About Cascade Health Center

Auto Injury, work accidents, aches, pains, or stress?

At Cascade Health Center, we offer chiropractic care, massage therapy, and acupuncture treatments to make you feel better and recover from injury.

Care you can trust

Cascade Health Center is a multidisciplinary clinic owned by Dr. Garreth MacDonald, D.C., C.C.S.T., “Eugene’s Auto Injury Expert™.”  Learn more about Dr. MacDonald and his experience in the chiropractic field below!

To learn more about the other modalities at Cascade Health Center—including physical therapy (rehabilitation), massage therapy, and acupuncture—and the providers who practice them, visit the Services page. Thank you for your interest in Cascade Health Center!

Cascade Health Center Offices
Dr. Garreth MacDonald

About Dr. Garreth MacDonald

Dr. MacDonald began practicing in Eugene, Oregon, for over 20 years. He came to the study of chiropractic by way of his undergraduate degree in kinesiology, receiving his Bachelor of Science from the University of Waterloo in Ontario, Canada, in 1992. He then began working in a chiropractic office designing and implementing patient rehabilitation programs. After nine months he was hired onto a larger firm working as a kinesiologist alongside a physiotherapist, occupational therapist, physician, and clinical caseworker. While there, he started his own company for hydrotherapy, providing a less strenuous alternative to land-based exercises by conducting them in water. Wanting to be able to offer more resources to patients, Dr. MacDonald decided to go into the chiropractic profession. He graduated from Logan College of Chiropractic in St. Louis, Missouri, in 1999. Dr. MacDonald moved to Eugene shortly thereafter and opened a practice within the next year.

In his spare time, Dr. MacDonald volunteers for the Eugene Generals Junior A Hockey Club as the Head Athletic Trainer and one of the team’s medical staff. He enjoys playing hockey himself and golf when he can. He and his wife have five children and they reside in Eugene.

SELECTED OCCUPATIONAL HISTORY

Clinic Director, Cascade Health Center, Eugene, OR, 2000 – Present Staff Chiropractor, Serenity Lane, Coburg, OR, 2017 – Present

EDUCATION AND LICENSURE

Doctor of Chiropractic, Licensed in the State of Oregon, License # 3211, 2000-

Doctorate of Chiropractic, Logan College of Chiropractic, Chesterfield, Missouri, 1999 National Board of Chiropractic Examiners, Part I, 1998

National Board of Chiropractic Examiners, Part II, 1998 National Board of Chiropractic Examiners, Part III, 1998 National Board of Chiropractic Examiners, Part IV, 1999 National Board of Chiropractic Examiners, Physiotherapy, 1999

BSc. in Kinesiology, University of Waterloo, Waterloo, Ontario, Canada, 1992

SELECTED POST-GRADUATE EDUCATION

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, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2022

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, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2022

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, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2022

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, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2022

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, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2022

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, Cleveland University Kansas City, Long Island, NY, 2022

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, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2022

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, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2022

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, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2022

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, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2022

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, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2022

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. Accreditation Council for Continued Medical Education in conjunction with The State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University, Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022

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. Accreditation Council for Continued Medical Education in conjunction with The State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University, Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022

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. Accreditation Council for Continued Medical Education in conjunction with The State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University, Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022

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 Accreditation Council for Continued Medical Education in conjunction with The State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University, Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022

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. Accreditation Council for Continued Medical Education in conjunction with The State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University, Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022

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. Accreditation Council for Continued Medical Education in conjunction with The State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University, Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022

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 Accreditation Council for Continued Medical Education in conjunction with The State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University, Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022

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 Accreditation Council for Continued Medical Education in conjunction with The State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University, Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022

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 Accreditation Council for Continued Medical Education in conjunction with The State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University, Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022

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 Accreditation Council for Continued Medical Education in conjunction with The State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University, Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022

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), 2022

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 Cleveland University, Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022

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 Cleveland University, Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022

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 and bulges.

