Dr. Peter Zilahy has been practicing complementary and alternative medicine for more than 4 decades. He has an extensive knowledge in diagnosis, management and treatment of spinal related pain and injuries. He is qualified in Trauma, Primary Spine Care and MRI Interpretation Review. Dr. Zilahy was awarded “Chiropractor of The Year” by the Connecticut Chiropractic Association. He was elected to the board of directors of the Waterbury Chamber’s Healthcare Council and to the examining board of the American Clinical Board of Nutrition. He was the first chiropractor and acupuncturist to be granted privileges in a Connecticut hospital at St. Mary’s. Dr. Zilahy is a professor of clinical services at the Univ. of Bridgeport College of Chiropractic and shares his knowledge with interns as they rotate through his office to learn the latest in alternative medicine.
EDUCATION AND LICENSURE
- Fellowship in Primary Spine Care, Cleveland University College of Chiropractic, State University of New York at Buffalo School of Medicine- 2023 MRI Interpretation Review Qualified – Cleveland University, Kansas City, 2021-present.
- MRI Interpretation Review Qualified – Cleveland University, Kansas City, 2021-present
- Chiropractic Physician, licensed in the State of Connecticut, License # 00172, 1976-Present
- Doctorate of Chiropractic, Palmer College of Chiropractic, Summa Cum
Laude, Davenport, Iowa - Undergraduate studies in Mechanical Engineering, Newark College of Engineering, Newark, New Jersey
- BA in Biology, Cum Laude, Rutgers Univ., Newark, NJ,
SELECTED POST-GRADUATE EDUCATION, CERTIFICATIONS AND DIPLOMATES
Fellow, Primary Spine Care, 2-year program on spinal trauma, spinal management, advanced
imaging, electrodiagnostics, accident engineering, spinal biomechanical engineering, triaging
the injured, stroke diagnosis, demonstrative documentation, connective tissue pathology,
ligament pathology diagnosis and management, and spinal treatment evidence-based outcome
studies. The program requires collaboration in advanced imaging for spinal and MSK radiology
and being published in case studies. Certified in Joint Providership from the State University of
New York at Buffalo, Jacobs School of Medicine, Office of Continuing Medical Education,
Cleveland University Kansas City, College of Chiropractic, and the Academy of Chiropractic,
Long Island, New York 2023
MRI Interpretation Review Qualified, Recognized by Cleveland University-Kansas City,
Chiropractic and Health Sciences with courses recognized by the ACCGME in conjunction with
the State University of New York at Buffalo Jacobs School of Medicine and Biomedical
Sciences. Qualification language approved by the American Chiropractic College of Radiology
(ACCR) and the American Chiropractic Board of Radiology (ACBR) 2021
Primary Spine Care Qualified, This qualification includes graduate chiropractic education in
healthy and traumatically altered spinal morphology inclusive of osseous, connective tissue and
neurological structure, function and pathology. This certifies you are qualified in assessing
predictive models in spinal biomechanics and devising engineering paradigms for treatment
plans to maximize spinal homeostasis in an evidenced based conclusion. In addition, this
qualification acknowledges your expertise in triaging the injured and coordinating collaborative
care from the trauma through conclusion of rehabilitation. Long Island, NY, 2021
Academy of Chiropractic – Active Trauma Team Member, 2020 – Present
Biomechanics and Physiology of Human Performance in Trauma and Sports, Biomechanics of
the human body and it’s interrelationship to the spine and human performance. Objectifying
sequella of trauma, proper and improper training and outcome assessments in neuro-
musculoskeletal care., College of Chiropractic, University of Bridgeport, Bridgeport,
Connecticut, 2012
Certification in Functional Diagnostic Medicine, Functional Medicine University and Co-
Sponsored by Southern California University of Health Sciences, Lombard, IL, 2009
Diplomate with the American Clinical Board of Nutrition, 2003 – 2023
Chiropractic Neurology Diplomate Program, Clinical Neurology And Overview of Central And
Peripheral Nervous System. New York Chiropractic College, New York, NY, 2002
Whiplash The Masters’ Program, Advanced Diagnostics & Treatment Auto Crash Injuries.
Spine Research Institute of San Diego., New York, NY, 1999
Mini-Fellowship in Neuroradiology – MRI Spine – Part 1, Evidence-based studies in Modic
Changes, Disc and Referred Pain, MRI and Cervical Musculature, Kinetic MRI Images,
Neurological Innervation, MRI and Injury Mechanisms, Discogenic Pain, Annular Tears and
Fissures, Asymptomatic Herniations. Cleveland University Kansas City, ACCME Joint
Providership with the State University of New York at Buffalo Jacobs School of Medicine and
Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022
Mini-Fellowship in Neuroradiology – MRI Spine – Part 2, Identify and oral examination of 60
MRI sequences (over 2500 images) of disc bulges, circumferential, radial, and transverse
fissures, varices, and herniations inclusive of the following types: protrusion, extrusions
(sequestered and migrated/comminuted extrusions). MRI sequencing for accurate interpretation
with contemporary nomenclature and reporting. Cleveland University Kansas City, ACCME
Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine
and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Long Island, NY,
2022
Mini-Fellowship in Neuroradiology-MRI Spine -Part 3, Clinically correlate history, clinical
findings, and advanced spinal imaging to conclude an accurate diagnosis, prognosis, and
treatment plan in an evidence-based paradigm that passes a peer-reviewed panel. The case
presented must emanate from contemporary practice utilizing accepted guidelines for sequence
acquisition and collaboration if clinically indicated. Cleveland University Kansas City,
ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of
Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Long
Island, NY, 2022
Collision Reconstruction & Biomechanical Engineering – Part 1, Analyzing the integration of
collision reconstruction and spinal biomechanics utilizing a mathematical model. Understanding
the model and transference of energy from the bullet car to the target car to the occupant to
aberrant spinal biomechanics. Cleveland University Kansas City, Academy of Chiropractic Post-
Doctoral Division, Buffalo, NY, 2021
Collision Reconstruction & Biomechanical Engineering – Part 2, Understanding the
mathematical models required to analyze a collision and create coefficients of forces transferred
in a collision that effect the automobile and the occupant. Cleveland University Kansas City,
Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
Collision Reconstruction & Biomechanical Engineering – Part 3, Calculation worksheets in the
mathematical models required to analyze a collision and create coefficients of forces transferred
in a collision that effect the automobile and the occupant. Cleveland University Kansas City,
Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
Collision Reconstruction & Biomechanical Engineering – Part 4, An analysis of vehicle parts and
construction design that contribute to the energy translated to the human body and spine
inclusive of seatbelts, airbags, bumpers, event data recorders, tires, axles and auto frames.
Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division, Buffalo,
NY, 2021
Collision Reconstruction & Biomechanical Engineering – Part 5, When correlating crash to
injury, inspecting the vehicle for evidence of damage to verify causality and extent of
malformation of the vehicle beyond that of the outer shell of the vehicle. Cleveland University
Kansas City, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
Collision Reconstruction & Biomechanical Engineering – Part 6, Newton’s laws of inertia and the
determinant calculations required based upon the action of the vehicle and how spinal
biomechanics are affected. Analysing the vehicle and accident site to reconstruct the actions of
the car to create a model. Cleveland University Kansas City, Academy of Chiropractic Post-
Doctoral Division, Buffalo, NY, 2021
Collision Reconstruction & Biomechanical Engineering – Part 7, Reconstructing and calculating
minimal speed and velocity as injury and damage factors based upon skid marks considering
coefficients of friction based upon various road surfaces. Cleveland University Kansas City,
Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
Collision Reconstruction & Biomechanical Engineering – Part 8, Reconstructing and calculating
speed and velocity as injury and damage factors based upon yaw marks considering coefficients
of friction based upon various road surfaces. Cleveland University Kansas City, Academy of
Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
Collision Reconstruction & Biomechanical Engineering – Part 9, Coefficients of momentum and
calculating plastic vs. elastic deformation. Direction of forces as mathematical determinants of
collision and resultant bodily injury forces. Cleveland University Kansas City, Academy of
Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
Collision Reconstruction & Biomechanical Engineering – Part 10, Coefficients of acceleration,
negative acceleration and G-forces in collisions that contribute to vehicular and bodily injuries.
Analyzing time, speed and weight of bullet and target automobiles to reconstruct the energy of a
collision and injury potential. Cleveland University Kansas City, Academy of Chiropractic Post-
Doctoral Division, Buffalo, NY, 2021
Collision Reconstruction & Biomechanical Engineering – Part 11, The osseous and ligamentous
structures that are subject to pathology in bodily injury. The pathological reaction of connective
tissue when it exceeds its paraphysiological limits and the bio-neuro-mechanical changes the
connective tissue undergoes as sequella to trauma. Cleveland University Kansas City, Academy
of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
Collision Reconstruction & Biomechanical Engineering – Part 12, Energy and momentum
coefficients and data utilized as determinants and error ranges in calculations. Considering the
stiffness of the vehicle, air bag function and formulation of timing in it’s release point and injury
potential to facial and spinal structures. Cleveland University Kansas City, Academy of
Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
Collision Reconstruction & Biomechanical Engineering – Part 13, Mathematical worksheet
reviewing kinetic and work energy, momentum, acceleration and G-forces in numerically
quantifying a collision, the energy created to deform an automobile and the transference of
forces creating connective tissue pathology and altered spinal biomechanics. Cleveland
University Kansas City, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
Collision Reconstruction & Biomechanical Engineering – Part 14, Analyzing a sample accident
(case 1) utilizing all the vehicle, road surface combining standardized calculation variables in
reconstructing an accident and the resultant energy considered for connective tissue pathology
and resultant aberrant spinal biomechanics. Cleveland University Kansas City, Academy of
Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
Collision Reconstruction & Biomechanical Engineering – Part 15, Analyzing a sample accident
(case 2) utilizing all the vehicle, road surface combining standardized calculation variables in
reconstructing an accident and the resultant energy considered for connective tissue pathology
and resultant aberrant spinal biomechanics. Cleveland University Kansas City, Academy of
Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
Collision Reconstruction & Biomechanical Engineering – Part 16, Analyzing a sample accident
(case 3) utilizing all the vehicle, road surface combining standardized calculation variables in
reconstructing an accident and the resultant energy considered for connective tissue pathology
and resultant aberrant spinal biomechanics. Cleveland University Kansas City, Academy of
Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
Accident Reconstruction and Expert Reporting, Crash dynamics and basic physics formulas
were presented and detailed. Review of biomechanical expert reports and included mathematics
was discussed with context given to data collection and accuracy. Spinal injury thresholds were
reviewed as well as the Law of Conservation of Energy and its relationship to crash dynamics.
Specific mathematical examples were presented including workflows to review the accuracy of
biomechanical expert reporting and mathematical formulas. National Spine Management Group,
LLC, Federation of Chiropractic Licensing Boards, Cleveland University Kansas City, College
of Chiropractic, Ft. Lauderdale, FL, 2022
The long-term clinical outcomes of chronic hypermobility due to ligament laxity was reviewed.
Potential interventions and their expected outcomes were presented. Cleveland University
Kansas City, ACCME Joint Providership with the State University of New York at Buffalo
Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic
Post-Doctoral Division, Buffalo, NY, 2022
MRI Spine Advanced Clinical Case Grand Rounds, Clinical case review of MRI including intra
and extra-dural findings inclusive of the disc and vascular anatomical lesions. Differentially
diagnosing central cord lesions, and spinal cord vascular lesions in both acute trauma and
degenerative presentations. Cleveland University Kansas City, ACCME Joint Providership with
the State University of New York at Buffalo Jacobs School of Medicine and Biomedical
Sciences, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022
Non-Specific Spine Pain, Chiropractic and Outcomes, Analyzing neuro-biomechanical
pathological lesions defines primary spinal lesions and removes the dogma of non-specific back
pain. Creating evidence-based demonstrative documentation in the creation of treatment plans.
Cleveland University Kansas City, ACCME Joint Providership with the State University of New
York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic
Post-Doctoral Division, Long Island, NY, 2022
Spinal Tumor MRI Interpretation, Diagnosing and documenting: Ependymoma, Astrocytoma,
Hemangioblastoma, Lipoma, Meningioma, Neurofibroma, Schwannoma, Myxopapillary
Ependymoma. Cleveland University Kansas City, ACCME Joint Providership with the State
University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,
Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022
Demonstrative Narrative and Evaluation and Management Report Writing, Clinical record-
keeping, why write clinical notes,the importance of context, what to include in a clinical note,
tips for better clinical documentation, basic legal considerations, open clinical notes, how to
keep documentation efficient. Cleveland University Kansas City, ACCME Joint Providership
with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical
Sciences, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022
Documentation, Demonstrative and Compliance, Elements of Evaluation and Management codes
99202-99203-99204-99205, inclusive of complexity of management and time components.
Demonstrative documentation of spinal-related pain generators; spinal cord, thecal sac,
myelomalacia, spinal nerve root insult, connective tissue, recurrent meningeal nerves. Cleveland
University Kansas City, ACCME Joint Providership with the State University of New York at
Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-
Doctoral Division, Buffalo, NY, 2022
2023 Demonstrative Documentation Requirements, Analyzing the requirements in anatomical
diagnostic imagery to communicate spinal pathology. Integrating technology, clinical findings,
and advanced graphic tools to communicate a diagnostic conclusion. Cleveland University
Kansas City, ACCME Joint Providership with the State University of New York at Buffalo
Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral
Division, Long Island, NY, 2022
Age-Dating Ligament/Connective Tissue Physiology and Pathology, Utilizing pain patterns, the
high signal in the annulus, high signal outside the annulus, Modic changes, disc height, vacuum
disc, sclerosis, Phirrman rating, facet edema, and previous MRIs to determine the chronicity of
pathology. Master-Class in ligaments; anatomy, physiology, vascularization, neurological
innervation, tissue repair, and how they all relate to clinical practice. Ligament pathology
correlating to the mechanisms of patho-neuro-biomechanical lesions (vertebral subluxation
complex). Also, how ligaments play a critical role in the chiropractic spinal adjustment and in
defining the chiropractic spinal adjustment mechanisms. Cleveland University Kansas City,
ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of
Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Long
Island, NY, 2022
Clinical Grand Rounds in Biomechanics, Digitizing, and Advanced Imaging: Case reviews
concluding and accurate diagnosis, prognosis, and treatment plan utilizing evidence-based
instrumentation and algorithms. Using demonstrative reporting of case findings to collaborate
with co-treating physicians. Cleveland University Kansas City, ACCME Joint Providership with
the State University of New York at Buffalo Jacobs School of Medicine and Biomedical
Sciences, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022
Medical-Legal Documentation: A documentation discussion on meeting the requirements of the
courts, carriers, and licensure boards in complete and accurate reporting. Ensuring the
diagnosis, prognosis, and treatment plan are demonstratively documented. Cleveland University
Kansas City, ACCME Joint Providership with the State University of New York at Buffalo
Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral
Division, Long Island, NY, 2022
Mini-Fellowship in Musculoskeletal Radiology – MSK Extremities, Identifying arthritis,
advanced cartilage pathology, rotator cuff tears, labral tears, tendon injuries and degeneration,
meniscal tears, ligamentous injuries, common fractures, sports related injury patterns, and
plantar fasciitis in both upper and lower extremities. Cleveland University Kansas City,
ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of
Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Long
Island, NY, 2022
Mini-Fellowship in Musculoskeletal Radiology – MSK Extremities – Clinical Research,
Contemporary literature based evidence with rheumatoid, osteo, spondylar, gouty, and Psoriatic
arthritides, advanced cartilage pathology, rotator cuff tears, labral tears, tendon injuries and
degeneration, meniscal tears, ligamentous injuries, common fractures, sports related injury
patterns, and plantar fasciitis in both upper and lower extremities. Cleveland University Kansas
City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs
School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division,
Long Island, NY, 2022
Chiropractic Diagnosis and management of cervical spine disc herniation was presented.
