Saturday, Jan. 23 | 8:00 a.m. – 9:00 a.m.

Closings Session: There and Back Again: One Chiropractor’s Path in Patient Care, Research and Advocacy  (1 CE)

Presenter: Clinton Daniels, DC, MS

Categories: Research/Case Studies | Geriatrics | Evidence-based Practice/Outcomes 

This presentation will follow the career path of Dr. Clinton Daniels as it weaves within the conference theme of “Empowered to Lead, Equipped to Grow, Ready to Advocate.” He will share his story of navigating challenging early-career years in private practice and taking a leap of faith by accepting a position in the first cohort of Veterans Affairs (VA) chiropractic residents. A position that would open unexpected doors and empower him to lead VA Puget Sound as chiropractic director and resident director, become the first chiropractor to receive an academic appointment at the University of Washington, and to meet the professional call to serve as chair of the Clinical Compass Scientific Commission, secretary and chair-elect of the American Public Health Association Chiropractic Health Care section, and as the sole chiropractic member on the Washington State Health Technology Clinical Committee. 

Dr. Daniels will outline how his pursuit of improving patient care, curiosity, and a love of asking questions drove him to explore research. With no formal training in research, Dr. Daniels began with case reports, sought mentors and like-minded colleagues, and took his lumps in peer review, with the experience equipping him to grow as a clinician-scientist. He will discuss some of his latest research, including 

competencies to prepare trainees for integrative environments, and a new clinical practice guideline on the chiropractic management of older adults. 

Research is the currency of the chiropractic profession. By embracing evidence-based practice and research, the chiropractic profession can be well positioned and ready to advocate for better patient care through improved policies, access, and coverage from a position of cultural authority. 

Learning Objectives: 

• Identify Veterans Affairs training opportunities. 

• Identify educational competencies to prepare students for integrative experiences. 

• Discuss safety and efficacy of chiropractic management of older adults. 

 

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Saturday, Jan. 23 | 9:10 a.m. – 10:00 a.m.

Diabetes from a Chiropractic Perspective (1 CE)

Presenter: Julie Johnson, DC, CFMP

Categories: Nutrition | Wellness

The purpose of this session is to identify why addressing diabetes in chiropractic patients is important, examine factors indicating how diabetes may be impacting chiropractic results, and differentiate nutrients that support blood sugar regulation and healthy body composition, as well as reviewing a clinical thought process that will lead to action steps to improve patient outcomes. 

An estimated 96 million Americans are prediabetic, with 8 in 10 unaware of their condition; and over 38 million Americans are diabetic, with 1 in 5 unaware that they have it. Diabetes is the seventh leading cause of death and the leading cause of blindness in working-age adults. It is likely that patients with these issues will present to a chiropractic office for treatment. 

Attendees will examine how diabetes may be impacting chiropractic results, learn about nutrients that support blood sugar regulation, reduce hunger and craving for sweets, as well as a healthy body composition, and review ways that chiropractors can make a difference with the fastest growing global public health issue of our time. 

Learning Objectives:  

• Explain how diabetes and blood sugar dysregulation can affect the musculoskeletal, vascular, and nervous systems, and influence chiropractic treatment and patient outcomes. 

• Identify patient history, symptoms, and clinical findings that may indicate diabetes or blood sugar dysregulation is contributing to a patient’s presentation or response to chiropractic care. 

• Describe appropriate screening, patient communication, and referral strategies that support patient-centered care for individuals with known or suspected blood sugar dysregulation. 

• Differentiate key dietary patterns, nutrients, and lifestyle factors that may support healthy blood sugar regulation, appetite management, and body composition. 

• Develop practical action steps for incorporating patient education, lifestyle guidance, complementary care, and appropriate referrals into chiropractic practice to support improved patient outcomes. 

 

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Saturday, Jan. 23 | 10:00 a.m. – 11:00 a.m.

Different Roads, Same Destination. Finding Your Leadership Lane

Presenters: Cindy Howard, DC, DABCI, DACBN, FICC; Louis Crivelli, DC, MS; Glenn Jaffe, DC; and Kristine Tohtz, DC, Lac, DABCA, CACCP, IFMCP 

Category: Leadership Development

Most chiropractors who become leaders in the profession didn’t start with a plan to lead. They started with a practice, a passion, or a problem they wanted to solve, and leadership followed. 