Cleveland University, Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022

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 Cleveland University, Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022

Whiplash, Spinal Trauma and the Personal Injury Case, This seminar covered the following topics; Mechanism of injury; Elderly with treatment and prognosis considerations; Disc injuries; Women vs. Men and

differences in injury patterns and care; Arterial dissections and MVC; and medical research on residuals and prognosis from Whiplash and Spinal Trauma Adler Giersch PS, Seattle, WA, 2022

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, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022

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, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022

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, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022

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, Academy of Chiropractic Post- Doctoral Division, Long Island, NY, 2022

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, Long Island, NY, 2022

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, 2022

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, 2022

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, 2022

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, 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, 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 PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University, Kansas City, 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 PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University, Kansas City, 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 PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University, Kansas City, 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. PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University, Kansas City, 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. PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University, Kansas City, 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. PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University, Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, 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 PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University, Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, 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. PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University, Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022

Traumatic Brain Injury and Concussion Overview, 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, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2021

Head Trauma and Traumatic Brain Injury Part 1, 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, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2021

Head Trauma and Traumatic Brain Injury Part 2, 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, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2021

Concussion And Electroencephalogram Testing, 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, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2021

Concussion And Electroencephalogram Testing Pathological Results, 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, Academy of Chiropractic, Post-Doctoral Division, Long Island, 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, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2021

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, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2021

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, Academy of Chiropractic, Post- Doctoral Division, Long Island, NY, 2021

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,, Academy of Chiropractic, Post- Doctoral Division, Long Island, NY, 2021

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, Academy of Chiropractic, Post- Doctoral Division, Long ISland, NY, 2021

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, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2021

Whiplash, Spinal Trauma and the Personal Injury Case, This seminar covered the following topics; Rear-End and Broadside MVCs, Uncinate process, Medical-Legal standards of care, Lumbar spine pain in MVCs, Arterial dissections, COVID-19, Post MVC trauma inflammation, Cervical spine trauma related to MVCs and Concussion/mTBI, Nutrition needs following mTBI and Sleep dysfunction following Whiplash and Spinal Trauma. Adler Giersch PS, Seattle, WA, 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, Academy of Chiropractic, Post-Doctoral Division, Long Island, 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, Academy of Chiropractic, Post-Doctoral Division, Long Island, 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, Academy of Chiropractic, Post-Doctoral Division, Long Island, 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, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2021

Case Management, Spinal MRI and Documentation, Demonstrative Documentation of Disc Herniationand 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, Academy of Chiropractic, Post-Doctoral Division, Long Island, 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, Academy of Chiropractic, Post-Doctoral Division, Long Island, 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, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2021

Electrodiagnostics: Electromyogram/Nerve Conduction Velocity (EMG/NCV), Diagnosis & Interpretation: Anatomy and Physiology of Electrodiagnostics, An in-depth review of basic neuro-anatomy 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, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2021

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, Academy of Chiropractic, Post- Doctoral Division, Long Island, NY, 2021

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, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2021

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, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2021

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, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2021

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, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2021

Nutrition and Chiropractic, Recent advancements in the science of Chiropractic and associated nutrition

Nutriwest, Seattle, WA, 2021

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. PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, Long Island, NY, 2021

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. PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, ny, 2021

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. PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2021

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. PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2021

Hospital Based Spine Care Qualified, Credentialed in hospital protocols, emergency room protocols, acute and chronic patient triage inclusive of MRI spine interpretation, spinal biomechanical engineering, head trauma, concussion, mild traumatic and traumatic brain injuries. Co-credentialed through the ACCME (Accreditation Council for Continuing Medical Education), Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2021

Whiplash/MVA: Research, Diagnosis and Care Options Presented by Experts in the Field. , Michael D Freeman, MedDr, PhD, DC, MScFMS, MPH, MFFLM, DLM, FACE; Glen Zielinski, DC, DACNB, FACFN,

CBIS; Tyrone Wei, DC, DACBR; Darrell C Brett, MD; Dr Aaron DeShaw, Esq; John K Maltby, DC, FICA

Oregon Chiropractic Association, 2021

Proper Documentation, Gregg Friedman, D.C. Oregon Chiropractic Association , 2021

MVA Documentation Supporting the Patient Diagnosis of Concussion, . Gatti Law Firm, Oregon Chiropractic Association, 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 differentially diagnosing tethered cord, syringomyelia, traumatic Schmorl’s Nodes, Myelomalcia, spinal cord edema, vacuum disc and other intra, and extra-dural lesions. Diplomate, Academy of Chiropractic Post- Doctoral Division, Cleveland University- Kansas City, Long Island, NY, 2021

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, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2021

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, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2021

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, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2021

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, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2021

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, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2021

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, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2021

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, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2021

