NCLC 2019 Friday Educational Sessions
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Friday, January 18

Continuing education credits earned for attendance to NCLC 2019 are accepted in every state within the U.S. EXCEPT the following:  Alabama, Arkansas, Florida, Hawaii, Kentucky, Oklahoma, Texas and West Virginia.  Certain states do not accept credits for educational content pertaining to practice management or practice building.  Continuing education requirements are regulated by the chiropractic state licensing boards. Each board has unique policies and procedures related to continuing education of its licensees. Chiropractic state licensing boards place the responsibility on licensees to adhere to these requirements in order to maintain licensure. Licensees should verify acceptance of continuing education courses with their state licensing board.


Interprofessional Collaboration to Support Patient Centered Care: Strategies and Benefits Panel (1 CE)

8:30 am - 9:25 am Palladian Room

Moderator: James Joseph Lehman, DC

Panelists: Renee (DeVries) Broughten, DC, PhD, Jay S. Greenstein, DC, Sarah Potthoff, DC, Alan K. Sokoloff, DC

This panel discussion will explore definitions and issues related to interprofessional collaboration and patient-centered care. Panelists will offer information and recommendations regarding the strategies and benefits of interprofessional collaboration, which supports patient-centered care. Panelists will also share personal opinions and first-hand experiences with interprofessional collaboration. The discussion will conclude with a 10-minute Q&A session.

Moving Beyond Pain: Future Focus on Patient Centered Care Panel (1 CE)

8:30 am - 9:25 am Diplomat Room

Moderator: Anthony Lisi, DC

Panelists: Arlan W. Fuhr, DC, Jordan Graeme, DC, Shawn Neff, DC, John Scott Stites, DC

It is well known that a third of the adult U.S. population lives in chronic pain, which has contributed to the utilization of opioids. This session will explore how evidence-informed nonpharmacological treatment options can help move patient-centered care in new directions. Panelists will also share information on safety and effectiveness of care and review and discuss multi-disciplinary models of care.  


Successful Integration of Chiropractic in the Athletic Training Room (1 CE)

10:00 am - 10:55 am Palladian Room

Alan K. Sokoloff, DC 

Doctors of chiropractic are an essential part of any team in the everyday care of athletes. At the Olympic, professional and college levels, great relationships are formed with the common goal of athletic rehabilitation, injury prevention, and wellness. But why do many relationships fail? This presentation can help provide those answers. More importantly, it will reveal how to make the relationship a success. From defining the scope of practice, documentation, hours of commitment and contracts, Dr. Sokoloff can discuss it all. This will be a great workshop for sports-minded doctors of chiropractic at any level.

Building Interprofessional Relationships: Enhancing Patient Care through Integration (1 CE) 

10:00 am - 10:55 am Diplomat 

Steven T. Huybrecht, DC

Whether your desire is to work in private practice or in an integrated setting such as a hospital, working with other healthcare providers is critical in the management of patient health and wellness. No one professional has all the answers and no one type of treatment will work for all people. Therefore, building professional relationships will help you to create a network for referral and to receive insight or feedback on particular patient conditions.  This presentation includes 10 tips outlining ways to cultivate these relationships, gain the trust of other providers, and secure your place in the community health system.


Hacking the Chiropractic Profession: The Technology Adjustment (1 CE) 

11:00 am - 11:55 am Palladian Room

Jay S. Greenstein, DC

We are living in an unprecedented time of massive change – certainly in the world at large, and most definitely, in health care. While the last decade has focused on the value-based care proposition, triple aim (really quadruple when you include providers), new delivery models, and new payer models, simmering underneath all of those changes is a growing undercurrent with far greater reach. This soon to be tidal wave has the potential for both positive and negative impact. Rapidly evolving technologies – artificial intelligence, deep machine learning, blockchain, cloud computing, the Internet of Things (IoT), 3-D printing, genomics, mobile health technologies, wearables, telehealth, big data, and more, are coming together synchronously creating a perfect storm of massive disruption. The application of these technologies are already beginning to have large-scale impact that empower patients to create improved lifestyle behaviors, improve patient outcomes, lower costs to the patient and the system, provide more secure networks and environments, disrupt third-party intermediaries, and a LOT, LOT more…all to create change on a scale that we have never before seen in our lifetime. This session will discuss the overview of technologies, the implication to the chiropractic profession and the patients we serve, and lay out a recommended action plan for our future. Disruption is the present, and prosperity is in our collective future--as long as we apply these emerging technologies in the most efficient and effect ways to drive even greater value and impact.

21st Century Approach to Musculoskeletal Conditions: The Gut-Joint Connection (1 CE) 

11:00 am - 11:55 am Diplomat Room

Robert G. Silverman, DC

In chiropractic care, we see many patients with joint disorders.  Some of our most common musculoskeletal conditions have an autoimmune component to their etiology and may account for their relentless progression and difficulty in treatment.  The role of dietary and gut-related pathogens as triggers or exacerbators of joint disorders has been defined.  The gut-joint axis is real.  Gut-related antigens from bacteria, oral pathogens and food proteins can play a role in multiple joint disorders, including joint tissue inflammation, tissue autoimmunity and tissue degeneration. If detected in the early, subclinical, stages of autoimmunity, protocols can be implemented to stop the autoimmune process and potentially prevent the onset of disease.  Through inflammation, cross-reactivity and covalent binding, gut-related antigens can contribute to joint disorders.  When the gut barrier is broken these potential triggers of joint disorders can more easily ignite or fuel the autoimmune pathogenesis.  Thus, the importance of intestinal barrier health cannot be emphasized enough.  This presentation will cover gut barrier integrity testing, autoantibody assessments, identification of environmental triggers and intestinal barrier healing and wellness protocols.


