Frozen Shoulder & Other Complicated Conditions of the Upper & Lower Body - James Waslaski
September 24 - 25, 2016
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Chiropractor Eliminated from DOT Physicals in New York
When New York Chiropractors certified to do DOT physicals received a letter saying that they would be removed from the National Registry of Certified Medical Examiners Doctors of Chiropractic in New York and across the country wanted answers. An alphabet soup of agency, registries and organizations are all part of this frustrating puzzle with no quick fix in sight. As of June 1st 2016 New York Chiropractors are no longer able to provide DOT physicals and have been classified on the Federal Motor Carrier Safety Administration (FMCSA) list as not currently certified, compliments of the New York State Board of Chiropractic. The New York State Board of Chiropractic decided to reverse their opinion on DOT physicals that had been in place for over 10 years late last year. On September 24th of 2015 the New York State Board of Chiropractic sent letters to New York Chiropractors on the National Registry of Certified Medical Examiners (NRCME) list explaining that DOT physicals were, “beyond the scope of chiropractic practice as defined under New York State law.” To make matters worse they also stated that it would take a legislative decision to expand the scope of practice. The Chiropractic board's decision resulted from strong arming by the New York State Education Department, no member of the Chiropractic Board signed the letter. The history behind this controversy starts in 2005 when the New York State Board of Chiropractic sent a statement to the FMCSA through the Federation of Chiropractic Licensing Boards (FCLB) that the components of the DOT physical exam were within the scope of practice of Chiropractors in New York. In 2014 the FMCSA created the National Registry of Certified Medical Examiners requiring all providers to pass a national exam to become certified and listed on the National Registry of Certified Medical Examiners. Federal and New York State law supports Chiropractors inclusion in the NRCME. 48 DCs in New York were listed as providers and performed over 30,000 exams before being removed this June. Currently hundreds of Chiropractors across the country are certified and conducting DOT exams on truck drivers every day. Currently challenges are being made to return New York Chiropractors to the NRCME list by petitioning the Federal Motor Carrier Safety Administration over the procedures of their recent ruling. Other options include having the New York State Board of Chiropractic reversing their decision or a legislative change to the chiropractic practice act.The New York State Chiropractic Association is also working on changing the state practice act part of their agenda this year. They want to add a number of law changes to expand the scope of chiropractors in New York. The changes include the ability to diagnose and differentially diagnose, along with the examine; which includes stand-alone examinations such as those required for DOT exams, school sports physicals, scoliosis screenings, and more. Without changes the ability of Chiropractors in New York to perform any type of physical exam beyond the spine could come into question. Medicare and Insurance carriers could question a Doctor of Chiropractic's ability under the New York scope to provide exams and treatment. Fortunately for New York Chiropractors and DOT certified DCs nationwide the Safe Drivers, Safe Road Coalition (SDSRC) stepped up to battle this fight. This 501 (c)6, formed by a group of dedicated DOT educators and certified Chiropractors that want to protect, defend and expand the rights of chiropractors in their participation in the performance of DOT physicals. They believe maintaining Chiropractors on the national registry will allow truckers and the trucking industry greater access and lower costs for exams.The trucking industry agrees with the SDSRC. The Owner-Operator Independent Drivers Association (OOIDA) sent a letter to the New York State Board for Chiropractic asking them to reconsider their decision and that they shouldn’t make truck drivers’ lives any more difficult.A larger battle could be brewing in other states based on the New York situation. According to the SDSRC, they believe challenges in Connecticut over DOT physicals two years ago from the Connecticut Medical Association, Connecticut Orthopedic Medical Society and other groups could be part of a strategy to eliminate Chiropractors state by state. After recent online statements on an industry list serve they fear theses attacks are being fueled by a few medical doctors in the transportation industry. Extra Opinion: After having the opportunity to meet with Dr. David Thorpe of the the Safe Drivers, Safe Road Coalition last weekend I understand the potential set backs that face the entire Chiropractic profession. The real problems generated from this biased attack against Chiropractors in New York and others in recent years, namely in Connecticut and Texas, shows with legal and administrative challenges to state laws can eliminate the ability to provide school physicals, order and perform diagnostic tests, receive and accept referrals, plus much more. The right to practice is being eroded by malicious factions using the state chiropractic practice acts against DCs. Today they are coming for New York DOT Exams, who will be next? It is time for Chiropractors to stand up and demand to practice to the extent of their education. The Safe Drivers, Safe Road Coalition (SDSRC) wants to defend Chiropractors across the US and is asking for help. Donate to the SDSRC
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Chiropractic Online Reputation Part 1