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, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2021

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, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2021

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, Academy of Chiropractic Post-Doctoral Division, 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, Academy of Chiropractic Post-Doctoral Division, Long Island, 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, Academy of Chiropractic Post-Doctoral Division, Long Island, 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, Academy of Chiropractic Post-Doctoral Division, Long Island, 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, Academy of Chiropractic Post-Doctoral Division, Long Island, 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, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2020

Return-to-Play: Oregon Concussion Education, Enduring material Return-to-Play: Oregon Concussion Education in compliance with the training requirements of ORS 336.485 and 417.875. Oregon Health & Science University, School of Medicine, OR, 2020

Acute Concussion Management, Defining traumatic brain injuries, clinical assessment, application of field testing and neurological testing, approaches to improving cognition, balance and vision issues, and RTP/RTS guidelines Oregon Chiropractic Association, Lincoln City, OR, 2019

Whiplash, Spinal Trauma, and the Personal Injury Case, How Insurers deny claims, medical doctors and chiropractors working together, documentation of injuries, proper use of medical-legal representation, IME reviews, concussions, post traumatic etiology and spine trauma. Adler Giersch, SeaTac, WA, 2019

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. Diplomate, Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY, 2019

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, 2019

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, 2019

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, 2019

Clinical Grand Rounds – Clinical Diagnosis and Interprofessional Management of Thoracic and Lumbar Post- Traumatic Compression Fractures , A detailed review of physical examination and assessment of traumatic thoracic and lumbar spine fractures using plain film radiograph and CT scans with and without contrast.

Detailed review of mechanism of injury, emergency department records and radiology reports were

presented. Errors in fracture site, description and omission on plain film study by the radiologist were reviews. Analysis of potential spinal instability in the cervical spine was discussed and a detailed referral for computerized mensuration analysis was demonstrated. Cleveland University – Kanas City, Academy of Chiropractic, Post-Doctoral Division, Buffalo, NY, 2019

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, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2019

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, Academy of Chiropractic Post-Doctoral Division, Long Island, OR, 2019

Stroke Anatomy and Physiology: Brain Vascular Anatomy, The anatomy and physiology of the brain and how blood perfusion effects brain function. A detailed analysis of the blood supply to the brain and the physiology of ischemia. 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, Cleveland University – Kansas City, Buffalo, NY, 2018

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. 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, Cleveland University – Kansas City, Buffalo, NY, 2018

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. 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, Cleveland University – Kansas City, Buffalo, NY, 2018

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. 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, Cleveland University – Kansas City, Buffalo, NY, 2018

Heads Up To Clinicians – Addressing Concussions in Sports Among Kids and Teens, Recognition of concussion, signs and symptoms, assessment, management and return to play protocols. CDC, American College of Sports Medicine, Oregon, 2018

Whiplash, Spinal Trauma, and the Personal Injury Case for today’s Health Care Professional, Examination of current literature regarding trauma, pain, and inflammation. Dealing with MMI and pre-existing conditions.

Mild traumatic brain injuries (mTBI) was discussed with proper diagnosis, and best practices for

documentation and treatment. Adler Geirsch Law Firm, Washington State Chiropractic , Bellevue, WA, 2018

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. Texas Chiropractic College, 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

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. Texas Chiropractic College, 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

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. Texas Chiropractic College, 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

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. Texas Chiropractic College, 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

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. Texas Chiropractic College, 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

Spinal Biomechanical Engineering: Cervical 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. Texas Chiropractic College, 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

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 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.

Texas Chiropractic College, 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

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 Texas Chiropractic College, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2017

Concussion in Sport, Introduction to coaches about the recognition of concussion, including signs & symptoms. When to take a player out of a game or practice and when to safely RTP. Certification in Concussion in Sports, CDC, National Federation of State High School Associations, Eugene, OR, 2017

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. Diplomate, 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, Texas Chiropractic College, 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. 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, Texas Chiropractic College, 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. 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, Texas Chiropractic College, 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. 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, Texas Chiropractic College, 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. 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, Texas Chiropractic College, 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. 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, Texas Chiropractic College, 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. 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, Texas Chiropractic College, 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. 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, Texas Chiropractic College, 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 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 compromise interpretation with management. 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, Texas Chiropractic College, 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. 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, Texas Chiropractic College, 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. 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, Texas Chiropractic College, 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. 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, Texas Chiropractic College, Buffalo, NY, 2017

