Cover Stories


Logan College of Chiropractic
Cover Stories
Written by Logan Chiropractic College (LCC)   
Monday, 04 June 2007 14:47

For Logan College students to gain knowledge and skill; for Logan graduates to better serve their patients and for the community to benefit from chiropractic care, the college must grow and progress. Over the past 18 months, Logan College of Chiropractic has succeeded in expanding the scope of chiropractic education and care in the patient and health care communities.

If you step onto the Logan suburban St. Louis campus today, you’ll easily notice the college’s physical growth. From the 47,000-square-foot William D. Purser, DC, Center to the new Gateway Plaza, Logan has created an infrastructure that promotes integrated, progressive learning for students, health care professionals and the community alike.

The Purser Center is a multi-purpose, state-of-the-art educational facility that opened on the Logan campus in April 2007. It features a 1,500-seat main hall which can be divided into two smaller classrooms for lectures and continuing education seminars. The building lobby is large enough to accommodate graduations, homecomings and college-related banquets, other student, postgraduate and alumni events, business conferences and community activities. The facility is equipped with sophisticated wireless technology and supports distance learning. A naturally sloped, outdoor grass amphitheatre is also part of the project’s design.

The $21.7 million project is the largest capital improvement program in Logan history.

Last fall, under the direction of Vice President of Academic Affairs Patrick M. Browne, Logan launched its new Master of Science degree in Sports Science and Rehabilitation under the broader identity of Logan University. The degree is designed to offer a specialized advanced degree option for sports injury management. It requires 50 hours of course work including classroom, lab and clinical experience taken over a five-trimester period (approximately 20 months). This program is open both to students admitted to the DC program who wish to earn concurrent MS and DC degrees, and to students who have already earned a bachelor’s degree and wish to enroll in the master’s-level courses. Practicing DC’s can also be admitted to the program. As Logan continues to expand its range of degree offerings, the college will utilize the official nomenclature of Logan University for all masters-level programs.

Logan College’s master’s degree in Sports Science and Rehabilitation affords students numerous opportunities to participate in multidisciplinary clinical settings with professional, collegiate and high school sports teams in conjunction with the college’s state-of-the-art BIOFREEZE® Sports and Rehabilitation Center, which opened in February 2006, and was designed specifically to treat athletic injuries. Logan established its first-ever clinical rehabilitation program, under the direction of Dr. Laney Nelson, a nationally known figure in the world of chiropractic sports injury care and rehabilitation, to ensure that the college continues to play a major role as a leader in determining the future course of chiropractic education and training.

This on-campus center is dedicated to reversing physical damage to the human body caused by stress and injury. It offers state-of-art holistic rehabilitation treatments, based on the concept of assessing and lowering a person’s biological age versus focusing on the limits of their actual chronological age. The center’s "biological age" approach to wellness combines physical rehabilitation, nutrition and comprehensive wellness assessment and treatment in a thorough 4-step program. This center also serves as a health and wellness resource for chiropractic physicians, other health care professionals, corporations, small businesses, schools, community groups and other organizations, one that will heighten the quality of life in the St. Louis metropolitan region.

Logan’s expanded grant and research efforts recently netted the college its first federal monies. A $234,000 Health Resources and Services Administration (HRSA) grant will fund Logan’s Musculoskeletal and Obstetric Management Study (MOMS). The grant has a non-competitive renewal over three years, totaling $750,000.

According to Dr. Rodger Tepe, Dean of Research and Development, internal funding from Logan College has been supporting this project since 1998. The result has been a successful and on-going collaboration between Logan College of Chiropractic and Washington University School of Medicine’s clinics at Barnes-Jewish and Missouri Baptist hospitals. Under the direction of Logan faculty member Dr. Clayton Skaggs, MOMS has developed solid interdisciplinary relationships among chiropractic physicians, medical physicians and nurses in hospital-based clinic settings serving the health care needs of pregnant women in the St. Louis community.

