Texas Chiropractic Continuing Education

• Explain how needle manipulation works on a physiological basis and extrapolate as to when to apply these techniques
• Summarize some of the more relevant literature surrounding the use of one of the most commonly used acupuncture points: Stomach 36
• Describe the physiology of tongue color, shape, coating and spirit (movement)
• Compare clinical examples of tongue appearance and identify key components of the tongue exam
• Interpret the meaning of clinical findings during the tongue exam and correlate them to physiology

• This contains all courses with the educational objectives listed from Acupuncture 205 through Acupuncture 211

• Identify the 3 types of acupuncture points and identify what a homeostatic point is
• Describe the phases (latent, passive and active) of acupuncture points
• Illustrate the anatomical characteristics that make up all acupuncture points
• Outline the location of 25 commonly used homeostatic acupuncture points
• Differentiate discrete anatomical characteristics that make up homeostatic acupuncture points
• Explain the common indications and cautions for use of the homeostatic acupuncture points
• Review the neuroanatomy of spinal nerves and explain how it relates to paravertebral (Bladder Shu) points
• Discuss and demonstrate needling technique for the homeostatic acupuncture points
• Demonstrate point location on live models

• Describe and summarize the mechanisms by which acupuncture exerts effect on pain modulation and musculoskeletal function
• Describe joint and muscle mechanoreceptor anatomy and physiology and how they relate to acupuncture
• Define and discuss the ascending and descending neurological pathways affected by acupuncture
• Outline the importance of cortical representation and the sensory/motor homunculus and relate them to acupuncture points with examples
• Demonstrate the importance of the cerebellum and its role in acupuncture treatment of musculoskeletal disorders

• Identify the layers of integument that you are piercing while doing acupuncture
• Compare and contrast the physiological consequences of superficial, medium and deep needling
• Differentiate which depth of needling is appropriate for the desired effect
• Describe the neurological pathways involved with acupuncture needling
• Explain the significance of needle retention time

• Identify common acupuncture point classification groups
• Compare the use of different point categories in clinical practice
• Describe the point location for points within commonly used groups
• Explain the local anatomy and neurology involved with key points
• Outline indications for use of some points and point categories

• Describe the history of the San Jiao
• Associate the San Jiao to Vagal Nerve function
• Breakdown each of the 3 “burners” into their component parts
• Review the salient points on the San Jiao Meridian
• Summarize the function and indications of the Shu Points and apply that to the San Jiao channel

• Examine the origin of the Qi symbol
• Define Qi Identify and describe the types of Qi
• Explain Qi as it relates to triple warmer metabolism
• Describe and compare the types of Qi pathology
• Review the pertinent points on the Pericardium channel
• Explain how the neurological development of the brachial plexus relates to the pericardium meridian function
• Demonstrate the local anatomy of the pericardium channel in the upper extremity

• Describe the origins of the 8 extra vessels and review Chinese embryology
• Review the locations and functions associated with each of the 8 extra vessels and extraordinary meridians
• Discuss the meaning of moving Qi between the kidneys, Ming Men, Dan Tien, Ching Mai, Ren Mai, Du Mai, Dai Mai, Yin Qiao Mai, Yin Wei Mai, Yang Qiao Mai and Yan Wei Mai

• Describe the functions of the 3 warmers/burners
• Apply the influential points for each burner/warmer
• Discuss the different types of Qi
• Summarize the formation of Qi, Jing, Shen, blood and pure fluids, according to Chinese medicine

• Discuss the Ren Mai’s overall function
• Introduce a selection of clinically useful points on the Ren Mai (Conception Vessel) meridian
• Discuss the Du Mai’s overall function
• Introduce a selection of clinically useful points on the Du Mai (Governing Vessel) meridian
• Explore the anatomy and indications surrounding LV14

Hour 1:

• Review and expand on, from a Western perspective, the neurophysiological basis of acupuncture
• Outline the pain pathway from the periphery to the central nervous system
• Review excitation/contraction coupling and muscle contraction theory
• Discuss the functions and distribution of alpha and gamma motor neurons

Hour 2:

• Explain and emphasize the functions of interneurons in the spinal cord
• Discuss muscle spindles and golgi tendon organs anatomy
• Explain the role of muscle spindles and golgi tendon organs in acupuncture
• Contrast slow versus fast stretch
• Introduce the concept of the “central integrated state” as it relates to acupuncture and acupuncture therapy
• Emphasize the relevance of cerebellar function to acupuncture as it relates to cerebellar output and modulation

• Acquaint the clinician with the physiological effects of acupuncture and needling
• Provide supportive literature for the physiological effects of acupuncture and needling
• Present the concept of central desensitization as it relates to acupuncture and needling
• Discuss how needling affects pain modulation, range of motion, muscle activation and the chemical environment surrounding trigger points

• Review the 2 major afferent pain pathways
• Discuss the local, segmental and cortical responses to pain and a painful stimulus
• Describe the major, descending inhibitory pathways for pain including the enkephalinergic, serotonergic and noradrenergic pathways
• Describe the cholinergic inhibitory pathway for pain
• Explain how acupuncture affect these pain pathways

• Discuss the layers of the skin as related to a practitioner’s perception during acupuncture
• Review the neurological pathways involved with acupuncture
• Summarize the local, segmental and cortical effects of acupuncture
• Contrast the physiological effects of depth of insertion and retention time of acupuncture

• Outline the basics of clean needle technique, including defining “clean field” and offering recommendations as it related to acupuncture
• Discuss the most common methods of sterilization
• Contrast sterilization vs disposable needles
• Present the most common complications of acupuncture
• Discuss contraindications to acupuncture
• Present the most common infectious agents as risk factors for acupuncture

• Outline current concepts in trigger point theory
• Discuss the neurophysiology of current concepts in trigger point theory
• Distinguish between sclerotomes, dermatomes, myotomes and discuss their importance and trigger point diagnosis
• Discuss objective findings present in trigger point diagnosis
• Explain the importance of segmental relationships and acupuncture

• Develop diagnostic tools and complementary treatment approaches to common foot disorders
•  Outline a complete approach to treatment from assessment to acupuncture to patient advice
•  Discover major points and regions used most to achieve better treatment outcomes
•  Apply palpation and needling concepts to regions affecting/affected by foot disorders
•  Devise treatment plans specific to patient’s foot complaint

• This contains all courses with the educational objectives listed from Acupuncture 222 through 228

• Develop diagnostic tools and complementary treatment approaches to lateral ankle issues, inversion injuries and sinus tarsi syndrome
• Discover the association between lateral ankle injuries and sinus tarsi syndrome
• Outline a complete approach to treatment from assessment to acupuncture to patient advice
• Gain a better understanding of the distribution, pathology and function of the six leg muscle channels
• Devise a treatment plan specific to patient’s lateral ankle injury and sinus tarsi syndrome

• Develop diagnostic tools and complementary treatment approaches to Morton’s metatarsalgia, capsulitis and forefoot pain
• Outline a complete approach to treatment from assessment to acupuncture to patient advice
• Discover major foot points and regions used most to achieve better treatment outcomes
• Apply palpation and “grid” needling concepts to regions affecting/affected by Morton’s metatarsalgia, capsulitis and forefoot pain
• Devise treatment plans specific to patient’s forefoot complaint

• Develop diagnostic tools and complementary treatment approaches to Metatarsophalangeal joint pain, Turf toe and first Metatarsophalangeal (MTP) joint issues
• Outline a complete approach to treatment from assessment to acupuncture to patient advice
• Discover major foot points and regions used most to achieve better treatment outcomes
• Apply palpation and traction needling concepts to regions affecting the first metatarsophalangeal joint
• Devise treatment plans specific to patient’s first metatarsophalangeal joint complaint

• Develop diagnostic tools and complementary treatment approaches to heel pain, plantar fasciitis and plantar fascia disorders
• Outline a complete approach to treatment from assessment to acupuncture to patient advice
• Discover major points and regions used most to treat plantar fascia disorders
• Apply palpation and needling concepts to regions affecting/affected by heel pain, plantar fasciitis and plantar fasciopathy
• Devise treatment plans specific to the patient’s plantar fascia complaint

• Develop diagnostic tools and complementary treatment approaches to tarsal tunnel syndrome
• Outline a complete approach to treatment from assessment to acupuncture to patient advice
• Discover major points and regions used most to treat issues related to the tarsal tunnel of the foot
• Apply palpation and needling concepts to regions affecting/affected by tarsal tunnel syndrome
• Devise treatment plans specific to the patient’s medial foot/tarsal tunnel complaint

• Develop diagnostic tools and complementary treatment approaches to Achilles tendinopathy and related Achiiles tendon issues
• Outline a complete approach to treatment from assessment to acupuncture to patient advice
• Discover major points and regions used most to treat Achilles tendon issues
• Apply palpation and needling concepts to regions affecting/affected by Achilles tendinopathy
• Devise treatment plans specific to the patient’s Achilles tendon issue

• Identify the various styles of acupuncture
• List the branches of Chinese Medicine
• List the various way of stimulating acupuncture points
• Recognize the strengths and weakness of various acupuncture related treatments
• Describe the application of each of the Branches of Chinese Medicine

• This contains all courses with the educational objectives listed from Acupuncture 400 through Acupuncture 420

• This contains all courses with the educational objectives listed from Acupuncture 400 through Acupuncture 461