Good, bad or absent, we all have an online reputation. When someone types your name, practice or chiropractor in your town into a Google search the results will be their first impression about you and your practice, making your online reputation. Your online reputation is composed of every site, post, mention and reference to you on the web. Most Chiropractors are not aware of the condition of their reputation. Just because you have a website don’t think that will be the first or only thing that appears and the search from your laptop in no way reflects what everyone else sees.If you do one thing for your Chiropractic practice’s online reputation this year, own your Google Business Listing. Many of you have probably already done this, but there is more . . . stay tuned. Internet sources report that 44% of Google business listing are not owned.I remember a professor telling our class in Chiropractic College (circa 2001) that when he started into practice he walked three miles around his first office looking for phone booths. He placed his business card in each phone booth’s phone book in the Chiropractor section. Most recent Chiropractic graduates right now will have a puzzled look on their face wondering what I am referring to and many experienced Chiropractors are probably nodding their collective heads.The days of phone booths and phone books are over. Today’s new patients are not thumbing through a big yellow book. They are searching for you on Google. With over a trillion searches a day, a few of them are looking for you. Truth be told, not everyone is searching for you on Google; just the majority.Just like the days of old you can buy a big ad on some directory, even Google, but before you do that there is a much simpler free way to improve your ability to be found on Google for free. The goal is to ensure a return on investment (ROI) that meets or exceeds the markets expectation. This is no different than any business in the world, what you get in return has to be significantly more that is costs you.This is not an introduction manual, but a simple guide. To get started with your Google Business Listing go to Google maps and search for your business, your name, and any other provider that has ever worked in your office. Make a list of the URLs (Web addresses) of all of the listings. Hopefully you only have one. If you have more than one listing that can be a problem, which is a conversation for another day.Find your listing, claim it, and verify it. Google, the Master of the Internet tries to add every business that it can find to its maps. That is why we all love them. Unless you opened your doors in a brand new building, you probably have a listing. When a listing is verified, it lets Google know that this information is accurate and that listing will rank higher in Google searches.Claim your business then verify it. Google will send you a postcard or call your office to verify that you are at the address of the listing. Your updates and additions will only be seen if you verify the listing. When a listing is verified, it lets Google know that this information is accurate and then that listing will rank higher in Google searches.Many Chiropractors have fallen into the trap of having third parties set up their Google business listing account not under your Gmail address. My professional experience with working with Chiropractors for years to improve their online reputation, I can safely say that half of Chiropractors do not have access to their listing. I also recommend you set up your business listing in your own name, with your own Gmail account and then add Manager permissions to any providers helping with your online reputation.This is vital in the event that relationship ends and you are shut out of your own account. If another company or person claims your listing you have some work to do.Now that you have your listing, add some pictures. Potential patients want to see your face, even if you have a face only fit for radio. They are not searching for a super model; they are looking for someone they can trust with their health. Add your logo, office hours a description about your business that talks about things potential patients might be looking for. They are looking for help from back pain and headaches not for wellness, and their subluxations to be removed. Save that conversation for your office.Add pictures of the outside of your office and the inside to give your potential patients the comfort of knowing what to expect inside. Clean up the room. I have seen pictures with dirty face paper on the table. Patients do not know what to expect so leave anything that could resemble medieval torture out: Knee to chest tables and anything with multiple leads. You might be excited about your new traction table, might be a little scary to a potential patient. Electric rehabilitation equipment, computerized systems have a great visual appeal, start there. Take a picture of your staff, unless you burn through receptionists. A smiling face at the front desk is more inviting than an empty chair.Do you need a professional photographer to shoot the pictures? It wouldn’t hurt. If that is not in your budget then it can be as simple as a millennial and a smart phone. Now you are set. Want to know the value? You can track how many times your listing is viewed, someone calls from the listing, when they call and reply to reviews in the Insights section on your new Google Business Listing.Think about how many more patients you could help, if they could just find you. I had an upset chiropractor tell me recently that numerous new patients did not show for their first visit because they went to his old address still on Google maps.