This panel brings together four DCs whose paths to leadership are distinctly different. One built a national platform through personal resilience, speaking, and expertise in functional medicine. Another pursued evidence, clinical guidelines, and academic leadership. A third found a path through clinical specialization and education in acupuncture, pediatrics, and integrative care. The fourth became deeply involved in advocacy, PAC leadership, and the political infrastructure of the profession. 

Their experiences demonstrate an important point: there is no single path to meaningful leadership in chiropractic. Leadership can begin in the clinic, classroom, research community, professional association, or advocacy arena. In fact, many DCs may already be developing as leaders without recognizing it. 

Through an engaging discussion of these different journeys, attendees will explore the many ways chiropractors can contribute to and influence the profession. Participants will leave with a clearer understanding of their own leadership identity, greater awareness of how different leadership paths support the profession’s broader needs, and practical ideas for taking the next step in whatever lane they’re in.  

Learning Objectives:  

• Attendees will identify their own leadership lane within the chiropractic profession. 

• Describe at least two pathways through which chiropractors can engage in profession-level leadership. 

• Explain how clinical, academic, advocacy, and platform-based leadership roles intersect and support each other. 

• Identify at least one concrete next step toward meaningful engagement in their chosen leadership lane. 

• Recognize the profession-wide value of diverse leadership pathways in advancing chiropractic’s future. 

 

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Saturday, Jan. 23 | 11:00 a.m. – 12:00 p.m.

The Business Side of Sports Chiropractic. Show Me the Money 

Presenter: Alan Sokoloff, DC

Categories: Practice Management | Sports Medicine 

Doctors of Chiropractic spend hours and days trying to get involved in sports medicine at many different levels. Once they make it “in,” they need a clear understanding of procedures, regulations, billing, and coding guidelines to ensure they are compensated. We will discuss the “Sweet 16” of getting involved, and staying involved, in sports chiropractic, and look at different means of compensation at every level in sports. We will also look at the risk associated with the business side of sports chiropractic. 

Learning Objectives:  

• Review reimbursement options in sports chiropractic. 

• Understanding contracts, RFPs, and risk. 

• Discuss procedures to avoid costly billing and collection error. 

• Evaluate sports chiropractic opportunities to identify unfavorable terms and determine when declining an agreement is the appropriate business decision.  

 

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Saturday, Jan. 23 | 12:00 p.m. – 4:00 p.m.

*Shoulder to Shoulder Evidence-Based Management of the Athletic Shoulder and Shoulder Imaging (4 CE requested)

Presenters: Scott A. Mooring, DC, DACBSP, ICSC, FICC; and Cliff Tao, DC, DACBR

Categories: Sports Medicine | Pain Management | Rehab | Orthopedics, Research Case Studies | Diagnostic Imaging | X-ray | MRI

Shoulder complaints are common in athletic and active populations, yet successful management requires more than identifying the location of pain, relying on a single orthopedic test, or applying a preferred treatment technique. This two-hour, case-based session presents a practical, evidence-informed approach to evaluating and managing shoulder conditions encountered by sports chiropractors and other musculoskeletal clinicians. 

Participants will work through a systematic approach to history, physical examination, differential diagnosis, and clinical decision-making for common athletic shoulder presentations. Examination strategies will include observation, range of motion, strength assessment, orthopedic testing, and functional evaluation, with emphasis on interpreting findings within the context of the athlete’s sport, mechanism of injury, functional demands, and clinical presentation. Rather than viewing individual examination findings in isolation, participants will learn to integrate multiple findings to develop a working diagnosis and guide management. 

Current evidence regarding conservative management will be integrated throughout the session, including findings from a systematic review examining chiropractic and related conservative interventions for shoulder conditions. Management strategies will include manual therapy, progressive exercise and rehabilitation, activity and load modification, dry needling, and other adjunctive interventions when supported by available evidence. Emphasis will be placed on matching interventions to examination findings and functional goals rather than applying a uniform treatment approach. 

Clinical cases and selected imaging examples will demonstrate how history, examination findings, diagnostic imaging, treatment response, and sport-specific demands can be integrated into clinical 

decision-making. Particular attention will be given to recognizing conditions requiring imaging, referral, or interdisciplinary management and determining appropriate progression toward return to sport. 

Attendees will leave with a reproducible framework for evaluating the painful athletic shoulder and translating current evidence into practical, patient-centered management decisions. 