Bottom line, all of this research is motivated by a single purpose—to help identify and provide solutions for musculoskeletal problems in pregnant women. The MOMS project is a step in this direction, a step in which an interdisciplinary team (including chiropractic and medical physicians) works together to treat and prevent pregnancy-related musculoskeletal pain.


Visit www.logan.edu or call 800-824-3234.

 

 
Cleveland Chiropractic College
Cover Stories
Written by Cleveland Chiropractic College (CCC)   
Monday, 04 June 2007 14:45

Ensuring the success of students and making a lasting impact on the future of chiropractic are the driving forces behind several positive developments being carried out at both the Kansas City and Los Angeles campuses of Cleveland Chiropractic College (CCC). Highlighting these developments are the relocation of the Kansas City campus, facilities improvements in Los Angeles, as well as a number of multidisciplinary affiliation agreements with prominent medical establishments in both cities.

In February, Dr. Carl S. Cleveland III, the college’s third president and grandson of the founder, announced that CCCKC would move its educational programs to two structures on thirty-four acres at 108th and Lowell Avenue in the Kansas City suburb of Overland Park, KS. The structures total 176,000 square feet that will be used for classrooms, laboratories, a library, cafeteria, offices and other facilities, including planned fitness and day-care centers.

"Part of this $29-million acquisition and expansion plan includes a $10-million retrofit to construct a state-of-the-science chiropractic health center and educational facility," Cleveland said. "With the expansive acreage, this site will accommodate the college’s needs through the next fifty years. Prior to the acquisition, the college explored numerous Kansas City area sites with local economic development agencies to help identify an accessible, large and expandable location. More space is required to educate the men and women who will meet the growing national demand for chiropractic care."

Remodeling at the new campus began April 1, and the college plans to relocate its instructional program by spring 2008. The college continues to seek proposals to establish tenant relationships for a fitness center and a day-care center in one of the buildings.

On the Los Angeles campus, providing expanded amenities and a more nurturing educational environment for students was the impetus for a multi-stage facilities improvement plan approved by the college’s board of directors in late 2004. Exterior work began in mid-2005 and included the building being painted, the installation of new awnings and landscaping and other improvements to the grounds. Later stages included interior renovations of the Media Resource Center, cafeteria and rotunda area. This consisted of new paint, carpet, vertical blinds, computer stations, furniture and other enhancements, all of which give the building a whole new look and a more retro feel.

Offering innovative educational opportunities outside of the college’s curriculum is also part of Cleveland’s commitment to its chiropractic students and the profession as a whole. During the past three years, in an effort to integrate chiropractic care in multidisciplinary settings, officials at both campuses have worked tirelessly to negotiate agreements and promote ongoing relationships within the mainstream medical community.

In Kansas City, the college operates a chiropractic wellness center through an affiliation agreement with one of the metropolitan area’s premiere hospitals, Truman Medical Center-Lakewood, in suburban Lee’s Summit, Missouri. CCCKC’s presence includes several faculty members and a group of student interns selected each trimester. A similar program that also includes faculty and students is being facilitated at Kansas City Veteran’s Administration Hospital. A Cleveland contingent also provides chiropractic care at the Kansas City Free Health Clinic.

Los Angeles’ prestigious Venice Family Clinic, the largest free health clinic in the United States, is the site of CCCLA’s newest multidisciplinary venture. Last spring, the college joined forces with the clinic’s new Simms/Man Chronic Pain Center, where chiropractic care is offered in concert with acupuncture services, osteopathic manipulation and traditional Chinese medicine to provide various forms of pain relief for needy patients. The partnership allows regular chiropractic treatment to be provided free-of-charge by as many as eighteen supervised student interns from CCCLA. Another affiliation agreement is in place between CCCLA and the University of Southern California (USC). Clinicians and student interns from CCCLA are on rotation at USC’s University Park Health Center, which provides health care services to students enrolled at that campus. Finally, CCCLA has a presence at the Los Angeles Mission, where chiropractic care has been added as part of the multidisciplinary services offered to the city’s homeless population.