Othropedic Testing: Clinical Grand Rounds, , Integration of 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. Diplomate, Academy of Chiropractic Post Doctoral Division, Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Buffalo, NY, 2016

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 Diplomate, Academy of Chiropractic Post Doctoral Division, Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Buffalo, NY, 2016

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 Diplomate, Academy of Chiropractic Post Doctoral Division, Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Buffalo, NY, 2016

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 Diplomate, Academy of Chiropractic Post Doctoral Division, Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Buffalo, NY, 2016

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 Diplomate, Academy of Chiropractic Post Doctoral Division, Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Buffalo, NY, 2016

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 Diplomate, Academy of Chiropractic Post Doctoral Division, Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Buffalo, NY, 2016

Spinal Trauma Pathology: Biomechanics of Traumatic Disc Bulge and Age Dating Herniated Disc Pathology, The biomechanics of traumatic disc bulges as sequella from trauma and the comorbidity of ligamentous pathology. Age-dating spinal disc pathology in accordance with Wolff’s Law Diplomate, Academy of Chiropractic Post Doctoral Division, Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Buffalo, NY, 2016

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 gray matter, thalamus and cortices involvement Diplomate, Academy of Chiropractic Post Doctoral Division, Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Buffalo, NY, 2016

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 Diplomate, Academy of Chiropractic Post Doctoral Division, Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Buffalo, NY, 2016

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 Diplomate, Academy of Chiropractic Post Doctoral Division, Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Buffalo, NY, 2016

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, dislocationa and functional loss are also detailed in relation to impairment ratings Diplomate, Academy of Chiropractic Post Doctoral Division, PACE Program of the Federation of Chiropractic Licensing Boards, Long Island, NY, 2015

Head Trauma, Brain Injury and Concussion, Brain and head physiology, brain mapping and pathology as a

sequella to trauma. Traumatic brain injury, mild traumatic brain injury, axonal shearing, diffuse axonal injury and concussion are detailed in etiology and clinically. Clinical presentation, advanced diagnostic imaging and electrodiagnostics are detailed in analysis to create a differential diagnosis. Balance disorders that often occur as a result of trauma are also explored from clinical presentation to advanced imaging and differential diagnosis Diplomate, Academy of Chiropractic Post Doctoral Division, PACE Program of the Federation of Chiropractic Licensing Boards, Long Island, NY, 2015

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 fissuers of discs in both trauma and non-trauma patients and the biochemical properties of joints in age dating pathology. Disc bulges from degenerative and sequalla to osseous issues, herniation pathology and protrusion, extrusion, migrated and sequestered variations. Clinical scenarios as sequella to disc and pre-existing pathologies Diplomate, Academy of Chiropractic Post Doctoral Division, PACE Program of the Federation of Chiropractic Licensing Boards, Long Island, NY, 2015

Healthy Aging and Laserology, Concept review of laser physiology, Newtonian concepts, wavelengths, mitochondria and ATP formation with Cytochrome C-Oxidase, quantum biological concepts, laser variables for the treatment of degenerative disc disease, low back pain, acute trauma, scar tissue and chronic pain Northwestern Health Sciences University, Portland, OR, 2015

Whiplash, Spinal Trauma, and the Personal Injury Case, How Insurers deny claims, medical doctors and chiropractors working together, documentation of injuries, proper use of medical-legal representation, IME reviews, post traumatic etiology and spine trauma Adler Giersch, Bellevue, WA, 2015

Subluxation Neurology and Systemic Health, A review of current literature regarding the scientific basis of immunoneurological function in the human body and the effect chiropractic can have on systemic health Chiropractic BioPhysics, Atlanta , GA, 2015

Brain Injuries, Current concepts of brain injuries were discussed including assessment, diagnosis, treatment, management, legal implications, reporting, imaging studies and case studies Oregon Chiropractic Association, Portland, OR, 2014

Strengthening Posture for Rehabilitation, Performance and Active Aging, Posture assessment and rehab experience in a lecture/lab format, providing relevant posture facts and research and interactive exercises University of Western States, Portland, OR, 2014

