Donald J Bernard, D.C., F.I.A.C.A., F.I.A.M.A. CIRRICULUM VITAE SELECTED OCCUPATION HISTORY. Chiropractor. Arizona Pain.

Transcription

1 Donald J Bernard, D.C., F.I.A.C.A., F.I.A.M.A. CIRRICULUM VITAE SELECTED OCCUPATION HISTORY Chiropractor Arizona Pain Chandler, Arizona President/Chiropractic Physician/Acupuncturist South Mountain Accident and Injury Chandler, Arizona Editorial Board Member Journal of Forensic Biomechanics Foster City, California Peer Review/Physician Advisor Hines and Associates, Inc. Elgin, Illinois EDUCATION AND LICENSURE Bachelor of Science in Human Biology University of Calgary, Calgary, Canada, Doctorate of Chiropractic Logan University of Chiropractic, Chesterfield, Missouri, National Board of Chiropractic Examiners, Part I, 1990 National Board of Chiropractic Examiners, Part II, 1991 National Board of Chiropractic Examiners, Part III, 1992 National Board of Chiropractic Examiners, Part IV, 1993 National Board of Chiropractic Examiners, Physiotherapy, 1993 Board Certified Chiropractic Physician, License #5458, 1995 Arizona Board of Chiropractic Examiners

2 September 18, 1995 Board Certified Physiotherapist, License #3120, 1995 Arizona Board of Chiropractic Examiners September 18, 1995 Board Certified Acupuncturist, License #311, 1997 Arizona Board of Chiropractic Examiners August 15, 1995 Fellowship International Academy of Medical and Clinical Acupuncture April 27, 1997 Certified Decompression Technique Practitioner Kennedy Decompression Technique April 18, 2010 Diplomate American Academy of Medical Legal Professionals April 18, 2013 SELECTED POST-GRADUATE EDUCATION, CERTIFICATIONS AND DIPLOMATES Impairment Rating Certification, The understanding and utilization of 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. Academy of Chiropractic Post Doctoral Division, Lon Island, NY, 2013 Spinal Biomechanical Engineering Principles and Application, Integrating Spinal biomechanics and pathobiomechanics through digitized analysis. The comparison of organized bersus disorganized compensation with regional and global compensation. Advanced analysis and integration of pathobiomechanics as sequella to trauma in clinical practice and documentation. PACE Recognized by the Federation of Chiropractic Licensure Boards, Las Vegas, NV, 2013 Evidenced Based Practice, Integrating indexed peer reviewed research as evidence into clinical practice related to trauma and the creation of a diagnosis, prognosis and treatment plan, PACE Recognized by the Federation of Chiropractic Licensure Boards, Las Vegas, NV, 2013 Integrating Clinical Findings in Admissible Documentation, Combining clinical, radiographic, electrodiagnostic and MRI findings to conclude a diagnosis and reporting accurately through admissible

3 documentation. Diagnosis includes head, spine and disc pathology as sequella to trauma, PACE Recognized by the Federation of Chiropractic Licensure Boards, Las Vegas, NV, 2013 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 medicallegal community. Documenting the kinesiopathology, myopathology, neuropathology, and pathophysiology in both a functional and structural paradigm State University of New York ate Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2012 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 the utilizing state regulations on reimbursement issues pertaining to healthcare. State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2012 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. State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2012 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. State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2012 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. State University of New York at Buffalo, School of medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2012 Diagnostics, Risk Factors, Clinical Presentation and Triaging the Trauma Patient, An extensive understanding of the injured with clinically coordination 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. State university of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2012 Neurodiagnostics, Imaging Protocols and Pathology of the Trauma Patient, An indepth understanding of the protocols inf triaging and reporting the clinical findings of the trauma patient.maintaining ethical relationships with the medical-legal community. State University of New York at Buffalo, School of Medicine and Biomedical Science, Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2012.

