August 11-13, 2016
Thursday, Aug. 11
8-10 a.m.
Homecoming Hypertrophy
Dan Weinert, D.C., Ph.D.
Understanding Functional Assessment of the
Shoulder: Simple steps to fix people faster.
Casey Crisp, D.C., M.S., ACP
Therapeutic Neuroscience of Pain, Part I-
The Sensitized Nervous System
Chris Roecker, D.C., DACO, DACBSP®, Shawn Neff,
D.C., Casey Okamoto, D.C.
Imaging of Upper and Lower Extremity Sports
Injuries*
Tracey Littrell, D.C., DACBR, DACO, CCSP®
10:30-11:30 a.m.
Palmer Momentum
Dennis Marchiori, D.C., Ph.D.
1:30-3:30 p.m.
Integration of DCs in Multidisciplinary
Healthcare Systems – It’s All About the Data (and a couple of other things…)
Christine Goertz, D.C., Ph.D., Anthony
Hamm, D.C., Anthony Lisi, D.C., Stacie Salsbury, Ph.D., R.N., Robert Vining,
D.C.
Ethical Considerations for the Chiropractor
Mary Frost, D.C., M.B.A.
Understanding Functional Assessment of the
Hip and Knee: Simple Steps to Fix People Faster
Casey Crisp, D.C., M.S., ACP
Diet-Related Epigenetic Changes in Health
& Disease
Lia Nightingale, Ph.D.
Radiography in the Chiropractic Office *
Ian McLean, D.C., DACBR
4:30-6:30 p.m.
Cervical Spine Sports Injuries and
Concussion Assessment
Tracey Littrell, D.C., DACBR, DACO, CCSP®
Radiation Uses We Don’t Take Into
Consideration Everyday*
Jody Bell, R.T.
Curves Are Out there, Through Case Studies
Ron Boesch, D.C.
Interprofessional Opportunities in the VA:
Clerkship, Residency, and Profession
Nathan Hinkeldey, D.C., Mr. Zach Jipp,
Shawn Neff, D.C., Casey Okamoto, D.C., Alec Schielke, D.C.
Thursday, Aug. 11
8-10 a.m.
Homecoming
Hypertrophy
Dan Weinert, D.C., Ph.D.
How does mechanical force turn into a biochemical signal? What factors
influence how exercise result in muscle growth? This session highlights
the importance of muscle and examines factors involved in muscle growth. The
discussion will include how force converts to a biochemical signal
(mechanotransduction) and subsequently results in muscle protein synthesis. The
role of key molecules, dietary strategies, exercise and the impact of age on
muscle protein synthesis will be explained. Participants should leave
with a better understanding of how to implement exercise strategies and modify
their diet to optimize muscle growth.
Understanding
Functional Assessment of the Shoulder: Simple steps to fix people faster.
Casey Crisp, D.C., M.S., ACP
This is an introduction to the examination of the shoulder anatomy, range of
motion, and functional assessment. We will review the most common shoulder
issues. The goal is to create an immediately implementable means of
defining the quality and quantity of shoulder movement in your patients. The
assessment skills gained will help providers efficiently identify the cause of
shoulder pain and develop effective home care plans. The information presented will
be for the upper cervical specialist to the chiropractors specializing in
sports medicine.
Therapeutic
Neuroscience of Pain, Part I- The Sensitized Nervous System
Chris Roecker, D.C., DACO, DACBSP®, Shawn Neff, D.C., Casey Okamoto, D.C.
Chronic pain is often disabling to the patient and frustrating to the
clinician; however, emerging concepts in neuroscience allow us to better
understand how the nervous system perceives and modulates pain. This
presentation will provide a review of the mechanisms involved with chronic
pain, including central and peripheral sensitization, and an emphasis will be
placed on how these concepts impact patient care.
Imaging of
Upper and Lower Extremity Sports Injuries*
Tracey Littrell, D.C., DACBR, DACO, CCSP®
*This session has be applied for D.C.s, C.T.s and R.T.s
This course will detail the most common injuries athletes encounter in the
upper and lower extremities, such as epicondylitis, stress fractures, rotator
cuff tears, meniscal tears, hip pointers, and avulsion fractures, and the
appropriate imaging choices to properly evaluate those injuries . In addition
to mechanisms of the injuries, proper plain film view selection and technique
will be discussed, with special attention to supplementary views, such as
lateral scapula, eversion and inversion stress, and ulnar deviation views.
Plain film and magnetic resonance imaging findings will be detailed.
10:30-11:30 a.m.
Palmer Momentum
Dennis Marchiori, D.C., Ph.D.
