney-Yang in Kidney pathology
• Point out the differences and similarities associated with Yin, Yang, and Jing Deficiencies in the Kidneys
• Outline the importance of heredity in determining the strength of a child's Kidneys
• Apply the significance of Stomach-Qi in prognosis
• Illustrate how Stomach-Qi manifests on tongue and pulse

• List the main functions of the Small Intestine
• Describe the main functions of the Large Intestine
• Summarize the role of diet in Large Intestine pathology
• Discuss the importance of the Gall Bladder's function of storing bile
• Relate the pathology of Gall Bladder pathology to that of the Liver
• Outline the main Bladder function of transforming and excreting fluids
• Explain why the Kidneys do not have Full patterns
• Differentiate Damp-Heat in the Bladder from Damp-Cold in the Bladder
• Give examples of symptoms of the stages of external Wind invasion
• Identify the main clinical manifestations of the emergence of Latent Heat
• Recognize Damp-Heat in the Gall Bladder and Liver
• Distinguish between Bright Yang, Greater Yang, Lesser Yang, Greater Yin, Lesser Yin, and Terminal Yin patterns
• Distinguish between Wei, Qi, Ying and Blood Level patterns

• Identify patterns according to the Three Burners
• Relate patterns according to the Three Burners to those of the Four Levels
• Integrate the relationship between the channels and the organs in disease
• List the causes of channel problems
• Diagnose channel patterns 
• Identify the Generating and Overacting sequence patterns
• Relate the Qi of the channels to a flow of water
• Explain the importance of the Transporting Points in clinical practice
• Describe the connection between the channels and the environment
• Summarize the dynamism of points at the end and beginning of the channels
• Outline the significance of the regulating, balancing and integrating functions of the extraordinary vessels
• List the different ways that opening and coupled points can be used to open the Vessels
• Determine when to use the extraordinary vessels

• Cite the clinical applications of the Governing Vessel
• Recall the clinical applications of the Directing Vessel
• Distinguish the five branches of the Penetrating Vessel
• Relate the clinical applications of the Girdle Vessel
• Give examples of the clinical applications of the Yang Stepping Vessel
• Discuss how the Yin and Yang Stepping Vessels combine in Pathology
• Recognize the importance of adopting the correct treatment principle
• Point out how the Root and Manifestation relate to each other
• Describe how a Manifestation can become a Root of further Manifestations
• Explain the importance of tracing clinical manifestations back to their Roots
• Summarize the importance of knowing when to tonify Qi or expel pathogenic factors
• Recognize the importance of being aware of residual pathogenic factors
• Compare herbal treatment and acupuncture

• Compare and contrast Yin and Yang as they relate to Acupuncture theory, diagnosis and treatment
• Explain the 8 Principles and apply them to Acupuncture diagnosis
• Describe the interrelationships of the Five Elements, and explain their significance in acupuncture theory
• Recall the daily time allotments associated with each organ and meridian according to the Horary Cycle
• Distinguish the main functions and pathologies of the Yin organs
• Recognize the main points in point prescriptions used to treat many common disharmonies of the organs
• Identify the functions and pathologies associated with Qi, Jing, Blood, Shen and Fluids
• List the 71 Meridians of acupuncture
• Reproduce a chart of the most important acupuncture points.
• Identify areas of further study needed by the student for successful performance on a national board exam in acupuncture.