• Describe the paradigm and progression of Traditional Chinese Medicine.
• Define the five branches of Chinese medicine.
• Explain the basic relationships and theoretical constructs of Yin and Yang
• Identify the most clinically useful associations of Yin and Yang
• Summarize the most clinically useful functions of Yin and Yang

• Compare and contrast Yin and Yang disorders.
• Describe the Yin and Yang relationships within the human body.
• Give Examples of how the Eight Principles relate to one another and to Yin and Yang
• Summarize how the Eight Principles function in relation to human physiology
• Explain how the Eight Principles relate to pathology

• Differentiate Uses of 5 Element Theory in Chinese Medicine
• Reconstruct the Five Elements according to the Creative and Control Cycles
• Explain the functioning of the Creative Cycle
• Explain the functioning of the Control Cycle
• List the Organs Associated with each Element

• Compare and contrast the qualities and characteristics associated with the Five Elements
• Summarize the qualities and characteristics associated with the Five Elements
• Point out the major differences between the Five Elements
• Reconstruct the major Correspondences of the Five Elements
• Differentiate Individuals based on the Five Elements

• Outline the times of day associated with the Organs in Chinese Medicine
• Interpret the significance specific times with regard to Organs
• Relate the Essential substances in Chinese Medicine
• Explain theoretical process of Substance Production
• Reconstruct the role of the three warmers in Qi, Blood, and Fluid Production

• Relate the Theoretical Process of Jing Formation
• Give examples of The Functions of Jing
• Describe Functions of Shen
• Diagram Fluid Production
• Assess Common Fluid Pathologies

• Relate the Theoretical Process of Jing Formation
• Give examples of The Functions of Jing
• Describe Functions of Shen
• Diagram Fluid Production
• Assess Common Fluid Pathologies

• Differentiate the External Pathogenic Factors
• Explain Internal Pathogenic Factors
• Describe How External Pathogenic Factors Influence the body
• Recognize Miscellaneous Pathogenic Factors
• Discuss the TCM viewpoint on the Causes of Disease

• List the Yin & Yang Organs
• Compare and Contrast Yin & Yang Organs
• Reconstruct the Yin/Yang Organ Relationships
• Summarize the similarities and differences of Yin & Yang Meridians
• Reconstruct the SIx Division Meridian Pairs

• Relate the common symptoms associated with the Lungs & Large Intestines
• Define properties of the Lungs & Large Intestines
• Describe the functions of the Lungs & Large Intestines
• Discuss the most common disharmonies of the Lungs & Large Intestines
• Explain the clinically relevant “nicknames” of the Lungs & Large Intestines

• Relate the common symptoms associated with the Spleen & Stomach
• Define properties of the Spleen & Stomach
• Describe the functions of the Spleen & Stomach
• Discuss the most common disharmonies of the Spleen & Stomach
• Explain the clinically relevant “nicknames” of the Spleen & Stomach

• Relate the common symptoms associated with the Organs of the Fire Element
• Define properties of the Organs of the Fire Element
• Describe the functions of the Organs of the Fire Element
• Discuss the most common disharmonies of the Organs of the Fire Element
• Explain the clinically relevant “nicknames” of the Organs of the Fire Element

• Relate the common symptoms associated with the Liver & Gall Bladder
• Define properties of the Liver & Gall Bladder
• Describe the functions of the Liver & Gall Bladder
• Discuss the most common disharmonies of the Liver & Gall Bladder
• Explain the clinically relevant “nicknames” of the Liver & Gall Bladder

• Relate the common symptoms associated with the Kidney & Urinary Bladder
• Define properties of the Kidney & Urinary Bladder
• Describe the functions of the Kidney & Urinary Bladder
• Discuss the most common disharmonies of the Kidney & Urinary Bladder
• Explain the clinically relevant “nicknames” of the Kidney & Urinary Bladder

• Compare the major point categories
• Derive Tonification and Sedation points
• Describe The 12 Main Meridians
• Contrast the functions of Yin and Yang Meridians
• Explain the 6 major Meridian Categories

• List the 14 Acupuncture Meridians that possess acupoints
• Summarize the clinical applications of Yin and Yang Meridians
• Point out the beginning and end points of each of main Meridians
• Outline the main functions of each of the main meridians
• Illustrate the trajectories of the main meridians

• Name the Extraordinary Organs
• Distinguish Extraordinary Organs from Yin & Yang Organs
• Name the Extraordinary Meridians
• Discuss the functions of the Extraordinary Meridians
• Reconstruct the classical treatment sequence for Extraordinary Meridians.

• List the areas of the tongue, as they apply to different aspects of the body
• Relate the common features of the tongue, which indicate disharmonies
• Utilize tongue colors, shapes, coats, and movements for diagnosis
• Determine common Organ disharmonies based on tongue observation
• Distinguish between excess and deficient conditions, based on tongue observation

• Describe normal and common pathological pulses
• Diagnose pathological signs associated with pulse speed
• Explain common pulse qualities
• Summarize usual pulse combinations
• Recognize tongue and pulse combinations associated with common disorders

• Explain Universal Precautions
• Prepare a Clean Field for administering acupuncture
• Secure, handle and dispose of Biohazard material, normally encountered in an acupuncture practice
• Recognize, avoid, and handle acupuncture side effects
• Explain the cautions and contraindications of acupuncture treatment

• List the types of acupuncture meridians
• Distinguish between various types acupuncture meridians
• Describe the functions of various types acupuncture meridians
• Determine and apply individual patient measurements, in order to locate acupuncture points
• List the Transport Points

• This contains all courses with the educational objectives listed from Acupuncture 421 through Acupuncture 436

• Distinguish between acupuncture points categories
• Create supplementing & reducing treatments based on the Five Element points
• Describe the functions of various categories acupuncture points
• Compare and contrast Acupuncture point actions and indications

• Describe and point out the general pathway of the Du Meridian
• Locate each of the individual points on the Du Meridian
• Recognize Du Meridian points that are associated with contraindications
• Compare and contrast the actions and indications of the main points on the Du Meridian

• Describe and point out the general pathway of the Ren Meridian
• Locate each of the individual points on the Ren Meridian
• Recognize Ren Meridian points that are associated with contraindications
• Compare and contrast the actions and indications of the main points on the Ren Meridian

• Describe and point out the general pathway of the Lung Meridian
• Locate each of the individual points on the Lung Meridian
• Recognize Lung Meridian points that are associated with contraindications
• Compare and contrast the actions and indications of the main points on the Lung Meridian

• Describe and point out the general pathway of the Large Intestine Meridian
• Locate each of the individual points on the Large Intestine Meridian
• Recognize Large Intestine Meridian points that are associated with contraindications
• Compare and contrast the actions and indications of the main points on the Large Intestine Meridian

• Describe and point out the general pathway of the Stomach Meridian
• Locate each of the individual points on the Stomach Meridian
• Recognize Stomach Meridian points that are associated with contraindications
• Compare and contrast the actions and indications of the main points on the Stomach Meridian

• Describe and point out the general pathway of the Spleen Meridian
• Locate each of the individual points on the Spleen Meridian
• Recognize Spleen Meridian points that are associated with contraindications
• Compare and contrast the actions and indications of the main points on the Spleen Meridian

• Describe and point out the general pathways of both the Heart & Pericardium Meridians
• Locate each of the individual points on both the Heart & Pericardium Meridians
• Recognize Heart & Pericardium Meridian points that are associated with contraindications
• Compare and contrast the actions and indications of the main points on both the Heart & Pericardium Meridians.

• Describe and point out the general pathway of the Small Intestine Meridian
• Locate each of the individual points on the Small Intestine Meridian
• Recognize Small Intestine Meridian points that are associated with contraindications
• Compare and contrast the actions and indications of the main points on the Small Intestine Meridian

• Describe and point out the general pathway of the Bladder Meridian
• Locate each of the individual points on the Bladder Meridian
• Recognize Bladder Meridian points that are associated with contraindications
• Compare and contrast the actions and indications of the main points on the Bladder Meridian

• Describe and point out the general pathway of the Kidney Meridian
• Locate each of the individual points on the Kidney Meridian
• Recognize Kidney Meridian points that are associated with contraindications
• Compare and contrast the actions and indications of the main points on the Kidney Meridian

• Describe and point out the general pathway of the San Jiao Meridian
• Locate each of the individual points on the San Jiao Meridian
• Recognize San Jiao Meridian points that are associated with contraindications
• Compare and contrast the actions and indications of the main points on the San Jiao Meridian

• Describe and point out the general pathway of the Gall Bladder Meridian
• Locate each of the individual points on the Gall Bladder Meridian
• Recognize Gall Bladder Meridian points that are associated with contraindications
• Compare and contrast the actions and indications of the main points on the Gall Bladder Meridian

• Describe and point out the general pathway of the Liver Meridian
• Locate each of the individual points on the Liver Meridian
• Recognize Liver Meridian points that are associated with contraindications
• Compare and contrast the actions and indications of the main points on the Liver Meridian

• Describe and point out the Location of 31 Extraordinary Points
• Recognize Extraordinary Points that are associated with contraindications
• Recognize both the English and Chinese names of 31 Extraordinary Points
• Compare and contrast the actions and indications of 31 Extraordinary Points
• Describe specific needling associated with those acupuncture points which require unconventional needling techniques or directions

• List the similarities in treatment associated with all acupuncture microsystems
• Describe and point out the location of 17 discrete hand acupuncture points
• Describe and recreate a useful somatotope associated with hand acupuncture
• Compare and contrast 3 different styles of hand acupuncture
• Describe specific needling techniques associated with those hand acupuncture points which require specific needling techniques and/or directions

• This contains all courses with the educational objectives listed from Acupuncture 437 through Acupuncture 440

• List the similarities associated with ear acupuncture and other acupuncture microsystems
• Describe and recreate a clinically-useful somatotope/homunculus associated with ear acupuncture
• Locate the physical structures of the ear, such as the helix, antihelix, triangular fossa, antitragus, etc.
• Describe and point out the location of the major landmarks for auriculotherapy point location
• Describe and point out the location of 36 or more discrete ear acupuncture points

• List the similarities associated with Chinese Scalp Acupuncture and other acupuncture microsystems
• Describe and find treatment areas associated with the somatotope of the cortex of the brain
• Describe and point out the location of the major landmarks, lines, and points, used to find Chinese Scalp Acupuncture treatment areas and lines.
• Describe and point out the location of the 10 most commonly used Chinese Scalp Lines/Areas
• Describe and find the correct layer for needling Chinese Scalp lines, and begin practicing the techniques needed to use this form of acupuncture in clinical practice.