An Interprofessional Collaboration Framework for DCs to Enhance Population Spine Health in Private Practice, Local Hospitals and the Local Community (1 CE) 

2:00 pm - 2:55 pm Palladian Room

David J. BenEliyahu, DC

The chiropractic profession has made significant strides in recent years with advances in education, clinical research, and integration into medical settings such as community and academic hospitals, VA hospitals, Federally Qualified Health Centers, Accountable Care Organizations, and Medical Homes. However, the number of doctors of chiropractic working in an inter-professional collaborative setting compared to the total number of practicing DCs in the United States is relatively small. Widespread interprofessional collaboration (IPC) between DCs and other health professions is necessary for the profession to achieve mainstream-medicine status.  Interprofessional collaboration on a grassroots level of private practice is one of the factors necessary for the profession to reach the “tipping point” for inclusion in mainstream medicine.  The focus of this presentation is on developing IPC at the local level of private practice and/or the local community hospital. Successful models of Interprofessional micro-collaboration and macro-collaboration will be presented.

Is it Safe to Adjust Patients with Osteoporosis? (1 CE) 

2:00 pm - 2:55 pm Diplomat Room

Arlan W. Fuhr, DC

Geriatric care has become a larger part of clinician practice in the past few years. The latest evidence shows that Activator 5 is not only safe to use on a patient with osteoporosis, but in lab animals adjusting also resulted in bone growth. This research was conducted at the University of Madrid, Spain, and featured in a peer-reviewed paper, “Impact of Chiropractic Manipulation on Bone and Skeletal Muscle of Ovariectomized Rats,” by A. Lopez-Herradon et. al and published in Calcified Tissue International (Nov. 2017, Vol 101 Issue 5, pp, 519-529). Dr. Fuhr will present this study, and some of the possible future studies, as well as the benefits of adjusting the osteoporotic patient.


Neuromusculoskeletal Medicine Residency: An Example of Interprofessional Collaboration (1 CE) 

3:00 pm - 3:55 pm Palladian Room

James Joseph Lehman, DC

This 50-minute, didactic presentation with PowerPoints will describe how an interprofessional collaboration enabled the creation of a chiropractic residency within a Federally Qualified Health Center (FQHC) while providing high-quality, patient-centered, and evidence-based chiropractic services to an underserved population, along with clinical training to chiropractic students and residents. This collaboration was made possible by the Medicaid plan of the state of Connecticut, which recognizes chiropractic as a covered service for Medicaid patients when delivered in an FQHC. The structure of a neuromusculoskeletal medicine residency for chiropractic physicians that teaches evidence-based, patient-centered care will be described in detail. The outcomes produced by this interprofessional collaboration between a chiropractic college and a FQHC will also be reviewed.

Chiropractic, Integrative Oncology and Patient Centered Care (1 CE) 

3:00 pm - 3:55 pm Diplomat Room

Jeffrey A. Sklar, DC

This presentation will discuss the utilization of chiropractic for patients living with cancer as a chronic illness. There will be a focus on pre-existing musculoskeletal conditions that become exacerbated during cancer treatment and common side effects from chemotherapy and radiation.  Several effective chiropractic techniques will be reviewed. Additionally, contra-indications for chiropractic treatment for cancer patients will be outlined. Furthermore, evidence-based research with references regarding the need and efficacy for national and international models of integrative oncology will be provided during the presentation. As quality of life for cancer patients is highlighted, ideas for collaboration between various healthcare professions will be presented, as the complexity of cancer and the challenges of co-managing these complexities are paramount.  Finally, to the patient-centered care tenet that chiropractors hold close to their hearts, the core concepts of patient-centered care and traits of providers with effective and quality care will be discussed.


Integrated Practice Units: Chiropractors in Value-Based Healthcare (1 CE) 

4:30 pm - 5:25 pm Palladian Room

Sylvia Elizabeth Deily, DC and Devin Williams, DC,

The mission: revolutionize how people get and stay healthy by: 

  • Educating leaders who transform health care
  • Evolving new models of person-centered, multidisciplinary care that reward value
  • Advancing innovation from discovery to outcomes
  • Improving health in our community as a model for the nation; and
  • Redesigning the academic health environment to better serve society   

This presentation will inform our colleagues that chiropractors have the opportunity to influence the future of musculoskeletal care in these new and exciting healthcare models. 

 

The Critical Connection: A New Paradigm for Foot-Related Pathologies (1 CE) 

4:30 pm - 5:25 pm Diplomat Room

Scott D. Bautch, DC, DACBOH

Did you know footwear is the leading cause of foot-related pathologies? This 50-minute presentation will depict the new paradigm to the world's first variable reflex insoles. The ability to experience a gentle increase in stimulus intensity, while your feet, legs, hips, and back return to healthy function. This revolutionary session will address the underlying cause of most foot-related problems and pain, providing solutions that can actually rehabilitate the body's neuromuscular mechanics. The presentation will help attendees understand the importance of proper foot function and help you retrain your body’s protective reflexes so you can safely adapt to renewed and healthy function.