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NM,Advanced Practice Chiropractic
Straight Chiropractic Owner Joins the New Mexico Chiropractic Board
The New Mexico Board of Chiropractic Examiners has a new member. Dr. Brad Fackrell was just appointed to the Chiropractic Board by the Governor Susana Martinez. Dr, Fackrell, a graduate of Cleveland Chiropractic College has practiced in Rio Rancho for 17 years and is the owner of Straight Chiropractic (really, that is the name of his practice). Six members have a seat on the New Mexico Board of Chiropractic Examiners, four chiropractors and public members. Dr. Fackrell’s appointment should add some spice to this southwestern board. Two of the board members are listed as holding Advanced Practice certification in the state. In 2014 Dr. Fackrell, along with a handful other DCs from across New Mexico, presented to a house committee their rationale on why New Mexico should not expand the formulary for advanced practice practicing chiropractors. In 2012 New Mexico passed legislation creating a new designation for Chiropractors in the state, Advanced Practice. After post graduate training and passing an exam DCs in New Mexico could apply for this designation expanding their scope to include a formulary of prescriptive products. In 2013 and 2014 legislation was proposed to expand the formulary beyond over the counter medications, homeopathy vitamins and minerals. None of the bills were successful. As the battleground over Chiropractic practice scope expands in the west, New Mexico should be a place to watch. This piece required a bit of editorial content, which we try to avoid. CE Cruncher holds no opinion on the scope of practice for Chiropractors. We just wish all Chiropractors could get along and focus on improving the profession.
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Chiropractic Continuing Education,FL
Need Florida Chiropractic CEs? Check Out These Options Beyond the Classroom
Renewal is around the corner (March 31st, 2016) and CE Cruncher wants to make sure that you have all of your Chiropractic CEs completed before the biennium is up.You can always find courses at CE Cruncher certified for Florida DC CEs, but did you know the other options for obtaining credits according to the Florida Board of Chiropractic Medicine? No, we don't have the option of online courses yet. (CE Cruncher is working on that.) If you dig through the Florida State statutes deep enough alternatives do exist, so we did it for you.Rule 64B2-13.004 of the Florida Administrative Code (you have to open a word doc to read them) offers other options for Chiropractic Continuing Education in Florida than sitting in a classroom for 40 hours. Florida Chiropractic Continuing Education Requirements:Chiropractic Physician’s license renewal needs to include 40 hours of state approved courses:27 hours of general education6 hours of record keeping/documentation and coding2 hours of in ethics and boundaries2 hours of Florid laws and rules2 hours of medical errors1 hour of risk management If you are a Chiropractor that has an acupuncture certification then you will also need:2 hours of safety and risk management in acupuncture 2 hours of acupuncture technique The 4 hours can be obtained as part of 40 required Chiropractic hours Alternatives to classroom CE hours:We listed the options below, in our opinion, in the order of plausibility. If you are a member of the Florida Board of Chiropractic Medicine or teach at a Chiropractic College then many of these options are feasible, but for the average Chiropractor only the first one applies. Board Meeting - If you register and an attend a Florida Board of Chiropractic meeting you will receive 5 hours of risk management. Caveats: you must be there for the entire meeting or 8 hours, sign out at the end and not be present to appear in front of the board for disciplinary or presentation reasons. Upcoming dates Teach a Seminar - Once a biennium you can receive credit for being an instructor of a board approved continuing education program. You only qualify for credit for the hours that you taught, of the program. Volunteer to Help the Poor – Earn up to 8 hours of cont ed for each hour worked helping the poor and indigent under Chapter 766 of the Florida Statutes. Basically volunteer at the health department or a non profit with out receiving compensation from the organization or billing any of your services. Volunteer at a Public School - If you work 80 hours a year for each school year during the biennial license period with out compensation you can earn 10 hours of Chiropractic continuing education and the State of Florida will waive your biennial license renewal fee. This program falls under the Public school volunteer health care practitioner program. NBCE Grader/Examiner- Receive 7 Florida Chiropractic CE Hours per National Board of Chiropractic Examiners exam and up to 14 per biennium for helping administer the test. Expert Witness – If you volunteer as an expert witness for case reviews for the Florida Board of Chiropractic Medicine under the Chiropractic Statute Chapter 460, you can obtain 5 hours of risk management and up to 10 hours per biennium. The board expects a literature survey with the board reviewed cases. Test Consultant - If the Florida Chiropractic Board uses you as a consultant for the laws and rules portion of the state test you will qualify for 2 hours of laws and rules during that biennium Former Board Member- If you are no longer a board member but are willing to serve on the Probable Cause Panel Board you can receive all of the 13 required FL Chiropractic CE hours. Florida Board of Chiropractic Medicine Member – After a nomination and appointment from the governor, serving on the Florida Board of Chiropractic Medicine counts for the 13 required CE Hours. Always check with the Florida Board of Chiropractic Medicine with questions or up to date information on requirement for Chiropractic continuing education in Florida. Don't forget that now all Florida CE Hours must appear in your CE Broker account to renew your license. Still need CE classroom hours? You can always check on CE Cruncher for CE hours in Florida and the entire US.