This presentation will conclude with focus on imaging of the shoulder, and how to thoroughly interpret plain radiographs and MRI. Some strategies on how to minimize imaging errors will also be presented. 

Learning Objectives: 

• Recognize and describe shoulder anatomy on imaging, including key bones, joints, soft tissues, and anatomical landmarks. 

• Compare the main imaging modalities used to assess the shoulder, including radiographs, ultrasound, CT, and MRI, and select the appropriate modality for common clinical presentations. 

• Identify sources of error in shoulder imaging interpretation, including technical factors, normal anatomical variants, artifacts, and common diagnostic pitfalls. 

• Interpret shoulder imaging using a structured approach to distinguish normal findings from common abnormalities. 

• Obtain and interpret a focused history for athletes presenting with shoulder pain to identify injury mechanism, contributing factors, red flags, and appropriate differential diagnoses. 

• Perform and interpret a systematic shoulder examination incorporating range of motion, strength assessment, orthopedic testing, functional evaluation, and appropriate cervical and neurologic screening. 

• Differentiate common athletic shoulder conditions using history, examination findings, and diagnostic imaging when clinically indicated. 

• Develop an evidence-informed management plan incorporating manual therapy, therapeutic exercise, rehabilitation, activity modification, and appropriate adjunctive interventions for common shoulder conditions. 

• Determine when imaging, referral, interdisciplinary consultation, or modification of sport participation is appropriate and apply clinical findings to return-to-sport decision-making. 

Online sessions will be available to Engage 2027 attendees beginning Jan. 20 and will remain accessible through Feb. 15.

CE registration must be purchased separately to receive continuing education credit for eligible sessions.

 

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Avoiding Five Pitfalls in Pediatric Chiropractic Practice  (1 CE)

Presenter: Brandie Elizabeth Keates, DC

Categories: Coding | Documentation | Compliance | Ethics | Risk Management | Pediatrics 

Pediatric care is one of the fastest growing areas of chiropractic —  – and one where avoidable mistakes carry the highest risk, clinically, ethically, and medico-legally. This session names the five pitfalls that most often trip up doctors caring for infants and children and gives a concrete fix for each: overstating what care can do, missing the red flags that require referral, applying adult assumptions to pediatric presentations, communicating poorly with anxious parents, and documenting in a way that won’t withstand scrutiny. Grounded in current evidence and consensus best-practice recommendations, the session focuses on judgment: how to know when a pediatric patient is appropriate for chiropractic care, when something needs a medical referral, and how to set realistic expectations with families. We’ll look at what the safety literature actually says, how to talk about evidence honestly with parents, and how to keep records that protect both the patient and the practice. The tone is practical and noncommercial —  – no technique sales, no scare tactics. Attendees leave with a usable checklist they can apply to the next pediatric encounter, sharper referral instincts, and language for the conversations that matter most with caregivers. Whether you see children occasionally or build your practice around them, you’ll walk out more confident that your pediatric care is safe, defensible, and aligned with the evidence. 

Learning Objectives: 

• Objective 1: Identify the five most common clinical and ethical pitfalls in pediatric chiropractic practice.  

• Objective 2: Recognize pediatric red flags that warrant medical referral. 

• Objective 3: Apply evidence-based communication strategies when counseling parents and caregivers.  

• Objective 4: Document pediatric encounters in a way that meets clinical and medico-legal standards. 

• Objective 5: Evaluate clinical and marketing claims about pediatric care against the current evidence base. 

 

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Changing the Game: Applying Sports Medicine to Your Pregnant Patients (1 CE)

Presenter: Brandie Elizabeth Keates, DC

Categories: Evidence-based Practice |Adjustive Technique| Pain Management| Sports Medicine | Women’s Health

Most clinicians were trained to treat pregnancy as a fragile, hands-off state – —modify everything, rest more, do less. But the same sports-medicine principles we use with athletes apply directly to pregnant patients, who are navigating one of the most physically demanding performance events the body undergoes. This session reframes the pregnant patient as an athlete and shows how load management, tissue-capacity thinking, progressive programming, and return-to-activity frameworks translate into safer, more confident perinatal care. Drawing on guidelines and evidence from the last decade, attendees will learn to screen for the absolute and relative contraindications that actually warrant caution, separate genuine red flags from outdated myths, and build trimester-specific activity plans that meet patients where they are. We will cover how pregnancy’s biomechanical and physiologic adaptations change tissue tolerance and movement, and how to progress or regress a plan as pregnancy advances and after delivery. The goal is practical: walk out able to have an evidence-based conversation with any pregnant patient about what is safe, what is smart, and how to keep them active and resilient rather than deconditioned. Through case examples and interactive Q&A, attendees will leave with a usable framework they can apply Monday morning —turning “just take it easy” into a real plan. This is a noncommercial, evidence-based session focused on clinical decision-making. 