International Conference on Human Nutrition and Funtional Medicine, To describe and consensus- approaching advances in basic science and clinical trials research related to topics of nutrition, molecular biology, and metabolism that are appropriate for translation into clinical practice. To demonstrate and exemplify the actual clinical applications of new research and evidence so that physicians can apply this data

to clinical practice and patient utilization and treatment compliance International College of Human Nutrition and Functional Medicine, The University of Texas Medical Branch, Portland, OR, 2013

Concussion in Sports- What You Need to Know, A review of the current concepts in recognition, management and treatment of concussions in sports. Return to play criteria were discussed USA Hockey, National Federation of State High School Associations, 2013

Laserology: Low Level Laser Therapy, Concept review of laser physiology, Newtonian concepts, wavelengths, mitochondria and ATP formation with Cytochrome C-Oxidase, quantum biological concepts, laser variables for the treatment of degenerative disc disease, low back pain, acute trauma, scar tissue and chronic pain Erchonia, Portland, OR, 2013

Whiplash, Spinal Trauma, and the Personal Injury Case, Mechanisms of injury and repair of whiplash and spinal trauma, evaluation and treatment of ligament sprains in the cervical spine, nutrition and repair of soft tissue injury, spinal trauma and biomechanics of TOS, use of upright MRI, and recent medical-legal research studies in the area of evaluation, diagnosis, and treatment of whiplash and spinal trauma Adler Giersch, Bellevue, WA, 2013

Whiplash and Spinal Trauma: Four facets of a chiropractic trauma management practice and documentation.

, A review of current knowledge and concepts in whiplash trauma including pain and nutrition, mechanisms of injury, prognosis, phases of healing, and management University of Western States, Portland, OR, 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 medical-legal community. Documenting the kinesiopathology, myopathology, neuropathology, and pathophysiology in both a functional and structural paradigm Diplomate, Academy of Chiropractic Post Doctoral Division, PACE Program of the Federation of Chiropractic Licensing Boards, 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 and utilizing state regulations on reimbursement issues pertaining to healthcare Diplomate, Academy of Chiropractic Post Doctoral Division, PACE Program of the Federation of Chiropractic Licensing Boards, 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 Diplomate, Academy of Chiropractic Post Doctoral Division, PACE Program of the Federation of Chiropractic Licensing Boards, 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 Diplomate, 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 Diplomate, Academy of Chiropractic Post Doctoral Division, PACE Program of the Federation of Chiropractic Licensing Boards, Long Island, NY, 2012

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 Diplomate, Academy of Chiropractic Post Doctoral Division, PACE Program of the Federation of Chiropractic Licensing Boards, Long Island, NY, 2012

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 Diplomate, Academy of Chiropractic Post Doctoral Division, NYCC, Long Island, NY, 2012

Brain Trauma, A review of the current scientific literature on brain injuries including, mild traumatic brain injuries, concussions, diagnosis, treatment and management strategies Oregon Chiropractic Association, Portland, OR, 2012

Litigating Auto Accident Case, Discovery in Auto Injury Cases;Depositions—what to ask, IMEs and treating physician IMEs, Bio-Mechanics of Accidents and Injuries; junk science and how or how not collisions cause injuries, and the use of Medical Experts Oregon Law Institute, Portland, OR, 2012

Whiplash and Spinal Trauma, Clinical impact of case management choices and goals, significance of specific factors that affect patient injury and healing, critical research findings on key issues and insights with injury prognosis, the balance relationship between perception of pain, spinal joint mobility, adjusted technique, chiropractic diagnostics and adjustment management goals, and soft tissue injury issues with inflammation, pain, brain trauma and diet Life West Chiropractic College, International Chiropractic Association, Reno, NV, 2011

Whiplash, Spinal Trauma, and the Personal Injury Case, How Insurers deny claims, medical doctors and chiropractors working together, documentation of injuries, proper use of medical-legal representation, IME reviews, post traumatic etiology and spine trauma Adler Giersch, Bellevue, WA, 2011

The Independent Medical Evaluation: Training for Chiropractors, Focus on the AMA and ABIME standards for proper implementation and documentation. Report writing and rebuttal strategies were reviewed. Sample IME’s were reviewed and critiqued Oregon Chiropractic Association, Portland, OR, 2010

Introduction to Sports Chiropractic and the Spine in Sport, The first class in the certification process for Chiropractic Sports Physician covering diagnosis of athletes in various sports, including concussions and return-to-play criteria. Diplomate, American Chiropractic Association, American Chiropractic Board of Sports Physicians, University of Western States, Portland, OR, 2010