Differential diagnosis of acute disc injury vs chronic disc herniation was reviewed. Co-
management with medical specialist was also reviewed. A discussion of available pain
management procedures as also presented. Cleveland University Kansas City, ACCME Joint
Providership with the State University of New York at Buffalo Jacobs School of Medicine and
Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Chiropractic Diagnosis of ligament injury to the upper cervical region was presented. The
methods and tools to determine injury to the Occipital-Atlanto and Atlanto-Axial ligaments were
presented. Correlation to mechanism of injury and medical legal reports were reviewed. The AO
standards for spinal instability was presented. Cleveland University Kansas City, ACCME Joint
Providership with the State University of New York at Buffalo Jacobs School of Medicine and
Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Chiropractic Management and treatment planning utilizing Symverta biomechanical assessments
was reviewed. The methods to determine improvement in stability and biomechanical balance as
well as co-management with medical specialists was reviewed. Identification of the
biomechanical primary lesions and compensations associated with the structural compromise
was reviewed. Cleveland University Kansas City, ACCME Joint Providership with the State
University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,
Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Chiropractic Diagnosis and Management of Degenerative Lumbar Spondylolisthesis – A review
of the ligament, biomechanical and neurologic implications of a degenerative lumbar
spondylolisthesis was presented. The methods to determine stability and co-management with
medical specialists was reviewed. Identification of the biomechanical compensations associated
with the structural compromise was reviewed. Cleveland University Kansas City, ACCME Joint
Providership with the State University of New York at Buffalo Jacobs School of Medicine and
Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Chiropractic Diagnosis and Management of Acute Spinal Ligament Injury – Review of the
ligament injury thresholds, methods of diagnosis utilization of SITR pulse Sequence MRI as the
gold standard for evaluating the age of and pathophysiology was discussed and presented.
Biomechanical assessment of hypermobility associated with ligament laxity was presented along
with the specific ligament involved in the clinical picture. When and how to triage to medical
specialist was reviewed. Review of the four columns of vertebral architecture was detailed.
Cleveland University Kansas City, ACCME Joint Providership with the State University of New
York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic
Post-Doctoral Division, Buffalo, NY, 2022
Case Management, Documentation, and Diagnosis, Clinically correlating history and clinical
findings to biomechanical connective tissue pathology and advanced imaging with herniated,
protrude, extruded, and bulging discs. Triaging trauma and chronic patients based upon clinical
presentation and testing results. Cleveland University Kansas City, College of Chiropractic,
Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022
2022 Trends in Spinal Healthcare, Analyzing evidenced-based spinal healthcare trends in both
utilization and necessity and understanding the marketplace. The use of evidenced-based
demonstrative documentation in reporting treatment pathways in triaging spinal
pathobiomechanics. Cleveland University – Kansas City, ACCME Joint Providership with the
State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,
Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
MRI Spine Clinical Case Grand Rounds, Clinical case review of MRI’s including sagittal, axial,
T1, T2, STIR, and proton density sequences. Identified will be the vertebrate, spinal cord, discs,
nerve roots, thecal sac, posterior longitudinal ligament, epidural veins, and fat saturation pulses.
Pathology will include bulges, herniations, protrusions, extrusions, myelomalacia, cord edema,
and Schmorl’s nodes. Learn how to collaborate effectively with radiologists, neuroradiologists,
and neurosurgeons on the clinical findings. Cleveland University – Kansas City, ACCME Joint
Providership with the State University of New York at Buffalo Jacobs School of Medicine and
Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Chiropractic vs. Physical Therapy vs. Medical Case Management and Outcomes, Analysing
evidence-based outcomes in triaging non-anatomical lesions. The analysis of neuro-
biomechanical pathological lesions defines primary spinal lesions and removes the dogma of
non-specific back pain. Managing collaborative relationships with medical primary providers
and specialists in clinical practice. Cleveland University – Kansas City, ACCME Joint
Providership with the State University of New York at Buffalo Jacobs School of Medicine and
Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
MSK Extremity Radiological Interpretation, Utilizing both MRI and x-ray in identifying via x-
ray and advanced imaging extremity instabilities from ligamentous, osseous or neoplastic
derangement. Cleveland University – Kansas City, ACCME Joint Providership with the State
University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,
Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Demonstrative Narrative and Evaluation and Management Report Writing, Effectively creating
demonstrative medical-legal documentation and meeting the needs of the courts, and making
your “4-Corner” (narrative) report to build your reputation as an evidence-based provider. The
step-by-step minutiae of building a report, accomplishing report writing timely and effectively
by understanding the regulatory and administrative rules. Learn how to educate the lawyer on
bodily injury through evidence-based demonstrative reporting. Cleveland University – Kansas
City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs
School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division,
Buffalo, NY, 2022
Ligament/Connective Tissue Physiology and Pathology, Master-Class in ligaments; anatomy,
physiology, vascularization, neurological innervation, tissue repair and how they all relate to
clinical practice. Ligament pathology correlating to the mechanisms of patho-neuro-
biomechanical lesions (vertebral subluxation complex). Also, how ligaments play a critical role
in the chiropractic spinal adjustment and in defining the chiropractic spinal adjustment
mechanisms. Cleveland University – Kansas City, ACCME Joint Providership with the State
University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,
Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Stroke Evaluation and Risk Factors in the Chiropractic Practice, Diagnosing, triaging, and
documenting headaches, migraines, and vascular incidents (stroke) in the primary provider’s
office. Imaging protocols based upon history and clinical presentation will be presented, along
with analyzing imaging findings in determining the etiology. There will be an extensive question
and answer session following the instructional presentation. Cleveland University – Kansas City,
ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of
Medicine and Biomedical Sciences, Academy ofChiropractic Post-Doctoral Division, Buffalo,
NY, 2022
Age-Dating Herniated Discs and Trauma, Age dating herniated discs and trauma is a critical
skill for an expert in spine. It combines the clinical skills of interpreting X-ray, MRI, and other
imaging modalities with a clinician’s understanding of joint pathology. This level of expertise is
critical when collaborated with other physicians or working in the medical-legal environment as
an expert. Age dating pathology is also central to creating a prognosis on your patient’s
recovery and must be evidence-based in rationale. Cleveland University – Kansas City, ACCME
Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine
and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Clinical Grand Rounds in Spinal Biomechanics, Case reviews utilizing E/M, MRI, and x-ray
mensuration report to conclude an accurate diagnosis, prognosis, and treatment plan. Common
diagnosis requiring interprofessional collaboration with a discussion of diagnostic dilemmas
and proper communication methods. Cleveland University – Kansas City, ACCME Joint
Providership with the State University of New York at Buffalo Jacobs School of Medicine and
Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Neurosurgical Grand Rounds, A clinical discussion of collaborating with neurosurgeons on
spinal cord and spinal nerve root co-morbidities. Triaging cases with herniated, protruded,
extruded, fragments discs and differentially diagnosing tethered cord, syringomyelia, traumatic
Schmorl’s Nodes, Myelomalcia, spinal cord edema, vacuum disc and other intra, and extra-dural
lesions. Cleveland University – Kansas City, ACCME Joint Providership with the State
University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,
Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Medical-Legal Ethical Relationships, Documentation and Legal Testimony, Report writing for
legal cases, the 4 corners of a narrative and documenting damages with understanding defense
medical documentation and consistent reporting of bodily injuries. Academy of Chiropractic,
Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island,
NY, 2022
Medical-Legal Ethical Relationships, Documentation and Legal Testimony, Part 2,
Understanding report writing and the types of medical reports required for court inclusive of
diagnosis, prognosis and treatment plans with requirements of reporting causality and
permanency. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas
City, College of Chiropractic, Long Island, NY, 2022
Medical-Legal Ethical Relationships, Documentation and Direct Testimony, Organizing your
documentation and understanindg all collaborative documentation and how it fits into your
diagnosis, prognosis and treatment plan, Understanding the nuances of the functional losses of
your patients related to their bodily injuries, Academy of Chiropractic, Post-Doctoral Division.
Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of
Chiropractic, Long Island, NY, 2022
Medical-Legal Ethical Relationships, Documentation and Direct Testimony Part 2, Utilizing
demonstrative documentation in direct examination and communicating the results of your care
concurrently with the written documentation and reporting an accurate diagnosis for all images.
Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of
Chiropractic, Long Island, NY, 2022
Medical-Legal Ethical Relationships, Documentation and Direct Testimony Part 3, The
evaluation, interpretation and reporting of collaborative medical specialists results and
concluding an accurate diagnosis inclusive of all findings and reviewing all images to ensure an
accurate diagnosis. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-
Kansas City, College of Chiropractic, Long Island, NY, 2022
Medical-Legal Ethical Relationships, Documentation and Direct Testimony Part 4, Determininig
and documenting disabilities and impairments inclusive of loss of enjoyment of life and duties
under duress and the evaluation and validation of pain and suffering. Academy of Chiropractic,
Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island,
NY, 2022
Medical-Legal Ethical Relationships, Documentation and Cross Examination Testimony,
Reporting your documentation factually and staying within the 4 corners of your medical report
and scope of practice inclusive of understanding how your credentials allow you to report your
documentation. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas
City, College of Chiropractic, Long Island, NY, 2022
Medical-Legal Ethical Relationships, A Documentation Relationship Between the Doctor and
Lawyer, The level of organization required in a medical-legal case that accurately reflects the
bodily injuries of your patients and the time constraints in rendering an accurate report. Academy
of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of
Chiropractic, Long Island, NY, 2022
Medical-Legal Ethical Relationships, Report Writing and Preparing for a Legal Case, Reviewing
the facts of the case inclusive of your documentation, the defense medical examiner, medical
specialists and the attorney to ensure accurate and consistent reporting. Academy of
Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of
Chiropractic, Long Island, NY, 2022
Medical-Legal Ethical Relationships, Report Writing and Preparing for a Legal Case, Creating
demonstrative evidence, visuals of your patient’s bodily injuries inclusive of x-rays, MRI’s, CAT
Scans and electrodiagnostic findings, the spinal biomechanics of herniated disc with ipsilateral
findings and contralateral symptomatology. Academy of Chiropractic, Post-Doctoral Division,
Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2022
Medical-Legal-Insurance Documentation, Accurate and compliant documentation of history and
clinical findings inclusive of functional losses, loss of activities of daily living, duties under
duress and permanent loss of enjoyment of life. Prognosing static vs. stable care, gaps in care
both in the onset and in the middle of passive care with a focus on detailed diagnosing. The
integration of chiropractic academia, the court system and the insurance reimburser’s
requirements for complete documentation. Cleveland University Kansas City, ACCME Joint
Providership with the State University of New York at Buffalo Jacobs School of Medicine and
Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Documenting Clinical Findings and Diagnosis, Correlating clinical findings with x-ray and
advanced imaging to conclude and accurate diagnosis, prognosis and treatment plan. The
utilization of demonstrative documentation in diagnostic testing to visualize pathology in the
trauma and non-trauma case. Cleveland University – Kansas City, Academy of Chiropractic
post-Doctoral Division, Long Island, NY, 2022
Medical and Interprofessional Communication, Detailed overview of medical legal
communication in relation to patient subjective and objective clinical findings. Outline of direct
and cross-examination techniques were presented. Overview of Voir Dire and Daubert hearings
were outlined. Discussion of examination of proof in relation to causality, bodily injury, and
persistent functional losses was reviewed. Court testimony flow, professional expectations, and
court room etiquette was presented and emphasized. National Spine Management Group, LLC,
Federation of Chiropractic Licensing Boards, Cleveland University Kansas City, College of
Chiropractic, Ft. Lauderdale, FL, 2022
Spine Management, Discussion and outline of case management workflows related to the
management of acute and chronic spine pain with a particular focus on pain of traumatic origin.
Evidence-Based communication and Electronic Health Record processes were emphasized and
presented. Patient management and triage based on patient history, physical examination and
imaging findings was outlined. Overview of interprofessional referral options including physical
therapy, interventional pain management and spine surgery was discussed in detail. Spine
Management as concept was discussed by Dr. John Edwards, neurosurgeon in relation to
reducing escalation of non-urgent cases as well as creating space for patients with urgent need.