• Explain the phases of human walking gait
• Discuss the biomechanical events associated with stance phase of gait
• Discuss the biomechanical events associated with swing phase of gait
• Explain biomechanically what is happening during each phase of gait in the foot, ankle, knee and hip
• Discuss the 3 rockers of the foot and how they apply to the gait cycle
• Understand the calcaneocuboid locking mechanism and defend it's importance in the stance phase of gait
• Summarize the ranges of motion of the foot, ankle, knee and hip and their importance in normal gait
• Explain how stance phase abnormalities would impact the gait cycle
• Demonstrate competency in obtaining a reproducible Pedograph print
• Interpret rearfoot, midfoot and forefoot mechanics as seen on a pedograph print
• Identify and interpret problem areas in a pedograph print
• Identify stance phase abnormalities on a Pedograph print
• Extrapolate pathomechanics which would occur rostrally in the kinetic chain during pathomechanics occurring in the gait cycle
• Evaluate the impact of gait abnormalities on human locomotion

• This contains all courses with the educational objectives listed from Biomechanics 201 through Biomechanics 216

• Describe how the motor and sensory homunculus relate to the foot and are integral to training and rehabilitation
• Discuss the 3 rockers of the foot
• Give examples of problems that result from a loss of the 3 rockers of the foot
• Explain the concept of pelvis neutrality and its effect on training
• Describe and examine the tripod of the foot
• Breakdown most movement into 2 basic rules or tenets
• Give examples of the problems which can arise if the 2 basic rules or tenets of movement are not followed
• Discuss the clinical consequences of loss of the medial and lateral tripods of the foot

• Discuss the normal walking gait cycle
• Apply the biomechanics of the pelvis and lower kinetic chain during walking to clinical practice
• Predict and discuss problems and clinical strategies that can arise from altered lower extremity biomechanics
• Apply visual analysis skills
• Evaluate case studies in gait analysis
• Clinically apply solutions for gait abnormalities

• Describe and identify how the parts of a running shoe affect running biomechanics
• Compare and contrast different shoe constructions to the biomechanical needs of an individual
• Determine the appropriate last shape for different foot types
• Discuss the biomechanical consequences of improper vs. proper selection of last types
• Predict which features in a shoe are necessary to correct faulty gait patterns

• Explore barefoot running from a position of biomechanical efficiency
• Contrast the differences in shod vs unshod running
• Predict problems that can arise from shod and barefoot running
• Apply visual analysis skills to barefoot running technique
• Describe how to introduce barefoot running to your patient population

• 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

• This contains all courses with the educational objectives listed from Biomechanics 211 through Biomechanics 222

• 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

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

• Define the crossover gait
• Visually identify the crossover gait
• Explain the biomechanical elements of the crossover gait
• Analyze the cross over gait
• Give examples of the cross over gait
• Integrate your knowledge of the cross over gait to formulate an appropriate treatment plan
• Outline some common exercises for cross over gait remediation

• Examine how arm swing correlates and integrates with the gait cycle
• Visually identify arm swing
• Explain the biomechanical elements of arm swing
• Analyze arm swing
• Give examples of normal and abnormal arm swing
• Integrate your knowledge of arm swing to formulate an appropriate treatment plan

• Define minimal vs. neutral vs. guidance vs. motion control shoes
• Contrast minimal vs. neutral vs. guidance vs. motion control shoes
• Discuss current shoe trends
• Discuss ramp delta and its implications in shoes and shoe fit

• Review the injuries associated with an improperly fitting bike frame and how to properly size a frame to a person
• Discuss how cleat position can lead to biomechanical problems and injuries related to power loss.
• Demonstrate how to properly place cleats on shoes to avoid injury and increase power transfer
• Discuss injuries that stem from inappropriate seat height, saddle for and aft position and handlebar reach and explain how to determine appropriate seat height, fore and aft saddle position and handlebar reach.

• Review static postural foot assessment as it relates to a case study
• Describe muscular compensations that may occur as the result leg length differences
• Compare muscular action vectors and their changes with aberrant foot mechanics
• Discuss the concept of flexor dominance and how it relates to the long flexors of the toes

• Discuss the gait cycle and gait cycle biomechanics
• Discuss Tetrasomy 18 and Chronic Inflammatory Demyelinating Polyneuropathy etiologies
• Discuss Tetrasomy 18 and Chronic Inflammatory Demyelinating Polyneuropathy gait abnormalities
• Propose rehabilitation strategies for abnormalities commonly seen in many neurological disorders

• Review the anatomical and functional causes of  leg length discrepancies
• Review the kinematics and kinetics of leg length discrepancies during the gait cycle.
• View and discuss several new case studies looking at anatomical leg length discrepancies and the impact of compensations to accommodate the fixed changes. 
• Discuss examination procedures to facilitate understanding of the pathomechanics resulting from a leg length discrepancy. 
• Propose intrinsic and extrinsic remedies for the gait abnormalities seen.