4 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 nontrauma sequellae, including bulge, herniation, protrusion, extrusion and sequestration. The State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2012 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, including the co-morbities and complications of stenosis, pseudo-protrusions, cantilevered vertebrate, Schmorl's nodes and herniations. Central canal and cauda equina compromisation interpretation with management. The State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2012 MRI Interpretation of Lumbar Herniations, MRI slices, views, T1, T2, STIR axial, stacking, FFE, FSE and sagittal images in the interpretation of lumbar herniations, including the co-morbities 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. Central canal and cauda equina compromisation interpretation with management. ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2012 MRI Interpretation of Cervical Degeneration/Bulges, MRI slices, views, T1, T2, STIR Axial, Stacking, FFE, FSE and Sagittal images in the interpretation of lumbar degeneration. With the co-morbities and complications of stenosis, pseudo-protrusions, cantilevered vertebrate, Schmorl's nodes and herniations. Spinal cord and canal compromise interpretation with management. ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2012 MRI Interpretation of Cervical Herniations, MRI slices, views, T1, T2, STIR axial, FFE, FSE and sagittal images in the interpretation of lumbar herniations, including the co-morbities 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 compromisation interpretation with management. ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2012 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 orthopedic, emergency room, chiropractic, neurlogical, neurosurgical and physical medicine perspectives. ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2012

5 Pain 101, Define Pain, Discuss the basic neurophysiology of pain, Discuss what modulates pain, Describe the different types of pain, Describe cross talk, Allodynia, hyperpathia and hyperalgesia, Define chronic pain, Discuss assessment instruments. University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2012 Pain 102, Discuss the changing concepts of pain relief for chronic pain patients, Discuss the newer ideas regarding the use of opioids in pain management, Discuss the importance of adjunctive medication in assisting chronic pain cases, Describe the concept of PCA, Review the different narcotics available, Describe the WHO Pain Ladder. University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2012 Pain 103, Discuss why D phenylalanine is important conceptually in regard to pain, Describe what tolerance is as it relates to pain, Describe what addiction is as it related to pain, Discuss relaxation methods as it relates to pain. University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2012 Pain 104, Extrapolate the use of Complementary and Alternative Medicines (CAMS) for Pain Management as it pertains to prevalence of use, safety and cost, Discuss the Epidemiology of Pain Assess pain in patients, Classify pain by extrapolating the physiology and biochemistry of pain, Compare the sensation, attention and behavioral aspects of pain, Recognize the anthroposophic concepts of pain, Summarize concepts of pain in spiritual healing, homeopathy, naturopathy, osteopathy and traditional chinese medicine. University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2012 Pain 105, Outline the nature of and hallmarks of cancer, Summarize the relationship between physical activity and cancer, Summarize the relationship between nutrition and cancer, Summarize the relationship between massage therapy and cancer,summarize the relationship between acupuncture and cancer, Summarize the relationship between manual therapy and cancer. University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2012 Pain 106, Summarize the assessment and diagnosis of pain Understand the common causes of back pain and how to prevent injury, Outline the causes of fibromyalgia, Illustrate the mechanisms of inflammation and pain, Discuss the pain of peripheral neuropathy. University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2012 Guidelines for Manual Techniques 101, Explain the three phases of healing for non-cancerous tissue, and examine the physiology of heat and ice therapies, Outline the differences in tissue type and healing times between strains and sprains, Contrast the differences between NSAIDS and corticosteroids, including their side-effects and lasting effects on the body, Discuss the side effects and precautions pertinent to manual therapists for analgesic and anti-inflammatory medications, Classify the pharmaceuticals that act on the central nervous system to control pain, inflammation, circulation, and the immune response, defining specific precautions pertinent to the profession. University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2011 Guidelines for Manual Techniques 102, Explain in concise terms the two kinds of neoplasms, the causes of cancer, and how tumors are named, Differentiate the clinical differences between benign and malignant tumors, and the different approaches for manual therapy needed for each, Compare and contrast the different methods for cancer staging and grading, Discuss the clinical concerns for manual