Learning Objectives: 

• Objective 1: Describe how core sports-medicine principles (load management, tissue capacity, progressive overload) apply to the physiologic changes of pregnancy. 

• Objective 2: Identify the absolute and relative contraindications to exercise in pregnancy and the red flags that warrant referral. 

• Objective 3: Apply a trimester-specific framework to modify activity and exercise prescription for pregnant patients. 

• Objective 4: Formulate an individualized return-to-activity plan for the pregnant and postpartum patient.  

• Objective 5: Evaluate common myths about activity in pregnancy against current evidence. 

 

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Clinical Applications for Measuring Muscle Pressure Thresholds in Chiropractic Practice (1 CE)

Presenter: Robert Leach, DC, MS, RMCHES

Categories: Evidence-based Practice | Research/Case Studies

This one-hour presentation reviews recent clinical research findings and provides clinical applications regarding the use of pressure algometry and operationalized pain provocation testing to quantify paraspinal tenderness related to back pain. After briefly reviewing the history of segmental dysfunction, pressure algometry research, and pain provocation testing, we will discuss findings of recent studies regarding measurement of PPTs and operationalized pain provocation as clinical variables after spinal manipulation and chiropractic. Thought by some scientists to measure paraspinal muscle spasm, we will discuss pressure pain thresholds in the wider context of possible neurobiological mechanisms underlying improvement after chiropractic. Evidence will be provided demonstrating the clinical usefulness of quantification of paraspinal pressure-pain thresholds and operationalized spinal pain provocation tests during treatment of patients with lower back pain, in contrast with the use of more classic chiropractic metrics such as leg checks, x-rays, and advanced imaging. Such measurements may aid not only beneficence of chiropractic practice decision making but provide critical documentation for Medicare P.A.R.T. and other payors, for example, with regard to active care and pain management determinations. Practical applications including clinical cases will be reviewed demonstrating how the use of evidence-based metrics such as NRS pain scales and ADL Disability Questionnaires may be enhanced by use of paraspinal pressure-pain threshold and operationalized pain provocation metrics. Finally, ideas for future research relevant to the use of these metrics in clinical practice will be explored. 

Learning Objectives: 

• Objective 1: Describe how to better quantify or “operationalize “pain provocation tests already used in your practice Monday morning. 

• Objective 2: Describe how use of algometry and operationalized pain provocation tests may affect clinical decision making in your practice. 

• Objective 3: Describe how your documentation for Medicare P.A.R.T. and other payors would be improved by including measurement of PPTs and operationalized pain provocation tests. 

• Objective 4: Explain why further research using prospective studies with promising SDF or subluxation mediator variables embedded. 

 

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Changing the Game: Inclusive and Supportive Care for Patients’ Sexual and Gender Identity  (1 CE)

Presenter: Brandie Elizabeth Keates, DC 

Categories: Cultural Competency | Ethics

Every practice already serves patients across the spectrum of sexual orientation and gender identity — but many of those patients have learned to expect discomfort, assumptions, or worse from healthcare settings. This session gives doctors of chiropractic and their teams the practical tools to be care genuinely inclusive and supportive, from the first phone call to the treatment room. Grounded in current evidence on health disparities and minority stress, the session covers the basics that matter most in day-to-day practice: respectful and accurate language, intake forms and EHR fields that don’t force false choices, pronoun and name use, and how to recover gracefully when you get it wrong. We’ll address common clinical considerations, where to refer, and how to create an environment — – physical and interpersonal — where patients feel safe enough to give you the full history you need to treat them well. The tone is practical and nonjudgmental, meeting attendees wherever they’re starting from. This is noncommercial education focused on communication and access. Attendees leave with concrete changes they can make immediately  

– to forms, language, and front-desk workflows  – that will improve trust, retention, and clinical outcomes for a patient population that is often underserved. 

