Palmer Florida Homecoming Continuing Education Program

Friday, Feb. 24

8-10 a.m.

Ethics and Professional Boundaries for the Chiropractor
Mary Frost, D.C., M.B.A.

Please join Mary Frost, D.C., M.B.A. (Main, ’96) for this session on ethics in chiropractic practice. She will reference various state laws regarding chiropractic, ethics, sexual misconduct, and fraud.

Diagnosis and Rehabilitation of the Most Common Shoulder Injuries in the Desk Athlete
Casey Crisp, D.C., CCST, M.S., ACP, CHCQM, CICE

Discussion of the most common shoulder injuries observed in the everyday person who works at a desk and is active, and a review of the most evidenced-based exams and rehabilitation.

Nutrition and Nerve Health
Lia Nightingale, Ph.D.

How many times have you found that your patients are not progressing as fast as you had hoped? Did you know that more than 20 nutrients are involved in the nervous system? Some of these include glucose, omega-3 fatty acids, amino acids, B vitamins, electrolytes, vitamin C, iron, magnesium, and zinc. Adequate intakes and the balancing of these nutrients are critical in restoring proper nerve conduction. We will also explore the impact of diet on healing after a nerve injury and nerve regeneration. 

10:30-11 a.m.

Looking Back While Moving Forward
Peter Martin, D.C., Susan Welsh, D.C., DACBSP®, Jack Herbert, D.C.

Please join Drs. Peter Martin, Susan Welsh and Jack Hebert for this opening session as they discuss a retrospective review of chiropractic and its implications for the future.

12:30-1:30 p.m.

Why in the World? Chiropractic Started in Davenport, Iowa!
Roger Hynes D.C., DPhCS, FICA

D.D. Palmer said, “I am not the first person to replace a subluxated vertebrae, for the art has been practiced for thousands of years.” So, why was the American Midwest such a fertile area for the development of different healing methods? Why was Davenport, Iowa the perfect location for the fledgling profession to get started? Why did numerous schools start in close proximity to Palmer, but Palmer was the only one to survive, flourish, and establish itself as the true leader of the chiropractic profession?

1:30-3:30 p.m.

Gut Microbiota in Wellness and Disease
Dan Weinert, D.C., Ph.D., DACRB

The State of the Organism is the product of the interrelationship of the total internal dynamic and the total external dynamic. An incredibly significant but often overlooked external dynamic includes the bacteria, viruses, archaea, and eukaryotic microbes residing in and on our bodies, the human microbiome. Disruption of its homeostasis triggers dysbiosis, causing a myriad of pathologies.  This presentation reviews how the intestinal barrier functions and factors/mechanisms leading to health or disease.

The Thompson Technique Five Categories
Elizabeth Zogg, D.C.

This course on the Thompson Technique will review the Thompson Five Categories leg check analysis and adjusting procedures as developed by the late J. Clay Thompson. This analysis is a systematic approach to the location and correction of vertebral subluxation. The Thompson “drop” table is based on Newton’s First Law of Motion which allows for a more gentle adjustment for both the patient and the Chiropractor. The Thompson Technique gives doctors confidence in adjusting the right place at the right time and may add years to your practice by allowing gentler adjustments.

The Smart Patient Journey
Jeff Langmaid, D.C.

Discover how you can seamlessly guide your patients’ journey from potential to active patient, and finally to proactive advocate for your practice. A smart patient journey will help you effortlessly attract, engage and retain more of your ideal patients.

4-6 p.m.

A Better Toolbox: Palmer Package Adjusting Options
Roger Hynes, D.C., DPhCS, FICA and Rachelle Hynes, D.C., LCP

The Palmer Package is a full-spine segmentalist approach to patient care that has been perfected over 125 years of teaching the art here at Palmer. Studies show that almost 80% of Palmer graduates use major components of the Palmer Package in their daily practices. It is natural for practicing chiropractors to gravitate toward the components they prefer to apply.

This presentation focuses on the patient presentation and the Palmer Package procedure most appropriate to use. The Palmer Package practitioner’s toolbox will be made a little bit bigger in the process and will provide more options for practice on Monday.

Rehab and Laser and Shockwave, Oh My!
Marc Lucente, D.C., M.A., DIANM and Jesse Hodges, Jr., D.C., M.S.

Please join Drs. Hodges and Lucente for this two-hour session on treatment protocols and differential diagnosis of lower extremity conditions. They will explore clinical presentation and treatment of both acute and chronic knee conditions and Achilles tendinopathy, laser, and shockwave modalities, as well as different care plans for stable versus unstable conditions.

It’s in Your Head (Mostly)
Matthew Richardson, D.C., DACBR

This two-hour session will focus on cranial and intracranial abnormalities observed on Cone Beam Computed Tomography (CBCT) examinations of the craniocervical spine. Attention will be given to select examples of physiological calcifications, vascular disease, masses, iatrogenic changes, and other abnormalities. A brief review of CBCT technology will start our lecture. We will review complete CBCT examinations, with correlation to X-ray, when possible, to demonstrate CBCT technology and present cases demonstrating topics covered in the lecture.