Providing state-of-the-art educational facilities, as well as unprecedented, innovative opportunities to provide hands-on care in a variety of multidisciplinary settings, are two primary examples of Cleveland’s ongoing commitment to training tomorrow’s top doctors of chiropractic. And, it further solidifies the college’s status as a pioneering leader for the profession.

 

Visit www.cleveland.edu or call 816-501-0113.

 
New York Chiropractic College
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Cover Stories
Written by Peter Van Tyle, D.C.   
Monday, 04 June 2007 14:36

nyccNew York Chiropractic College has gone to great lengths to create the country’s top healthcare professionals, providing them with an unparalleled education and offering exciting clinical opportunities. Its coursework accommodates a rapidly evolving healthcare market. NYCC students consistently score well on both the National Board Examinations and on Canada’s Chiropractic Board Exams, signifying that the College’s efforts are paying off.

"Hands On" Training

NYCC’s integrated health centers, located in Seneca Falls, Buffalo, and Long Island, offer students real-world experiences and diverse clinical outreach opportunities. During their final trimester, students may participate in internship programs at the National Naval Medical Center in Bethesda, Maryland, or undertake externships with chiropractic and acupuncture practitioners throughout the nation.

Students learn the latest in evidence-based concepts, often finding that a dual degree—for example, pairing chiropractic with a masters degree in acupuncture or nutrition—produces a powerfully effective combination that attracts America’s increasingly astute patients. Faculty members pride themselves on their hands-on approach to healthcare, often conducting independent research in clinical and the basic sciences. In fact, NYCC was recently awarded a federal grant of over one million dollars from the Department of Health and Human Services to study modalities that are proving most effective in the treatment of lower back pain. The trials will be performed in conjunction with the Canandaigua Veterans Affairs (VA) Medical Center and in private practices throughout the Rochester area.

Preparation for Exciting Careers

NYCC’s Career Development Center helps students make the successful transition from academia to the "real world" of practice. Career resources include a state-of-the-art "Chiromap" that displays demographic information enabling students to find the best places in the United States and in Canada to practice. The office maintains a database of over 2,000 associateships, partnerships, and office-coverage opportunities, as well as available equipment for rent or sale. There is no shortage of resource materials in the center; videos and computer software help students conduct a successful job search, explore state licensure information and learn practice management techniques.

The College’s Center for Postgraduate and Continuing Education seminars keep practitioners abreast of current clinical concepts and new techniques. Relevant offerings are conveniently offered through classrooms, online, within home study packets, and through teleseminars.

Many "Masters"

NYCC’s Masters Degree offerings are for those students who want to specialize in particular areas of healthcare. For example, NYCC’s School of Applied Clinical Nutrition, offered one weekend each month, enables professionals to meet patients’ critical requirements for nutritional information. A Masters Degree in Diagnostic Imaging is a four-year, full-time residency devoted to chiropractic radiology and qualifies successful candidates to sit for the examinations that lead to a Diplomate of the American Chiropractic Board of Radiology (DACBR) certification. A Masters of Clinical Anatomy is perfect for those people seeking to enter careers in secondary educational settings. The Master of Science Degree in Acupuncture and Oriental Medicine, as well as various fellowship opportunities, provide licensed students and graduates, alike, with the opportunity to expand both their knowledge and their marketability.

Visit www.nycc.edu or call 800-434-3955.

 
Innovative Education
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Cover Stories
Written by National University of Health Sciences (NUHS)   
Monday, 04 June 2007 14:34

National University of Health Sciences (NUHS) prides itself on providing students with the most complete academic and professional education for a career in the health sciences. For over 100 years, the university has led the chiropractic profession with academic excellence, dynamic faculty members and innovative leadership.

Integrative Medicine

Since 2000, when National changed from The National College of Chiropractic to National University of Health Sciences and adopted its university name and structure, the institution has become an academic home for complementary and alternative medicine practitioners. Today, students with different interests (e.g., chiropractic medicine, naturopathic medicine, acupuncture, and oriental medicine) can receive their education in shared classes, so they can become true colleagues, and so that integrated medicine can truly become a reality. Furthermore, students of one discipline can extend their study and obtain a second doctoral or master’s degree, thus expanding their practice opportunities.