Learning Objectives: 

• Objective 1: Describe documented health disparities affecting patients across sexual orientation and gender identity. 

• Objective 2: Apply respectful, accurate, and affirming language in clinical communication.  

• Objective 3: Identify intake, forms, and environment changes that improve access and trust. 

• Objective 4: Demonstrate appropriate responses when a mistake in name or pronoun use occurs.  

• Objective 5: Recognize when and how to refer for care outside chiropractic scope. 

 

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Nociplastic Pain: How to Identify and Treat Chronic Pain  (1 CE)

Presenters: Ryan Kain, DC, CFMP and Timothy Williamson, DC, MS

Categories: Evidence-based Practice | Pain Management | Research/Case Studies

This course will teach participants how to distinguish nociplastic pain from nociceptive and neuropathic pain using a biopsychosocial clinical framework. Through chiropractic-focused case studies, participants will explore practical strategies for identifying centralized/nociplastic pain presentations and selecting appropriate evidence-informed treatment options. Although many clinicians have heard of nociplastic or centralized pain, research suggests that many doctor’s of chiropractic remain uncertain about how to assess and manage it in practice; this session is designed to close that gap 

Learning Objectives: 

• Objective 1: Describe differences between nociceptive, neuropathic and nociplastic pain phenotypes.  

• Objective 2: Highlight factors determining patients’ pain experience and response to care. 

• Objective 3: Phenotype patients’ pain and stratify care using a biopsychosocial framework. 

• Objective 4: Understand different treatment options for nociplastic chronic pain. 

• Objective 5: Understand emerging treatment options for primary/ nociplastic pain 

 

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The Missing Link in Persistent Pain in the Adult Athlete (1 CE)

Presenter: Jennifer Hartman, DC, ICCSP, LMT

Categories: Sport Medicine | Nutrition| Internal Diagnosis & Disorders | Pain Management 

Adult athletes frequently present with persistent pain, recurrent injury, delayed recovery, and performance limitations despite receiving appropriate chiropractic, rehabilitation, and sports medicine interventions. While structural and biomechanical dysfunction remain important clinical considerations, emerging evidence suggests that fascial health, cellular function, inflammation regulation, mitochondrial efficiency, and tissue resilience may significantly influence clinical outcomes. 

This evidence-based presentation explores the intersection of chiropractic sports medicine, fascial science, and cellular physiology to help clinicians identify overlooked contributors to persistent dysfunction. 

Attendees will learn practical assessment strategies and integrative treatment considerations that may enhance tissue recovery, improve patient outcomes, and optimize athletic performance. 

Through clinical case examples, current literature, and interactive discussion, participants will gain a framework for addressing the “missing link” when traditional approaches alone fail to fully resolve pain and dysfunction. 

Learning Objectives: 

• Objective 1: Identify common factors contributing to persistent pain and delayed recovery in adult athletes despite appropriate musculoskeletal care. 

• Objective 2: Describe the role of fascial physiology and current evidence regarding fascia’s influence on movement, force transmission, and pain perception. 

• Objective 3: Explain how cellular health factors—including mitochondrial function, inflammation regulation, tissue repair mechanisms, and metabolic resilience—may impact recovery and performance. 

• Objective 4: Integrate evidence-informed strategies that combine chiropractic care, sports medicine principles, rehabilitation, and cellular health considerations into patient management plans. 

• Objective 5: Apply a clinical framework for evaluating athletes who have plateaued or failed to respond to traditional treatment approaches. 

 

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The Next Frontier: Advancing the Chiropractic Profession Through Injection Therapies  (1 CE)

Presenter: Zachary Manwaring, DC, FIANM-IT

Categories: Evidence-based Practice | Acupuncture| Pain Management

As the healthcare landscape evolves, patients are becoming more equipped with knowledge and ability to seek alternative care. The integration of evidence-based injection therapies represents a vital frontier for the chiropractic profession. This session, led by the IANM injection therapies subspecialty chairperson, provides a blueprint for doctors and state associations aiming to expand their scope of practice. Attendees will analyze the current national legislative landscape, identify successful strategies used by states that have successfully integrated these therapies, and learn how to construct a data-driven advocacy campaign. By bridging clinical excellence with strategic policy advancement, this session will equip leaders to drive professional growth and legislative victory in their own states and maximize their license. 