Saturday, Feb. 25

8-10 a.m.

Documenting Patient Care, Part 1
Scott Munsterman, D.C., FICC, CPCO

Documenting patient care is critical to patient safety and proper coding for reimbursement. Various factors are involved prior to billing for services which must be considered by the clinician, including proper Medicare documentation requirements which include an understanding of the Medicare law, rules of using an ABN form, Medicare’s definition of maintenance care and subluxation. Pertaining to the culmination of the medical decision-making process; the information gained from the activities of the evaluation and management visit are considered and translated into a diagnosis and treatment plan (including procedural coding rules) for the patient. The standards of care are discussed regarding necessary components of the treatment plan for an episode of care. The informed consent process is instructed. Barriers to care are discussed including understanding aggravation and exacerbation events. Progress evaluations and medical decision-making involving determining the maximum therapeutic benefit, a therapeutic trial of withdrawal from care, and chronic pain management are contemplated. New evaluation and management coding requirements as of Jan. 1, 2021, will be reviewed. The session will cover the medical decision-making and time components to effective E/M coding, documentation requirements, and criteria to determine proper coding selection.

Sensory Stacking: A New Approach to Movement Stabilization
Emily Splichal, D.P.M.

The seemingly simple task of balancing on one leg or walking across the room is actually a complex, integrated, multi-sensory experience with stimulation coming from the eyes, ears, joints and plantar foot.  Join functional podiatrist Emily Splichal, D.P.M. as she explores the power of sensory stimulation and how to dial up the neuro-activation to improve body perception and movement coordination in patients.

Brand Fantasy: The Neuroscience Behind Building Powerful Brands
Robert Ault, D.C., M.B.A., CCSP®

Have you ever wondered why some brands live so deeply in our minds, while others are so forgettable? Have you ever wished that your practice had the same name recognition as other major companies? Dr. Robert Ault, a Palmer graduate and Notre Dame M.B.A., will be teaching the nature of brands, how they live in our minds, and how chiropractors can use this new understanding to build their own powerful brand for their chiropractic business.

10:30-11:30 a.m.

Understanding the Climate Change of Health in Your Community
Sherry McAllister, D.C., M.S.(Ed.), CCSP®

This course will offer current, relative information on trending health care topics to maximize the value of chiropractic care. The speaker for this presentation will cover the latest research, the current climate of health care and the chiropractor’s role in alleviating the impact of the current climate.

12:30-2:30 p.m.

Documenting Patient Care, Part II
Scott Munsterman, D.C., FICC, CPCO

Documenting patient care is critical to patient safety and proper coding for reimbursement. Various factors are involved prior to billing for services which must be considered by the clinician, including proper Medicare documentation requirements which include an understanding of the Medicare law, rules of using an ABN form, Medicare’s definition of maintenance care and subluxation. Pertaining to the culmination of the medical decision-making process; the information gained from the activities of the evaluation and management visit are considered and translated into a diagnosis and treatment plan (including procedural coding rules) for the patient. The standards of care are discussed regarding necessary components of the treatment plan for an episode of care. Informed consent process is instructed. Barriers to care are discussed including understanding aggravation and exacerbation events. Progress evaluations and medical decision-making involving determining the maximum therapeutic benefit, a therapeutic trial of withdrawal from care, and chronic pain management are contemplated. New evaluation and management coding requirements as of Jan. 1, 2021, will be reviewed. The session will cover the medical decision-making and time components to effective E/M coding, documentation requirements, and criteria to determine proper coding selection.

The Next Generation of Health Care: Our Kids Deserve Better!
Bill Hemmer, D.C.

We have endured 120 years of allopathic reductionism that has left our current lifespan getting shorter for the first time in recorded history.  Our kids deserve better than this!

This lecture outlines the history of how we got here and how chiropractic will become the new healthy lifestyle authority in our local community and break free from the current rescue care model and feed our next generation of kids what they need to reverse our current health trajectory. 

We will discuss stress, food, and trash. These three common words can be used as talking points for discussing health for kids of all ages. Once someone understands the problem, they can take the first step to becoming responsible for their own health again. Then, we can support them and invite them to be part of our tribe for life. 

TMJ Adjusting and Analysis Tools for the Chiropractic Office
Steve Cuono, D.C., CCEP, FIAMA

The TMJ has long been an afterthought for chiropractors.  In this two-hour class, we will see why this interesting joint may become an integral part of your chiropractic examination and care plan. Topics covered will be examination procedures, adjusting protocols, and clues to listen and look for in your patient history.

Lower Extremity Subluxation Patterns
Mark Charrette, D.C.

This two-hour presentation is a “hands-on” workshop designed for the doctor to quickly acquire adjusting skills for the most commonly encountered lower extremity subluxation patterns. Also covered in this course are simple stabilization and rehabilitative procedures for the extremities.

3-5 p.m.