Palmer College, “The Trusted Leader in Chiropractic Education,” is on an upward
curve in a challenging era. Through the hard work of our faculty and staff and
the dedicated support of our alumni and friends, we are in excellent position
and getting better every year. We are achieving success in our classrooms,
clinics, research center, and throughout our community. Now, as Palmer College
nears its 120th year, we are challenging our community for even greater support
of an ambitious plan to update our historical Davenport Campus and continue the
upward trajectory of our program and accomplishments. Join Dr. Dennis Marchiori
for this opening session. He will share the measurables of institutional
performance, key strategic initiatives, and select plans for facilities
improvements that together define Palmer’s value proposition and leadership
into the future.
1:30-3:30 p.m.
Integration of
DCs in Multidisciplinary Healthcare Systems – It’s All About the Data (and a
couple of other things…)
Christine Goertz, D.C., Ph.D., Anthony Hamm, D.C., Anthony Lisi, D.C., Stacie
Salsbury, Ph.D., R.N., Robert Vining, D.C.
Traditionally, doctors of chiropractic have worked in private clinics where
opportunities to engage in interprofessional practice were limited. In recent
years, more chiropractors are working alongside medical physicians, physical
therapists, nurses, and other healthcare professionals. The goals of this
presentation are to:
-
Describe the demographic, facility and practice characteristics of
integrative health care settings within the private sector, and the DCs
working in those facilities
-
Discuss the data-driven rationale and strategies for advancing the DC in a
primary spine practitioner role within integrative care settings
Ethical
Considerations for the Chiropractor
Mary Frost, D.C., M.B.A.
Please join Dr. Mary Frost for this session on ethics in chiropractic practice.
Topics in this session will include professional boundaries, interactions with
staff and fraud and abuse.
Understanding
Functional Assessment of the Hip and Knee: Simple Steps to Fix People Faster
Casey Crisp, D.C., M.S., ACP
This is an introduction to the examination of the hip and knee anatomy, range
of motion, and functional assessment. We will review the most common hip and
knee issues. The goal is to create an immediately implementable means of
defining the quality and quantity of hip movement in your patients. The
assessment skills gained will help providers efficiently identify the cause of
hip and knee pain and develop effective home care plans. The information
presented will be for anyone who see patients with hip and knee complaints no
matter what technique you use.
Diet-Related
Epigenetic Changes in Health & Disease
Lia Nightingale, Ph.D.
Our genetic material has not changed significantly in many generations, but
what has changed is the way we express the genes we have been given. The
environment in which we live is able to control expression of our genes, which
is known as epigenetics. What causes these epigenetic changes and how do they
occur? Does timing of availability of critical nutrients required for
epigenetic expression during development impact future disease risk? Can these
changes be reversed? This seminar will aim to provide the clinician with
further insight into this fascinating field of research, with a focus on the
impact of nutrition on gene expression in health and diseased states.
Radiography in
the Chiropractic Office *
Ian McLean, D.C., DACBR
*This session has be applied for D.C.s, C.T.s and R.T.s
This two-hour presentation will emphasize skills and knowledge for obtaining
outstanding images for chiropractic practice.
4:30-6:30 p.m.
Cervical Spine
Sports Injuries and Concussion Assessment
Tracey Littrell, D.C., DACBR, DACO, CCSP®
This lecture will detail the pathophysiology of sports-related cervical-spine
injuries and concussions, including demographics and risk factors, and the most
common clinical presentations of cervical-spine injury and concussion
sufferers. Acute assessment and management of patients with cervical-spine
injuries and concussions will be covered, with emphasis given to
pre-participation examinations and post-concussion evaluations for athletes.
Radiation Uses We
Don’t Take Into Consideration Everyday*
Jody Bell, R.T.
*This session has be applied for D.C.s, C.T.s and R.T.s
This presentation will define radiation, and review radiation biology. It
will discuss radiation protection guidelines. Participants will be educated
on some additional uses of radiation and the exposure/protection concerns
associated with them.
Curves Are Out
there, Through Case Studies
Ron Boesch, D.C.
The class will be reviewing scoliosis from presentation to diagnosis. This will
be done through case studies. There will be discussion of anatomy and etiology.
Interprofessional
Opportunities in the VA: Clerkship, Residency, and Profession
Nathan Hinkeldey, D.C., Mr. Zach Jipp, Shawn Neff, D.C., Casey Okamoto, D.C.,
Alec Schielke, D.C.
Attendees will learn about the VA chiropractic program, gain knowledge about
practicing in the interdisciplinary setting, gain knowledge of veteran centered
competencies, and learn how they can be involved in care of veterans.
Friday, Aug. 12
8:30-9:30 a.m.