6 therapies and outline a systematic approach to determine appropriate treatment plans. University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2011 Guidelines for Manual Techniques 103, Define newer musculoskeletal conditions and diagnostic terminology, including M.T.S.S, T.O.S., C.T.S., P.F.S, etc., Differentiate the clinical differences between various types of arthritic conditions, and the different approaches for manual therapy needed for each, Describe in clear, concise terms the skeletal conditions significant to the practicing manual therapist, Explain the various types of fractures and discuss the appropriate action while casted and immediately after cast removal, Define which musculoskeletal conditions would contraindicate stretching techniques, and clarify the technique intensity appropriate for each, Discuss the clinical concerns for manual therapies for musculoskeletal-based autoimmune conditions and outline a systematic approach to determine appropriate treatment plans, Explain the "wasting diseases" in the musculoskeletal system together with short and long-term clinical expectations for the therapist, Outline the pharmaceutical classes that are commonly used to treat musculoskeletal conditions, including spotlights on significant side effects and all contraindications for manual therapies. University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2011 Guidelines for Manual Techniques 104, Differentiate the clinical differences between various types of blood coagulation disorders, and the different approaches for manual therapy needed for each, Describe in clear, concise terms the differences in various heart diseases, including endocarditis, pericarditis, CHF, LVH, etc., and the significance to the practicing manual therapist, Explain the various types of blood pressure medications and detail which require limiting or avoiding the prone position to avoid complications, Define which cardiovascular medications would increase the likelihood of client dizziness or blackout due to postural hypotension, and clarify the technique alterations necessary, Outline 15 pharmaceutical classes that are used to treat cardiovascular conditions, including spotlights on significant side effects and all contraindications for manual therapies. University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2011 Guidelines for Manual Techniques 105, Differentiate the clinical differences between edema, lymphedema, lymphadenitis and lymphangitis, and the different approaches for manual therapy needed for each, Compare Fibromyalgia Syndrome with Chronic Fatigue Syndrome, and discuss the specific manual therapy needs and precautions for these conditions, Explain the various types of medication used for HIV/AIDS, and detail which require precautions or are contraindicated for manual therapies, Explain Standard/Universal Precautions and discuss the appropriate actions for the manual therapist, Describe in clear, concise terms the medical terminology and differences in various skin infections, including bacterial, viral, fungal and parasitic infections, and the significance to the practicing manual therapist Explain the different types of skin traumas, from abrasions to the different stages of burns, together with short and long-term clinical expectations for the manual therapist, Differentiate the various types of benign and malignant skin lesions, including the ABCDs for malignant melanoma, Detail the differences in anti-infection medications, including the many types of antibiotics, and clarify the side effects of each that are significant to the manual therapist. University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2011 Guidelines for Manual Techniques 106, Describe in clear, concise terms the medical terminology and differences in the various types of headaches, and the significance to the practicing manual therapist, Differentiate the clinical differences in eight classifications of depression, including SAD, PMDD, Bipolar,

