Academy of Chiropractic Personal Injury & Primary Spine Care Program
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“Our World HAS changed”
"A recap of Primary Spine Care 6 in New York this past weekend"
“I am changed… because I showed up” Mark Studin 2018
It has been five days since the Primary Spine Care 6 Symposium in New York, and I still haven’t recovered either physically or mentally. My voice is finally back, but my body is still tired from three days of around-the-clock lecturing and sharing with all who attended, the changes in our world. After every day, I realized that our entire industry is shifting and although I’ve been sharing a lot of those changes with you it is going to be lots of “long days and sleepless nights” for me to continue to learn and stay current with the needs of our industry. In fact, my goal is not to stay current, it is to remain on the cutting edge so that I give you months to prepare for what is going to happen.
I can now say with a great degree of certainty that if you rely on “wining and dining” your referral sources you will end up like Toys R Us and soon to be Sears Roebuck; extinct. We have also gotten, through our researched relationships, a program that will help you track your liens with the law firms and what the lawyers pay, to give you the power through knowledge of determining the best strategy to ensure the highest reimbursement. Wall Street was also in the house and had a very significant position in our platform along with presenting their entire program to explain how this works with your office to ensure a lifetime of referrals and income for the balance of your career (again, this is not inflammatory).
I can tell you now that being a trauma team member has never been more critical because we are garnering attention from multiple industries that range from lawyers to medical specialists to corporate America to industries looking for only the “best of the best” to work with. This was confirmed with our medical specialty panel that consisted of a neurosurgeon, neuroradiologist and double boarded vascular neurologist, where we had two hours of questions and answers. To put it in context, the neurosurgeon said: “Mark, I only work with people who function at our level.” Meaning, that if you are not the best at what you do he does not even have the time to talk to you.
Our weekend started with two sessions; Dr. Weigand spent eight hours training our doctors on spinal biomechanical engineering, and Dr. Owens and myself spent the same time in a separate session reviewing documentation and compliance in intimate detail. We had one of our Wall Street partners in attendance discussing the lien tracking program where you get to profile the lawyers were holding your liens and have advance knowledge of what they historically pay so you can make a business decision as well work with that lawyer or not. Never forget… Information is power, which ends up in your bank account.
We discussed at length our industry’s version of “funneling” unlimited new cases from disparate sources, thereby broadening the opportunities available no matter you're demographic. Simply put, there are a myriad of new choices where your referral sources will be now running after you in the medical, legal and corporate world. We discussed how Wall Street is a 1-way relationship regarding referrals; they will be referring to you and pre-funding the trauma team’s case at a rate often higher than you will get yourself. They understand, without destroying relationships with lawyers how to bypass the “lowball offers” that scumbag lawyers are offering you around the country. This is only one small piece of their answer.
With surgeons, we discussed how you are their solution provided you have had adequate training in trauma care (trauma team member) and how they will lean on you in the future to solve problems in their offices. We spent quite some time on sharing with you how to communicate with medical specialists so that you understand their issues and getting them to recognize you as the solution. To put it succinctly, one of our newly graduated Fellows said after his training he feels like “a neurosurgeon without a scalpel.”
This weekend also saw our first graduating class of fellows in Spinal Biomechanics and Trauma. We graduated our first four members who completed hundreds of hours of classroom work, reading the research, writing case studies and clinical rotations that range from the emergency rooms to neurosurgery and orthopedic extremities, etc. As a result of the stories of their newly acquired knowledge and how this open doors previously shut in both hospitals and getting a significant amount direct referrals from medical specialists they studied under in the rotations, 18 doctors enrolled in the program over the weekend. This is a two-year program and the only fellowship in the chiropractic profession in the world where you do clinical rotations with patients in a clinical setting. Over time I will be explaining more about this program. We currently have 38 doctors enrolled in the Fellowship program.
As a result of the success of our Fellows, we are instituting a new program called “training the trainers.” I’ve been pressured by most of you to take our program and go on the road and not limit this to New York and be able to share our message to more in our profession. Based upon my already overburdened schedule and demands that I can keep up with I am creating a program (at the suggestion of Dr. Ron Salvaggione from Colorado) where I will be training our Fellows and Fellowship candidates to present our message of clinical excellence locally to chiropractors in their region. We have early gotten preliminary approval from Cleveland University Kansas City, College of Chiropractic and Health Sciences and are modeling our program after the Royal College of Surgeons of the United Kingdom. This will be an opportunity for all in the Fellowship program to be able to train chiropractors nationally, as well as creating a new profit center for them and add significant entries to their CVs as clinical instructors in chiropractic academia (when we secure all of the credentials for this program).
We spent hours discussing the new protocols in ordering MRIs and slice sequencing as well as sharing with you contemporary literature on how the chiropractic adjustment works and verifying subluxation is very real (literature-based) and is “a bone on a nerve.” The above is not steeped in philosophy, but literature-based and verifiable. We also discussed spinal biomechanics in both broad strokes and intimate detail and how that is the solution for long-term (necessary) chiropractic care. In this paradigm and in spite of the ACA’s deplorable stance on x-ray (choose unwisely), utilization of x-ray is critical in determining biomechanical pathology. That in large part is key to demonstrably verifying the necessity for your care because it grossly changes your diagnosis, prognosis and treatment plan.
We had a dinner honoring trauma team members in one of the region’s finest restaurants and another that welcomed everyone who participated in the weekend. This gave Dr. Owens and me ample time to meet everyone and discuss some of your issues. The feedback I received was perhaps the best I’ve experienced in my career, and I can say with a great degree of certainty that all of the room realize that your success is purely based on your knowledge base and credentials.
As a result of this weekend, we are currently working on a program that has both the East and West Coast presence with neurosurgeons. Many of you are in areas that do not have world-class surgeons, and your patients often have to rely on less experienced and credentialed providers. The program we are working on offers you to have your patients travel to the surgeons where their surgery is paid for upfront and all they have to be concerned about is transportation. We currently have neurosurgeons in New York and Utah that will be participating in the program, and we are looking to expand those hubs to support those needing surgery and other areas with a local solution. The key that should not be overlooked is the surgeries are already “paid for” and you and your patients don’t have to fight insurance companies or worry about being stuck with the bill due to a “scumbag lawyer.”
Speaking of scumbag lawyers, we spent a significant amount of time discussing how not to get screwed by lawyers “hell-bent” on a “money grab” at your expense. We discussed both ethical and legal strategies to ensure you get paid your fee while highlighting the latest trend of lawyers trying to get you to bill the managed care companies, so they can increase their profits, while you can’t pay your expenses (they don’t care).
All of the above is only a tiny piece of what this past weekend’s program represented to all who attended. Although I was not able to have lengthy discussions with any individual doctor over the weekend, I was able to spend enough time with many of you and realize that no matter your locale, we all have the same challenges to get to the next level and be able to thrive in the future. The Academy of Chiropractic has expanded our programs to a degree where we now offer solutions no matter where you practice. My job is to get better at what we do and make your life easier so that all you need to do is focus on being a doctor. I need to do a better job at that!!
Although I am still awaiting confirmation from the hotel for next year, mark your calendar for October 18-20, 2019 in New York.
Mark Studin DC, FASBE(C), DAAPM, DAAMLP
Adjunct Associate Professor of Chiropractic, University of Bridgeport, College of Chiropractic
Adjunct Post Graduate Faculty, Cleveland University-Kansas City, College of Chiropractic
Adjunct Professor, Division of Clinical Sciences, Texas Chiropractic College
Graduate Medical 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
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