National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards,
Cleveland University Kansas City, College of Chiropractic, Ft. Lauderdale, FL, 2022
Documentation and Communication in Spine Management, Presentation of compliant healthcare
documentation including E/M initial and re-evaluations, daily progress notes and medical-legal
narrative reports was provided. Workflows detailing interprofessional referral language,
advanced imaging requests and patient communication were detailed. Streamlined processes for
creating and maintaining compliant, evidence based, patient centered clinical reporting was
given. Emphasis was placed on the role of a Spine Management Physician in the processes of
interprofessional communication and case management National Spine Management Group,
LLC, Federation of Chiropractic Licensing Boards, Cleveland University Kansas City, College
of Chiropractic, Ft. Lauderdale, FL, 2022
Histology and Physical Tolerance of Spinal Ligaments, Presentation of the histological
structural organization of spinal ligaments including analysis of tropocollagen as the basis for
anatomical structure. Review of the structural hierarchy of the spinal ligament from microscopic
to macroscopic was included. Anisotropic properties of spinal ligaments were defined, and
examples presented. Detailed review of spinal entheses was presented with emphasis on
advanced imaging and chronic enthesopathy. New insights into the pathogenesis, diagnostic
modalities, and treatment of spinal enthesitis was outlined and presented. Specific focus was on
traumatic injury to the spinal entheses and the difference in formation of spinal osteophytes and
enthesophytes. Biomechanics of the degenerative spine was detailed and reviewed in terms of
clinical spine management. National Spine Management Group, LLC, Federation of Chiropractic
Licensing Boards, Cleveland University Kansas City, College of Chiropractic, Ft. Lauderdale,
FL, 2022
Degenerative versus Acute Ligament Laxity, An updated scientifically validated grading system
for the identification of degeneration of the intervertebral disc and motion segment was
presented. Details such as radiographic signs of disc degeneration including loss of disc height,
osteophyte formation and diffuse sclerosis were provided. Grading examples were provided in
radiographic and gross specimen form starting with Grade 0 (no degeneration) to Grade 3
(severe degeneration). Outline of the validity and interobserver agreement of this grading system
was shown for both the cervical and the lumbar spine. Review and emphasis on the difference
between osteophyte formation and enthesophytes was again outlined. Ft. Lauderdale, FL, 2022
Chiropractic Science Research –, Review and presentation of updated peer-reviewed medically
indexed research supporting chiropractic management of spine pain was detailed. Timeline of
publication was emphasized with three years being the maximum timeframe for up-to-date data.
Comprehensive review of evidence supporting chiropractic management of the spine pain patient
in the Pain Management, Corrective, and the Health Maintenance Phases of care. Methods to
communicate this evidence to the medical and legal communities was presented in the context of
compliant patient centered clinical documentation. Efficiency of a Spine Management Physician
versus conventional primary care was presented. Emphasis on the hierarchy of published
evidence starting with Foundational Evidence up to Level 1 evidence was presented. Ft.
Lauderdale, FL, 2022
Clinical Grand Rounds – Acute vs Chronic Radial Fissures – Diagnosis and Management, outline
of morphological presentations of concentric, radial and transverse fissures within the annulus
fibrosus of the intervertebral disc. Consensus driven definitions were presented as outlined by
recommendations of the combined taskforces of the North American Spine Society, American
Society of Spine Radiology, and American Society of Neuroradiology. Modified Dallas
Classification of annular fissures was reviewed and outlined. Specific correlation to annular
fissure type and intervertebral disc morphology was detailed. Specific correlative factors linking
annular fissures with acute and chronic injury was presented and reviewed. National Spine
Management Group, LLC, Federation of Chiropractic Licensing Boards – PACE, State
University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences,
Buffalo, NY, 2022.
Clinical Grand Rounds – Degenerative versus Acute Intervertebral Disc Pathology, review of the
scientific and validated process for evaluating degenerative disc disease in the human spine was
reviewed. Detailed analysis of differentiating between acute and chronic changes was
emphasized. Overview and discussion of advanced imaging as well as plain film radiographs
with dynamic views was presented. Review in detail of the Pfirrmann scale and its association
with intravertebral disc degeneration was presented including all Pfirrmann grades with
illustrative reference. National Spine Management Group. LLC. Federation of Chiropractic
Licensing Boards – PACE. State University of New York at Buffalo Jacobs School of Medicine,
and Biomedical Sciences, Buffalo, NY, 2022
Clinical Rounds-Chiropractic Management- MRI Lumbar Spine- axial anatomy, detailed review
of anatomical structures on the axial slices o) lumbar spine MRI were presented. Musculature
presented included gluteus médius, psoas major, multifidus, iliacas, lumbar paraspinais and
quadratus lumborum in both the Tl and T2 axial sequences. Traversing vs exiting spinal nenes
were contrasted and compared to cervical spine. Neurological structures such as conus
medullaris, caudia equina, /Hum terminale, ventral and dorsal nerve roots were identified.
Visualization and discussion of benefit oJT2 axial sequences in the identification of facet joint
pathology was presented. Emphasis was placed on the structure and morphology’ of the
intervertebral disc and spinal ligaments including anterior longitudinal ligament, posterior
longitudinal ligament, facet capsule, interspinous, supraspinous, intertransverse and iliolumbar
were detailed. Location and anatomical structure oj the sacroiliac joint was presented and
discussed. National Spine Management Group. LLC. Federation of Chiropractic Licensing
Boards – PACE. State University of New York at Buffalo Jacobs School of Medicine, and
Biomedical Sciences, Buffalo, NY, 2022
Trends in Spinal Healthcare, Analyzing spinal healthcare trends in both utilization and necessity
and understanding the marketplace and how a clinical excellence level is reflected in a doctors’
documentation and credentials. Treatment pathways in triaging spinal pathobiomechanics.
Cleveland University Kansas City, ACCME Joint Providership with the State University of New
York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic
Post-Doctoral Division, Buffalo, NY, 2021
MRI Spine Interpretation Advanced Diagnosis, An evidence-based understanding of time-related
etiology of disc pathology considering the American Society of Neuroradiology’s designation of
protrusion, extrusion, and sequestration of spinal discs, T1, T2, STIR and Proton-Density
weighted evaluation to diagnose spine form MRI accurately. Cleveland University Kansas City,
ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of
Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo,
NY, 2021
Spinal Biomechanical Engineering Analytics and Case Management, Utilizing spinal
mensurating algorithms to conclude a pathobiomechanical vs. normal spine in the absence of
anatomical pathology. Clinically correlating a history and physical examination findings to x-
ray biomechanical results in creating an accurate diagnosis, prognosis, and treatment plan.
Cleveland University Kansas City, ACCME Joint Providership with the State University of New
York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic
Post-Doctoral Division, Buffalo, NY, 2021
MSK Extremity Radiological Interpretation, Utilizing both MRI and x-ray to diagnose 1)
Arthritis – Inflammatory and Degenerative, 2) Advanced cartilage assessment, 3) Rotator Cuff
Tears, 4) Labral tears (shoulder and hip), 5) Tendon injuries and degeneration, 6) Meniscal
tears, 7) Ligamentous injuries, 8) Common fractures, 9) Sports-related injury patterns, 10)
Plantar fasciitis.Cleveland University Kansas City, ACCME Joint Providership with the State
University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,
Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
Demonstrative Medical-Legal Documentation, The narrative report. How to effectively create
medical-legal documentation and what the courts look for. Making your “4-Corner” (narrative)
report demonstrable and build a reputation as an evidence-based provider. The step-by-step
minutiae of building a report.Cleveland University Kansas City, ACCME Joint Providership
with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical
Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
Managing Non-Anatomical Spine Pain, Treatment modalities centered upon “best-outcomes” in
an evidence-based model considering chiropractic vs. physical therapy and chiropractic vs.
medicine. Considerations of disability, pain reduction, functional improvement, drugs utilized,
and side-effects are all considered. Cleveland University Kansas City, ACCME Joint
Providership with the State University of New York at Buffalo Jacobs School of Medicine and
Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
Documentation and Coding, CPT Coding Guidelines for Initial and Established Patients with
particular attention paid to Patient History, Review of Systems, Social and Family History,
Physical Examination, and Medical Decision making. Specific differences in coding levels and
required elements for a 99202-99203-99204-99205, and a 99212-99213-99214-99215. Academy
of Chiropractic Post-Doctoral Division, PACE Approved for the Federation of Chiropractic
Licensing Boards, Cleveland University- Kansas City, Long Island, NY, 2021
Demonstrative Documentation and Ethical Relationships, Pathways to improve coordination of
care, and interprofessional communication with collaborating physicians. Maintaining ethical
relationships in the medical-legal community through documentation and communication of
demonstrable diagnosis, prognosis, and treatment plans. Academy of Chiropractic Post-Doctoral
Division, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland
University- Kansas City, Long Island, NY, 2021
MRI Spine Interpretation, Clinical case review of MRI’s including sagittal, axial, T1, T2, STIR,
and proton density sequences. Identified will be the vertebrate, spinal cord, discs, nerve roots,
thecal sac, posterior longitudinal ligament, epidural veins, and fat saturation pulses. Pathology
will include bulges, herniations, protrusions, extrusions, myelomalacia, cord edema, and
schmorl’s nodes. Cleveland University – Kansas City, ACCME Joint Providership with the State
University of New York at Buffalo Jacobs School of Medicine and Biomedical
Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, New York, 2021
Spinal Biomechanical Engineering Clinical Grand Rounds, Case reviews utilizing E/M, MRI,
and x-ray mensuration report to conclude an accurate diagnosis, prognosis, and treatment plan.
Common diagnosis requiring interprofessional collaboration with a discussion of diagnostic
dilemmas and proper communication methods. Cleveland University – Kansas City, ACCME
Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine
and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, New York,
2021
MRI Spinal Anatomy, Protocols and Disc Pathology, Normal anatomy of axial and sagittal
views utilizing T1, T2, gradient and STIR sequences of imaging. Degeneration and annular
fissures of discs in both trauma and non-trauma patients and the biochemical properties of joints
in age dating pathology. Disc bulges from degenerative and sequela to osseous issues,
herniation pathology and protrusion, extrusion, migrated and sequestered variations. Clinical
scenarios as sequela to disc and pre-existing pathologies. Cleveland University – Kansas City,
ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of
Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo,
New York, 2021
MRI Spine Interpretation, Herniated, bulged, extruded, protruded, sequestered and degenerative
discs. The morphology of a pathological disc vs. normal morphology and the sequences required
including T1, T2 and STIR for all spinal regions. Modic 1-2-3 changes detailed and the
traumatic relationship. Cleveland University – Kansas City, ACCME Joint Providership with the
State University of New York at Buffalo Jacobs School of Medicine and Biomedical
Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, New York, 2021
Extremity MRI & Xray Interpretation of the Shoulder, Identifying normal anatomy on both MRI
and x-ray, inclusive of osseous, connective tissue, and neurological structures. Identifying
fractures in the adult and pediatric cases. Differentially diagnosing various arthritic etiologies
of osseous derangement. Cleveland University Kansas City, ACCME Joint Providership with the
State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,
Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
Extremity MRI & Xray Interpretation of the Shoulder, Identifying fractures in the adult and
pediatric cases. Differentially diagnosing various arthritic changes vs. benign and metastatic
Tumors. Cleveland University Kansas City, ACCME Joint Providership with the State
University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,
Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
Extremity MRI & Xray Interpretation of the Elbow, Identifying normal anatomy on both MRI
and x-ray, inclusive of osseous, connective tissue, and neurological structures, identifying
fractures in the adult and pediatric cases. Differentially diagnosing various arthritic etiologies
of osseous derangement. Differentially diagnosing various arthritic changes vs. benign and
metastatic Tumors. Cleveland University Kansas City, ACCME Joint Providership with the State
University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,
Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
Extremity MRI & Xray Interpretation of the Wrist, Identifying normal anatomy on both MRI and
x-ray, inclusive of osseous, connective tissue, and neurological structures, identifying fractures
in the adult and pediatric cases. Differentially diagnosing various arthritic etiologies of osseous
derangement. Differentially diagnosing various arthritic changes vs. benign and metastatic
Tumors. Cleveland University Kansas City, ACCME Joint Providership with the State
University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,
Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
Extremity MRI & Xray Interpretation of the Hand, Identifying normal anatomy on both MRI and
x-ray, inclusive of osseous, connective tissue, and neurological structures, identifying fractures
in the adult and pediatric cases. Differentially diagnosing various arthritic etiologies of osseous
derangement. Differentially diagnosing various arthritic changes vs. benign and metastatic
Tumors. Cleveland University Kansas City, ACCME Joint Providership with the State
University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,
Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
Extremity MRI & Xray Interpretation of the Hip, Identifying normal anatomy on both MRI and
x-ray, inclusive of osseous, connective tissue, and neurological structures. Identifying fractures
in the adult and pediatric cases. Differentially diagnosing various arthritic etiologies of osseous
derangement. Cleveland University Kansas City, ACCME Joint Providership with the State
University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,
Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
Extremity MRI & Xray Interpretation of the Hip, Identifying fractures in the adult and pediatric
cases. Differentially diagnosing various arthritic changes vs. benign and metastatic Tumors.
Cleveland University Kansas City, ACCME Joint Providership with the State University of New
York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic
Post-Doctoral Division, Buffalo, NY, 2021
Extremity MRI & Xray Interpretation of the Knee, Identifying normal anatomy on both MRI and
x-ray, inclusive of osseous, connective tissue, and neurological structures. Identifying fractures
in the adult and pediatric cases. Differentially diagnosing various arthritic etiologies of osseous
derangement. Cleveland University Kansas City, ACCME Joint Providership with the State
University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,
Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
Extremity MRI & Xray Interpretation of the Knee, Identifying fractures in the adult and
pediatric cases. Differentially diagnosing various arthritic changes vs. benign and metastatic
Tumors. Cleveland University Kansas City, ACCME Joint Providership with the State
University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,
Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
Extremity MRI & Xray Interpretation of the Hand, Identifying normal anatomy on both MRI and
x-ray, inclusive of osseous, connective tissue, and neurological structures, identifying fractures
in the adult and pediatric cases. Differentially diagnosing various arthritic etiologies of osseous
derangement. Differentially diagnosing various arthritic changes vs. benign and metastatic
Tumors. Cleveland University Kansas City, ACCME Joint Providership with the State
University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,
Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
Extremity MRI & Xray Interpretation of the Foot, Identifying normal anatomy on both MRI and
x-ray, inclusive of osseous, connective tissue, and neurological structures, identifying fractures
in the adult and pediatric cases. Differentially diagnosing various arthritic etiologies of osseous
derangement. Differentially diagnosing various arthritic changes vs. benign and metastatic
Tumors. Cleveland University Kansas City, ACCME Joint Providership with the State
University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,
Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
Case Management, Spinal MRI and Documentation Documenting Herniated Discs, Age-Dating
Disc Pathology, and Connective Tissue Pathology as Sequella to Trauma, Herniated Discs and
Connective Tissue Pathology, differentially diagnosing herniated discs vs. normal and bulging
discs and protruded, extruded and fragmented discs. Normal vs. Pathological connective tissues
and age-dating herniated discs. Cleveland University Kansas City, ACCME Joint Providership
with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical
Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
Case Management, Spinal MRI and Documentation, Case Management of Traumatic Spinal
Injuries, Understanding flexion-extension cervical injures and diagnosing connective tissue
pathology. Determining impairments and the literature-based standard for permanent injuries.