• Provide an overview of orthotic therapy
• Review orthotic casting processes and contrast differences and potential pitfalls in them
• Discuss common problems arising from orthotic prescription (blisters, pain during use, pressure spots, etc)
• Propose mechanisms for why problems occur biomechanically
• Present remedies for common problems that arise

• 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 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

• 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 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

• 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.

• 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.

• This contains all courses with the educational objectives listed from Breathing Essentials 201 through Breathing Essentials 207

• 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

• This contains all courses with the educational objectives listed from Chiropractic and Pregnancy 201 through Chiropractic and Pregnancy 207

• 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

• 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
• Outline commonly encountered misalignment and/or subluxation patterns that present with a twin breech presentation
• 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

• This contains all courses with the educational objectives listed from Chiropractic and Pregnancy 208 through Chiropractic and Pregnancy 212

• Outline commonly encountered misalignment and/or subluxation patterns that present with a breech presentation
• Identify the correlation between a misaligned pubic bone and an occiput posterior presentation
• Draw a parallel between a superior pubic bone misalignment and round ligament pain
• Develop a pregnancy care plan based on exam findings and presenting complaints

• Outline commonly encountered postpartum complaints that a chiropractor might encounter in practice
• Understand the various chiropractic causes of each complaint and how to address these causes.
• Integrate other palliative therapies to relieve these complaints if applicable
• Analyze and adjust according to the complaint and concomitant exam findings
• Modify adjustive techniques and methods to better care for the postpartum patient

Hour 1

• Examine all reported cases of serious adverse events in infants and children receiving manual therapies from chiropractors as well as practitioners from other disciplines
• Outline the connection between pregnancy-related pelvic girdle pain and biomechanical changes during pregnancy
• Review differential diagnostic consideration for the important causes of back pain in children and adolescents
• Analyze the design and results of a pragmatic study on chiropractic care for infant colic
• Justify the chiropractic management of pregnant patients with low back or pelvic pain

Hour 2

• Outline the state of the literature on the treatment of childhood respiratory conditions with manual therapy
• Evaluate the effect of supplementing various combinations and types of micronutrients on the course and outcomes of pregnancy
• Examine whether a multimodal approach of musculoskeletal and obstetric management (MOM) was superior to standard obstetric care to relieve pain and reduce impairment and disability in the antepartum period
• Assess the peer-reviewed literature on the effectiveness of physical therapy interventions in treating lumbopelvic pain during pregnancy
• Summarize the results of a systematic review evaluating the evidence for the use of spinal manipulative therapy for pediatric conditions

• Appraise the literature pertaining to the safety of acupuncture for pregnant women
• Summarize consensus-based recommendations regarding best practices for the chiropractic care of children
• Explore the association between exercise levels and types pre-pregnancy and pelvic girdle pain during pregnancy in nulliparous women
• Assess alterations in pelvic floor function in pregnant women secondary to spinal manipulation
• Compare the effectiveness of Kinesio taping combined with exercise on abdominal recovery in women post-caesarean section compared with exercise alone

• Identify safety measures involved with essential oils
• Understand the various possible reactions if safety measures are not followed properly 
• Outline common methods of applications of various essential oils
• Identify the essential oils commonly used during pregnancy and labor and the uses of each
• Further identify essential oils that are contraindicated during pregnancy and labor

• 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

• Evaluate the evidence for chiropractic care for pregnancy-related low back pain and pelvic girdle pain
• Assess the effectiveness of treatments within the chiropractic scope of practice for low back pain, pelvic girdle pain, or combination pain during the postpartum period
• Summarize best-practice recommendations for chiropractic care of pregnant and postpartum patients