Gaining Momentum
– Gallup-Palmer Report Year-Two Findings
Cynthia English, M.P.P.
Results from the Gallup-Palmer College Year 2 study of Americans will be
released at this year’s homecoming. The research looks at perceptions among
U.S. adults about the effectiveness and safety of different treatment options
for neck and back pain, as well as explores the barriers that prevent some
adults from trying chiropractic services. Insights about chiropractic patient
experiences will also be reported. This data is vital for the chiropractic
industry to gain momentum in attracting new patients, as well as to continue to
engage existing ones.
9:45-10:45 a.m.
How to Care
Without Caring Too Much
Mr. William Esteb
The purpose of this course is to identify the many facets of the social
contract between chiropractor and patient and provide direction for
implementing sustainable chiropractic-appropriate boundaries that enhance
patient follow-through and optimum clinical outcomes.
11 a.m.-Noon
Integrative
Medicine: The Science of Connection
Mimi Guarneri, M.D., FACC, ABIHM
In this session, Dr. Guarneri will review the science of the mind body
connection to help us understand the role of emotions and disease outcome. Dr.
Guarneri will discuss the benefits of creating a multidisciplinary healing
team.
1:30-3:30 p.m.
The Secrets of
Scapula Dynamics in Shoulder Conditions, Injuries and Syndromes
Mitch Mally, D.C.
Sponsored by Foot Levelers, Inc.
In this fast pace, high energy, content rich presentation, Dr. Mally reveals
his authentic biomechanics and treatment protocols for the scapula in patients
with recalcitrant shoulder, cervical and thoracic spinal conditions.
Chiropractic
Technologists: 50 Years Later
Judy Bhatti, D.C., M.S., Alana Callender, Ed.D, Mary Frost, D.C., M.B.A.,
Stacie Martel, D.C., M.S., LaKeisha Holloway, M.B.A.
It’s been 50 years since Palmer’s C.T. program began. Please join experts in
this field for information on how far we’ve come and where we are headed. We
will discuss office management, personal wellness, marketing and social media,
as well as, a physiotherapy refresher. This will be interactive and there will
be time left for additional discussion.
*no CE available
Bone and Health
Support
Joseph Biernat, D.C.
Sponsored by Standard Process Inc.
Dr. Biernat will present on the use of whole food nutrition related conditions
and procedures to utilize in practice. Conditions commonly seen in chiropractic
practice will be explained in detail. The rationale and implementation of specific
nutritional supplementation and lifestyle changes for the management of health
will be provided. The opportunity for questions and case discussion is
included.
Functional Taping
for Musculo Skeletal Injuries, Part I: Overview and Upper Extremity
Applications
Greg Doerr, D.C.
Sponsored by Performance Health, Inc.
Functional Taping for Musculoskeletal Injuries is a course designed to
demonstrate several different taping techniques to be used on number of
musculoskeletal injuries of the spine, as well as the upper extremities, and
lower extremities. In this hands on presentation injuries to be treated with
taping procedures will include disc herniation, postural disorders,
tendinopathy of upper and lower extremities, ligament sprains of the upper and
lower extremity, edema reduction, and joint laxities and a host of other common
injures seen in the busy office. All procedures will be applicable to the
athlete, geriatric and general patient population with proper coding when
applicable, as well as the newest research and physiology on taping procedures.
Evaluation techniques will also be demonstrated to ensure the taping techniques
will be effective and allow those attending to demonstrate proper documentation
on the medical necessity of taping for 3rd party payers.
Therapeutic
Neuroscience of Pain, Part II- A Top Down Approach to Clinical Care
Nate Hinkeldey, D.C.
Physicians, therapists, trainers, and patients are still struggling with the
fact that pain perception is produced by brain activity. The cultural beliefs
related to pain still tends to focus on pain as a reliable source of
information about what is happening in the body. This is a false assumption and
the leading cause of ongoing pain for most people. This presentation will cover
the basic of chronic pain and explore how many of our current practices and
patient education material may be perpetuating the chronic pain epidemic.
4:30-6:30 p.m.
Neurosurgeon
Reveals Leg length Inequality as the Primary Cause for Knee, Hip and LBP
Mitch Mally, D.C.
Sponsored by Foot Levelers, Inc.
In this cursory review of the research on Leg Length Inequality, orthotics
and heel lifts, Dr. Mally shares the functional facts and fictional
fantasies of structural versus functional short leg and the protocols for
correcting same.
Military and VA
Chiropractic: My 20-Year Goal
Lance Armstrong, D.C.