Emergency Procedures – Sports Physician, Field assessment of sports injuries and their management including medical emergencies, procedures and on-field management. Diplomate, American Chiropractic Association, American Chiropractic Board of Sports Physicians, University of Western States, Portland, OR, 2010

Assessment and Management of the Extremities, A focus on extremity injuries in the athlete, proper assessment and diagnosis, treatment and management options were discussed. Case studies were presented Diplomate, American Chiropractic Association, American Chiropractic Board of Sports Physicians, University of Western States, Portland, OR, 2010

Whiplash Conference, Chiropractic BioPhysics, Park City, UT, 2010

Work Comp 101 and Going to Court: How to Become an Effective Expert Witness with “Mock Trial”, Used in the recent cases the example with direct questions to qualify as an expert in the eyes of the jury. Direct questions to preempt the defense cross-examination, to explain injury, and effective use of courtroom exhibits to explain your patience injuries. Cross examination questions, typical defense tactics and how to respond effectively Oregon Chiropractic Association, Portland, OR, 2009

Motor Vehicle Collision Injuries – Injury Biomechanics, Diagnosis and Management, A focus on rear impact biomechanics, radiographic strategies, mild traumatic brain injuries, report writing, evidence based medicine concepts, peer reviewed literature review and DJD onset and delayed onset were discussed University of Western States, Portland, OR, 2008

12th World Congress on Pain, A 5 day, 6000+ international attendees, 18 plenary sessions, 1818 poster presentations on various topics of pain and all the various methods and research on pain. International Association for the Study of Pain (IASP), Glasgow, Scotland, UK, 2008

AMA Guides to the Evaluation of Impairment Rating (6th Ed.) Certification, A 36 hour class focusing on the newest Impairment rating guides utilization. Attention was given to the proper use of the guides for different parts of the body, including cases to perfect the calculations Certification in Impairment Ratings, Oregon Chiropractic Association, College of Forensic Sciences (CFS), Albany, OR, 2008

Whiplash Biomechanics & Injury Traumatology, Certification in Basic Certification, Spine Research Institute of San Diego, 2007

Medical Legal Issues; Fundamentals for Practitioners and Forensic Experts, Foundations for Successful Outcome and Medical Legal Cases with Preparation for Depositions, Arbitrations and Court, Use of demonstrative evidence with instruction in common pitfalls, avoidance of them and taking advantage of opponents weaknesses in medical legal proceedings Spine Research Institute of San Diego, Southern California University of Health Sciences, Las Vegas, NV, 2007

International Whiplash Trauma Congress, To improve the current understanding of whiplash trauma, related to whiplash injury and its sequelae. Topics included whiplash and post-traumatic headache, neurologic mechanisms of posttraumatic headache, use of the dynamic MRI for visualizing upper cervical functional abnormality and injury, biomechanics of neck pain and whiplash, and soft tissue injuries in the cervical spine facet joints, MRI assessment of cranialcervical ligaments and membranes after whiplash trauma. Spinal Injury Foundation, Miami, FL, 2007

Principles of Impairment Rating and Forensic Documentation, Comprehensive and compelling narrative report construction as well as how to avoid common mistakes and pitfalls. The latest cutting-edge techniques and rebuttal strategies as well as critical forensic documentation skills and impairment requirements Spine Research Institute of San Diego, Southern California University of Health Sciences, Chicago, IL, 2007

Motor Vehicle Collision Injuries – Injury Biomechanics, Diagnosis and Management, A focus on rear impact biomechanics, radiographic strategies, mild traumatic brain injuries, report writing, evidence based medicine concepts, peer reviewed literature review and DJD onset and delayed onset were discussed University of Western States, Portland, OR, 2007

Management Principles in Personal Injury and Forensic Documentation, Critical history taking, risk analysis, and physical examination skills as well as other radiographic and advanced imaging including CET, MRI, scintigraphy, packed, SPECT, and others. Review of electrodiagnostic tests and their applications in whiplash in addition to therapeutic approaches to successful management of whiplash and mild dramatic brain injuries. Spine Research Institute of San Diego, Southern California University of Health Sciences, Las Vegas, NV, 2007