Cleveland University Kansas City, ACCME Joint Providership with the State University of New
York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic
Post-Doctoral Division, Buffalo, NY, 2021
Case Management, Spinal MRI and Documentation, Managing Herniated and Bulging Discs,
Serious Injury in Non-Herniated Cases from Trauma, Spinal disc morphology, and innervation.
Herniated, bulged, protruded, and sequestered disc characteristics and management. Literature-
based documentation requirements for no-dis spinal injuries. Cleveland University Kansas City,
ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of
Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo,
NY, 2021
Case Management, Spinal MRI and Documentation, Herniated Discs and Permanent Brain
Malfunction & Biomechanical Failure, A case-study of a post-traumatic herniated disc and
related brain malfunction supported by contemporary literature, MRI acquisition, and necessity
protocols. Cleveland University Kansas City, ACCME Joint Providership with the State
University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,
Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
Case Management, Spinal MRI and Documentation, Demonstrative Documentation of Disc
Herniation and MRI Physics, Understanding the documentation requirements to demonstratively
show spinal disc lesions in reporting pathology. Understanding the physics of a nucleus
resonating in T1 and T2 weighted imagery. Cleveland University Kansas City, ACCME Joint
Providership with the State University of New York at Buffalo Jacobs School of Medicine and
Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
Case Management, Spinal MRI and Documentation, Post-Traumatic Herniated Discs, Related
Migraines-Headaches & Strain/Sprain Permanences, Relationship of headaches, and migraines
to cervical spine disc herniation, clinical rationale for ordering MRI’s and the relationship of
ligamentous pathology to spinal trauma. Cleveland University Kansas City, ACCME Joint
Providership with the State University of New York at Buffalo Jacobs School of Medicine and
Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
Case Management, Spinal MRI and Documentation, Documentation of Low-Speed Crashes in
Determining Etiology of Serious Bodily Injuries, Documentation requirements during the
evaluation, and management encounter to understand the etiology of spinal injuries. Having a
complete understanding the forces involved to conclude a differential diagnosis, while
concurrent ruling malingerers, if applicable. Cleveland University Kansas City, ACCME Joint
Providership with the State University of New York at Buffalo Jacobs School of Medicine and
Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
Evidenced Based Care in a Collaborative Setting; Primary Spine Care 5, A literature-based
model for collaborating with hospitals, medical primary care providers and specialists.
Reviewing the documentation requirements to communicate the diagnosis, prognosis and
treatment plans with medical entities and having the evidence as a basis for those
recommendations. Academy of Chiropractic Post-Doctoral Division, Accreditation Council for
Continued Medical Education in conjunction with The State University of New York at Buffalo,
Jacobs School of Medicine and Biomedical Sciences, Cleveland University – Kansas City, Long
Island, NY, 2021
Current Literature Standards of MRI Spine Interpretation; Primary Spine Care 5, MRI Spine
Interpretation of the spine. How to triage a trauma and non-trauma with advanced imaging and
document the necessity. We will also cover the basics of MRI Spine Interpretation inclusive of
all types of herniations, bulges. Academy of Chiropractic Post-Doctoral Division, Accreditation
Council for Continued Medical Education in conjunction with The State University of New York
at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Cleveland University – Kansas
City, Long Island, NY, 2021
Spine Brain Connection in Pain Pathways; Primary Spine Care 5, MRI Spine The spine-brain
connection in managing chronic pain patients. Understanding how chronic pain negatively
effects brain morphology and potential pathology as sequella. The role of chiropractic in
preventing the loss of gray matter and the most recent evidence as outlined in indexed peer
reviewed literature over the last 10 years verifying chiropractic’s role. Academy of Chiropractic
Post-Doctoral Division, Accreditation Council for Continued Medical Education in conjunction
with The State University of New York at Buffalo, Jacobs School of Medicine and Biomedical
Sciences, Cleveland University – Kansas City, Long Island, NY, 2021
Bio-Neuro-Mechanical Mechanism of the Chiropractic Spinal Adjustment; Primary Spine Care
5, The biological, neurological and mechanical mechanisms and pathways from the thrust to the
dorsal horn and brain connection and how the brain processes the chiropractic spinal
adjustment based upon the literature. Care paths of chiropractic and physical therapy from an
outcome basis, Academy of Chiropractic Post-Doctoral Division. Academy of Chiropractic
Post-Doctoral Division, Accreditation Council for Continued Medical Education in conjunction
with The State University of New York at Buffalo, Jacobs School of Medicine and Biomedical
Sciences, Cleveland University – Kansas City, Long Island, NY, 2021
Demonstrative Diagnosis and Documenting Spinal Pathology, Analyzing patient records, x-rays
and MRI’s in determining etiology of traumatically-induced pathological lesions. Clinically
correlating the history, clinical findings, imaging findings and diagnosed bodily injuries to
conclude and accurate diagnosis, prognosis, and treatment plan. Cleveland University – Kansas
City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2021
Demonstrative Diagnosis and Documenting Spinal Disc Injuries, Differentially diagnosing disc
- posterior longitudinal ligaments vs. Thecal Sac vs. spinal cord vs. Ligamentum Flava
pathology and insult. Identifying the borders of lesions and discerning between anatomic
structures pathologically effected demonstrably. Cleveland University – Kansas City, Academy
of Chiropractic, Post-Doctoral Division, Long Island, NY, 2021
MRI Spine Clinical Grand Rounds, Interpretation sequencing of STIR, T1, T2, Axial and
Sagittal acquisitions. Landmarks, physics, and literature-based definitions of disc and osseous
pathology,Visualizing, diagnosing, and documenting cervical and lumbar anatomy vs. pathology.
Academyof Chiropractic Post-Doctoral Division, Accreditation Council for Continued Medical
Education in conjunction with The State University of New York at Buffalo, Jacobs School of Medicine
and Biomedical Sciences, Cleveland University – Kansas City, Long Island, NY, 2021
MRI Spine Clinical Grand Rounds, Visualizing, diagnosing, and documenting lumbar spine
sequencing, disc herniations, neural canals, cauda equina, conus medullaris, nerve sleeves,
canal stenosis grading, and vertebral width vs. height in determining segmental remodeling.
Diagnosing thecal sac abutment, central canal root compression and ligamentum flava
involvement. Academy of Chiropractic Post-Doctoral Division, Accreditation Council for
Continued Medical Education in conjunction with The State University of New York at Buffalo,
Jacobs School of Medicine and Biomedical Sciences, Cleveland University – Kansas City, Long
Island, NY, 2021
MRI Spine Clinical Grand Rounds, Case study visualizing, diagnosing, and documenting
cervical spine sequencing, disc herniations, neural canals, cauda equina, conus medullaris, and
vertebral width vs. height in determining segmental remodeling. Identifying the Pons, Occipital
junction, and spinal cord to identify Chiari 1 malformations. Academy of Chiropractic Post-
Doctoral Division, Accreditation Council for Continued Medical Education in conjunction with
The State University of New York at Buffalo, Jacobs School of Medicine and Biomedical
Sciences, Cleveland University – Kansas City, Long Island, NY, 2021
MRI Spine Clinical Grand Rounds, Visualizing, diagnosing, and documenting lumbar spine
sequencing, disc extrusion type herniations, neural canals, cauda equina, conus medullaris,
spondylolisthesis, degenerative spondylolisthesis, disc degeneration, neural canal and central
root compressions, central canal stenosis. Varices vs. herniations, and multiple level disc
pathology with biomechanical failures. Academy of Chiropractic Post-Doctoral Division,
Accreditation Council for Continued Medical Education in conjunction with The State
University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences,
Cleveland University – Kansas City, Long Island, NY, 2021
MRI Spine Clinical Grand Rounds, Visualizing, diagnosing, and documenting cervical spine
sequencing, disc extrusion type herniations, neural canals, disc degeneration, thecal sac
compression, central canal stenosis, cord displacement, reversal of cervical curve, Chiari 1
malformation. Identifying spinal biomechanical failure in MRI sequencing, with visualizing
ligamentous pathology as cause for failure. Differentially diagnosing recent vs. older trauma
based upon edematous signal in T1, T2, and STIR images. Academy of Chiropractic Post-
Doctoral Division, Accreditation Council for Continued Medical Education in conjunction with
The State University of New York at Buffalo, Jacobs School of Medicine and Biomedical
Sciences, Cleveland University – Kansas City, Long Island, NY, 2021
MRI Spine Clinical Grand Rounds, Visualizing, diagnosing, and documenting cervical spine
sequencing, multiple disc extrusion type herniations, vertebral remodeling, intradural tumor
displacing the spinal cord visualized in T1, T2, and STIR sequences, neural canal stenosis, disc
degeneration, thecal sac compression, central canal stenosis, cord displacement, reversal of
cervical curve, Chiari 1 malformation, and identifying of inferior brain structures. Academy of
Chiropractic Post-Doctoral Division, Accreditation Council for Continued Medical Education in
conjunction with The State University of New York at Buffalo, Jacobs School of Medicine and
Biomedical Sciences, Cleveland University – Kansas City, Long Island, NY, 2021
MRI Spine Clinical Grand Rounds, Visualizing, diagnosing, and documenting 1) improper
sequence acquisitions invalidating interpretation 2) incomplete study invalidating interpretation
3) visualizing, diagnosing, and documenting lumbar spine sequencing, multiple disc extrusion
type herniations, vertebral remodeling, multiple thecal sac compressions, neural canal stenosis,
disc osteophyte/ridging complex, central canal stenosis, spondylolisthesis. Identifying the spleen,
liver, kidneys, inferior vena cava, and psoas musculature on imaging. Academy of Chiropractic
Post-Doctoral Division, Accreditation Council for Continued Medical Education in conjunction
with The State University of New York at Buffalo, Jacobs School of Medicine and Biomedical
Sciences, Cleveland University – Kansas City, Long Island, NY, 2021
MRI Spine Clinical Grand Rounds, Visualizing, diagnosing, and documenting cervical spine
sequencing, cervical spondylosis, pathological spinal biomechanics, reversal of lordotic curve,
and vertebral width vs. height in determining segmental remodeling, central herniation, thecal
sac compression of the cord, identifying tongue, epiglottis, hyoid cartilage, pharynx, thyroid.
Reviewing fat saturation sequences for osseous metastatic tumors and advanced degeneration.
Academy of Chiropractic Post-Doctoral Division, Accreditation Council for Continued Medical
Education in conjunction with The State University of New York at Buffalo, Jacobs School of
Medicine and Biomedical Sciences, Cleveland University – Kansas City, Long Island, NY, 2021
MRI Spine Clinical Grand Rounds, Visualizing, diagnosing, and documenting lumbar spine
sequencing, degenerative disc disease, nerve root sleeve abutment, far lateral herniations vs.
bulges, normal vs. dissected inferior vena cava aneurism, epidural fat as a space occupying
lesion, facet arthropathy and edema, hypertrophy of ligamentum flava, and pseudo disc at the
S1-S2 level. Academy of Chiropractic Post-Doctoral Division, Accreditation Council for
Continued Medical Education in conjunction with The State University of New York at Buffalo,
Jacobs School of Medicine and Biomedical Sciences, Cleveland University – Kansas City, Long
Island, NY, 2021
MRI Spine Clinical Grand Rounds, Visualizing, diagnosing, and documenting cervical spine
sequencing utilizing T1 weighted images for pathology, inclusive of advanced degeneration and
tumor detection. STIR in a fat saturated image for ligamentous pathology inclusive of the
posterior longitudinal, ligamentous flava and interspinal ligaments. Normal clivus and odontoid
for cerebellar tonsil location. Cerebral spinal fluid (CSF) flow and the utilization of the spinal
cord’s central canal for CSF transport. Academy of Chiropractic Post-Doctoral Division,
Accreditation Council for Continued Medical Education in conjunction with The State
University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences,
Cleveland University – Kansas City, Long Island, NY, 2021
Clinical Grand Rounds–Inter-professional Communication with the Personal Injury Attorney,
Review of the outlined of the initial and re-evaluation E/M reporting in an injured patient.
Discussion targeted compliant reporting and interprofessional communication with the attorney.
Specific methods of ensuring compliant reporting were discussed and outlined. Statutory
language, permanency determination and impairment were presented and reviewed in contact of
the final narrative report. Emphasis was placed on the objectification of persistent functional loss
and causal relationship in the personal injury patient. Supporting medical evidence of
intervertebral disc pathology including disc herniation, disc bulge and annular tear was provided.
National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards,
Buffalo,NY, 2021, 2021
Clinical Grand Rounds – Facet Joint Thresholds and Alteration of Motion Segment Integrity,
Discussion of the predominant mode of joint loading of the cervical facet joints during whiplash
injury related to retraction tension on the facet joint capsule. Review of shear forces, translation
of the inferior and superior facet joint as well as injury risk due to excessive stretching of spinal
ligaments was presented. Overview and discussion of mechanical trauma to ligament tissue and
subsequent microstructural damage not visibly detected was outlined. Threshold for
microstructural changes during retraction, reduced ligament stiffness and unrecovered strain was
discussed in detail. Individual response to facet joint capsule response supported in the medical
literature was presented. National Spine Management Group, LLC, Federation of Chiropractic
Licensing Boards, Buffalo,NY, 2021, 2021
Traffic Crash Investigation 1, an in-depth study of the skills needed to systematically investigate a
traffic crash. Students learn techniques for obtaining information from witnesses and individuals
involved in the crash, recognizing and properly recording roadway and vehicle evidence,
measuring and photographing the crash scene, and creating sketches and after-crash diagrams.