Learning Objectives: 

• Objective 1: Evaluate the economic, clinical, and interprofessional collaboration benefits of integrating injection therapies into contemporary chiropractic healthcare models. 

• Objective 2: Identify the current clinical indications, safety profiles, and evidence-based protocols for utilizing injection therapies within a neuromusculoskeletal chiropractic practice. 

• Objective 3: Analyze the national legislative and regulatory landscape regarding chiropractic scope of practice for advanced procedures, highlighting successful precedents from states with existing injection privileges. 

• Objective 4: Formulate a structured, data-driven advocacy strategy and educational framework to present to state boards, legislators, and public health stakeholders to support scope expansion.

 

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St Luke’s Chiropractic Residency: Lessons, Experiences and Development

Presenters: Paul Duffy, DC;, Adam Pemberton, DC;  and Samuel Staula, DC

Categories: Practice Building | Leadership Development | Chiropractic Integration/Education 

This presentation outlines the development of an integrated clinical practice chiropractic residency within St. Luke’s University Health Network, highlighting a novel model for embedding chiropractic care in a hospital-based, multidisciplinary setting. Both chiropractic students and seasoned clinicians will gain insight from the program’s leadership, who will discuss key considerations of the program development such as stakeholder engagement, scope within a medical system, designing educational experiences and building collaborative referral pathways. Attendees will also hear reflections from the inaugural resident, offering firsthand perspectives on clinical experiences, professional growth, and the challenges/opportunities that are encountered in a chiropractic residency of this kind. Emphasis will be placed on fostering interprofessional collaboration and aligning chiropractic care with broader healthcare system goals. 

Learning Objectives: 

• Objective 1: Describe how an integrated chiropractic residency benefits both the chiropractic department as well as other disciplines within a hospital system 

• Objective 2: Discuss unique experiences from the residency program that add to education and professional development of residents 

• Objective 3: Describe challenges/opportunities for growth within the residency program in future years 

• Objective 4: Understand benefits of pursuing a chiropractic residency: Interprofessional development, scholarly pursuits, student loan forgiveness and more

 

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Data, Interoperability, and the Future of Chiropractic Practice 

Presenter: Marc Alba, DC

Categories: Public Health | AI in Healthcare | Interoperability and Data Enablement 

In most chiropractic offices today, the patient’s record is invisible to the rest of their care team. The medications, the imaging, the diagnoses from other providers rarely flow in, and the chiropractic record rarely flows out. That gap is no longer just inconvenient. It affects patient outcomes, referrals, safety, reimbursement, and the profession’s standing in modern health care. 

This session explains interoperability in plain terms and answers the two questions every doctor of chiropractic should be asking: what’s in it for me, and what is in it for the profession?

For the individual practice, connected data means fewer clinical blind spots, referrals that flow in both directions, faster reimbursement, and reduced legal exposure under the 21st Century Cures Act. For the profession, interoperable chiropractic data strengthens our position in coordinated care, our leverage with payers, and our voice in research and policy. 

Doctors will learn what part of the record moves between providers, and how to tell a system that genuinely shares data from one that only claims to. We will look at practical tools available right now, including AI-assisted systems and scribes and other technologies that improve efficiency and record quality without replacing an entire system. 

The session closes with the real cost of doing nothing, for both the practice and the profession, and the specific next steps every attendee can take, including the exact questions to ask their system vendors. 

This is not a technical lecture. It is a practical, plain-language look at why data and interoperability now shape the future of health care, chiropractic, and the patients we serve, and what doctors can do about it today. 

Learning Objectives: 

• Objective 1: Explain, in plain terms, what interoperability is and which part of the patient record actually moves, so they can speak about it confidently as it increasingly affects their own practice. 

• Objective 2: Describe the direct practice benefits of connected data, including fewer clinical blind spots, smoother referrals in both directions, faster reimbursement, and reduced legal exposure under the Cures Act. 

• Objective 3: Explain how interoperable chiropractic data strengthens the profession as a whole, including its standing in coordinated care, its leverage with payers, and its voice in research and policy. 

• Objective 4: Evaluate their own practice and EHR against plain language signs of genuine data sharing, and identify available tools (AI scribes, digital records exchange, AI assisted billing and coding) that improve efficiency and record quality without replacing everything. 

• Objective 5: Determine the cost of inaction for both the individual practice and the profession, and commit to specific next steps, including the questions to ask their EHR vendor.