7 Atypical, etc.), and the different approaches for manual therapy needed for each, Compare two cranial nerve conditions significant to the practicing therapist (Trigeminal Neuralgia and Bell's Palsy), and discuss the specific manual therapy needs and precautions for these conditions, Differentiate the clinical differences between spinal cord injuries and CNS conditions including TBI, AD and MID, and the different approaches for manual therapy needed for each Discuss the clinical concerns for manual therapies peripheral neuropathy and reflex sympathetic dystrophy syndrome (CRPS), and outline a systematic approach to determine appropriate treatment plans, Explain the various types of medication used for depression, (including TCAs, MAO inhibitors, SSRI's, etc), and detail which require precautions for heat therapies and/or stretching techniques, Detail the differences in anti-parkinson's medications, and clarify the side effects of each that are significant to the manual therapist, Outline the pharmaceutical classes that are commonly used to treat glaucoma, with special emphasis on significant side effects and contraindications for manual therapies. University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2011 Guidelines for Manual Techniques 107, Outline and explain conditions in the respiratory, endocrine, reproductive and urinary systems, specifically the specific contraindications to manual therapy, Differentiate the clinical differences between the common cold, the flu, and acute bronchitis, and detail the different approaches for manual therapy needed for each, Compare asthma, allergies, pneumonia and tuberculosis, and discuss the specific manual therapy needs and precautions for these conditions, Explain pulmonary embolisms, with specific focus on the threat from manual therapies, as well as appropriate contraindications and proactive actions for the manual therapist, Detail the differences in respiratory medications, including which are likely to produce headaches, dizziness and/or postural hypotension, including specific action steps for the manual therapist. Describe in clear, concise terms the medical terminology and differences in various reproductive system conditions, including PID, PCOS, fibroids, and BPH, including the exactly what concerns the practicing manual therapist must be alert to, Explain how diabetes and the medications used to treat the disease make this one of the most complex conditions for the manual therapist, Outline the various types of medication used to treat the endocrine and reproductive systems and detail the specific manual therapy precautions necessary in each Differentiate the clinical differences between GERD, PUD, and IBD as well as the medications used to treat them, focusing on the different precautions and contraindications for manual therapy needed for each, Discuss the urinary system conditions from kidney stones to ESRD, as well as the pharmaceutical interventions for these conditions, with specific attention given to the boundaries and precautions the manual therapist needs to be versed in. University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2011 Orthopedics 101, Understand the effects of Knee Proprioception after ACL Reconstruction Discuss effects of Manual Therapy in Whiplash, Construct the orientation of the Cervical Facet Joints, Identify aspects of the Lateral Collateral Ligament of the Knee, Discuss Upper Extremity Snowboarding Injuries. University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2006 Orthopedics 102, Identify differences between strength and balance training, Discuss the dynamic aspects of posture Learn aspects of Postural control in chronic LBP patients, Understand relationship of posture and sports injuries, Review some concepts of posture, mobility and pain in children. University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2006

8 Orthopedics 103, Review normal cervical biomechanics and apply to examination, Discuss some effects of manipulation on EMG/ROM, Recognize lumbar movements during mobilization, Discuss how whiplash invisibility is not evidence of absence of injury, Understand muscle adaptation through stretching. University of Bridgeport College of Chiropractic, Connecticut, 2006 Orthopedics 104, Distinguish Chiropractic influences on muscular strength, Develop the use of handheld dynamometry in chiropractic practice Identify basic strength training principles for chiropractors, Construct basics of strength training guidelines for all ages, Understand reducing functional limitations with strength training. University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2006 Orthopedics 105, The associations between musculoskeletal symptoms and headaches, Describe tension-type and cervicogenic headaches and provide information on their epidemiology and mechanisms, Discuss the physical and chiropractic exam procedures as well as self-rating questionnaires used to assess cervicogenic headache and tension-type headache, Learn about the effects of manual care on neck pain, Learn about the relation of the nuchal ligament (ligamentum nuchae) and the spinal dura mater in the craniocervical region. University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2006 Orthopedics 107, Describe neck anticipatory control with pain, Describe lateralized fatigue with unilateral neck pain, Assess head and trunk motion during neck manipulation, Identify neuromuscular dysfunction in neck pain patients, Outline exercises for the rehabilitation of neck neuromuscular dysfunction. University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2006 Orthopedics 108, Discuss the biomechanical, physiological and psychological evidence for and identify and describe recent recommendations and findings for the use of back belts. Discuss the principle of affordances and how they relate to environmental constraints. University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2006 Orthopedics 109, Summarize the affects of low back health status on low back disorder risk Discuss the relation between lumbar curvature and LBP risk factors during postural loading Assess the relation between asymmetric lifting and spine loading, Describe the differences in spine kinematics between LBP patients and normal controls, Analyze the functional deficits that occur following low back disorders. University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2006 Orthopedics 110, Summarize the affects of low back health status on low back disorder risk, Discuss the relation between lumbar curvature and LBP risk factors during postural loading, Assess the relation between asymmetric lifting and spine loading, Describe the differences in spine kinematics between LBP patients and normal controls, Analyze the functional deficits that occur following low back disorders. University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2006 Orthopedics 111, Learn current perspectives on which structures are strongly but variably linked to back pain, Review the state-of-the art in low back disorders research applied to ergonomics, Describe workplace design guidelines for asymptomatic and low back pain workers, Determine the influence of exercise on lumbar spine disorders. University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2006 Orthopedics 112, Identify common underlying causes of non-organic pain, Recognize the eight Waddell signs of non-organic back pain, Develop a level of knowledge, comprehension, and understanding of the