Dr. Lance Armstrong will present his take on Palmer College and his
relationship to it after 20 years of practice. He will focus on the need for
students to focus on their career after graduation, and how much they will
appreciate their Palmer education once they do enter practice. Partly, this is
built upon his own experience after graduation; his first two years were
critical in his later success. And he will look at his involvement in the
pursuit of military and VA chiropractic integration, and his involvement in
several service-related programs, such as offering homeless veteran care,
Patrick Air Force Base Red Cross work, and the Lake Nona VA Clinic. It was a
Palmer education that made this all possible.
Will Your
Chiropractic Practice Survive the Future of Healthcare?
Jason Yusavage, D.C., DICCP
Are you a student getting ready to graduate or a recent graduate about to open
a practice? This session will give you some valuable information without any
gimmicks from a company who wants thousands of dollars from you. In this
session, Dr. Yusavage will review different chiropractic office models
including the pros and cons of a cash vs insurance practice. He will discuss
future concerns in chiropractic in relationship to healthcare and how to
survive.
Functional Taping
for Musculo Skeletal Injuries, Part II: Lower Extremity Applications
Greg Doerr, D.C., CCSP®
Sponsored by Performance Health, Inc.
Functional Taping for Musculoskeletal Injuries is a course designed to
demonstrate several different taping techniques to be used on number of
musculoskeletal injuries of the spine, as well as the upper extremities, and
lower extremities. In this hands on presentation injuries to be treated with
taping procedures will include disc herniation, postural disorders,
tendinopathy of upper and lower extremities, ligament sprains of the upper and
lower extremity, edema reduction, and joint laxities and a host of other common
injures seen in the busy office. All procedures will be applicable to the
athlete, geriatric and general patient population with proper coding when
applicable, as well as the newest research and physiology on taping procedures.
Evaluation techniques will also be demonstrated to ensure the taping techniques
will be effective and allow those attending to demonstrate proper documentation
on the medical necessity of taping for 3rd party payers.
Medicare
Compliance and HIPAA
Mario Fucinari, D.C., CCSP®
The Medicare Value-Based modifier, and Quality Resource Utilization Report
(QRUR) will go into effect January 1, 2017. Learn how to optimally
position yourself for the new profile and reimbursement models.
Meanwhile, the Office of Civil Rights has announced that it is beginning phase
2 of HIPAA audits this fall. Dr. Fucinari, member of the Medicare Carrier
Advisory Committee and national speaker, will detail the new Federal
requirements for chiropractic services. This class will focus on the
upcoming changes in procedures in Medicare and the methods to efficiently meet
those requirements. This class is ideal for doctors, staff and billers.
Saturday, Aug. 13
8-10 a.m.
Science Meets
Philosophy: The Power of a Chiropractic Adjustment!
Dan Sullivan, D.C.
This talk will cover some of the most up to date science and evidence proving
the powerful influence of a Chiropractic adjustment. Also covered in this talk
will be how the Philosophy of Chiropractic is as relevant today as it has ever
been, and it's backed up by some of the greatest scientific literature of our
time.
10:30 a.m.-12:30 p.m.
The Rise of
Corporate Chiropractic and Primary Care Integration
Daniel Lord, D.C., CCSP®
A new model of chiropractic practice is booming in northern California and
spreading to other regions across the US. Its patient centered, integrated with
primary care and gives us inroads to being a leader in the healthcare system of
the future. This presentation will look at the research being done and the data
that supports our inclusion into the corporate health model. We will cover
patient care pathways, clinical operations, and best practices for successful
outcomes in corporate settings. Also, we will look at the different models of
corporate health centers and how chiropractors can position themselves for these
opportunities.
Common Pediatric
Conditions Seen in the Chiropractic Office and What to do When You See Them
Jason Yusavage, D.C., DICCP
Dr. Yusavage will review common pediatric conditions such as scoliosis, ear
infections, headaches, back and neck pain. He will review the examination of
these common conditions and treatment options for the common conditions.
Adjusting technique for pediatric patients will also be discussed and
demonstrated.
Whose Story Is
It, Anyway?
Michelle Barber, D.C., M.S.W. and Virginia Barber, D.C.
Drawing on insights gained from the fields of Narrative Medicine, Medical
Ethics, and Biopsychosocial and Patient-Centered Care Models, we will utilize
this session to explore the power of incorporating patients’ life stories,
including their unique underlying value system, into our care and treatment of
each individual. Stories are the backbone of who we are; having our stories
heard and understood can make us feel validated, engaged, respected, and truly
involved in our care. Patients’ “stories”, or the narratives of their unique
illness, provide context, insight, subtle and not-so-subtle hints about
themselves and their needs and priorities. Effective clinical practice requires
narrative competence, or the ability to acknowledge, absorb, interpret, and act
on these stories and thereby engage with the plights of others. This
competence, in turn, allows us to provide true patient-centered care. Learning
to truly hear patients’ stories and developing clinical empathy gives us the
ability to balance treatment options between the belief systems and life of the
patient and the clinical possibilities that we as doctors advocate.