• List the similarities associated with YNSA Scalp Acupuncture and other scalp acupuncture microsystems
• Describe and find treatment areas associated with the YNSA somatotope
• Describe and point out the location of the major landmarks used to find YNSA Scalp Acupuncture points.
• Describe and point out the location of the most commonly used YNSA Scalp Points
• Describe and find the correct procedure and needling technique for treating YNSA Scalp Points, and begin practicing the techniques needed to use this form of acupuncture in clinical practice.

• Identify the various types of acupuncture needles
• List the main formats for administering moxibustion
• Set up and maintain a clean field
• Recognize and take steps to avoid the main risks to acupuncture providers
• Recognize and take steps to avoid the main risks to acupuncture patients

• This contains all courses with the educational objectives listed from Acupuncture 441 through Acupuncture 446

• Identify the various sizes of acupuncture needles
• Describe needle techniques to tonify and sedate acupuncture points
• Demonstrate the common needle insertion angles
• Compare and contrast the size of acupuncture needles with other common needles
• Infer safe and appropriate needle depths for many common acupuncture points

• Identify the various grades of moxa
• Describe various methods for applying indirect moxa
• Demonstrate safe procedures for administering indirect moxa
• Compare and contrast direct and indirect moxibustion
• Determine appropriate methods for administering moxibustion in specific clinical

• Identify conditions which are amenable to treatment with electro-acupuncture
• Distinguish between invasive and non-invasive electro-acupuncture devices and administrative practices.
• Demonstrate safe procedures for administering electro-acupuncture
• Compare and contrast milliamp stimulation with microamp stimulation
• Determine appropriate frequency and intensity settings for administering electro-acupuncture, based on clinical findings

• Identify conditions which are amenable to treatment with cupping and gua sha
• Identify various types of cups and gua sha instruments
• Demonstrate safe procedures for administering gua sha
• Describe post-treatment recommendations and procedures for gua sha & cupping
• Demonstrate safe procedures for administering cupping with both fire silicone cups

• Identify conditions which are amenable to treatment with Laser and TDP Lamp.
• Identify various types and wavelengths of lasers employed in acupuncture
• Demonstrate safe procedures for administering laser acupuncture
• Describe the physical mechanisms associated with photobiology
• Demonstrate safe procedures for administering TDP Lamp

• Differentiate most painful conditions according to TCM theory
• Compare and contrast pain associated with Cold, Heat, Damp, Qi, & Blood Stagnation
• Assess local, distal and adjacent points for the treatment of pain
• Select appropriate modalities for various painful conditions
• Formulate meridian based treatment strategies for many painful conditions

• This contains all courses with the educational objectives listed from Acupuncture 447 through Acupuncture 451

• Identify many primary points for the treatment of pain
• Describe the relationships of the individual meridians within yangming, shaoyang, and taiyang classifications
• Formulate treatment strategies based on the 6 Divisions
• Compare and contrast yangming, shaoyang, and taiyang areas of influence
• Choose appropriate techniques for treating trigger points

• Describe the special pathways of the sinew meridians relevant to the treatment of pain
• Identify Jing points for the treatment of pain according to main and sinew meridian pathways
• List the points used to activate the anterior, posterior, lateral and medial  treatment zones
• Compare and contrast posterior, lateral and medial zones as they relate to acupuncture treatment
• Describe the procedure using zonal treatment for treating pain

• Identify the most common painful disorders of the head and neck that can be treated effectively with acupuncture
• Choose effective points for treating many painful disorders of the head and neck
• Identify the most common painful disorders of the upper extremity and trunk that can be treated effectively with acupuncture
• Choose effective points for treating many painful disorders of the upper extremity and trunk
• Determine appropriate treatment modalities for common painful conditions of the upper body

• Identify the most common painful disorders of the back and lower extremity that can be treated effectively with acupuncture
• Choose effective points for treating many painful disorders of the back and lower extremity
• Compare and contrast the Bladder and Gall Bladder Meridians an their influences on the lower back
• Compare and contrast the zones and meridians associated with the back and leg
• Choose appropriate treatment modalities for painful conditions of the back and leg

• Interpret phenomena in terms of Yin &Yang
• Apply the theory of Yin-Yang to Chinese medicine
• Describe the concepts of deficiency and excess of Yin & Yang
• Identify phenomena according to the Five Elements
• Apply the theory of Five Elements to Chinese medicine
• Summarize the interrelationships of the Generating, Controlling, and Over-acting Cycles of the Five Elements  
• Differentiate the origin, nature, & functions of Pre-Heaven Essences
• Explain the functions of Qi in the body
• Outline the relationship between Blood and Qi
• Explain the relationship between Blood and Essence
• Contrast and Compare Blood and Body Fluids
• Identify the different aspects of the Mind as it is understood within Chinese medical theory

• This contains all courses with the educational objectives listed from Acupuncture 452 through Acupuncture 461

• Describe the functional activities of Qi and their associated physiological processes in the body
• Explain the role of the Original Qi as the dynamic motive force for transformation
• Analyze the interrelationship of the Essence and the Fire of the Gate of Life
• Explain the process of the movement of Qi in the body
• Summarize the role of the bones as one of the deepest energetic layers
• Paraphrase how the entering and exiting of Qi from the space between the skin and  muscles regulates sweating
• Describe how Qi enters and exits from the joints, and how this process can become interrupted
• Explain the nature and functions of the Yin and Yang organs in general, and the essential differences between them
• Infer how the Kidneys, as the foundation of Yin and Yang and the origin of Fire and Water in the body, impact the other Organs
•  Give examples of how the role of the Stomach and Spleen as the “center,” impacts the body’s function
•  Summarize the relationships between Heart and Blood
• Outline how anger affects the Liver and how a Liver disharmony affects our moods

• Describe the importance of the Pericardium channel in acupuncture treatment
• Discuss the significance of the Triple Burner in the Qi mechanism
• Match the Heart with various emotions, substances, & organs
• Differentiate the relationships of Blood to the Heart, Liver, and Spleen
• Recognize the various aspects of the soul, and the organs to which those aspects are most closely related
• Give examples of how the Liver and Spleen interact in making and storing the Blood
• Explain the significance of the descending of Lung-Qi and the ascending of Liver-Qi
• Relate the free flow of Liver-Qi to the Spleen's function of transformation and transportation
• Explain how a deficiency of Spleen-Qi, leading to the formation of Phlegm, affects the Lungs
• Summarize the relationships between the Kidneys and the Spleen
• Discuss the complexities of the relationship of Blood to Spleen, Heart and Liver
• Distinguish the roles played by the Yin and Yang organs, in the management of fluids
• Diagram the more significant interrelationships of the five Yin organs
• Compare and Contrast the Extraordinary organs with the Yin & Yang organs

• Explain how climatic factors can become a cause of disease
• Assess the influence of the constitution on predisposition to health or disease
• Compare diagnostic signs of a strong or weak constitution
• Discuss how excessive physical work and exercise can cause disease
• Relate the significance of poor diet and eating habits as a cause of disease
• Summarize the importance of paying attention to a patient's constitutional type
• Interpret clinical meaning of changes in the tissues and other parts of the body
• Recognize the importance of the tongue as a pillar of diagnosis
• Integrate tongue and pulse diagnosis to confirm suspected patterns and indicate the presence of patterns not evident from other signs and symptoms
• Recognize the frequency of tiredness as a complaint in Western patients, and utilize  methods of questioning to ascertain appropriate patterns of disharmony
• Differentiate the clinical significance of feelings of cold, heat, and fever, and their different clinical significance in exterior and interior conditions
• Justify the importance of questioning and observing the patient's emotional state
• Recognize the significance of asking about menstruation, leucorrhoea, pregnancy, and childbirth
• Examine children's symptoms, in the areas of digestion, respiration, sleep and immunization