9 medicolegal system as it relates to Waddell signs, Encourage development and nurturing of skill sets in utilizing Waddell signs. University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2006 Orthopedics 113, Determine the epidemiology of low back pain in children and adolescents, Assess the risk factors associated with back pain in school children, Outline the effect of an intervention to improve sitting habits in schoolchildren, Assess the effects of reading a book or using a computer on neck and upper back muscle activity in children, Review the diagnostic criteria of tension-type headaches in children. University of Bridgeport Colleg of Chiropractic, Bridgeport, Connecticut, 2006 Orthopedics 114, Describe the basic principles of postural control, Clinically assess postural control, Outline a protocol of postural rehabilitation. University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2006 Documentation 101, Develop the skills for medical documentation record keeping for proper patient care and adherence to insurance protocols, Summarize informed consent, Evidenced-based care, Medicare guidelines and NCQA guidelines, Identify common treatment procedures and modalities used in a chiropractic practice and recognize contraindications to them, Recognize the importance of patient communication skills in order to assist in the diagnosis and treatment of patients, Modify procedures and forms to prevent the possibility of a legal malpractice action against the doctor. University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2006 Documentation 102, Recognize the importance, and benefits of thorough chart documentation from the standpoint of the patient, the clinician, the profession and third party payors, Identify what minimum documentation requirements are required in today's health care environment, Illustrate and integrate a basic record keeping format into daily practice, Distinguish between maintenance and supportive care, Review and appropriate application of the chiropractic spinal manipulation codes (CMT). University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2006 Documentation 103, Outcome assessment and its application in patient-centered care, How outcome assessment documentation benefits the patient, the clinician, the profession, and third party payors, Examine skills necessary to incorporate an outcomes-based approach to patient-centered health care, Explaining outcome assessment with patients Integrating the use of treatment goals with patients. University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2006 Documentation 104, Assess sample clinical treatment notes, Differentiate between acceptable and unacceptable daily treatment notes, Application of outcome assessment through clinical examples, Illustrate the components of X-ray reports. University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2006 Documentation 105, Develop the skills for medical documentation record-keeping for proper patient care and adherence to insurance value based parameters, Recognize the importance, and benefits of thorough chart documentation from the standpoint of the patient, the provider, the profession and third-party payors, Show how outcome assessment documentation benefits the patient, the provider, the profession, and third-party payors. Demonstrate physical examination procedures that are the basis for diagnosis formulation and value based data, Examine skills necessary to incorporate an outcomesbased, evidenced-influenced approach to patient-centered health care in bodily injuries. University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2006