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Canada,Chiropractic Product Review
Innate Coffee Mug - A Travel Necessity for the Principled Chiropractor
Editorial: My mind is always abuzz with Chiropractic and CE Cruncher, even on vacation I am writing about a unique find during my travels.Today’s find is only for the principled Chiropractors, anyone that loved philosophy class in Chiropractic College, or any DC with Green Books on their selves.Chiropractic Product Review: Innate Gear Travel Mug – How does a thermal mug pertain to daily Chiropractic Practice? It doesn’t, unless you find carrying around a product stamped with INNATE sparks your interest. The stainless steel mugs offer from Innate insulation of hot or cold beverages and a chance to start a conversation about the body’s unique ability to heal. After a 10 minute discussion of innate intelligence and the basis in Chiropractic philosophy with the friend who’s cup I had absconded I decided that I should probably share my find with other Chiropractors. The mug offers a attractive travel design fitting many cup holders, a silicon lid and a great cup of tea for hours. It also offers the chance to share one of the principles of Chiropractic with anyone that notices your mug. After I discovered an Innate coffee mug in a friend’s cupboard while traveling in Ontario Canada I had to know more about the company. Based in Vancouver BC, Innate offers a full line of travel mugs, water & food storage, travel umbrellas, travel cases and RFID protected cases. The company stands behind their philosophy of ‘Leaner, Cleaner, Greener’, striving to make products with a positive global and environmental impact. All of their raw materials are designed to ensure there is no endocrine activity disrupting phthalates including Bisphenol-A (BPA). Plus Chiropractors will love that every product comes brandished with the innate logo. Ready to travel with an Innate mug or case? They can be purchased in Canada at Mountain Equipment Co-op, in the US at REI, or on Amazon. Amy Tirpak, DC CE Cruncher's Founder and Lead Chiropractor * Disclaimer: CE Cruncher supports the entire spectrum of Chiropractic. Upper Cervical, Straight, Principled, Mixer, Evidence Based, Functional Medicine and Advanced Practice Chiropractic Physicians are welcome and encouraged to find Chiropractic Continuing Education, new and humor on this site. As soon as we find evidence based or advanced practice mugs be sure we will share them.
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Colleges > University of Bridgeport Chiropractic College
The University of Bridgeport was founded in 1927 as the Junior College of Connecticut – the first junior college chartered by any legislature in the northeastern states. In the words of its founders, the college’s purpose was to develop in students “a point of view and a habit of mind that promotes clear thinking and sound judgment in later professional and business experience.” Although UB has changed in many ways since then, its commitment to student preparation and community service remains central to its mission.
The Junior College of Connecticut became the University of Bridgeport in 1947, when the governor of Connecticut chartered the institution as a four-year university with authority to grant the baccalaureate degree. By that time, the former estate of famed circus owner P.T. Barnum at Bridgeport’s picturesque Seaside Park had been purchased. Growth in students, faculty, programs and buildings was rapid. Strong growth continued throughout the 1960s and ’70s.
To find out more, go to the website: Bridgeport.edu or call 1-800-EXCEL-UB (392-3582).
75 Linden Ave
Bridgeport, CT, 06601