• Describe the role of the radial pulse in diagnosis
• Give examples of the problems inherent in pulse diagnosis
• Discuss the clinical significance of the three levels of the pulse
• List the factors to take into account when evaluating the pulse
• Recognize signs from palpating the temperature, moisture, and texture of the skin
• Explain how palpation of the abdomen provides valuable diagnostic information
• Recognize the various forms taken by 'Excess of Yang' and 'Deficiency of Yang'
• Recognize the various forms taken by 'Excess of Yin' and 'Deficiency of Yin'
• Summarize the diagnostic significance of the sounds of breathing, cough, vomiting, hiccup, borborygmi, sighing etc.
• Analyze the implications of ascending/descending and entering/exiting of Qi
• Point out the significance of the smell of bodily secretions
• Identify the Full/Empty nature of a condition, according to the presence or absence of a pathogenic factor and the strength of the body's Qi

• Identify the four pathological patterns of Qi disharmony
• Defend the importance of distention as a characteristic of Qi stagnation
• Identify the four Blood pathology patterns
• Distinguish between various types of Blood stasis in the Liver, Heart, Lungs, Stomach, Intestines and Uterus
• Recognize the causes of Blood stasis
• Identify the three types of pathological Body Fluid patterns
• Give examples of Phlegm in Chinese medicine
• Outline the role of the Spleen, Lungs and Kidneys in the production of Phlegm
• Differentiate between the various Heart pathologies
• Discuss how pathologies of the Pericardium differ from those of the Heart
• List the general characteristics of Liver pathology
• Differentiate between the various Liver pathologies

• Describe how exterior Wind (combined with Heat or Cold) can invade the Lung Exterior portion to cause exterior patterns
• Discuss and differentiate the effects of Dryness and Dampness on the Lungs
• Recognize Lung Deficiency patterns
• Identify Lung Excess patterns
• Differentiate Lung Phlegm patterns
• Describe and differentiate Spleen Deficiency Patterns
• Compare and contrast Spleen Cold-Dampness and Damp-Heat in the Spleen
• Analyze the significance of the duality of Kidney-Yin and Kidney-Yang in Kidney pathology
• Point out the differences and similarities associated with Yin, Yang, and Jing Deficiencies in the Kidneys
• Outline the importance of heredity in determining the strength of a child's Kidneys
• Apply the significance of Stomach-Qi in prognosis
• Illustrate how Stomach-Qi manifests on tongue and pulse

• List the main functions of the Small Intestine
• Describe the main functions of the Large Intestine
• Summarize the role of diet in Large Intestine pathology
• Discuss the importance of the Gall Bladder's function of storing bile
• Relate the pathology of Gall Bladder pathology to that of the Liver
• Outline the main Bladder function of transforming and excreting fluids
• Explain why the Kidneys do not have Full patterns
• Differentiate Damp-Heat in the Bladder from Damp-Cold in the Bladder
• Give examples of symptoms of the stages of external Wind invasion
• Identify the main clinical manifestations of the emergence of Latent Heat
• Recognize Damp-Heat in the Gall Bladder and Liver
• Distinguish between Bright Yang, Greater Yang, Lesser Yang, Greater Yin, Lesser Yin, and Terminal Yin patterns
• Distinguish between Wei, Qi, Ying and Blood Level patterns

• Identify patterns according to the Three Burners
• Relate patterns according to the Three Burners to those of the Four Levels
• Integrate the relationship between the channels and the organs in disease
• List the causes of channel problems
• Diagnose channel patterns 
• Identify the Generating and Overacting sequence patterns
• Relate the Qi of the channels to a flow of water
• Explain the importance of the Transporting Points in clinical practice
• Describe the connection between the channels and the environment
• Summarize the dynamism of points at the end and beginning of the channels
• Outline the significance of the regulating, balancing and integrating functions of the extraordinary vessels
• List the different ways that opening and coupled points can be used to open the Vessels
• Determine when to use the extraordinary vessels

• Cite the clinical applications of the Governing Vessel
• Recall the clinical applications of the Directing Vessel
• Distinguish the five branches of the Penetrating Vessel
• Relate the clinical applications of the Girdle Vessel
• Give examples of the clinical applications of the Yang Stepping Vessel
• Discuss how the Yin and Yang Stepping Vessels combine in Pathology
• Recognize the importance of adopting the correct treatment principle
• Point out how the Root and Manifestation relate to each other
• Describe how a Manifestation can become a Root of further Manifestations
• Explain the importance of tracing clinical manifestations back to their Roots
• Summarize the importance of knowing when to tonify Qi or expel pathogenic factors
• Recognize the importance of being aware of residual pathogenic factors
• Compare herbal treatment and acupuncture

• Compare and contrast Yin and Yang as they relate to Acupuncture theory, diagnosis and treatment
• Explain the 8 Principles and apply them to Acupuncture diagnosis
• Describe the interrelationships of the Five Elements, and explain their significance in acupuncture theory
• Recall the daily time allotments associated with each organ and meridian according to the Horary Cycle
• Distinguish the main functions and pathologies of the Yin organs
• Recognize the main points in point prescriptions used to treat many common disharmonies of the organs
• Identify the functions and pathologies associated with Qi, Jing, Blood, Shen and Fluids
• List the 71 Meridians of acupuncture
• Reproduce a chart of the most important acupuncture points.
• Identify areas of further study needed by the student for successful performance on a national board exam in acupuncture.

Musculoskeletal

• Explain the causes behind Musculoskeletal Injuries
• Compare the minimum/maximum times during the Acute, Repair, and Remodeling Phase of Recovery
• Summarize protocols for acute inflammation
• Demonstrate a Kinetic Chain Assessment
• Explain why indirect cause of injury can be as disabling due to tissue overuse and overload
• Contrast and compare male vs female most common extremity injuries
• Contrast the differences between high school, collegiate, and professional athletic injuries
• Summarize how gold-standard management drives lower injury rates and duration
  

Nutrition

• Develop components of a typical healthy meal plan for athletes
• Differentiate between healthy and unhealthy food choices in each category of FAT, CHO, PRO
• Identify problem foods specific to the individual athlete
• Explain CHO loading and examples of high glycemic index foods
• Describe meal plan for post-exercise "window of recovery"
• Describe benefits and sources of branched chain amino acids for athletic recovery
• Explain purpose of omega 3 fatty acids during recovery phase of athletic activity
• Define components of female athlete triad
• List vitamins and minerals required to rebuild bone health in female athlete triad
• Name ergogenic nutrients acceptable to the World Anti-Doping Agency

Dehydration

• Explain difference between dehydration and hyponatremia
• Recognize early or acute signs and symptoms of dehydration and hyponatremia
• Discuss benefits of each method of determining hydration status
• Demonstrate treatment intervention for heat cramps
• Compare energy drink to sports drink

Concussion

• Define and recognize brain concussion, second impact syndrome, and chronic traumatic encephalopathy.
• Describe frequency of sports concussion and common duration of signs and symptoms.
• Describe all possible results of head trauma, including second impact syndrome, intracranial hematoma, skull fracture, brain contusion, cervical injury (both mild and dangerous)
• Differentiate and rule out dangerous results from head trauma.
• Demonstrate proper exam procedures following head trauma on field.
• Demonstrate proper exam procedures to clear the cervical spine on field.
• Perform the SCAT 3 exam and describe how it is to be used both on field and in the office.
• Describe how and why one performs serial exams after head trauma on field.
• Describe return to play protocols for concussed athletes.
• Describe prevention procedures for sports concussion.

• Describe the biomechanics of rotation of a thoracic ring at the levels T1-T7.
• Describe the biomechanics of the Cervical spine, Thoracic spine, ribs, clavicle and manubrium with elevation of the right or left shoulder.
• Describe the biomechanics of flexion and extension at the Costotransverse joint at T9.
• Describe the differences in motion of the mobile segments between T3 -T7 with side flexion occurring first in the Thoracic spine.

• This contains all courses with the educational objectives listed from Breathing Essentials 201 through Breathing Essentials 207

• Describe the physiology of breathing and how altered pH can affect the body.
• Describe two functions of the diaphragm.
• Identify limited chest expansion and Bradcliff angles and ski jumps
• Identify limited lateral costal breathing and how to facilitate normal lateral costal breathing

• Describe how altered breathing patterns can alter pH and how this can affect the body.
• Describe the autonomic nervous system and function.
• Name three physiological consequences of respiratory alkalosis.
• Describe suboptimal breathing patterns and their effect on the cervical spine and chronic pain.

• Name and describe the different types of sleep apnea.
• Describe the three levels of Apnea-hypopnea index AHI.
• List five symptoms of sleep apnea.
• List two treatments for sleep apnea.

• Describe the physiological response of aerobic exercise on the respiratory system.
• Describe the effect of running on the viscera and the diaphragm.
• Describe the response to inspiratory muscle fatigue on the body.
• List one device than may increase endurance of the respiratory muscles.

• Describe the anatomical structure of the diaphragm including innervation and blood supply.
• List four causes that may damage the innervation to the diaphragm and effect normal function.
• Describe the factors involved in Intensive Care Unit Acquired Weakness.
• Be able to describe the pros and cons of early mobilization in the ICU.

• Distinguish the meaning and implications of many important terms pertaining to the clinical practice of filiform needling therapies.
• Categorize the most common types of trigger points.
• Incorporate myofascial stress patterns into previously learned myofascial frameworks.
• Compare & contrast the legal, theoretical & practical commonalities & differences associated with the filiform needling therapies of dry needling & acupuncture.