The course also introduces students to the use of electronic devices (EDR) to collect and record
at-scene data. Northwestern University Center for Public Safety, Evanston, IL, 2021
Traffic Crash Investigation 2, develop skills in technically preparing crash investigation data and
collecting follow-up data. Building upon topics examined in Crash 1, students delve further into
the information available at a crash scene, how to properly collect it, and how to initiate its
interpretation. Like Crash Investigation 1, the course is rooted in Baker and Fricke’s Traffic Crash
Investigation and emphasizes vehicle behavior in crashes, vehicle damage analysis, advanced
measuring and mapping, properly downloading and preserving digital evidence from collision
investigations, examining road marks and tire damage, and more. Northwestern University Center
for Public Safety, Evanston, IL, 2021
Chiropractic Diagnosis and Management of Lumbar Ligament Laxity, Detailed outline of injury
thresholds of the anterior longitudinal, posterior longitudinal and ligamentum flavum was
presented in the lumbar spine. Review of structural and physiological properties relating to
stress/strain curve of the above ligaments. Outline of the toe region, linear region and failure
region was demonstrated. Transversely isotropic material properties of spinal ligaments was
included and correlated to chiropractic care and impairment rating using the AMA Guides to the
Evaluation and Management 5th and 6th editions. National Spine Management Group, LLC,
Federation of Chiropractic Licensing Boards, Buffalo,NY, 2021
Chiropractic Diagnosis and Management of the Pre-Surgical Patient, Outline and analysis of spinal
biomechanical parameters in a whole spine model of care. Review of the details of measuring
Pelvic Incidence and discussion of history of its analysis. Outline of movement from a regional
model of spine care to a full spine model was presented. Analysis of the components of the pre-
surgical patient including muscle movement patterns, segmental mobility, spinal curvature and
rotation in the coronal, sagittal and axial planes was presented. National Spine Management
Group, LLC, Federation of Chiropractic Licensing Boards Buffalo,NY, 2021
Chiropractic Diagnosis and Management of Vertebral Compression Fracture, Review of the
influence of osteoporosis on development of vertebral compression fracture was reviewed and
detailed in comparison to neoplasm. Utilization of MRI as the gold standard for evaluating the
age of and pathophysiology was discussed and presented. Absorptiometry was outlined and
presented in relation to monitoring bone density. Interprofessional communication of absolute
versus relative contraindications to conservative care and spinal manipulation was outlined and
reviewed. Review of the three columns of vertebral architecture was detailed. National Spine
Management Group, LLC, Federation of Chiropractic Licensing Boards, Buffalo,NY, 2021
Neurosurgical Grand Rounds, A clinical discussion of collaborating with neurosurgeons on spinal
cord and spinal nerve root co-morbidities.Triaging cases with herniated, protruded, extruded,
fragments discs and deferentially diagnosing tethered cord, syringomyelia, traumatic Schmorl’s
Nodes, Myelomalcia, spinal cord edema, vacuum disc and other intra, and extra-dural lesions.
National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards,
Buffalo,NY, 2021
Evaluation and Management, An overview of the evaluation and management process inclusive
of utilizing electronic medical records to conclude evidenced-based conclusions with the
utilization of macros. The importance of adhering to an academic standard and considering co-
morbidities. Cleveland University Kansas City, ACCME Joint Providership with the State
University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,
Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2020
Evaluation and Management, Concluding a chief complaint, history and what needs to be
considered in a physical examination. This covers in dept the required elements for chief
complain, history of present illness, review of systems, and past, family, and/or social history.
This module also covers the following components of a physical examination: observation,
palpation, percussion, and auscultation. Cleveland University Kansas City, ACCME Joint
Providership with the State University of New York at Buffalo Jacobs School of Medicine and
Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2020
Evaluation and Management, Coding and Spinal Examination: Detailing 99202-99205 and
99212-99215 inclusive of required elements for compliant billing. It reviews the elements for an
extensive review of systems, cervical and lumbar anatomy and basic testing. The course also
covers the basics of vertebra-basilar circulation orthopedic assessment. Cleveland University
Kansas City, ACCME Joint Providership with the State University of New York at Buffalo
Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral
Division, Buffalo, NY, 2020
Evaluation and Management, Neurological Evaluation: Reviewing complete motor and sensory
evaluation inclusive of reflex arcs with an explanation of Wexler Scales in both the upper and
lower extremities. The course breaks down testing for upper and lower motor neuron lesions
along with upper and lower extremity motor and sensory testing examinations. Cleveland
University Kansas City, ACCME Joint Providership with the State University of New York at
Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-
Doctoral Division, Buffalo, NY, 2020
Evaluation and Management, Documenting Visit Encounters: Forensically detailing the S.O.A.P.
note process for visit encounters and discussing the necessity for clinically correlating
symptoms, clinical findings and diagnosis with the area(s) treated. It also details how to modify
treatment plans, diagnosis, document collaborative care and introduce test findings between
evaluations. Cleveland University Kansas City, ACCME Joint Providership with the State
University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,
Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2020
Evaluation and Management, Case Management and Treatment Orders: This module discusses
how to document a clinically determined treatment plan inclusive of both manual and adjunctive
therapies. It discusses how to document both short-term and long-term goals as well as referring
out for collaborative care and/or diagnostic testing. It also includes how to prognose your
patient and determine when MMI (Maximum Medical Improvement) has been attained.
Cleveland University Kansas City, ACCME Joint Providership with the State University of New
York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic
Post-Doctoral Division, Buffalo, NY, 2020
Interprofessional Hospital Based Spine Care, Trends in hospital and emergent care in the
healthcare delivery system inclusive of policies, hospital staffing and current care paths for
mechanical spine issues. Cleveland University Kansas City, ACCME Joint Providership with the
State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,
Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2020
Chiropractic as the First Option for Spine, A Literature-Based Standard, Utilizing clinical
findings in conjunction with advanced imaging and electrodiagnostic findings in managing
collaborative relationships with medical specialists. Applying a literature standard to care to
ensure conservative care as the first option. Cleveland University Kansas City, ACCME Joint
Providership with the State University of New York at Buffalo Jacobs School of Medicine and
Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2020
Chiropractic as the First Option for Spine, A Literature-Based Standard, Managing spinal related
cases based upon MRI findings of herniations, bulges, protrusion, extrusions (comminuted and
fragmented) utilizing thin-sliced acquisition protocols. When to consider ordering T1, T2, Short
Tau Inversion Radiant, proton density and Dixon sequencing for spinal related pathology.
Cleveland University Kansas City, ACCME Joint Providership with the State University of New
York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic
Post-Doctoral Division, Buffalo, NY, 2020
Chiropractic as the First Option for Spine, A Literature-Based Standard, Creating literature-
based documentation inclusive of history and a clinical examination that encompasses causality,
diagnosis, prognosis and treatment plans. Ensuring the whole person impairment ratings are
consistent with contemporary literature. Cleveland University Kansas City, ACCME Joint
Providership with the State University of New York at Buffalo Jacobs School of Medicine and
Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2020
Chiropractic as the First Option for Spine, A Literature-Based Standard, Spinal biomechanical
engineering models related to pathobiomechanics and literature-based standards in creating an
accurate diagnosis, prognosis, and treatment plan. Determining impairment ratings based upon
alteration of motion segment integrity utilizing motion-imaging, and creating demonstrable
evidence for continued treatment plans. Cleveland University Kansas City, ACCME Joint
Providership with the State University of New York at Buffalo Jacobs School of Medicine and
Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2020
Trends in Spinal Healthcare, Analyzing spinal healthcare trends in both utilization and necessity
and understanding the marketplace and how a level of clinical excellence is reflected in a
doctors’ documentation and credentials. Treatment pathways in triaging spinal
pathobiomechanics. Cleveland University Kansas City, ACCME Joint Providership with the
State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,
Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2020
MRI Spine Interpretation, An evidence-based understanding of time-related etiology of disc
pathology considering the American Society of Neuroradiology’s designation of protrusion,
extrusion, and sequestration of spinal discs, Considering the signal intensity of discs in age-
dating pathology and acquisition protocols for advanced spinal imaging. Cleveland University
Kansas City, ACCME Joint Providership with the State University of New York at Buffalo
Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral
Division, Buffalo, NY, 2020
Spinal Biomechanics; A Literature Perspective, An evidenced-based model for spinal
biomechanical engineering and pathobiomechanics considering the pathophysiological limits in
translations, angular deviation, and rotational planes. Utilizing the Cartesian system in plotting
vertebral points to demonstratively conclude an accurate diagnosis, prognosis and
biomechanical treatment plan with the consideration of long-term care in the non-specific
mechanical spine pain patient when necessary. Cleveland University Kansas City, ACCME Joint
Providership with the State University of New York at Buffalo Jacobs School of Medicine and
Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2020
Case Management of Mechanical Spine Pathology, Clinical Grand Rounds of herniated,
protruded, extruded, sequestered, and bulging discs. Differentially diagnosing vascular vs.
mechanical spinal lesions and the necessity for urgent vascular, neurological intervention,
Collaborating in a team environment utilizing a neuroradiologist, electrophysiologist, and
neurosurgeon with the chiropractor as the primary spine care provider. Cleveland University
Kansas City, ACCME Joint Providership with the State University of New York at Buffalo
Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral
Division, Buffalo, NY, 2020
Documentation in Medical Collaborative Cases, Concluding an E&M report in cases involving
medical primary care providers of medical specialists that have complicated case histories,
significant risk factors, and inconclusive findings. Triage and management of complicated cases
requiring the clinical evaluation, advanced imaging and electrodiagnostics. Cleveland
University Kansas City, ACCME Joint Providership with the State University of New York at
Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-
Doctoral Division, Buffalo, NY, 2020
MRI Spine Interpretation and Protocols, Contemporary acquisition protocols including slice
thicknesses and sequences inclusive of the ordering process. Interpretation of axial, sagittal and
coronal views in T1, T2 and stir views inclusive of the disc, spinal cord, extra-dural and intra-
dural pathology. Cleveland University Kansas City, ACCME Joint Providership with the State
University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,
Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2020
Ethics and Medical Collaboration, Having referral relationships with emergency rooms,
neurosurgeons, orthopedic surgeons, pain management specialists, neurologists,
neuroradiologist and medical primary care providers based upon clinical dilemmas that
processed after a thorough history, examination and imaging if clinically indicated to conclude
diagnostic dilemmas. Utilizing evidence-based protocols and acquisition of images and
treatment pathways, collaborating with medical specialists and primaries to conclude and
accurate treatment plan. Cleveland University Kansas City, ACCME Joint Providership with the
State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,
Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2020
Documentation in a Medical – Legal and Insurances, Constructing and concluding an E&M
(99202-99205) report that accurately reflects the history, clinical findings and management of
trauma cases that concurrently meets the needs of both the carriers in the courts and ethical
relationship that concurrently matches the standards of both contemporary academia
requirements and a contemporary literature-based standard. Cleveland University Kansas City,
ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of
Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo,
NY, 2020
Orthopedic Testing: Principles, Clinical Application and Triage, Integration of orthopedic testing
in the clinical setting to develop a differential diagnosis. Utilizing radiographic and advanced
imaging inclusive of MRI and CAT scan findings to verify tissue pathology suspected by
orthopedic testing conclusions and developing a treatment plan as sequelae. Cleveland
University Kansas City, ACCME Joint Providership with the State University of New York at
Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-
Doctoral Division, Buffalo, NY, 2020
Orthopedic Testing: Cervical Spine, Integration of cervical orthopedic testing in the clinical
setting to develop a differential diagnosis. Utilizing radiographic and advanced imaging
inclusive of MRI and CAT scan findings to verify tissue pathology suspected by orthopedic
testing conclusions and developing a treatment plan as sequelae. Cleveland University Kansas
City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs
School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division,
Buffalo, NY, 2020
Orthopedic Testing: Cervical Spine, Integration of cervical orthopedic testing in the clinical
setting to develop a differential diagnosis. Utilizing radiographic and advanced imaging
inclusive of MRI and CAT scan findings to verify tissue pathology suspected by orthopedic
testing conclusions and developing a treatment plan as sequelae. Cleveland University Kansas
City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs
School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division,
Buffalo, NY, 2020
Orthopedic Testing: Lumbar Spine, Integration of lumbar orthopedic testing in the clinical
setting to develop a differential diagnosis. Utilizing radiographic and advanced imaging
inclusive of MRI and CAT scan findings to verify tissue pathology suspected by orthopedic
testing conclusions and developing a treatment plan as sequelae. Cleveland University Kansas
City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs
School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division,
Buffalo, NY, 2020
Orthopedic Testing: Clinical Grand Rounds, how to integrate orthopedic testing in the clinical
setting utilizing both simple and complex patient scenarios. It includes potential stroke, or
vertebrobasilar insufficient patients and understanding the nuances in a clinical evaluation with
orthopedic testing as a critical part of the evaluation and screening process. How to integrate
orthopedic testing in the clinical setting utilizing both simple and complex patient scenarios. It
includes potential stroke, or vertebrobasilar insufficient patients and understanding the nuances
in a clinical evaluation with orthopedic testing as a critical part of the evaluation and screening
process. Cleveland University Kansas City, ACCME Joint Providership with the State University
of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of
Chiropractic Post-Doctoral Division, Buffalo, NY, 2020
Connective Tissue Spinal Disc Permanent Pathology, Primary Spine Care, Herniated, bulged,
protruded and extruded discs, etiology and morphology. Age-dating disc pathology inclusive of
Modic changes, piezoelectric effect, Wolff’s Law and radicular clinical presentation. Academy
of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY
2020
Connective Tissue Pathology and Research, Primary Spine Care, Utilization in spinal models
considering the opioid abuse and various spinal models in contemporary health care. Care paths
for mechanical spine pain and the evidence for conservative chiropractic care. Academy of
Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY 2020
Bio-Neuro-Mechanical Lesions and Spine Care, Primary Spine Care, Mechanoreceptor,
proprioceptor, nociceptor innervation and control of the spinal system with central nervous
system action and interaction. The integration of the pain processing network and the HPA Axis
(hypothalamus, adrenal and pituitary) with the chiropractic spinal adjustment. Academy of
Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY 2020
Ethics, Documentation and Research, Primary Spine Care, Maintaining ethical Interprofessional
relationships based upon an evidenced based practice inclusive of triage, diagnostics and
reporting. Creating thorough documentation that reflects your complete findings encompassing
descriptive ICD-10 codes and concludes the presence or absence of pathology. Academy of
Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY 2020
Pathobiomechanics and Documentation, CPT Coding Guidelines for Initial and Established
Patients with particular attention paid to Patient History, Review of Systems, Social and Family
History, Physical Examination, and Medical Decision making. Specific differences in coding
levels and required elements for a 99202-99203-99204-99205. Cleveland University – Kansas
City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs
School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division,
Buffalo, NY, 2020
Using Documentation and Ethical Relationships, Pathways to improve coordination of care, and
interprofessional communication with collaborating physicians. Maintaining ethical
relationships in the medical-legal community through documentation and communication of
demonstrable diagnosis, prognosis and treatment plans. Cleveland University – Kansas City,
ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of
Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo,
NY, 2020
Spinal Biomechanical Engineering Clinical Application, History of clinical biomechanics with
an emphasis on the diagnosis and management of spine pain of mechanical/functional
origin. Evidence-based symptomatic vs. asymptomatic parameters using peer-reviewed medical
index literature. Computerized mensuration analysis of spinal biomechanical pathology.