Whiplash Injury Biomechanics and Traumatology Advanced Topics; The Fundamental Sciences, Review of current state of knowledge of the whiplash phenomenon, including all factors affecting injury risk in outcome. In depth biomechanics, traumatology, epidemiology, review of outcome studies, and common sick while I of whiplash, including brain injuries, pain syndromes, thoracic outlet syndrome, carpal tunnel syndrome, and chronic pain disorders as well as risk analysis Spine Research Institute of San Diego, Southern California University of Health Sciences, Las Vegas, NV, 2007

Certified Chiropractic Spinal Trauma, CCST Certification in Spinal Trauma, International Chiropractic Association, Hayward, CA, 2006

Integrative Care Strategies – Case Management Components, Update of current medical literature on whiplash, paper review issues, Quebec Task Force review, case reviews and junk science International Chiropractic Association, Life West Chiropractic College, Hayward, CA, 2006

Chiropractic Jurisprudence, Examination of attorney views on personal injury cases, evidence code, types of evidence, standards of admissibility for scientific expertise, tort principles, practice guidelines and standards- justifying care, accident collision reconstructionist and biomechanical experts, Independent medical examinations, depositions, and trial Life West Chiropractic College, International Chiropractic Association, Hayward, CA, 2006

Practical Clinical Case Management – Assessment, Care and Rehabilitation (Part 2), Review of current state of knowledge of whiplash, whiplash and MS, whiplash and TMD, and brain injury International Chiropractic Association, Life West Chiropractic College, Hayward, CA, 2006

Practical Clinical Case Management – Assessment, Care and Rehabilitation, Clinical updates utilizing peer reviewed journal articles, canalith repositioning for benign paroxysmal positional vertigo (BPPV), whiplash related facet pain was reviewed International Chiropractic Association, Life West Chiropractic College, Hayward, CA, 2006

International Whiplash Trauma Congress, Various scientific papers were presented on current whiplash related topics including why all do not recover from whiplash injury, mechanical and physiological pathologic mechanisms of painful cervical facet capsule injury, whiplash injury epidemiology, and whiplash injuries with TBI Spinal Injury Foundation, Portland, OR, 2006

Recordkeeping, Patient Examinations, and Documentation, A focus on proper documentation and recordkeeping was reviewed with emphasis on communication with other services including attorneys and medical providers International Chiropractic Association, Life West Chiropractic College, Hayward, CA, 2006

General Insights in Clinical Trauma Management, A focus on current research literature knowledge on whiplash injury at low speed collisions, including whiplash mechanics International Chiropractic Association, Life West Chiropractic College, Hayward, CA, 2006

Biomechanics of Low-Speed Impacts: Injury Mechanisms, Examination of the biomechanics associated with whiplash-related disorders and injuries. Topics included the anatomical and neurophysiological aspects of the injured tissues, biomechanics and traffic accident reconstruction, injury mechanisms, head/neck kinematics, and pain issues. The course also examined several case studies and issues of liability International Chiropractic Association, University of California – Riverside, Hayward, CA, 2006

Validating Chiropractic: Chiropractic and Exercise, Focus on restoring function, difficulty diagnosing the cause of back pain,, and a cute mechanical back pain and soft tissues sub failure injuries, recent literature reviews of spinal manipulation, recent clinical trials, neurology and the cervical spine, causes of disturbed proprioception, neural plasticity, segmental control of nociception, tissue injury and repair, and degeneration. International Chiropractic Association, Life West Chiropractic College, Las Vegas, NV, 2006

Understanding Mechanisms of Vehicular Accident Injury, Focus on anatomy of soft tissue injuries, physics and biomechanics of injury, structures injured in whiplash, ACR, damage related to injury and variablility, healing of soft tissue injuries, pain from WAD, diagnosis and treatment, and medical studies for WAD International Chiropractic Association, Life West Chiropractic College, Hayward, CA, 2006

Accident Imaging: X-Ray, MRI, CT, VF, and Analysis, A review of radiographic mensurations, CT imaging, MRI imaging, use of SPECT and VF imaging International Chiropractic Association, Life West Chiropractic College, Hayward, CA, 2006

Principles of Soft Tissue Injury and Repair, A continuation of review of neurologic principles of injury mechanisms including suprasegmental descending inhibition of nociception, altered thresholds and supersensitivity, neuroplasticity, referred pain, central canal stenosis, three phases of healing, fibrosis of repair, and concepts of motion. International Chiropractic Association, Life West Chiropractic College, Hayward, CA, 2006