10 Documentation 106, Develop the skills for medical documentation record-keeping for proper patient care, Recognize the importance and benefits of documentation methodology from the standpoint of risk management, Identify selected documentation problems and errors, Summarize recommendations for improving patient care documentation. University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2006 Documentation 107, Relate various components of the record of a clinical encounter, Explain why each part of the record is distinct and necessary, Give examples of electronic tools that are available to aid in record maintenance, Describe certain medico-legal considerations, Demonstrate boilerplate forms that may be useful in data collection. University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2006 Neurological Examination 101, Demonstrate skills to properly perform a patient interview, Properly record a chief complaint, Perform a neurological examination of the head and neck, Perform a mental status examination.. University of Bridgeport Chiropractic College, Bridgeport, Connecticut, 2004 Neurological Examination 102, Cite anatomy and function of the cranial nerves, Examine the twelve cranial nerves during a clinical examination, Discuss disorders of cranial nerves. University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2004 Neurological Examination 103, Perform and chart a neurological examination of the voluntary motor system and the somatic sensory system, Apply results of the examination findings in the differential diagnosis of patients, Describe the three neuron pathway involved with sensorineural innervation, Discuss multimodal sensations. University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2004 Neurological Examination 104, Perform an appropriate examination of the reflexes, including deep tendon, superficial, visceral and pathological reflexes, Describe the anatomy associated with reflexes, Properly grade and record reflexes, Interpret the Results of Reflex Testing. University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2004 Neurological Examination 105, Discuss cerebellar anatomy, Differentially Diagnose by applying clincial signs of cerebellar dysfunction, Recognize cerebellar syndromes by their anatomical areas, Apply specific principles of examination of the systems involved to improve the Chiropractic Spinal Examination, Describe specific procedures of the spinal examination. University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2004 Neurological Examination 106, Perform a clinical assessment of pain and function, Explain the psychophysiological profile of pain patients, Discuss the treatment of pain. University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2004 Neurological Examination 107, Maintain proper records of neurological examination in the SOAP format, Write narrative reports reflecting the neurological examination, Apply an outline of fundamental procedures in peforming a complete chiropractic neurological examination. University of Bridgeport College of Chiropractic, Bridgeport, Connecticut, 2004 Whiplash and Spinal Trauma, Pain Gate Therory, Thalamic Summation, Integration and Cortical Firing, Mechanism of Whiplash Injury, Direct vs Indirect Injury, Concepts For Understanding Mechanism of

11 Motor Vehicle Collisions, Whiplash Injuries and the Potential for Mechanical Instability, Motion Analysis of Cervical Vertebrae During Whiplash Loading, Rear-End Mechanism Hyperflexion and Hyperextension Phases, Acute Injuries to Cervical Joints, Rebound Hyperflexion, Awareness Factors in a Whiplash Injury, Central Canal Stenosis in Whiplash Injuries, Whiplash and The Effectss on the Vertebral Artery, Whiplash Injury at Low Speed Collisions, Vehicle Damage vs Passenger Injury, Whiplash Psychology, Spine pain, Disc Innervation, Disc Pain, Disc Mechanreception, Neural Elements in Human Cervical Intervertebral Discs, Facet Innervation, Pain and Mechanoreception, Five Neurology Principles, Receptive Field Enlargement, HyperInnervation, Sprouting and Neoneutralization, Nociceptive Stability and Plasticity, Altered Threshold, Supersensitivity, Prespondylosis and Pain Syndromes Following Denervation Supersensitivity, Morphology of the Spine; Synaptogenesis, Neuroplasticity and Synaptic Aborization, Central Modulation of Pain Processing and Long-Term Alteration of Interneuronal Excitability as a Result of Nociceptive Peripheral Input, Pain Inhibition and Transneural Degeneration, Suprasegmental Descending Inhibition of Nociception, Transdural Degeneration with Suprasegmental Presynaptic Inhibition, Referred Pain, Three Phases of Healing, The Fibrosis of Repair, Biochemical and Clinical Aspects of Wound Healing, The Concept of Motion, Manipulation and Mechanoneurophysiology, Low Velocity Whiplash Biomechanics. Life Chiropractic College West, California, California, 1999 MEMBERSHIPS American Chiropractic Association Present International Chiropractic Association Present Arizona Association of Chiropractic Present Arizona Chiropractic Society Present American Academy of Pain Management Present American Board of Independent Medical Examiners Present Spine Research Institute of San Diego Present American Academy of Medical Legal Professionals Present