• This contains all courses with the educational objectives listed from Dry Needling 201 through 206

• Demonstrate Clean & Safe needle handling, application, & disposal
• Recognize and reduce risks To Dry Needle Providers
• Recognize and reduce risks To Dry Needle Patients
• Integrate Dry Needling into an Existing Practice
• Document Dry Needling Diagnosis & Treatment

• Identify common filiform needle sizes and types.
• Select appropriate filiform needles for various applications.
• Integrate trigger point releasing concepts & practices.
• Apply effective trigger point releasing needle techniques.
• Outline common myofascial stress patterns.

• Identify Common Myofascial Stress Patterns.
• Discuss the differences commonalities & differences associated with myofascial stress patterns and traditional acupuncture meridians.
• Palpate & Locate Primary Points for Releasing Posterior Myofascial Stress Patterns.
• Palpate & Locate Primary Points for Releasing Anterior Myofascial Stress Patterns.
• Palpate & Locate Primary Points for Releasing Lateral Myofascial Stress Patterns.

• Diagnose & Treat Posterior Myofascial Stress Patterns & Related Trigger Points.
• Diagnose & Treat Lateral Myofascial Stress Patterns & Related Trigger Points.
• Diagnose & Treat Anterior Myofascial Stress Patterns & Related Trigger Points.
• Diagnose & Treat Head & Neck Myofascial Stress Patterns & Related Trigger Points.

• Integrate information from previous 5 classes to efficiently diagnose painful myofascial conditions, create effective treatment plans, and locate effective trigger points in the head & neck regions.
• Integrate information from previous 5 classes to efficiently diagnose painful myofascial conditions, create effective treatment plans, and locate effective trigger points in the Traps & Upper Back.
• Integrate information from previous 5 classes to efficiently diagnose painful myofascial conditions, create effective treatment plans, and locate effective trigger points in the Shoulder, Arm, Chest, Elbow, Wrist, Hand.
• Integrate information from previous 5 classes to efficiently diagnose painful myofascial conditions, create effective treatment plans, and locate effective trigger points in the Mid-Back, Lower Back, Hip/Thigh, Knee/Leg, Ankle, & Foot.

• Explain how beneficial commensal microbes support gastrointestinal health
• Describe the major components of the intestinal barrier
• Summarize the microbial composition of a typical stool sample
• Explain the role of comprehensive stool testing in assessing gastrointestinal health

• Recognize the three most common types of microbial dysbiosis
• Describe common factors that can reduce beneficial microbes and disrupt the intestinal barrier
• Assess pathogens and opportunistic microbes identified with comprehensive stool testing
• Discuss how the selection of microbial testing methodology may affect the identification of pathogens and opportunists
• Outline therapeutic approaches that address common dysbiosis types identified via comprehensive stool testing

• This course contains all courses with the educational objectives listed from Functional Medicine and Nutrition Virtual Classroom 201 through 210

• Describe the current epidemiologic trends in autoimmune incidence, morbidity and mortality.
• Associate the linkage between autoimmune disease prevalence and factors including the GI microbiota composition, food immune reactions, stealth infections, molecular mimicry, lack of early diverse antigen exposure, and other elements.
• Examine the available clinical laboratory testing related to autoimmune disease risk assessment, diagnosis, and clinical management, including qPCR molecular-based evaluation of the GI microbiota.
• Explain the difference between quantitative molecular testing (qPCR) versus next-generation sequencing of the GI microbiota in the support of clinical decision making.
• Appraise the available evidence-based integrative and complementary therapeutic interventions for autoimmune disorders.

• Describe the current common routes and mechanisms of toxic exposure for individuals living in the industrialized world.
• Associate the linkage between chronic diseases, including mitochondrial dysfunction, obesity, diabetes, Alzheimer’s disease, Parkinson’s disease, cancer and others with increased levels of exposure to various environmental and food toxins.
• Examine the available clinical laboratory testing related to toxic load and related disease risk assessment, diagnosis, and clinical management using various lifestyle and nutritional approaches.
• Explain the difference between the various methods to assess toxic burden and detoxification at the level of the individual in the support of clinical decision making.
• Appraise the available evidence-based integrative and complementary therapeutic interventions for lowering toxic load and improving detoxification function.

Hour 1

• Describe the general diagnostic criteria of Metabolic Syndrome and CVD.
• Demonstrate an understanding of the enhanced diagnostic criteria and the importance of investigating these potential earlier markers.
• Demystify the “Cholesterol and HDL hypothesis” and explain the compensation mechanisms of the body for this.
• Recognize the biometric and physical signs of the progressive nature of CVD, CHD and MetS.
• Investigate Lifestyle Modification Programs as the major intervention strategy for the reversal and stagnation of these comorbidities. 

• Describe the general dietary interventions of Metabolic Syndrome and CVD.
• Demonstrate an understanding of sodium/salt as it relates to CVD/HTN.
• Demystify the confusion of major supplements and foods as it relates to CVD/HTN. 
• Recognize the associations between insomnia and CVD, CHD and MetS.
• Investigate various peer reviewed studies and the outcomes of nutritional interventions.  

• Provide an understanding of the clinical applications of biochemical/metabolic evaluations to determine a patient’s hormonal status
• Explain the differences between various assessments of hormonal status
• Evaluate hormonal imbalances and disorders
• Evaluate nutrient needs in metabolic disorders Plan and monitor nutrient interventions to correct abnormalities found by the tests

• Describe the origin of mitochondria from an evolutionary perspective.
• Understand the critical role that the thyroid plays in metabolism and how this relates to healthy mitochondrial function.
• Explain how to test for mitochondrial function/dysfunction.
• Show how living in a thermos neutral modern society contributes to obesity.
• Recognize how antibiotics can damage mitochondria and how that can play a role in obesity.
• Give examples of toxins/drugs that can adversely affect mitochondria.

• Describe how common mitochondrial genetic problems are in the general population.
• Explain how mitochondria are needed to produce glutathione and why glutathione is needed for healthy mitochondria.
• Discover how oxidative stress can be both good and bad for the body.
• Discuss how mitochondrial dysfunction plays a key role in a variety of diseases ranging from Parkinson’s, Cancer, NASH, Alzheimer’s, Autism and Diabetes.
• Discover key ways to optimize mitochondrial function in patients.

• Describe the associations of micronutrient deficiencies as it relates mental health disorders.
• Demonstrate an understanding of major prescriptive medications and their negative influence on mental health disorders. 
• Explain the overlap of certain pathophysiological conditions and mental health disorders.
• Recognize the current lack of proper diagnosis of mental health disorder.

• Describe the associations of micronutrient and nutritional deficiencies as it relates mental health disorders.
• Demonstrate an understanding of the major biochemical pathways, their enzymes and nutritional elements as it relates to psychological issues.
• Explain the importance of fatty acids in mental health disorders.
• Recognize the current lack of proper nutritional interventions as it pertains to TBI, mTBI and PCS.

• Provide an understanding of the clinical applications of biochemical/metabolic evaluations to determine a patient’s status of nutrients, toxicants and cell regulators, and functional gastrointestinal status.
• Explain the differences between various assessments of element status
• Evaluate specific nutrient deficiency states
• Determine weaknesses in digestive, assimilative and intestinal microbiological status
• Plan and monitor nutrient interventions to correct abnormalities found by the tests

• Define and explain the difference between "calories in, calories out" versus the “carbohydrate-insulin model of obesity”. Discuss the causes of increased intestinal permeability in competitive athletes and identify strategies to combat the condition. Identify the energy intake athletes require by calculating their total energy expenditure.
• Recall the quality and function of macronutrients and their role in physical performance.
• Describe common micronutrient deficiencies seen in competitive athletes and identify strategies to prevent such occurrences.

• Summarize the physiological energy and macronutrient requirements of the sprint/power athlete and game-playing athlete. Identify supplement strategies to support the sprint/power athlete and game-playing athlete.
• Summarize the physiological energy and macronutrient requirements of the endurance athlete.
• Identify supplement strategies to support the endurance athlete.
• Outline an effective whole food diet to support competitive athletes.

• Describe the secondary metabolites in whole foods.
• Understand the role of phytochemicals.
• Demonstrate an understanding of how they interact with our cells.
• Explain how to preserve them during cooking.

• Recognize the challenges caused by ultra-processed foods
• Identify the compounds in the Brassicaceae family
• Explain the health benefits of sulforaphane
• Explain the importance of preserving secondary metabolites
• Recognize the benefits of the fungal kingdom

Hour 1

• Describe the characteristics and mechanisms of actions of essential oils.
• Explain several key controversies in aromatherapy and the implications.
• Generalize the safety and quality issues surrounding the clinical use of essential oils.
• Compare the various modes of applications of essential oils.
• Summarize the pharmacology and biotransformation of essential oils and its constituents.
• Recognize the potential interactions of essential oils with medications and nutraceuticals.

Hour 2 

• Generalize the various considerations for prescribing essential oils.
• Calculate equivalent dosages of essential oils using several different units of measurement.
• Apply the guidelines for appropriate prescribing the internal use of essential oils.
• Determine the proper application and dosage for various essential oils used for digestive health.
• Specify the usage and dose determination for essential oils for mental health.