Comparison of demonstrable spinal biomechanical failure on imaging to clinical evaluation and
physical examination. Cleveland University – Kansas City, ACCME Joint Providership with the
State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,
Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2020
Spinal Biomechanical Engineering Clinical Grand Rounds, Case reviews utilizing E/M, MRI, and
x-ray mensuration report to conclude an accurate diagnosis, prognosis, and treatment plan.
Common diagnosis requiring interprofessional collaboration with a discussion of diagnostic
dilemmas and proper communication methods. Cleveland University – Kansas City, ACCME
Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine
and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2020
Primary Spine Care 2: Spinal Trauma Pathology, Morphology of healthy and traumatized
connective tissue and the permanency implication of adhesions, spinal disc morphology in the
healthy and pathological patient as sequella to trauma in relationship to bulges, herniations,
protrusions, extrusions and sequestrations. Aberrant spinal biomechanics and negative sequella
to trauma. Cleveland University – Kansas City, Academy of Chiropractic, Setauket NY, 2020
Primary Spine Care 2: Utilizing Research in Trauma, The ability of your electronic health
records to convey tissue pathology while documenting case studies, field experiments,
randomized trials and systematic literature reviews, Introducing evidence based macros in
documentation to support the literature and necessity of care. Cleveland University – Kansas
City, Academy of Chiropractic, Setauket NY, 2020
Primary Spine Care 2: Chiropractic Evidence, Analyzing segmental pathology, adjusting vs.
mobilization with cervicogenic headaches, Opioid alternatives and case management of
mechanical spine pain based upon outcome studies. Cleveland University – Kansas City,
Academy of Chiropractic, Setauket NY, 2020
Primary Spine Care 2: Chiropractic Spinal Adjustment Central Nervous System Processing,
Literature reviews of mechanoreceptor, proprioceptor and nociceptor stimulation of later horn
gray matter with periaqueductal stimulation affecting the thalamus and cortical regions with
efferent distribution in disparate regions of the body in both pain and systemic stimulation.
Cleveland University – Kansas City, Academy of Chiropractic, Setauket NY, 2020
Primary Spine Care – Credentials and Knowledge Base,The credentials and knowledge based from
an academia perspective when cooperatively treating in a collaborative environment inclusive of
understanding pathology and mechanical spine issues. Cleveland University – Kansas City,
Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2020
Primary Spine Care – Spinal Biomechanical Engineering and MRI Spine Interpretation,
Integrating Spinal Biomechanical Engineering and MRI Spine Interpretation into a primary spine
care model, inclusive of necessity and acquisition protocols. A comprehensive review the latest
evidence in documenting mechanical issues. Cleveland University – Kansas City, Academy of
Chiropractic Post-Doctoral Division, Long Island, NY, 2020
Primary Spine Care – Hospital Administration, Triage, Clinical Requirements and Collaborative
Relationships with Medical Specialists,Understanding hospital and medical specialist’s care paths
for mechanical spine pathology and integrating the doctor of chiropractic in the hospital and
allopathic treatment protocols. Cleveland University – Kansas City, Long Island, NY, 2020
Primary Spine Care – Contemporary Spine Research and Documentation, Central nervous system
connection and the thalamus, hypothalamus connection in both ascending and descending central
pathways with neuro-endocrine implications that have the mechanisms to be a component of
Schizophrenia, Dementia and Alzheimer’s with a linear relationship to the chiropractic spinal
adjustment and chronic pain. Cleveland University – Kansas City, Academy of Chiropractic Post-
Doctoral Division, Long Island, NY, 2020
Diagnosing and Case Management, The requirements for diagnosing based upon in an initial
evaluation and management encounter ranging from a 99202 – 99205 that includes
comorbidities, non-musculoskeletal, and sequellae to injury diagnosis. Cleveland University
Kansas City, ACCME Joint Providership with the State University of New York at Buffalo
Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral
Division, Buffalo, NY, 2020
Diagnosing and Case Management, The requirements for diagnosing imaging inclusive of static
x-rays, biomechanical x-rays, and MRI. Documenting the clinical findings of disc bulge,
herniation, protrusion, extrusion, and fragmentation. Coding, diagnosing, and documenting
individual treatment encounters in the clinical setting. Cleveland University Kansas City,
ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of
Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo,
NY, 2020
Electrodiagnostics: Electromyogram/Nerve Conduction Velocity (EMG/NCV), Diagnosis &
Interpretation: Anatomy and Physiology of Electrodiagnostics: An in-depth review of basic
neuroanatomy and physiology dermatomes and myotomes to both the upper and lower
extremities and the neurophysiology of axons and dendrites along with the myelin and function
of saltatory for conduction. The sodium and potassium pump’s function in action potentials.
Cleveland University – Kansas City, ACCME Joint Providership with the State University of
New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of
Chiropractic Post-Doctoral Division, Buffalo, NY, 2020
Electrodiagnostics: Electromyogram/Nerve Conduction Velocity (EMG/NCV), Diagnosis &
Interpretation: Nerve Conduction Velocity (NCV) Part 1: Nerve conduction velocity testing, the
equipment required and the specifics of motor and sensory testing. This section covers the motor
and sensory NCV procedures and interpretation including latency, amplitude (CMAP)
physiology and interpretation including the understanding of the various nuances of the wave
forms. Cleveland University – Kansas City, ACCME Joint Providership with the State University
of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of
Chiropractic Post-Doctoral Division, Buffalo, NY, 2020
Electrodiagnostics: Electromyogram/Nerve Conduction Velocity (EMG/NCV), Diagnosis &
Interpretation: Nerve Conduction Velocity (NCV) Part 2: Compound motor action potentials
(CMAP) and sensory nerve action potentials (SNAP) testing and interpretation including the
analysis and diagnosis of the wave forms. It also covers compressive neuropathies of the median,
ulnar and posterior tibial nerves; known as carpal tunnel, cubital tunnel and tarsal tunnel
syndromes. This section offers interpretation algorithms to help understand the neurodiagnostic
conclusions. Cleveland University – Kansas City, ACCME Joint Providership with the State
University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,
Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2020
Electrodiagnostics: Electromyogram/Nerve Conduction Velocity (EMG/NCV), Diagnosis &
Interpretation: Needle Electromyogram (EMG) Studies: The EMG process, inclusive of how the
test is performed and the steps required in planning and electromyographic study. This covers
the spontaneous activity of a motor unit action potential, positive sharp waves and fibrillations.
The insertional activity (both normal and abnormal), recruitment activity in a broad polyphasic
presentation and satellite potentials. This covers the diagnosing of patterns of motor unit
abnormalities including neuropathic demyelinated neuropathies along with acute myopathic
neuropathies. This section also covers the ruling out of false positive and false negative results.
Cleveland University – Kansas City, ACCME Joint Providership with the State University of
New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of
Chiropractic Post-Doctoral Division, Buffalo, NY, 2020
Electrodiagnostics: Electromyogram/Nerve Conduction Velocity (EMG/NCV), Diagnosis &
Interpretation: Overview of EMG and NCV Procedures, Results, Diagnoses and Documentation.
The clinical incorporation of electrodiagnostic studies as part of a care plan where
neuropathology is suspected. It also covers how to use electrodiagnostics in a collaborative
environment between the chiropractor as the primary spine care provider and the surgeon, when
clinically indicated. This section covers sample cases and health conclude and accurate
treatment plans based upon electro-neurodiagnostic findings when clinically indicated.
Cleveland University – Kansas City, ACCME Joint Providership with the State University of
New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of
Chiropractic Post-Doctoral Division, Buffalo, NY, 2020
Stroke Anatomy and Physiology: Stroke Types and Blood Flow, Various types of stroke
identifying ischemia, hypoperfusion, infarct and penumbra zones and emboli. Cardiac etiologies
and clinical features as precursor to stroke with associated paradoxical emboli and thrombotic
etiologies. Historical and co-morbidities that have etiology instroke inclusive of diabetes,
coagulopathy, acquired and hereditary deficiencies. Cleveland University – Kansas City,
ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of
Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo,
NY, 2020
Stroke Principles of Treatment an Overview for the Primary Care Provider, Stroke type and
treatments performed by vascular specialists. The goals of treatment with the physiology of the
infarct and penumbra zones and the role of immediate triage in the primary care setting.
Detailing the complications of stroke and future care in the chiropractic, primary care or
manual medicine clinical setting. Cleveland University – Kansas City, ACCME
Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine
and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2020
Clinical Evaluation and Protocols for Identifying Stroke Risk, The neurological history and
examination for identifying stroke risks with a focus on supra and infratentorial regions, upper
and lower motor lesions, cranial nerve signs, spinal cord pathology, motor and sensory pathology
and gait abnormalities. Examining genetic and family histories along with dissection risk factors.
Stroke orthopedic testing and clinical guidelines pertaining to triage for the primary care
provider.Cleveland University – Kansas City, ACCME Joint Providership with the State
University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,
Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2020
Neurology of Ligament Pathology- Normal Morphology and Tissue Damage, Connective tissue
morphology, embryology and wound repair as sequalae to trauma. Full components of strain-
sprain models and permanency implications with wound repair and osseous aberration with
aberrant structural integrity. Academy of Chiropractic, Post-Doctoral Division, Cleveland
University-Kansas City, College of Chiropractic, Long Island, NY, 2020
Neurology of Ligament Pathology- Spinal Biomechanics and Disc Pathology, Disc pathology as
sequella to trauma; herniation, extrusion, protrusion, sequestration and how the spinal unit as
one system creates homeostasis to balance the pathology. Academy of Chiropractic, Post-
Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY,
2020
Neurology of Ligament Pathology- Neurological Innervation, The peripheral and central
innervation of the disc and spinal ligaments of the dorsal root ganglion, spinal thalamic tracts,
periaqueductal gray areas innervating the Thalamus and multiple regions of the brain. The
efferent neurological distribution to disparate areas of the spine to create homeostatis until
tetanus ensues creating osseous changes under the effect of Wolff’s Law. Academy of
Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of
Chiropractic, Long Island, NY, 2020
Spinal Trauma Pathology, Triage and Connective Tissue Injuries and Wound Repair, Triaging
the injured and differentially diagnosing both the primary and secondary complaints. Connective
tissue injuries and wound repair morphology focusing on the aberrant tissue replacement and
permanency prognosis potential. Cleveland University – Kansas City, ACCME Joint
Providership with the State University of New York at Buffalo Jacobs School of Medicine and
Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, New York,
2020
Spinal Trauma Pathology, Ligament Anatomy and Injury Research and Spinal Kinematics,
Spinal ligamentous anatomy and research focusing on wound repair, future negative sequelae of
abnormal tissue replacement and the resultant aberrant kinematics and spinal biomechanics of
the spine. Cleveland University – Kansas City, ACCME Joint Providership with the State
University of New York at Buffalo Jacobs School of Medicine and Biomedical
Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, New York, 2020
Spinal Trauma Pathology, Spinal Biomechanics, Central Nervous System and Spinal Disc
Nomenclature, The application of spinal biomechanical engineering models in trauma and the
negative sequelae it has on the central nervous system inclusive of the lateral horn,
periaqueductal grey matter, thalamus and cortices involvement. Cleveland University – Kansas
City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs
School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division,
Buffalo, New York, 2020
Spinal Trauma Pathology, Biomechanics of Traumatic Disc Bulge and Age Dating Herniated
Disc Pathology, The biomechanics of traumatic disc bulges as sequelae from trauma and the
comorbidity of ligamentous pathology. Age-dating spinal disc pathology in accordance with
Wolff’s Law. Cleveland University – Kansas City, ACCME Joint Providership with the State
University of New York at Buffalo Jacobs School of Medicine and Biomedical
Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, New York, 2020
Spinal Trauma Pathology, Clinical Grand Rounds, The review of case histories of mechanical
spine pathology and biomechanical failures inclusive of case histories, clinical findings and x-
ray and advanced imaging studies. Assessing comorbidities in the triage and prognosis of the
injured. Cleveland University – Kansas City, ACCME Joint Providership with the State
University of New York at Buffalo Jacobs School of Medicine and Biomedical
Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, New York, 2020
Spinal Trauma Pathology, Research Perspectives, The review of current literature standards in
spinal trauma pathology and documentation review of biomechanical failure, ligamentous
failure and age-dating disc pathology. Cleveland University – Kansas City, ACCME Joint
Providership with the State University of New York at Buffalo Jacobs School of Medicine and
Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, New York,
2020
Impairment Rating, The understanding and utilization of the protocols and parameters of the
AMA Guide to the Evaluation of Permanent Impairment 6th Edition. Spine, neurological
sequelae, migraine, sexual dysfunction, sleep and arousal disorders, station and gait disorders
and consciousness are detailed for impairment rating. Herniated discs, radiculopathy, fracture,
dislocation and functional loss are also detailed in relation to impairment ratings. Cleveland
University – Kansas City, ACCME Joint Providership with the State University of New York at
Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-
Doctoral Division, Buffalo, NY, 2020
Mild Traumatic Brain Injury/Traumatic Brain Injury/Concussion, Differentially diagnosing mild
traumatic brain injury vs. traumatic brain injury and the clinical and imaging protocols required
to conclude an accurate diagnosis for head trauma. Cleveland University – Kansas City,
Academy of Chiropractic Post-Doctorial Division, Long Island, NY, 2020
Accident Reconstruction: Terms, Concepts and Definitions, The forces in physics that prevail in
accidents to cause bodily injury. Quantifying the force coefficients of vehicle mass and force
vectors that can be translated to the occupant and subsequently cause serious injury. Cleveland
University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY,
2020
Accident Reconstruction: Causality, Bodily Injury, Negative Acceleration Forces, Crumple
Zones and Critical Documentation, Factors that cause negative acceleration to zero and the
subsequent forces created for the vehicle that get translated to the occupant. Understanding
critical documentation of hospitals, ambulance reports, doctors and the legal
profession in reconstructing an accident. Cleveland University – Kansas City, Academy of
Chiropractic Post-Doctoral Division, Long Island, NY, 2020
Accident Reconstruction: Skid Marks, Time, Distance, Velocity, Speed Formulas and Road
Surfaces, The mathematical calculations necessary utilizing time, distance, speed, coefficients of
friction and acceleration in reconstructing an accident. The application of the critical
documentation acquired from an accident site. Cleveland University – Kansas City, Academy of
Chiropractic Post-Doctoral Division, Long Island, NY, 2020
Accident Reconstruction: Research, Causality and Bodily Injury, Delta V issues correlated to
injury and mortality, side impact crashes and severity of injuries, event data recorder reports
correlated to injury, frontal impact kinematics, crash injury metrics with many variables and
inquiries related to head restraints.Cleveland University – Kansas City, Academy of
Chiropractic Post-Doctoral Division, Long Island, NY, 2020
Neurodiagnostics, Imaging Protocols and Pathology of the Trauma Patient, An in-depth
understanding of the protocols in triaging and reporting the clinical findings of the trauma
patient. Maintaining ethical relationships with the medical-legal community. Cleveland
University – Kansas City, ACCME Joint Providership with the State University of New York at
Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-
Doctoral Division, Buffalo, NY, 2020
Diagnostics, Risk Factors, Clinical Presentation and Triaging the Trauma Patient, An extensive
understanding of the injured with clinically coordinating the history, physical findings and when
to integrate neurodiagnostics. An understanding on how to utilize emergency room records in
creating an accurate diagnosis and the significance of “risk factors” in spinal injury. Cleveland
University – Kansas City, ACCME Joint Providership with the State University of New York at
Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-
Doctoral Division, Buffalo, NY, 2020
Crash Dynamics and Its Relationship to Causality, An extensive understanding of the physics
involved in the transference of energy from the bullet car to the target car. This includes G’s of
force, newtons, gravity, energy, skid marks, crumple zones, spring factors, event data recorder
and the graphing of the movement of the vehicle before, during and after the crash. Determining
the clinical correlation of forces and bodily injury. Cleveland University – Kansas City, ACCME
Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine
and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2020
MRI, Bone Scan and X-Ray Protocols, Physiology and Indications for the Trauma Patient, MRI
interpretation, physiology, history and clinical indications, bone scan interpretation, physiology
and clinical indications, x-ray clinical indications for the trauma patient. Cleveland University –
Kansas City, ACCME Joint Providership with the State University of New York at Buffalo
Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral
Division, Buffalo, NY, 2020
Neurodiagnostic Testing Protocols, Physiology and Indications for the Trauma Patient,
Electromyography (EMG), Nerve Conduction Velocity (NCV), Somato Sensory Evoked
Potential(SSEP), Visual Evoked Potential (VEP), Brain Stem Auditory Evoked Potential
(BAER) and Visual-Electronystagmosgraphy (V-ENG) interpretation, protocols and clinical
indications for the trauma patient. Cleveland University – Kansas City, ACCME Joint
Providership with the State University of New York at Buffalo Jacobs School of Medicine and
Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2020
Documentation and Reporting for the Trauma Victim, Understanding the necessity for accurate
documentation and diagnosis utilizing the ICD-9 and the CPT to accurately describe the injury
through diagnosis. Understanding and utilizing state regulations on reimbursement issues
pertaining to healthcare. Cleveland University – Kansas City, ACCME Joint Providership with
the State University of New York at Buffalo Jacobs School of Medicine and Biomedical
Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2020
Documenting Clinically Correlated Bodily Injury to Causality, Understanding the necessity for
accurate documentation, diagnosis and clinical correlation to the injury when reporting injuries
in the medical-legal community. Documenting the kinesiopathology, myopathology,
neuropathology, and pathophysiology in both a functional and structural paradigm. Cleveland
University – Kansas City, ACCME Joint Providership with the State University of New York at
Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-
Doctoral Division, Buffalo, NY, 2020
Specialty Research Rotation – Acute vs Chronic Schmorl’s Nodes – The pathogenesis of
Schmorl’s Nodes in relation to acute trauma. Review of the mechanism of action to produce an
acute Schmorl’s Node in the human spine. Diagnostic criteria including MRI evaluation using
T1, T2 and STIR imaging sequences in addition to plain film radiographic interpretation.
