Academy of Chiropractic Personal Injury & Primary Spine Care Program

Quickie Consult 542
Narratives 39 N

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.

"TOP 10 Schonfeld List of Narrative Failures”

Many of you use Dr. Schonfeld's service of having narratives written for you (Section #16 of the consultations). How he does a 3-4 hour narrative for $125 is beyond me, but I am not saying anything to mess this up for you as the service is between you and him... but... he sent this to me while I was away to highlight the 10 most common areas that need to be done better.

Success in personal injury is getting so much easier as we learn more, but so much more demanding in maintaining that success based upon the needs of the 1) lawyers 2) courts 3) carriers and 4) licensure boards. It appears that as the years go on, the paperwork is getting more demanding "eating up" more and more of our time. This is another reason why programs like the EMR macro program is so critical... It all leads to meeting all the needs of the BIG 4 (listed previously) in a more efficient manner without cutting corners that will either get you not paid or put you in a position to defend yourself. 

Dr. Schonfeld is purely focused on the needs of the medical-legal process and the following list must be handled EVERY time in order to maintain successful "long-term" relationships with lawyers. 

10. Patients name not on evaluation forms (and/or date)

9. No manual muscle testing

8. No reflexes tested

7. No sensory evaluation performed

6. No Range of Motion performed for all involved areas

5. No VAS (0/10) pain scales or only one 4. VAS for all painful areas

3. No positive orthopedic tests at all

2. No Gap in care prior to final evaluation or final evaluation done and still treating

1. Great initial evaluation almost non-existent final exam

#1 Epic Failure:

No final functional losses documented



Adjunct Assistant Professor of Chiropractic, University of Bridgeport, College of Chiropractic
Adjunct Professor, Division of Clinical Sciences, Texas Chiropractic College
Educational Presenter, Accreditation Council for Continuing Medical Education Joint Partnership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences 


Academy of Chiropractic
US Chiropractic Directory

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