Trauma Neurology and Chiropractic, A review of neurology principles and how they relate to trauma cases. Review of current medical literature in relation to neurology and treatment management of trauma cases International Chiropractic Association, Life West Chiropractic College, Hayward, CA, 2006

International Whiplash Trauma Congress, . A review of current journal articles by the authors including Neurogram SPECT quantification in the detection and treatment of MTBI, conservative treatments in whiplash, proper application of vehicle damage to refute injuries, the probability of causation in litigation, and neuropsychological evaluation and treatment of patients with Whiplash-induced MTBI Spinal Injury Foundation, Breckenridge, CO, 2005

Whiplash Update Seminar, A review of the current scientific literature on Whiplash including diagnosis, injury management and treatment, prognosis and soft tissue repair International Chiropractic Association, BC Chiropractic Association, Victoria, BC, 2004

SCHOLARLY PRESENTATIONS

MacDonald, G. (2017, August). Current Concepts in Concussions Powerpoint presented at the Seminar USA Hockey – Pacific District, Las Vegas, NV.

MacDonald, G. (2017, August). Historical Perspectives of Concussions Powerpoint presented at the Seminar

USA Hockey – Pacific District, Las Vegas, NV.

MacDonald, G. (2017, September). Historical Perspectives on Concussion Powerpoint presented at the Seminar USA Hockey – Pacific District, Bellevue, WA.

MacDonald, G. (2017, September). Current Concepts on Concussion Powerpoint presented at the Seminar USA Hockey – Pacific District, Bellevue, WA.

SELECTED TEACHING/INSTRUCTING/LECTURING/CONSULTING

Presenter, Whiplash: Fact or Fiction, Pain Society of Oregon (PSO), Eugene, OR, 2010-

Presenter, Whiplash: The Epidemic – Legal Version, Eugene Trial Lawyers (OTLA), Eugene, OR, 2007- Presenter, Chiropractic Case Study on Pain Management, PSO Annual Conference, Eugene, OR, 2007- Presenter, Chiropractic and Pain Management, PSO Annual Conference, Eugene, OR, 2006-

Presenter, Low back pain –“Can we help”, PSO Annual Conference, Eugene, OR, 2003- Presenter, Low Back Pain-Case Study, PSO-Monthly Meeting, Eugene, OR, 2003- Presenter, Breakout Panel on Migraines, PSO Annual Conference, Eugene, OR, 2002-

SELECTED PUBLICATIONS

MacDonald, G. (2013). Can Ankle Sprains Teach Us About Managing Whiplash? . Dynamic Chiropractic, 31(21),

MacDonald, G. (2010). Pregnant Patients: A Unique Clinical Consideration. Dynamic Chiropractic, 28(15), MacDonald, G. (2009). MVA, Pregnancy & Torticollis. Dynamic Chiropractic, 27(16),

SELECTED MEMBERSHIPS

American Academy of Medical Legal Professionals, Member, 2015 – Present American Chiropractic Association (ACA), Member, 2009 – Present International Chiropractic Association (ICA), Member, 2009 – Present Oregon Chiropractic Association (OCA), Platinum Member, 2009 – Present College of Forensic Sciences (CFS), Member, 2009 – Present

Council on Chiropractic Orthopedics (CCO), Member, 2009 – Present Brain Injury Association of Oregon (BIAO), Member, 2009 – Present

Association for the Advancement of Automotive Medicine (AAAM), Member, 2009 – Present American Society of Biomechanics (ABS), Member, 2008 – Present

Council on Applied Chiropractic Sciences (CACS), Member, 2006 – Present Pain Society of Oregon, Member, 2001 – 2015

International Association for the Study of Pain (IASP), Member, 2008 – 2009

SELECTED HONORS AND AWARDS

Outstanding Clinical and Academic Achievement, Logan College of Chiropractic, 1999 Certificate of Merit, Logan College of Chiropractic, 1999

Clinical Proficiency Certificate, Logan College of Chiropractic, 1999

SELECTED COMMUNITY SERVICE

Eugene Generals Jr. Ice Hockey Club, Eugene, Oregon, 2007 – 2020

Make an Appointment


Scroll to Top