Discussion of prominent spinal areas, location and patient susceptibility. National Spine
Management Group. ACCME Joint Sponsorship with the State University of New York at
Buffalo, Jacobs School of Medicine, 2020.
Specialty Research Rotation – Acute vs Chronic Schmorl’s Nodes – Case review of acute
calcific discitis and symptomatic Schmorl’s node in the upper thoracic spine. Analysis of
diagnosis utilizing CT and MRI scanning to observe calcification of the intervertebral disc,
reactive bone marrow edema. Discussion of pain management strategies and conservative
management was presented. National Spine Management Group. ACCME Joint Sponsorship
with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.
Specialty Research Rotation – Acute vs Chronic Schmorl’s Nodes – Detailed review of MRI
examinations of patients with clinical diagnoses of acute, symptomatic thoracolumbar Schmorl’s
nodes or vertebral body endplate fractures. Examination of signs of acute traumatic injury
including bone marrow edema, MRI signal intensity, margin definition, extruded disc material
and patterns of contrast enhancement were discussed. Outline of incidence and etiology of
endplate fracture and associated Schmorl’s nodes was provided. National Spine Management
Group. ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs
School of Medicine, 2020.
Specialty Research Rotation – Acute vs Chronic Schmorl’s Nodes – Clinical correlation
between Schmorl’s node formation and lumbar intervertebral disc degeneration was presented
and reviewed. Details included MRI T2 mapping in chronic lower back pain. Review of most
common location for Schmorl’s nodes was presented and correlated to biomechanical factors
such as mechanical stress zones, compressive loads on spinal ligaments and configuration of
spinal curvature was outlined. National Spine Management Group. ACCME Joint Sponsorship
with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.
Specialty Research Rotation – Acute vs Chronic Schmorl’s Nodes – Analysis of edematous
Schmorl’s nodes on MRI study of the thoracolumbar spine with a particular emphasis on
characteristic changes over time was presented. Probability of evolution in both size and imaging
signals was presented and discussed. Predictive indicators of idiopathic formation of Schmorl’s
node was outlined. MRI evaluation included detailed review of T1 and T2 images and
relationships between spinal pathology was presented. National Spine Management Group.
ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of
Medicine, 2020.
Specialty Research Rotation – Radiculitis vs Radiculopathy – evaluation and identification of
chemical radiculitis through the analysis inflammatory mediators in the presence of normal
imaging studies and persistent symptoms. Determination and discussion of lack of anatomical
abnormalities are not required to cause radiculopathy. Review of biomechanical etiology and its
role in the diagnosis and management of radiculopathy. National Spine Management Group.
ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of
Medicine, 2020.
Specialty Research Rotation – Radiculitis vs Radiculopathy – American College of
Radiology Appropriateness Criteria in the evaluation of cervical neck pain and radiculopathy.
Discussion and review findings from an expert panel on neurological imaging with focus on
evidence-based guidelines for the appropriateness of imagining. Radiography of the cervical
spine, MRI cervical spine without contrast, MRI cervical spine with contrast, CT cervical spine
without contrast, CT cervical spine with contrast, CT myelogram, CTA neck with contrast,
Discography cervical spine, Facet Injection/medical branch block cervical spine, MRA neck with
and without contrast appropriateness criteria were reviewed in relation to acute and chronic neck
pain, radiculopathy and trauma. National Spine Management Group. ACCME Joint Sponsorship
with the State University of New York at Buffalo, Jacobs School of Medicine, 2020.
Specialty Research Rotation – Radiculitis vs Radiculopathy – review of chemical radiculitis
vs radiculopathy and diagnosis with gadolinium enhanced Magnetic Resonance Imaging with
comparison to non-gadolinium enhanced images. Anatomical distribution of symptoms in
relation to single and multiple nerve roots, peripheral nerves was outlined. Onset, sensory
changes, pathogenesis and clinical investigation was detailed. National Spine Management
Group. ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs
School of Medicine, 2020.
Specialty Research Rotation – Radiculitis vs Radiculopathy – the value of 3D MR
lumbosacral radiculography in the diagnosis of symptomatic chemical radiculitis. Discussion of
imaging findings related to nerve root swelling without nerve root compression and in the
presence of annular tear as evidenced on imaging. Symptoms and clinical presentation of
chemical radiculitis was presented in relation to intervertebral disc morphology, foramen or
extraforaminal inflammation and imaging sequences including 3D MR imaging fast low-angle
shot. Clinical correlation to physical examination findings and patient management was
presented. National Spine Management Group. ACCME Joint Sponsorship with the State
University of New York at Buffalo, Jacobs School of Medicine, 2020.
Specialty Research Rotation – Radiculitis vs Radiculopathy – chemical radiculitis theory was
reviewed and outlined. Discussion of annular tear in painful intervertebral disc provided by
discography as a cause of radiating leg pain in patients with discogenic back pain was
presented. Review of electromyogram, motor nerve condition velocity in relation to evaluation
of nerve root injury was outlined. In-depth discussion of leakage of chemical mediators and
inflammatory cytokines and its relationship to adjacent nerve roots was presented as a mechanics
of radiating pain in patients with no disc herniation. National Spine Management Group.
ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of
Medicine, 2020.
Specialty Research in Innervation and Blood Supply of the Intervertebral Disc, Discussion of the
distribution of nociceptive nerve fibers in the cervical intervertebral discs. Correlation of
chronic neck pain patients and the relationship to nociceptive nerve fibers and discogenic neck
pain. The role of nociceptive nerve fibers in the pathogenesis of neck pain of cervical disc origin
was discussed and outlined. ACCME Joint Sponsorship with the State University of New York
at Buffalo, Jacobs School of Medicine, Buffalo, NY 2020
Specialty Research Rotation in Innervation and Blood Supply of the Intervertebral Disc,
Pathological mechanisms of discogenic low back pain including sensory nerve in growth into
inner layers of the intervertebral disc, upregulation of neurotrophic factors and cytokines, and
instability. Outline of the inhibition of these mechanisms and the treatment of discogenic low
back pain. Understanding the innervation and instabilities of diseased intervertebral discs and
the role of inflammatory mediators was compared with healthy intervertebral disc anatomy.
ACCME Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of
Medicine, Buffalo, NY, 2020
Specialty Research Rotation in Innervation and Blood Supply of the Intervertebral Disc,
Investigation of effects of inflammatory cytokines, IL-1b, and TNF-a, on the expression of an
angiogenic factor, vascular endothelial growth factor (VEGF), and neurotrophic factors, nerve
growth factor (NGF) and brain-derived neurotrophic factor (BDNF), in human IVD
degeneration was presented. Outline of neurotrophins’ role in the survival, growth,
differentiation, and function of neurons inside and outside of the intervertebral disc. Further
discussion was outlined relating to the process of IL-1B being generated during IVD
degeneration and may stimulate the upregulation of VEGF, NGF, and BDNF expression,
resulting in angiogenesis and nerve in-growth during intervertebral disc degeneration. ACCME
Joint Sponsorship with the State University of New York at Buffalo, Jacobs School of Medicine,
Buffalo, NY, 2020
Traumatic Brain Injury and Concussion Overview: This section is an in-depth overview of
traumatic brain injury in concussion. It discusses that all brain injuries are traumatic and
dispels the myth of a “mild traumatic brain injury.” Also, this covers triage protocols and the
potential sequela of patients with traumatic brain injuries. Cleveland University – Kansas City,
ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of
Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo,
NY, 2019
Head Trauma and Traumatic Brain Injury Part 1: This section discusses gross traumatic brain
injuries from trauma and significant bleeding with both epidural and subdural hematomas.
There are numerous case studies reviewed inclusive of neurosurgical intervention and
postsurgical outcomes. Cleveland University – Kansas City, ACCME Joint Providership with the
State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,
Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2019
Head Trauma and Traumatic Brain Injury Part 2: This section continues with multiple case
studies of gross traumatic brain injuries from trauma requiring neurosurgical intervention and
also discusses recovery sequela based upon the significance of brain trauma. This module also
concludes with concussion protocols in traumatic brain injury short of demonstrable bleeding on
advanced imaging. Cleveland University – Kansas City, ACCME Joint Providership with the
State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,
Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2019
Concussion And Electroencephalogram Testing: This this section covers concussion etiology and
cognitive sequela where gross bleeding has not been identified on advanced imaging. It
discusses the significance of electroencephalogram testing in determining brain function and
pathology (if present). This module also covers the understanding of waveforms in
electroencephalogram testing in both normal and abnormal scenarios. Cleveland University –
Kansas City, ACCME Joint Providership with the State University of New York at Buffalo
Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral
Division, Buffalo, NY, 2019
Concussion And Electroencephalogram Testing Pathological Results: This module covers
amplitude, conduction and conduction delays as sequela to traumatic brain injury to diagnose
concussion and traumatic brain injury in the absence of gross bleeding and advanced imaging.
This section covers electroencephalograms and event-related potentials which measures the
brain response that is a direct result of specific sensory or motor events. It is a stereotype
electrophysiological response to a stimulus and provides a noninvasive means of evaluating
brain function. In this module multiple case studies are discussed with ensuing triage protocols
pending the results. Cleveland University – Kansas City, ACCME Joint Providership with the
State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,
Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2019
MRI History and Physics, Magnetic fields, T1 and T2 relaxations, nuclear spins, phase
encoding, spin echo, T1 and T2 contrast, magnetic properties of metals and the historical
perspective of the creation of NMR and MRI. Cleveland University – Kansas City, ACCME Joint
Providership with the State University of New York at Buffalo Jacobs School of Medicine and
Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017
MRI Spinal Anatomy and Protocols, Normal anatomy of axial and sagittal views utilizing T1,
T2, 3D gradient and STIR sequences of imaging. Standardized and desired protocols in views
and sequencing of MRI examination to create an accurate diagnosis in MRI. Cleveland
University – Kansas City, ACCME Joint Providership with the State University of New York at
Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-
Doctoral Division, Buffalo, NY, 2017
MRI Disc Pathology and Spinal Stenosis, MRI interpretation of bulged, herniated, protruded,
extruded, sequestered and fragmented disc pathologies in etiology and neurological sequelae in
relationship to the spinal cord and spinal nerve roots. Cleveland University – Kansas City,
ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of
Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo,
NY, 2017
MRI Spinal Pathology, MRI interpretation of bone, intradural, extradural, cord and neural
sleeve lesions. Tuberculosis, drop lesions, metastasis, ependymoma, schwanoma and numerous
other spinal related tumors and lesions. Cleveland University – Kansas City, ACCME Joint
Providership with the State University of New York at Buffalo Jacobs School of Medicine and
Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017
MRI Methodology of Analysis, MRI interpretation sequencing of the cervical, thoracic and
lumbar spine inclusive of T1, T2, STIR and 3D gradient studies to ensure the accurate diagnosis
of the region visualized. Cleveland University – Kansas City, ACCME Joint Providership with
the State University of New York at Buffalo Jacobs School of Medicine and Biomedical
Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017
MRI Clinical Application, The clinical application of the results of space occupying lesions.
