NCLC 2019 Friday Educational Sessions

Saturday, January 19

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.

Clinical Neuroscience of Pain (1CE)

8:00 am - 8:55 am Palladian Room

Shawn M. Neff, DC

Pain is a complex entity.  New evidence changes our understanding of pain on a near constant basis.  This presentation aims to present the current evidence surrounding pain and its neurophysiologic underpinnings. We’ve relied on a stimulus-response, point-A-to-point-B, nociception-equals-pain explanation for pain for a long time. It’s clear to us now that those types of explanations are no longer sufficient. We know that because there are cases in which people have sustained grievous injuries and experience lots of nociception, but do not experience pain. We also see cases in which a limb is absent and there is no nociception, yet the patient’s pain is consuming. So a lot has to be happening between the foot and the brain.


Strength and Openness with Interprofessional Collaboration (1CE)

8:00 am - 8:55 am Diplomat Room

Sarah Ann Potthoff, DC

How can the chiropractic profession improve our integration within mainstream medicine? How can we improve communication between medical physicians to encourage them to collaborate with chiropractic services and, in turn, provide more patient-centered health care and improved clinical outcomes?  This presentation will provide you with information to help bridge the gap to these questions and give you a foundation for team-based conversations and collaboration in the healthcare arena.

Introduction to Team STEPPS as a Resource for Interprofessional Practice (1CE)

9:00 am - 9:55 am Palladian Room

Renee Broughten, DC, PhD

This session will provide an overview of Team STEPPS concepts and introduce participants to specific tools that will allow doctors of chiropractic to communicate with other healthcare professionals. This session will address common communication challenges and provide strategies for improving communication among providers and with patients and families. Participants will also be introduced to tools to help them lead teams and address conflicts. Situation monitoring is the ability to assess the environment and detect potential areas of confusion, and participants will be given tools to help them establish mutual understanding among team members. Finally, the session will address the importance of mutual support as the ability to assist another team member or provide constructive feedback. Interprofessional teamwork involves negotiation and shared decision making, mutual respect, and trust. It requires providers to be able to explain their own role in patient care and respect the important roles of the other providers on the team. Team STEPPS provides evidence-based, commonly accepted tools to enable chiropractors to participate as effective members of interprofessional teams.



A Multidisciplinary Model for Chronic Pain Management (1CE)

9:00 am - 9:55 am Diplomat Room

Jordan M. Graeme, DC

With all disciplines, there are strong monocular views for problem solving. It is certain that with a particular set of symptoms a patient will receive completely different treatments depending on who they present to, even within the same specialty. Pain etiology, personal appreciation and optimal treatment is very diverse and complicated. Therefore it is extremely unlikely that a single treatment modality will be the correct therapy to “fix” the pain problem. The majority of treatments address the symptom and not the cause of pain. By offering patients a larger menu of options--including, but not limited to pain management, chiropractic care, massage therapy, Rolfing, acupuncture,  pain psychology, yoga, mindfulness, nutrition, naturopathic medicine and physical therapy—chiropractic can better help patients with both the symptoms as well as the etiology of pain. With all of these options and a healthy collaboration between providers, patients will have the best chance of receiving the best care possible.

McAndrews Leadership Lecture: "Chiropractic Invicta"  

10:30 am - 12:00 pm Palladian Room

William E. Morgan, DC , President, Parker University

Chiropractors should view themselves as victors, not victims. There have been many successes and scientific advances in support of the chiropractic profession in recent years. A defensive stance is no longer appropriate; the profession today is strongly positioned to take its rightful place in health care. This presentation will help chiropractors understand the powerful impact of recent research supporting chiropractic and nondrug interventions. Attendees will learn how to use the latest data to enhance their practice and advocacy efforts, and to recognize the important relationship between scientific data and patient-centered care. 


Measuring Success in a Patient-Centered Chiropractic Office

2:00 pm - 2:55 pm Palladian Room


N. Ray Tuck, Jr., DC; Lee Matthis, DC;  AJ LaBarbera, DC

Measuring success in a patient-centered chiropractic office has been a challenge since the movement in health care towards patient-centered care delivery.  Many of the measures that have existed in the chiropractic profession, though serving many well for decades, are now becoming less relevant and thus new ways to measure success are needed.  This discussion will review how one clinic system is measuring success keeping patient experience, clinical quality, and financial sustainability at the center of its activities.


Rational Clinical Decisions: The Diagnostic Aspect of Evidence-based Clinical Practice (1CE)

2:00 pm - 2:55 pm Diplomat Room


John Scott Stites, DC; Robert Vinning, DC 

The purpose of this presentation is to illustrate foundational epidemiological concepts as they relate to diagnosis and to present a best-evidence synthesis for the categorization and examination of patients with low back pain. This one-hour program will be divided into two sections. The first will introduce and review concepts of pre-test and post-test probability, sensitivity, specificity and likelihood ratios. Examples will be offered by applying these concepts to different orthopedic tests and to show how they influence the interpretation of findings. There will be discussion on confirmation bias and how to avoid it. The second half of the presentation will be devoted to the elements of a well-supported evidence-based examination of a patient with low back pain. Participants will not only gain an understanding of the interpretation of the scientific literature as it relates to diagnosis, but will also gain examination strategies that can be immediately applied to clinical practice. Using these strategies will aid the clinician in designing treatment plans and determining prognosis. Applying epidemiological concepts to the art of diagnosis can bring clarity to clinical decision making.

Rationale of Accidental Fall Risk Assessment by Doctors of Chiropractic Medicine (1CE)

3:00 pm - 3:55 pm Palladian Room


Andrew Fitzsimons, DC and David Radford, DC

This talk is a systematic review of the factors associated with increased risk of accidental falls in a select population, America’s seniors. The first objective of this meta-analytic review is accidental fall prevention. This can be achieved by doctors of chiropractic using the biopsychosocial approach to determine whether there are any relevant demographic, clinical, and tangential variables useful in assessing the increased risk. The purpose is early detection of fall status vulnerability of the Medicare population.  The result of prevention of an accidental fall is twofold; it helps the individual maintain their functional independence and reduces the societal cost of care. After the occurrence of an accidental fall, the DC acting as a portal of entry healthcare professional will better understand the need for a rapid and effective triage of the individual who has fallen, leading to more cost effective case management and a treatment plan using evidence and value based care.  This biopsychosocial method fosters integration of the profession into the larger systems for co-management or more advanced care, the goal of which is to help the patient make an optimal recovery and help reduce the loss of their functional independence.


Future Healthcare Delivery Models: An Introduction to Employer-Based On-Site Chiropractic Care (1CE)

3:00 pm - 3:55 pm Diplomat Room


Isaac I Borowiec, DC, DACBSP; William F. Updyke, DC; Daniel Lord, DC; Robert Murray, DC

The goals of this presentation are to: provide an appraisal of the chiropractic practice styles that are successful for integrated on-site medical clinics; analyze the changes occurring in payment models, and how an on-site clinic fits into these models; understand the needs that employer/payers have and the shifts they are making with insurance plans and care delivery models, and how this affects the economics of modern chiropractic practice; recognize increasingly accepted norms in tracking and benchmarking quality metrics, and; identify levels of on-site clinic integration into an employee population, and strategies to identify areas of need and opportunity at growing companies.