Documenting Patient Care, Part III
Scott Munsterman, D.C., FICC, CPCO

Documenting patient care is critical to patient safety and proper coding for reimbursement. Various factors are involved prior to billing for services which must be considered by the clinician, including proper Medicare documentation requirements which include an understanding of the Medicare law, rules of using an ABN form, Medicare’s definition of maintenance care and subluxation. Pertaining to the culmination of the medical decision-making process; the information gained from the activities of the evaluation and management visit are considered and translated into a diagnosis and treatment plan (including procedural coding rules) for the patient. The standards of care are discussed regarding necessary components of the treatment plan for an episode of care. Informed consent process is instructed. Barriers to care are discussed including understanding aggravation and exacerbation events. Progress evaluations and medical decision-making involving determining the maximum therapeutic benefit, a therapeutic trial of withdrawal from care, and chronic pain management are contemplated. New evaluation and management coding requirements as of Jan. 1, 2021, will be reviewed. The session will cover the medical decision-making and time components to effective E/M coding, documentation requirements, and criteria to determine proper coding selection.

Simplifying Core and Pelvic Floor in the Chiropractic Visit
Erica Boland, D.C. 

Your pregnant and postpartum patients are experiencing core and pelvic floor dysfunction that chiropractic care can, and should, improve. The ability to simply explain, effectively treat, and properly refer core and pelvic floor dysfunction for the perinatal population will improve long-term patient outcomes, advance your clinical skills and support your business.

Combining experience as a chiropractor, doula, and soon-to-be midwife, Dr. Boland will provide you with insight into why your patients need you, their chiropractor, to address this topic.

Pain Neuroscience Education: Applying Current Evidence to Encourage Patient Engagement
Jeff Remsburg, D.C., M.S., DACRB, Cert. MDT

Neuroscience has been a focus of chiropractic education since its inception. Progress in science and research has led to many new findings justifying the complexity of the system and the power that the central nervous system has on our bodies. Over the past 25 years, the effects the nervous system has on pain and patient outcomes has developed into a new area of study: neuroscience pain education. This presentation will provide the application of current literature concepts designed for use with the pain patient. Decreasing the sensitivity of the nervous system will be the focus of the presentation in hopes of reducing fear of movement, central sensitization, and improving patient and nervous system function. Come join us for an engaging dive into a topic you can apply Monday morning.

Upper Extremity Subluxation Patterns
Mark Charrette, D.C.

This two-hour presentation is a “hands-on” workshop designed for the doctor to quickly acquire adjusting skills for the most commonly encountered upper extremity subluxation patterns. Also covered in this course are simple stabilization and rehabilitative procedures for the extremities.

Sunday, Feb. 25

8-10 a.m.

Florida Laws and Rules
Jason Belcher, D.C.

Please join Dr. Belcher for this two-hour session which satisfies the Florida continuing education requirement.

Systematically Attacking the Lumbar Spine
Trevor Shaw, D.C., DACRB, CSCS, SFGII

The goal is to describe a new paradigm in the management of lumbar spine pain and dysfunction. Historical treatment will be discussed along with a new contemporary approach based on neurodevelopment and progressive/regressive exercise.

10:30 a.m.-1:30 p.m.

HIV/AIDS: Conventional and Chiropractic Management
Mark Murdock, D.C., R.N.

This session will review basic, intermediate and advanced concepts regarding HIV infection. Epidemiology will be covered for different demographics and the clinical presentation of stages of HIV infection will be delineated. Online personal testimony will be presented. Cellular stages of infection will be discussed. Life expectancy with and without HART will be compared via diagram. Diagnostic tools will be discussed. Prevention measures involving pre-prophylaxis and post-prophylaxis will be explained. Bodily fluid clean-up procedures will be demonstrated.

In addition, advanced management approaches will be explored from a conventional and chiropractic perspective. Conventional treatment will be matched with the cellular stages. Side effects will be revealed. Chiropractic management will be discussed with a focus on support, interdisciplinary management and encouragement. The comparative effectiveness of herbal effects on HIV/AIDS will be shown in table format. This well-rounded presentation will expose the learner to a concise aid to understanding HIV.

10:30 a.m.-12:30 p.m.

Preventing Clinical Errors in Practice
Scott Munsterman, D.C., DICC, CPCO

As health care providers, we have all taken the oath of “First do no harm”. But how is this defined from a risk management perspective in patient care? Learn how to decipher the types of events that could lead to a clinical error and how to prevent adverse events or near misses from occurring in the first place. Begin to understand how to “set-up” defense layers within your practice to ensure safety for your patients.

12:30-1:30 p.m.

Risk Management in the Chiropractic Office, Part II
Scott Munsterman, D.C., FICC, CPCO

Defining risk management is easy but applying it successfully to practice operations begins with fully understanding all of your potential risks. Federal, state and local government agencies enforce regulations (HIPAA, OSHA, OIG, Medicare, etc.) upon the health care industry. In addition, the standard of care for health care providers – governed by their respective licensing board – upholds consumer protections through accountability mechanisms. Covering these bases and more through a risk management or compliance program is your first step to protecting your patients, your practice and your future.