• Analyze the concept of central pain processing and the consequences of dysfunction of descending inhibition.
• Associate FM with trauma and abuse, depression, anxiety, sleep disorder and pain processing disorders with emphasis on limbic system dysfunction, aberrant stress physiology, and ultimate failure of descending anti-nociception. 
• Assess the difference between regionalized somatic pain and true central allodynia
• Describe the accurate differential diagnosis of patients presenting with suspicion of FMS
• Identify common subsets of clinical disorders that may lead to an erroneous diagnosis of FMS (i.e., “pseudo” FMS)

• Describe and Identify the functional medicine approach to common pediatric problems
• Develop a comprehensive functional medicine assessment and treatment of common pediatric problems such as constipation, headaches and migraines, upper respiratory infections and otitis media, food sensitivities, allergies, asthma and atopy
• Examine the salient features of history, physical examination and laboratory testing to best implement functional medicine interventions to common pediatric problems
• Utilize a functional medicine approach to assess what each child may need to get or get rid of to treat each of these common pediatric problems 
• Summarize the literature supporting the use of functional medicine in pediatrics
• Recognize the four pillars of a functional medical approach to chronic pediatric illness – gastroenterologic, immunologic, metabolic and neurologic
• Classify and explain the importance of the genetic and genomic susceptibilities/predisposition and environmental triggers of chronic pediatric illnesses
• Utilize a functional medicine approach to assessing and treating chronic pediatric disease such as ADHD, Autism, Autoimmune Encephalitis, Anxiety, Allergy and Atopy
• Interpret the literature citations and develop protocols based on emerging evidence supporting a functional medicine approach to these chronic pediatric problems
• Appraise the assessment and management of the importance of the microbiome in immune tolerance, allergy and autoimmunity.

• Discuss the catecholamine pathway will be presented in an organized fashion with emphasis on real world applications. 
• Review clinical case studies. 
• Assess different genetic mutations within the catecholamine pathway . 
• Individualize treatment plans in practice. 
• Demonstrate a basic road map of the catecholamine pathway. 
• Use genetic parsing software and the tools attained form this course to highlight and modulate genes/SNPs of interest. 
• Derive natural therapeutic agents to modulate epigenetic expression. 
• Utilize basic nutrigenomic assessment and treatment knowledge in the catecholamine pathway.

• Define and explain the different terms that identify exercise intensity and their relationship to maximal oxygen uptake (VO2 max).
• Discuss the history of exercise physiology and how technology influenced research and ultimately, exercise guidelines.
• Differentiate the physiological responses to sprint interval training and to low-to-moderate intensity continuous training.
• Reconstruct a lay explanation to patients and/or clients of why sprint interval training is an extremely effective strategy for improving overall health and fitness.
• Summarize key research studies that support sprint interval training.

Hour 2

• Recognize additional research that supports sprint interval training.
• Identify key physiological benefits of sprint interval training.
• Recall important case study benefits.
• Outline effective overall strategies for implementing sprint interval training.
• Distinguish appropriate sprint interval exercises for differing populations.

• Discuss ethical standards of insurance reporting and coding
• Illustrate how documentation can affect state board complaints
• Discuss why insurance companies file complaints against chiropractors
• Discuss why patients file board complaints against chiropractors
• Define the Problem Oriented Medical Record (POMR)
• Illustrate taking a thorough history using the OPQRST method
• Discuss the components of the ortho/neuro exam

Hours 1 - 3

• Discuss ethical standards of insurance reporting and coding
• Illustrate how documentation can affect state board complaints
• Discuss why insurance companies file complaints against chiropractors
• Discuss why patients file board complaints against chiropractors
• Define the Problem Oriented Medical Record (POMR)
• Illustrate taking a thorough history using the OPQRST method
• Discuss the components of the ortho/neuro exam

• Discuss the misrepresentation of certain orthopedic tests
• Illustrate sensitivity and specificity of orthopedic tests
• Define the 2021 changes to Evaluation and Management codes
• Discuss the differences between using time vs. medical decision making for E/M
• Distinguish between subjective and objective outcome assessments Illustrate methods of proving medical necessity
• Illustrate the CMS requirements of chiropractic documentation
• Illustrate condition-specific functional outcome questionnaires
• Define the A of P.A.R.T. from Centers for Medicare/Medicaid Services
• Define the R of P.A.R.T. from Centers for Medicare/Medicaid Services
• Illustrate the different methods of evaluating spinal range of motion
• Define the T of P.A.R.T. from Centers for Medicare/Medicaid Services
• Describe the timing of the first re-assessment
• Demonstrate proper coding for range of motion measurements
• Describe the P.A.R.T. format of documentation
• Define the P of P.A.R.T. from Centers for Medicare/Medicaid Services
• Describe the concept of outcome assessments in clinical practice

• Illustrate different outcome assessments for the T of P.A.R.T
• Demonstrate the POMR and P.A.R.T. formats for the initial patient encounter
• Integrate the POMR and P.A.R.T. formats for subsequent patient encounters
• Discuss proper diagnosing in notes and on a claim form
• Define the short, moderate and long-term diagnoses for Medicare
• Define proper Assessments
• Illustrate how to determine an assessment for each condition
• Illustrate complicating factors that can be documented for each condition

• Illustrate the two types of Plan
• Discuss common therapeutic modalities
• Demonstrate proper documentation for time-based codes
• Illustrate how to document measurable treatment goals
• Describe the red flags of a record review
• Demonstrate the determination of causation for a motor vehicle collision
• Discuss the different mechanisms of injury for motor vehicle collisions
• Discuss some of the key value drivers of Colossus
• Discuss the difference between impairment and disability
• Illustrate the determination of the end of justifiable treatment
• Define the main components of an impairment evaluation
• Illustrate Duties Under Duress and Loss of Enjoyment
• Illustrate the important diagnoses for personal injury cases
• Define the 5 Colossus prognoses
• Demonstrate the 5 grades of injury severity for the Croft Guidelines for the Treatment of CAD Injuries

• Prepare to manage and document protocols, for litigation protection, in a crisis, such as Covid.
• Discover how to avoid a HIPAA investigation and becoming a ‘HIPAA statistic’, often by surprise.
• Operate an office with protocols to avoid ransom ware and other Cyber-attacks.
• Complete a HIPAA program to be prepared for document production, demanded by the government, when a complaint (or even a simple inquiry) is made by a patient, peer, or ex-employee.

• Prepare for the required OIG compliance program, required for all who treat one of more Medicare patients per year.
• Aid in understanding and preparing required written documented policies under the HIPAA law.
• Identify what thieves do with stolen patient information.
• Discover what is included in a comprehensive table of contents for a HIPAA compliance program.
• Describe the type and number of complaints against doctors and their often surprise origins
• Use of required accounting logs

• Classifying what you say and when, when notified of an investigation or audit, to avoid saying the wrong thing and complicating your case.
• Examine what every office must do, regarding the ONC law, to deliver patient records electronically if so requested, even if you don’t have computers.
• Show a step-by-step approach to responding to the government in the event of a breach, investigation, or audit.
• Solve the puzzle as to avoiding audits and compliance investigations.

• Explain tele-health pros and cons.
• Categorize the risks that lead to being turned in for violations, often not knowing you were doing anything wrong.
• Point out the most common HIPAA scams that involve impersonating a federal official.
• Examine the parts of the HIPAA law that enforcers are enforcing and those parts they are not enforcing.

• Discover how to conduct the required ISAR (information system activity review) that leads to maximum fines if not completed.
• Aid you and/or your staff in conducting the required risk analysis that leads to maximum fines, if not completed.
• Prepare an electronic device maintenance schedule to protect yourself relative to data breaches.
• Examine how to reduce your exposure to HIPAA fines.

• Discover illegal fee structures and the legal options that do exist.
• Prepare the four requirements relative to the notice of patient privacy policy.
• Generate a legally required BAA process for every individual or company with whom you share or provide access to your patient data.
• Discuss the requirements for data recover and emergency mode operations under HIPAA.

• Prepare a protocol for creating required policies under HIPAA.
• Assess the risks of seeing Medicare patients with inadequate use of the ABN form.
• Operate proper procedures to appropriately use the ABN form in a Medicare practice.
• Summarize the Ohio workers’ compensation requirements that elevate chiropractic and put restrictions upon spinal surgeons.

• Generate proper staff training to meet HIPAA requirements.
• Examine the pitfalls around a physical plant audit and what you must do to avoid them.
• Completing a required disciplinary policy that will pass an investigation.
• Classify the little-known training requirements above and beyond the ‘annual HIPAA training’.