Documentation and
Billing Requirements
Mario Fucinari, D.C., CCSP®
Medicare has recently released a YouTube video and three memos outlining their
new requirements for documentation. Meanwhile, Blue Cross sent out a notice to
all of their subscribers notifying them that their doctors have been tiered and
it will affect the reimbursement coverage if they choose a lower tiered doctor.
What are the documentation requirements? How can you improve your
tiering? Learn the updated Medicare requirements for documentation and
coding and what he red flags are that trigger a reduction in reimbursement and
an ultimate recoupment. Dr. Mario Fucinari is a Certified Professional
Compliance Officer (CPCO), a Certified Medical Compliance Specialist (MCS-P)
and a member of the Medicare Carrier Advisory Committee. This class will
focus on the changes in policies and procedures in Medicare and the methods to
efficiently meet those requirements. This class is ideal for doctors,
staff and billers.
2-4 p.m.
Clinicians Using
Research: Foundations of Evidence Based Clinical Practice (EBCP)
John Stites, D.C., DACBR
Modern healthcare requires adopting the basic principles of evidence based
clinical practice (EBCP). Although the skills required to practice EBCP are
currently being taught in many of our institutions, these skills were not part
of the curriculum when the majority of today’s chiropractic practitioners were
trained. The purpose of this session is to provide the doctor with the
background and the tools to start to incorporate EBCP into their daily
practice. This session will go through developing clinical questions and search
strategies, identifying sound resources and understanding the hierarchy of
evidence. Different clinical questions are answered by different study designs
and these will be reviewed. Essential skills such as how to effectively read a
research paper will be discussed. We will spend some time going through
critical appraisal and assessing validity focused on studies of therapy.
Interpreting results can be challenging and this will be addressed.
During the course of the session we will explore concepts of relative and
absolute risk reduction, numbers needed to treat, sensitivity, specificity and
likelihood ratios. At the conclusion of the session strategies to stay current
in the literature will be examined.
Change Your Lens,
Change Your Life
Michelle Barber, D.C., M.S.W.
“It’s the lens through which your brain views the world that shapes your
reality. And if we can change the lens, not only can we change your
happiness, we can change every single educational and business outcome at the
same time.” – Shawn Achor
In this session
we will look at how we view success and happiness and how we can capitalize on
a powerful mindset that builds our personal momentum. Drawing on research
from the fields of positive psychology and the psychology of wellness, we will
address the ways that we hold ourselves back, the risk of burnout, and the
attitudes/behaviors/habits that keep us from finding true happiness and
wellness. We will then look at principles and actions that we can utilize
to improve our performance and make the most of our potential. These
principles can be applied in both our personal and professional relationships
and will also be great tools to share with patients!
Chiropractic
Imaging Practicum: The Annual Roentgen Roulette
Ian McLean, D.C., DACBR
After the participants view a series of diagnostic imaging "unknowns"
their answers are submitted to the instructor before the beginning of the
lecture. The presentation will be a comprehensive review of the unknown
cases designed to give the chiropractor practical information usable in
clinical practice. Plain film and specialized imaging studies critical to the
practicing chiropractor will be presented. The diagnostic imaging studies
will be correlated with the patients' clinical presentation.
ICD-10: The Next
Step
Mario Fucinari, D.C., CCSP®
The ICD-10 implementation is not over. Now that we have made it through
the first step of ICD-10, it has been announced that there will be over 5,000
code changes beginning October 1, 2016. How will ICD-10 be used to
measure your office profile by carriers such as Blue Cross and Medicare?
ICD-10 specificity will be used to determine your standing in the new
Value-based modifiers, Merit Incentive Payment System and provider
tiering. We will examine how to effectively diagnose your patients, look
for the red flags in coding, and better utilize the coding guidelines and ways
to check your progress in proper coding. This class is ideal for doctors, staff
and billers.
4:30-5:30 p.m.
Training Room
Survival Tips: Lessons Learned from 11 Years in the NFL
Kyle Prusso, D.C., CCSP®
In this session Dr. Prusso will discuss the ins and outs of working in an
integrated sports medicine team. He will outline how the medical staff is
structured, the use of multiple disciplines and integration and where
chiropractic fits in the continuum of care. Finally, Dr. Prusso will review what
to do if an opportunity arises for you to work in the sports world.
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