Academy of Chiropractic Personal Injury & Primary Spine Care Program

Quickie Consult 26 CV

From the Desk of Dr. Mark Studin
Academy of Chiropractic
Preamble: Many of the issues I bring to you are very small, yet each issue is just that, an issue. If you take care of the small issues, then you will be able to build and more importantly, focus on the bigger issues...a larger practice and more family time.

"MRI Certification: Lawyers-Courts-Legislation"

After lecturing to close to 1000 lawyers in the last month, I have come to understand the power of being certified in MRI. In fact, the New Jersey Trial Lawyer Association is using one of our doctors who has attained his MRI certification as an example in an appellate court appeal as to why chiropractic needs to be included in our ability to testify in the courts. We already have that ability in New Jersey, but they are trying to wrestle it away from us. Currently, judges are making "bench decisions" and picking which DCs can and can't testify. If the defense lawyers do a really good job, they will eventually succeed in preventing any DC from testifying on MRI. Although that would appear to be extreme, remember, we still cannot order an x-ray, MRI , CAT scan or any other image in the Medicare system. It's past time for being naive and hoping that someone else will do the fighting for us.

 

I am highlighting New Jersey because it appears to be a one of the prime "bellwether" states. New Jersey was the first state to enact law requiring mandatory credentials in order for any professional to testify as expert. Texas soon followed with other states considering the same. Florida just had sweeping changes and many of the standards regarding serious injury have already been in place in New Jersey for years. Although there are many other corollaries, I want to keep this issue focused on MRI as it is a critical issue to keep DCs in the personal injury arena and one that every DC nationally can participate in to help create a solution. This will help the profession, patients and practices concurrently.

 

In spite of all of the legal hurdles, New Jersey is a great place to practice chiropractic if the doctor positions him/herself properly and it just became abundantly easier to for you no matter what state you practice in IF...you meet the most stringent standard (at this point in time it is in New Jersey).

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As I have pontificated many times previously, the standards that need to be met are not dictated by my experience, conversations with successful doctors in practice or from any hired "guru of the day." Those "gurus" usually know enough to be dangerous and too many are dispensing dangerous advice. Caveat emptor! My standards are dictated by the courts who  ultimately decide who gets to have an opinion and who doesn't. My advisors are judges, legislators and officers of the courts. I am simply the reporter.

 

Legislators get to make laws and courts get to decide their application depending upon the arguments lawyers make in court cases. That's how the system works and why when a new "get rich quick scheme" comes along, many in the profession find themselves being the test cases and end up with huge legal fees and/or criminal records.

 

Right now one of the biggest issues is the law that states a doctor must show evidence of formal training to be considered "expert" in what he/she can testify on. The courts are entertaining the MRI issue and lawyers are bitterly arguing whether a chiropractor can be considered expert in MRI.  Should we lose that argument (which is one of the issues, but not imminent TODAY...but I can't promise that will be the case tomorrow), how readily will lawyers be willing to work with the chiropractic profession in the future?

 

The only solution is for as many DCs nationally is to get certified in MRI spine interpretation and share those credentials with the legal community. This is also one reason that I have instituted one of the first MRI programs in a chiropractic college and spent 3 years getting a state university's medical school to credential DCs in MRI post-doctoral education. In addition, on Monday, I have a meeting with a chiropractic college to get additional approval for the course to add to the list of credentialing bodies. I am building the list of credentials to ensure that these courses are bulletproof for every circumstance that we, as a profession, are confronted with.

 

Credentials are the only way to win with lawyers, courts, legislation and practice. As a result, on the US Chiropractic Directory, we are adding a section for preferred doctors which says, "Certified in MRI Spine Interpretation" and will be instructing you on how to complete your CV with the certification and...ensuring you have the documentation to reflect the same. CREDENTIALS MATTER more than even I thought....as recently as last month. To take the courses, go to: www.teachdoctors.com and if you don't have the money, let me know and you can pay me monthly whatever you want...It doesn't matter.

 

These are the  credentials you will put on your CV with the certification. A copy of the certification follows at the end.

 

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. [Insert the state licensure body sent to you], ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2012

 

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. [Insert the state licensure body sent to you], ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences and Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2012

 

MRI Disc Pathology and Spinal Stenosis, MRI interpretation of bulged, herniated, protruded, extruded, sequestered and fragmented disc pathologies in etiology and neurological sequellae in relationship to the spinal cord and spinal nerve roots.[Insert the state licensure body sent to you], Board for Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences andAcademy of ChiropracticPost Doctoral Division, Buffalo, NY, 2012

 

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.[Insert the state licensure body sent to you],, ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences and Academy of ChiropracticPost Doctoral Division, Buffalo, NY, 2012

 

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. New York Chiropractic Council, [Insert the state licensure body sent to you],ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences and Academy of ChiropracticPost Doctoral Division, Buffalo, NY, 2012

 

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 sequellae.[Insert the state licensure body sent to you],Board for Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences and Academy of ChiropracticPost Doctoral Division, Buffalo, NY, 2012

 

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.[Insert the state licensure body sent to you], ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2012

 

MRI Interpretation of Cervical Herniations,MRI slices, views, T1, T2, STIR Axial, FFE, FSE and sagittal images in the interpretation of lumbar herniations. 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.[Insert the state licensure body sent to you], ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2012

 

MRI Interpretation of 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. [Insert the state licensure body sent to you], ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2012

 

MRI Interpretation of Cervical Degeneration/Bulges,MRI slices, views, T1, T2, STIR axial, stacking, FFE, FSE and sagittal images in the interpretation of lumbar degeneration. With the co-morbidities and complications of stenosis, pseudo-protrusions, cantilevered vertebrate, Schmorl's nodes and herniations. Spinal cord and canal compromise interpretation with management.[Insert the state licensure body sent to you], ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2012

 

MRI Interpretation of Cervical Herniations,MRI slices, views, T1, T2, STIR Axial, FFE, FSE and sagittal images in the interpretation of lumbar herniations. 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.[Insert the state licensure body sent to you], ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2012

 

MRI Interpretation of Degenerative Spine and Disc Disease with Overlapping Traumatic Insult to Both Spine and Disc, MRI slices, views, T1, T2, STIR Axial, FFE, FSE and sagittal images in the interpretation of degenerative spondylolesthesis, spinal canal stenosis, Modic type 3 changes, central herniations, extrusions, compressions, nerve root compressions, advanced spurring and thecal sac involvement from an orthopedic, emergency room, chiropractic, neurological, neurosurgical, physical medicine perspective. [Insert the state licensure body sent to you], ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2012

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