• Cite the statistics on the prevalence of human trafficking nationally and in the State of Texas
• Define Human Trafficking
• Summarize Texas law concerning human trafficking
• Describe the personal and social behaviors, work conditions and immigration status that can indicate human trafficking
• Give examples of interview questions that can help determine if a person is a victim of trafficking
• Explain the special considerations necessary during the patient interview
• List medical indicators of trafficking victims
• List steps to be taken in reporting adult victims of human trafficking
• Cite the reporting requirements for minor victims

• Utilize reproducible, implementable protocols in your practice
• Apply neurodynamic tests and corrective laser protocols
• Assess and understand traumatic brain injuries (concussion, neurodegenerative diseases)
• Summarize strategies to initiate the positive impact of gut health on the musculoskeletal system
• Elucidate the science of the different types of fasting
• Discuss the breakthrough technique for non-invasive fat reduction
• Apply clinical breakthroughs in the treatment of musculoskeletal injuries
• Appreciate new laser research and its clinical applicability
• Assess intestinal and blood-brain dysfunctions
• Perform laser applications

• Integrate infection, evolution, immunity, inflammation, fibrosis, blood flow, mitochondria, ATP, oxidative stress, and DNA.
• Integrate mechanical integrity in gravity, weight, load, levers, posture, mechanoreception, mechanotransduction, mechanobiology, tensegrity, neurology, blood flow, and DNA.
• Justify high vegetable, low lectin, low glycemic dietary habits, and their influence on physiology.
• Summarize problems with refined carbohydrates, monosodium glutamate, aspartame, and chemical toxins.
• Support high intensity interval training, weight lifting, brain derived neurotrophic factor, human growth hormone, and interleukin-10.
• Explain the biphasic nature of laser photon therapy, wavelength, frequency, speed of light, fluence, penetration, secondary and primary physiological influences.
• Develop the relationship between mitochondria, free radicals, ATP, cytochrome c oxidase enzyme, and laser photon therapy
• Justify why all people need between 5-8 different supplements and explain why.
• Diagram a protocol for influencing immunology and the brain through the intestinal tract; integrating the vagus nerve and the nucleus tractus solitarius.
• Integrate a protocol for brain function that discusses trauma, degenerative, and vascular compromise.
• Demonstrate a protocol for chronic low back pain that integrates the intervertebral disc, posture, mechanics, exercise, and laser therapy.
• Support a protocol for acute whiplash that includes applying controlled motion and anti-inflammation strategies.
• Apply a protocol for remodeling scar tissue and the fibrosis of repair.

• Recognize areas of risk and liability within Personal Injury cases
• Identify common med-legal concerns
• Recognize various important components associated with the Personal Injury history
• Improve the accuracy and thoroughness of the initial Personal Injury history
• Examine and document common Personal Injury traumatic injuries 
• Create a plan to minimize patient risk and improve provider outcomes
• Recognize the versatility and benefits of low level laser therapy for musculoskeletal injuries  
• Develop clinical protocols for low lever laser application and documentation for musculoskeletal injuries  
• Recognize conditions, injuries and symptoms requiring advanced imaging 
• Apply diagnostics and humanize trauma cases
• Discover the importance and relevance of Personal Injury case management 
• Identify opportunities for improved clinical decision making and case management

• Summarize the differences between the effects of 635 nm laser and 405 nm laser
• Illustrate effective protocols with the laser and exercises to support each condition
• Discuss case studies to demonstrate potential therapeutic outcomes
• Summarize the results of the level 1, double blind study that showed the effectiveness of class 2 635 nm for chronic pain and inflammation
• Discuss how inflammation can lead to many chronic musculoskeletal conditions that affect people in the United States
• Use lab testing to identify inflammation
• Illustrate treatment applications and contraindications
• Identify the conditions that respond to laser therapy for support, the research that supports them, and to identify which conditions are either not supported with laser therapy or are contraindicated
• Aggregate which class of lasers can be used for support and which are contraindicated
• Generate a treatment plan with lasers for different musculoskeletal conditions
• Categorize the negative impacts of scar tissue on range of motion, pain, and function
• Classify which conditions are contraindications and which types of lasers are contraindicated 
• Summarize the changes that occur in scar tissue and when movement of tissue or a joint triggers pain for a prolonged period
• Apply low level laser to musculoskeletal injuries that respond well to low level laser
• Summarize the studies that have been published on PubMed for these conditions being supported with lasers
• Set up methods and treatment protocols for several conditions
• Summarize the studies that showed improvement from laser therapy in performance metrics like muscle strength, endurance, and recovery
• Comprehend the studies that show a 25 to 35% faster recovery for several sports injuries and auto accident injuries when laser therapy is applied
• Use laser therapy with athletes in the office both for injuries and for performance enhancement by rehabilitating their balance and coordination with lasers

Hour 1

• Breakdown the implications of inflammation on epigenetics and relate inflammation to genetic damage and musculoskeletal disease.
• Develop a plan for clinical anti-inflammatory protocols

Hour 2

• Interpret blood chemistry markers related to inflammation and translate into laymen’s terms for patient understanding.
• Devise office strategies for obtaining blood chemistry markers, delivering the report of findings to the patient
• Discuss the physiological mechanisms of the gut-brain axis, distinguish the molecular players in gut-brain axis syndromes, and identify behavioral modifications and nutritional therapies
• Demonstrate knowledge of calcium ions as an egregious free radical

Hour 3

• Identify blood chemistry markers
• Differentiate between different classes of lasers, Class I, II, IIIA, IIIB, and IV lasers, and outline the therapeutic effects of each

Hour 4

• Explain the difference between nIR and fIR saunas, and identify key physiological mechanisms
• Discuss Low Level Laser Therapy wavelengths as they pertain to various upregulation of metabolic functions and integrate into the health of the body.
• Differentiate between Class 1, Class 2, Class 3R, Class 3B, and Class 4 lasers, and determine proper clinical application of each laser
• Develop plans to calculate Joules of output for various lasers using physics and demonstrate fundamental understanding of laser frequency output to address various clinical cases.

Hour 5

• Discuss Clinical Cases and outcomes citing specific patient histories and medical studies from the National Institute of Health and PubMed.com; integrate these ideas and extrapolate health plans into current clinical situations.
• Discuss how low-level laser therapy affects the body
• Discuss supplementation and integrate effective neuroprotective supplementation protocols in a clinical setting based on the work of the world’s best universities’ studies

Hour 6

• Outline the basic types of intermittent fasting, relate to patient goals as determined in nutritional consultations, and design intermittent fasting protocols for clinical settings.
• Summarize the concepts of ketosis, brain energy utilization, and neuroprotection; relate to medium-chain triglyceride consumption.

• Build the ultimate back: from chronic back pain to high performance
• Evaluate exercise’s effect on hormones and human performance
• Create a flowchart explaining laser therapy and its application during the correlated stages of healing
• Review the newest laser research and its clinical applicability
• Apply neurodynamic tests and advanced corrective laser protocols
• Evaluate techniques for non-invasive fat reduction
• Elucidate the science of different types of fasting
• Utilize advanced clinical breakthroughs in the treatment of musculoskeletal injuries
• Implement strategies to initiate the positive impact of gut health on the musculoskeletal system
• View hands-on reproducible, implementable protocols 
• Incorporate laser effectively into your practice
• Assess intestinal and blood-brain barrier dysfunction
• Integrate leading-edge protocols for SIBO
• Identify modern lifestyle and environmental triggers that affect the gut brain axis

Hour 1

• Discuss the etiology, pathophysiology, and symptoms of trauma and post-auto whiplash.
• Translate how low-level laser impacts inflammation and trauma.
• Explain modern neuron theory and how low-level laser can optimize cellular communication within the PNS/CNS.
• Conceptualize how to change the brain and body by using low-level laser and sensory inputs to modify central circuitry.

Hour 2

• Discuss the interplay between the sympathetic and parasympathetic systems.
• Explain how changes in autonomic function affect the brain and body following trauma.
• Share relevant research about the gut/brain connection.
• Give an overview of the neuroinflammatory cascade of trauma and how low-level laser impacts inflammatory processes.

Hour 3

• Discuss the anatomy/physiology of the cerebellum and it’s integration with the cervical spine.
• Outline how changes in cerebellar function and the cervical spine affect the brain and body following trauma
• Explain how low-level laser therapy can optimize structural, neurological, and metabolic parameters following trauma.
• Create a greater understanding for providers to know how to utilize their skillset to treat complex cases.

Hour 4

• Discuss the anatomy and physiology of the visual and vestibular systems.
• Identify how changes in the visual and vestibular system affect the brain and body following trauma.
• Share mechanisms and treatment applications for utilizing low-level laser therapy.
• Create awareness around the modern utilization of structural, neurological, and metabolic treatment paradigms for complex cases.

Hour 1:

• Integrate the following concepts as it pertains to laser therapy:  wavelength, frequency, speed of light, fluence, penetration, secondary and primary physiological influences
• Contrast the differences between thermal and non-thermal laser therapy

Hour 2:

• Conceptualize the relationship between mitochondria, free radicals, ATP, cytochrome coxidase enzyme, and laser photon therapy
• Explain the biphasic nature of laser therapy

Hour 3:

• Introduce evidence as to the integrative physiology between chiropractic care for musculoskeletal pain syndromes and improved systemic health.
• Develop a neuroanatomical and neurophysiological model for the influence of spinal mechanical function with visceral neurology.

Hour 4:

• Correlate upper cervical spine symmetry and the function of the nucleus tractus solitarius of the vagus nerve.
• Explore the mechanical, vascular and cerebrospinal fluid dynamics as related to spinal anatomy.

Hour 5:

• Show the history and modern-day evidence for the influence of exposure to non-ionizing electromagnetic field waveforms.
• Detail the two most plausible mechanisms of exposure non-ionizing electromagnetic field waveforms on human biology.

Hour 6:

• Explore the various relationships from a functional neurological perspective.
• Contrast the relationship between various neurochemicals

Hour 7:

• Justify why many people need between 5-8 different supplements and explain why.
• Connect the link between dietary lectins, leak gut, systemic inflammation and autoimmune conditions.