Disc and tumor pathologies and the clinical indications of manual and adjustive therapies in the
patient with spinal nerve root and spinal cord insult as sequelae. Cleveland University – Kansas
City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs
School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division,
Buffalo, NY, 2017
MRI Protocols Clinical Necessity, MRI slices, views, T1, T2, STIR axial, stacking, FFE, FSE
and sagittal images. Clinical indication for the utilization of MRI and pathologies of disc in both
trauma and non-trauma sequellae, including bulge, herniation, protrusion, extrusion and
sequestration. Cleveland University – Kansas City, ACCME Joint Providership with the State
University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,
Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017
MRI Interpretation of Lumbar Degeneration/Bulges, MRI slices, views, T1, T2, STIR axial,
stacking, FFE, FSE and sagittal images in the interpretation of lumbar degeneration. With the
co-morbidities and complications of stenosis, pseudo-protrusions, cantilevered vertebrate,
Schmorl/’s nodes and herniations. Central canal and cauda equina compromise interpretation
with management. Cleveland University – Kansas City, ACCME Joint Providership with the
State University of New York at Buffalo Jacobs School of Medicine and Bi
omedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017
MRI Interpretation of Lumbar Herniations, MRI slices, views, T1, T2, STIR axial, stacking, FFE, FSE and sagittal images in the interpretation of lumbar herniations. With the co-morbities
andcomplications of stenosis, pseudo-protrusions, cantilevered vertebrate, Schmorl/’s nodes and
herniations. Morphology of lumbar disc pathologies of central and lateral herniations,
protrusions, extrusions, sequestration, focal and broad based herniations are defined and
illustrated. Central canal and cauda equina compromise interpretation with
management. Cleveland University – Kansas City, ACCME Joint Providership with the State
University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,
Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017
MRI Interpretation of Cervical Degeneration/Bulges, MRI slices, views, T1, T2, STIR axial,
stacking, FFE, FSE and sagittal images in the interpretation of cervical degeneration. With the
co-morbidities and complications of stenosis, pseudo-protrusions, cantilevered vertebrate,
Schmorl/’s nodes and herniations. Spinal cord and canal compromise interpretation with
management. Cleveland University – Kansas City, ACCME Joint Providership with the State
University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,
Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017
MRI Interpretation of Cervical Herniations, MRI slices, views, T1, T2, STIR Axial, FFE, FSE and sagittal images in the interpretation of lumbar herniations. With the co-morbidities and
complications of stenosis, pseudo-protrusions, cantilevered vertebrate, Schmorl/’s nodes and
herniations. morphology of lumbar disc pathologies of central and lateral herniations,
protrusions, extrusions, sequestration, focal and broad based herniations are defined and
illustrated. Spinal cord and canal compromise interpretation with management. Cleveland
University – Kansas City, ACCME Joint Providership with the State University of New York at
Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-
Doctoral Division, Buffalo, NY, 2017
MRI Interpretation of Degenerative Spine and Disc Disease with Overlapping Traumatic Insult
to Both Spine and Disc, MRI slices, views, T1, T2, STIR Axial, FFE, FSE and sagittal images in
the interpretation of degenerative spondylolesthesis, spinal canal stenosis, Modic type 3
changes, central herniations, extrusions, compressions, nerve root compressions, advanced
spurring and thecal sac involvement from an orthopedic, emergency room, chiropractic,
neurological, neurosurgical, physical medicine perspective. Cleveland University – Kansas City,
ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of
Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo,
NY, 2017
Connective Tissue Spinal Disc Permanent Pathology, Primary Spine Care, Herniated, bulged,
protruded and extruded discs, etiology and morphology. Age-dating disc pathology inclusive of
Modic changes, piezoelectric effect, Wolff’s Law and radicular clinical presentation. Academy
of Chiropractic Post-Doctoral Division, Texas Chiropractic College, Long Island, NY, 2017
Connective Tissue Pathology and Research, Primary Spine Care, Utilization in spinal models
considering the opioid abuse and various spinal models in contemporary health care. Care paths
for mechanical spine pain and the evidence for conservative chiropractic care. Academy of
Chiropractic Post-Doctoral Division, Texas Chiropractic College, Long Island, NY, 2017
Bio-Neuro-Mechanical Lesions and Spine Care, Primary Spine Care, Mechanoreceptor,
proprioceptor, nociceptor innervation and control of the spinal system with central nervous
system action and interaction. The integration of the pain processing network and the HPA Axis
(hypothalamus, adrenal and pituitary) with the chiropractic spinal adjustment. . Academy of
Chiropractic Post-Doctoral Division, Texas Chiropractic College, Long Island, NY, 2017
Ethics, Documentation and Research, Primary Spine Care, Maintaining ethical Interprofessional
relationships based upon an evidenced based practice inclusive of triage, diagnostics and
reporting. Creating thorough documentation that reflects your complete findings encompassing
descriptive ICD-10 codes and concludes the presence or absence of pathology. Academy of
Chiropractic Post-Doctoral Division, Texas Chiropractic College, Long Island, NY, 2017
Spinal Biomechanical Engineering: Cartesian System, The Cartesian Coordinate System from
the history to the application in the human body. Explanation of the x, y and z axes in both
translation and rotations (thetas) and how they are applicable to human biomechanics.
Cleveland University Kansas City, ACCME Joint Providership with the State University of New
York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic
Post-Doctoral Division, Buffalo, NY, 2016
Spinal Biomechanical Engineering: Cervical Pathobiomechanics, Spinal biomechanical
engineering of the cervical and upper thoracic spine. This includes the normal and
pathobiomechanical movement of both the anterior and posterior motor units and normal
function and relationship of the intrinsic musculature to those motor units. Nomenclature in
reporting normal and pathobiomechanical findings of the spine. Cleveland University Kansas
City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs
School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division,
Buffalo, NY, 2016
Spinal Biomechanical Engineering: Lumbar Pathobiomechanics, Spinal biomechanical
engineering of the lumbar spine. This includes the normal and pathobiomechanical movement of
both the anterior and posterior motor units and normal function and relationship of the intrinsic
musculature to those motor units. Nomenclature in reporting normal and pathobiomechanical
findings of the spine. Cleveland University Kansas City, ACCME Joint Providership with the
State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,
Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2016
Spinal Biomechanics in Trauma, To utilize whiplash associated disorders in various vectors of
impact and whiplash mechanisms in determining pathobiomechanics. To clinically correlate
annular tears, disc herniations, fractures, ligament pathology and spinal segmental instability as
sequellae to pathobiomechanics from trauma. The utilization of digital motion x-ray in
diagnoising normal versus abnormal facet motion along with case studies to understand the
clinical application. Cleveland University Kansas City, ACCME Joint Providership with the
State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,
Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2016
Spinal Biomechanical Engineering & Organizational Analysis, Integrating spinal biomechanics
and pathobiomechanics through digitized analysis.The comparison of organized versus
disorganized compensation with regional and global compensation. Correlation of the
vestibular, occular and proprioceptive neurological integration in the righting reflex as
evidenced in imaging. Digital and numerical algorithm in analyzing a spine. Cleveland
University Kansas City, ACCME Joint Providership with the State University of New York at
Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-
Doctoral Division, Buffalo, NY, 2016
Spinal Biomechanical Engineering: Cervical Digital Analysis, Digitizing and analyzing the
cervical spine in neutral, flexion and extension views to diagnose pathobiomechanics. This
includes alteration of motion segment integrity (AMOSI) in both angular and translational
movement. Ligament instability/failure/pathology are identified all using numerical values and
models. Review of case studies to analyze pathobiomechanics using a computerized/numerical
algorithm. Cleveland University Kansas City, ACCME Joint Providership with the State
University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences,
Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2016
Spinal Biomechanical Engineering: Lumbar Digital Analysis, Digitalizing and analyzing the
lumbar spine images to diagnose pathobiomechanics. This includes anterior and posterior
vertebral body elements in rotatioal analysis with neutral, left and right lateral bending in
conjunction with gate analysis. Ligament instability/failure/pathology is identified all using
numerical values and models. Review of case studies for analysis of pathobiomechanics using a
computerized/numerical algorithm along with corrective guidelines. Cleveland University
Kansas City, ACCME Joint Providership with the State University of New York at Buffalo
Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral
Division, Buffalo, NY, 2016
Spinal Biomechanical Engineering: Full Spine Digital Analysis, Digitalizing and analyzing the
full spine images to diagnose pathobiomechanics as sequellae to trauma in relation to
ligamentous failure and disc and vertebral pathology as sequellae. This includes anterior and
posterior vertebral body elements in rotational analysis with neutral, left and right lateral
bending in conjunction with gate analysis. Ligament instability/failure/pathology is identified all
using numerical values and models. Review of case studies for analysis of pathobiomechanics
using a computerized/numerical algorithm along with corrective guidelines. Cleveland
University Kansas City, ACCME Joint Providership with the State University of New York at
Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-
Doctoral Division, Buffalo, NY, 2016
Treating Trauma with Chinese Medicine, Traditional Chinese medicine approach to blood
stagnation and pain relief. Connecticut Society of Acupuncture and Oriental Medicine, Hartford,
CT, 2013
MRI Essentials for the Spine Specialist: Cervical and Lumbar MRI, Principles and techniques as
an essential part of MR imaging. North American Spine Society, Chicago, IL, 2013
Documentation and Triage in Trauma, ICD-9 and CPT requirements in coding for the
traumatically injured including integrating electronic health records including informed consent,
evaluation and management, testing orders. The utilization of research in medical reports for
both the trauma and non-trauma patients. Clinical coordination of care and reporting to
healthcare and legal providers.Federation of Chiropractic Licensure Boards, Academy of
Chiropractic, American Academy of Medical-Legal Professionals, Hollywood, FL, 2012
Whiplash Injury Biomechanics & Traumatology, Biomechanical forces of acceleration resulting
in connective tissue injury. Spine Research Institute of San Diego, Baltimore, MD, 2010
Whiplash and Brain Injury Traumatology, Traumatically induced concussion secondary to motor
vehicle collisions. axonal shear and coup contre coup related to vector of forces. Spine Research
Institute of San Diego., Baltimore, MD, 2009
New Era in Whiplash & Spinal Trauma, Diagnosis and management of whiplash-type injuries.
Examination and diagnostic testing algorithms. Spine Research Institute of San Diego.,
Baltimore, MD, 2009
Interpreting Spine MR’s and CT’s, Differential diagnosis and when to an MRI as compared to a
CT scan.. Naugatuck Valley Radiological Associates, Waterbury, CT, 2009
Rehab Made Practical, Core stabilization exercises and low back function. University of
Bridgeport College of Chiropractic, Hartford, CT, 2007
Advanced Clinical Training in Biomechanics and Orthotics, Biomechanics of the gait cycle. The
role orthotics play in pes planus. New York Chiropractic College, New York, NY, 2006
Vertigo, Mechanoreceptor and proprioception mismatching visual and vestibular nput resulting
in vertigo. Carrick Institute for Graduate Studies, Boston, MA, 2003
Comprehensive Physicians Training Course, The Procedure and Diagnostic Interpretation of the
Selected Current Perception Threshold. Neutron, Baltimore, MD, 1999
New Management Strategies for Patients with Low Back & Sciatica, Diagnosis procedures and
management of herniated lumbar discs. Harvard Medical School, Boston, Mass, 1995
SCHOLOARLY PRESENTATIONS
Motor Vehicle Accidents and Chiropractic PowerPoint presented at the St. Mary’s Hospital
Executive committee, (2016, May).
Chiropractic Medicine and Acupuncture PowerPoint presented at the Department of Internal
Medicine, St. Mary’s Hospital, (2016, October).
Alar Ligament Sub -failure from Cervical Trauma PowerPoint presented at the St. Mary’s
Hospital Emergency room physicians, (2014, September).
Alar Ligament Sub -failure from Cervical Trauma PowerPoint presented at the Naugatuck Valley
Radiology, (2014, November).
Whiplash the Epidemic PowerPoint presented at the St. Mary’s Hospital Emergency room
physicians, Waterbury, CT, (2013, April).
Benefits of Chiropractic care Lecture presented at the St. Mary’s Hospital Emergency room
physicians, (2008, May).
New Strategies for Managing Spinal Injuries PowerPoint presented at the Webster Insurance Co,
(2006, May).
SELECTED TEACHING/INSTRUCTING/LECTURING/CONSULTING
01-10-2023
Co-Presenter Grand Rounds – Chiropractic Management – Spinal Ligament Injury – review and
detailed presentation of the frequency of traumatic ligament injuries in the cervical spine was
outlined. Imaging modalities such as dynamic plain film radiographs and MRI were discussed
with emphasis on stability and presence of acute injuries. Threshold for medical specialty
referral was presented within the context of conservative vs surgical management. Outline of
patient presentation, physical examination findings including orthopedic and neurological
findings was presented. Application of AMA Guidelines to the rating of injury severity using
both the 5 th, and 6 th edition of the Guides to the Evaluation of Permanent Impairment was
reviewed. National Spine Management Group, LLC, Federation of Chiropractic Licensing
Boards – PACE, State University of New York at Buffalo Jacobs School of Medicine, and
Biomedical Sciences – 2023
Adjunct Assistant Professor of Clinical Services, Clinical Supervision, University of Bridgeport,
College of Chiropractic, Bridgeport, Connecticut, 1997 – Present
Professor of Orthopedics, Clinical Orthopedics, University of Bridgeport, College of
Chiropractic, Bridgeport, Connecticut, 1992 – 1996
Instructor, Rehabilitation of the Spine, New York Chiropractic College, Hartford, Connecticut,
1989 – 1990
Instructor, Motion palpation of the spine and extremities, Motion Palpation Institute, New York,
New York, 1983 – 1990
SELECTED PUBLICATIONS
Zilahy, P. (2022). CASE REPORT: Long-term chiropractic maintenance patient presents with
back pain from metastatic cancer.
Zilahy, P. (2022). CASE REPORT: Chiropractic management of posterior shoulder capsule tear.