• Develop the skills for medical documentation record keeping for proper patient care and adherence to insurance protocols
• Summarize informed consent, Evidenced-based care, Medicare guidelines and NCQA guidelines
• Identify common treatment procedures and modalities used in a chiropractic practice And recognize contraindications to them
• designate specific items to consider when interpreting and/or taking plain film X-rays
• Summarize the value of laboratory and diagnostic testing.
• Recognize the importance of patient communication skills in order to assist in the diagnosis and treatment of patients
• Modify procedures and forms to prevent the possibility of a legal malpractice action against the doctor

Hour 1

• Utilize improved patient communication skills with Medicare Patients 
• Apply appropriate risk management procedures to enhance patient communication
• Identify the four elements of legal malpractice and recognize the key components to avoid a malpractice action  
• Utilize key components of good documentation and record keeping
• Integrate the legal requirements of informed consent in your informed consent process 

Hour 2

• Summarize why doctors are held to higher standards
• Discuss the Do’s and Don’ts of record keeping
• Use the 21 NCQA guidelines for appropriate medical record keeping and integrate the 3 key components of Evidence Based Practice (EBP)

Hour 3

• Assess Medicare’s mandatory Electronic Health Records (EHR) requirement        
• Discuss key items related to the Office of Inspector General (OIG) reports regarding Medicare and chiropractic services
• Summarize Executive Order issued by the White House titled reducing improper payments and eliminating waste in the Federal Programs

Hour 4

• Determine what triggers an audit and key items to consider if audited
• Utilize a step by step approach to meet all Federal Medicare Documentation guidelines 
• Summarize Medicare’s guidelines for necessity of chiropractic care and its covered services
• Prepare treatment plans per Medicare’s regulation requirements
• Recognize Medicare’s policy requirements pertaining to x-ray/diagnostic reimbursement
• Determine if ordering vs. referred services meet Medicare’s policy when performed by a chiropractic physician

Hour 1

• Demonstrate the key elements pertaining to Medicare’s documentation requirements for initial and subsequent patient encounters  
• Describe the three categories of chiropractic care covered through Medicare and the one category exempt from Medicare coverage
• Apply Medicare’s x-ray requirements for documenting a subluxation
• Utilize Medicare Advance Beneficiary Notification (ABN) form and its guidelines 
• Use Medicare’s PARTS system to document a subluxation
• Summarize the transformation of Medicare’s PARTS system utilizing the AIR S & M method               
• Include proper Medicare documentation for daily progress notes (SOAP), in order to meet insurance guidelines and meet medical necessity 

Hour 2

• Integrate a 4 step approach to meet E/M (Evaluation/Management) coding requirements to meet Medicare’s guidelines

Hour 3

• Review Medicare Access and CHIP Reauthorization Act of 2015 (MARCA) aka Medicare Quality Payment Program (QPP) and the Merit Based Incentive Payment Program (MIPS)                                                                    

Hour 4

• Apply the critical components of Chiropractic Manipulative Treatment (CMT) coding and Medicare’s requirements for documentation
• Use diagnostic codes ICD-10 (primary subluxation M-codes biomechanical lesions and secondary medical codes) to meet Medicare’s diagnosis requirements
• Recognize Current Procedure Terminology (CPT) codes and how it relates to the Medicare system
• Utilize Medicare modifiers   
• Identify some of the key items with regards to completing the Center for Medicare and Medicaid Services (CMS) 1500 claim form   
• Summarize Medicare’s mandatory claims submission policy                                   
• Explain the five levels of Medicare appeals process
• Distinguish between Medicare participating vs. non-participating provider requirements

Hour 1

• Define standard of care.
• Examine the requirements of Chiropractic documentation.
• Evaluate Chiropractic care and the functional relationship.
• Review state specific examples of documentation requirements.
• Discuss what is mean by episode of care.