Hour 8:

• Explain some of the physiological complications to COVID-19.
• Review studies that explain the biological plausibility related to COVID-19.

• This contains all courses with the educational objectives listed from Laser 215 through Laser 216

Hour 1

• Discuss the physiology associated with laser therapy
• Describe the electron transport chain
• Examine common cervical and plexus pathologies through orthopedic and soft tissue testing
• Treat the scapular area using non-thermal lasers
• Outline a description of electron volts

Hour 2

• Summarize important factors regarding wavelengths relative to using laser therapy
• Describe mitochondiral function
• Recognize damage to mitochondria and appreciate its role in disease
• Examine patients with potential upper extremity nerve entrapments using orthopedic testing, soft tissue testing 

Hour 3

• Discuss neuron receptors
• Explain pain to patients
• Identify soft tissue structures
• Summarize the function of progenitor cells

Hour 4

• Perform an evaluation of the shoulder
• Perform an evaluation of the elbow
• Perform an evaluation of the wrist and the hand
• Perform an evaluation of the lower extremities

• Integrate concepts in laser photon therapy: wavelength, frequency, speed of light, fluence, penetration, secondary and primary physiological influences
• Contrast the differences between thermal and non-thermal laser therapy
• Develop the relationship between mitochondria, free radicals, ATP, cytochrome c oxidase enzyme, and laser photon therapy
• Discuss the physiology of applying laser therapy to both the anatomical part of injury/complaint and to the nerve roots that innervate that anatomical part
• Explain the biphasic nature of laser photon therapy as related to evolutionary biology and current clinical applications

Hour 1:   

• Improve specific elements of the four PI office visits.
• Outline the documentation steps of a causation statement.

Hour 2:  

• Identify med-legal considerations associated with PI documentation.
• Develop an outline to create a PI final discharge report.

Hour 3: 

• Recognize and evaluate several commonly missed traumatic injuries.  
• Create a to plan improve the capture of acute objective findings.

Hour 4:  

• Recognize LLLT versatility and benefits with PI-related conditions.   
• Develop clinical protocols for LLLT application in PI cases.

 Hour 5:  

• Identify and avoid inherent risks within PI case management.       
• Create an algorithm for case management clinical decisions.

Hour 6:  

• Discover the importance and relevance of PI co-management.
• Assess cases for co-management decisions and opportunities.

• Recognize lumbar disc signs and symptoms.
• Differentiate disc prolapse from disc extrusion.
• Identify anatomical structures related to lumbar disc conditions.
• Describe neuro-muscular physiology as it relates to disc injuries.
• Determine appropriate exam procedures for diagnosing disc conditions.
• Assess static range of motion coupled with cross-plane evaluation.
• Analyze dynamic joint motion using outcome-based assessment tools.
• Interpret manual muscle testing using eccentric break testing protocols.
• Grade muscle tone and discover muscle palpation techniques.
• Interpret neurological tests to determine levels of disc involvement.
• Design treatment plans based on exam findings.
• Apply manual manipulation techniques to address the lumbo-pelvic joint lesions.
• Demonstrate manual methods to reduce abdominal and pelvic muscular dysfunction.
• Create new muscle memory patterns to correct chronic conditions.
• Compare pre- and post- treatment findings to support care plans.

• Discuss different types of lumbar stretching and their effects.
• Define therapeutic stretching goals, protocols and precautions for the lumbar spine.
• Measure lumbar pain, agility and joint crepitus associated with therapeutic stretching.
• Apply lumbo-pelvic circumduction training to improve disc related joint mobility.
• Integrate PreActive therapeutic stretching techniques to reduce lumbo-pelvic muscle tension.
• Devise strengthening protocols for the lumbo-pelvic region using graduated isometric protocols.
• Discuss mobility during lumbar traction to reduce disc pressure.
• Compare static traction versus dynamic traction.
• Define contra-indications for decompression therapy of the lumbar spine.
• Apply appropriate lumbar decompression therapy to various patient populations.
• Demonstrate lumbar mobility training exercises used to enhance decompression effectiveness.
• Justify reimbursement through accurate documentation of lumbar disc treatment progression.
• Diagnose lumbar disc conditions with clarity.
• Select outcome-based assessment tools to monitor patient progress.
• Illustrate lumbar range of motion and muscle testing deficiencies concisely.
• Summarize patient status for lumbar mobility, crepitus and pain intensity.

• Recognize concussion signs and symptoms.
• Differentiate concussion grades.
• Identify anatomical structures related to concussions.
• Describe pathophysiology as it relates to concussions.
• Determine appropriate exam procedures for diagnosing concussions.
• Apply diagnostic skills to on-field and clinic settings.
• Interpret diagnostic tests to evaluate concussion progress.
• Design treatment plans based on exam findings.
• Demonstrate manual manipulation techniques to address concussion symptoms.
• Compare pre- and post-treatment findings to support care plans.

• Discuss neurophysiology of musculoskeletal dysfunction.
• Create new memory patterns to restore neuromascular integration.
• Demonstrate manual methods to reduce muscular dysfunction.
• Address cranial nerve lesions with manipulation techniques.
• Introduce the half-somersault maneuver for vertigo relief.

• Recognize cervical disc signs and symptoms.
• Differentiate disc prolapse from disc extrusion.
• Identify anatomical structures related to cervical disc conditions.
• Describe neuro-muscular physiology as it relates to disc injuries.
• Determine appropriate exam procedures for diagnosing disc conditions.
• Assess static range of motion coupled with cross-plane evaluation.
• Analyze dynamic joint motion using outcome-based assessment tools.
• Interpret manual muscle testing using eccentric break testing protocols.
• Develop muscle palpation skills and grade muscle tonicity.
• Interpret neurological tests to determine levels of disc involvement.
• Design treatment plans based on exam findings.
• Apply manual manipulation techniques to address the cervical joint lesions.
• Demonstrate manual methods to reduce cervical muscular dysfunction.
• Create new muscle memory patterns to correct chronic conditions.
• Compare pre- and post-treatment findings to support care plans.

• This contains all courses with the educational objectives listed from Management of Common Conditions 204 through Management of Common Conditions 209

• Discuss different types of cervical stretching and their effects.
• Define therapeutic stretching goals, protocols and precautions for the cervical spine.
• Measure cervical pain, agility and joint crepitus associated with therapeutic stretching.
• Integrate PreActive therapeutic stretching techniques to reduce cervical muscle tension and improve disc related joint mobility.
• Devise strengthening protocols for the cervical region using graduated isometric protocols.
• Discuss cervical mobility during traction to reduce disc pressure.
• Compare static traction versus dynamic traction of the cervical spine.
• Define contra-indications for cervical decompression therapy.
• Apply appropriate cervical decompression therapy to various patient populations.
• Demonstrate cervical mobility training exercises used to enhance decompression effectiveness.
• Justify reimbursement through accurate documentation of cervical disc treatment progression.
• Diagnose cervical disc conditions with clarity.
• Select outcome-based assessment tools to monitor patient progress for cervical conditions.
• Illustrate cervical range of motion and muscle testing deficiencies concisely.
• Summarize patient status for cervical mobility, crepitus and pain intensity.

• Summarize the relationship between glenohumeral internal rotation deficit (GIRD), SLAP tears, posterior impingement, scapula dyskinesis and shoulder micro-instability
• Effectively diagnose SLAP tears, posterior impingement, scapula dyskinesis and shoulder mico-instability using screening and clinical tests.
• Cite common pitching pathomechanics and describe their association with specific elbow injuries.
• Paraphrase the peel back model for SLAP tears
• Relate proper pitching biomechanics with injury prevention strategies for the adolescent overhead athlete

• Define and differentiate the anatomical relationship between the rotator cuff muscles and the glenohumeral joint capsule
• Gain deeper insight into the causes and treatment of scapula dyskinesia
• Describe and perform contemporary scapula mobilization techniques
• Apply innovative soft tissue mobilization techniques to patients with shoulder hypomobility
• Perform soft tissue mobilization techniques for sub deltoid bursitis

• Classify functional anatomy and biomechanics of the shoulder - scapula complex
• Apply current strategies for the evaluation of patients with scapular disorders
• Perform innovative  scapular mobilization techniques for the patient with scapular dyskinesia
• Differentiate the relationship between scapular dyskinesia, soft tissue/muscle tightness, and shoulder pathology
• Integrate a systematic scapular muscle training program / protocol for patients with scapular dyskinesia

• Discuss the prevalence and etiology of temporomandibular joint dysfunction (TMD)
• Define the anatomy of the TMJ and surrounding facial structures.
• Recognize the three most common causes of temporomandibular joint dysfunction (TMD) seen within the chiropractic practice.
• Outline various types of pain referral sources to the temporomandibular joint (TMJ).
• Evaluate the TMJ using physical examination procedures
• Compare and contrast TMJ synovitis and capsulitis
• Distinguish the difference between anterior disc displacements with and without reduction
• Describe standard imaging processes ordered for specific TMJ conditions
• Outline various conservative management options for temporomandibular disorders
• Construct a treatment plan for a typical patient with temporomandibular dysfunction
• Apply specific myofascial techniques for the muscles of mastication
• Define the co-management care of a dental professional with patients presenting temporomandibular joint dysfunction