 Hour 2

• Establish the baseline of care.
• Identify the inadequacies of intake forms.
• Comply with the requirements of the initial encounter report.
• Review the consultation documentation in various case scenarios.
• Apply appropriate medical decision-making processes and documentation.

 Hour 3

• Examine the Documentation Requirements of a SOAP Note.
• Utilize PART in documentation.
• Utilize outcome assessment tests in documenting medical necessity of care.
• Identify Assessment and its relationship to medical necessity.
• Solidify elements of the treatment plan to support medical necessity.
• Apprise utilization management and review analysis of documentation.

• Recognize the common pitfalls that can put your clinic at risk
• Review the difference between a mandatory ABN and a voluntary ABN
• Identify the appropriate time to initiate a mandatory ABN
• Implement customized and compliant ABNs for your clinic by following the rules

• Demonstrate understanding of the key elements of revised E/M services
• Determine the elements that count as Time-Activities and how to calculate appropriately
• Establish protocol to determine Medical Decision Making element of E/M encounter
• Apply the new algorithm to appropriately code for E/M services under the 2021 model
• Discover how to still demonstrate Medical Necessity with the revised E/M codes
• Determine why history and examination are still needed

• Develop the skills for medical documentation record-keeping for proper patient care and adherence to insurance value based parameters
• Recognize the importance, and benefits of thorough chart documentation from the standpoint of the patient, the provider, the profession and third-party payors
• Show how outcome assessment documentation benefits the patient, the provider, the profession, and third-party payors
• Demonstrate physical examination procedures that are the basis for diagnosis formulation and value based data
• Examine skills necessary to incorporate an outcomes-based, evidenced-influenced approach to patient-centered health care in bodily injuries

• Develop the skills for medical documentation record-keeping for proper patient care
• Recognize the importance and benefits of documentation methodology from the standpoint of risk management
• Identify selected documentation problems and errors
• Summarize recommendations for improving patient care documentation for those Doctors not using an EHR

• Define the Problem Oriented Medical Record (POMR).
• Demonstrate taking a complete patient history.
• Define the Evaluation and Management examination for the musculoskeletal system.
• Define Outcome Assessment.
• Illustrate the P.A.R.T. format of documentation.
• Define proper assessment for SOAP notes.
• Discuss proper documentation of treatment performed on each visit.
• Discuss proper documentation of treatment plans.

• Comprehend the reasons for transitioning from ICD9 to ICD10
• Determine the critical differences with the new ICD10 codes
• Utilize the proper alpha and numeric aspects of commonly used ICD10 codes for  Chiropractic
• Observe the practicality of combining clinical documentation and the proper use of ICD10 codes.

• Discuss the history of ICD-10-CM codes
• Discuss the Official ICD-10-CM Guidelines for Coding and Reporting
• Identify and discuss the tools needed to navigate the ICD-10 codes
• Discuss the General Equivalence Mappings (GEM’s) and their significance and how they relate to ICD-10-CM Tabular List of Diseases and Injuries
• Identify and discuss how to select the appropriate ICD-10 code to its highest specificity
• Examples to be discussed

• Recognize the key components regarding good documentation and record keeping
• Identify the legal requirements of informed consent and the key elements of the informed consent process
• Discuss why doctors are held to higher standards
• Describe the 21 NCQA guidelines for record keeping
• Document progress notes (SOAP) to meet insurance guidelines and medical necessity
• Apply the PARTS system and its transformation utilizing a new method AIR S & M
• Utilize CMT coding appropriately
• Utilize E/M (Evaluation/Management) coding appropriately to meet insurance guidelines and medical necessity
• Identify the 3 categories and 2 subcategories of E/M codes
• Identify the 5 levels of E/M services for new and established patients
• Identify the 7 components (descriptors) used to determine the level of E/M service
• Select the appropriate level of E/M services utilizing 7 simple steps