"We are taking the best natural health care professions and bringing them together on one campus so that we can forge dialogue, integrated care opportunities, and new research collaborations," says James Winterstein, D.C., president of National University of Health Sciences.

Practice Management

Not only are NUHS students fully educated in the academic aspects of their chosen careers but the professional side as well. National has developed a unique Ethical Practice Management Program (EPMP) that prepares graduates for the realities of their future practices and helps them be proactive in laying this groundwork while they are still students. Each of National’s academic programs incorporates business classes into the curriculum.

Just a few of the courses and topics covered in the program include preparing a curriculum vitae, developing criteria for selecting a practice type and location, financing a practice, promoting and marketing an ethical practice, establishing and maintaining professional boundaries, developing successful office management and staff procedures, and creating a personal financial plan.

Student Organizations

National University has over 25 student organizations that enable students to develop professional skills and cultural awareness or explore political and religious issues. Many student groups have been formed to develop knowledge of various technique systems, such as Applied Kinesiology, Therapeutic Massage, Activator or Motion Palpation. Others, such as the Sports Rehab Club, Student Association for Internal Disorders, and Chiropractic Case Club, meet to discuss in-depth medical topics with faculty and visiting lecturers. A new campus club, "Vis," intends to explore emerging applications in natural medicinal therapies, bringing together chiropractic, naturopathic and oriental medicine students.

Research Opportunities

Since its inception in 1906, National has been at the forefront of research related to the practice of chiropractic. Students may enhance their professional knowledge by serving as research assistants in one of National’s current research endeavors and becoming involved in projects that may have an impact on how chiropractic will be practiced in the years to come.

Currently, students have the opportunity to participate in a mentored research project in conjunction with the NUHS Department of Research and the University of Illinois at Chicago. Students can work with a UIC faculty research mentor on a current project in the areas of basic and clinical science, clinical trials, or epidemiological studies. In addition to approximately 15 to 20 hours of laboratory, study or trial interaction per week, participating students attend two UIC courses, attend a professional conference with mentoring faculty related to the research project and research interests, and have the opportunity to professionally present and possibly publish research. A three-year Research Residency is also available at National and requires completion of the Master of Public Health Degree (MPH) as part of the residency.

Continuing Education

National University of Health Sciences offers a variety of options for continuing education and postgraduate studies through the Lincoln College of Postprofessional, Graduate and Continuing Education. Students and practicing professionals can choose from a wide array of certificate programs, diplomate programs, and specialty seminars on campus and at various regional facilities. Programs are offered primarily during weekend hours for attendees’ convenience.

Almost all of the postgraduate classes are open to students who meet specific trimester requirements so they can gain the most benefit from the courses they wish to take. While most doctors take postgraduate courses to meet continuing education requirements, students do not receive credit for the courses and take them to expand their own professional knowledge. The courses are also made available to students at a discounted price.

After graduation, students also have the option of applying for one of National’s three residency programs. The three-year programs enable DC’s to gain specialty training in advanced practice, diagnostic imaging, or clinical research. Upon completion of the residencies in Advanced Practice and Diagnostic Imaging, the resident receives the Master of Science (MS) degree in Advanced Practice and Diagnostic Imaging. The residency in Research requires completion of the Masters in Public Health.

Visit www.nuhs.edu or call 630-889-6623.

 
The Piezoelectric Sensor The Heart of the ProAdjuster Patient Care System
Cover Stories
Written by Maurice A. Pisciottano, D.C.   
Friday, 04 May 2007 13:54

Technique + Business = Results.

Within this simple equation is the formula to business success.

If you see your practice as a business and implement the most innovative, forward-thinking techniques, you will undoubtedly achieve the results you’re after.

In this lesson, I would like to discuss the methodologies of the ProAdjuster patient care system. The business principles we teach our doctors, alongside the ProAdjuster, have undoubtedly been recognized throughout the chiropractic profession and helped thousands of doctors achieve the results and freedom they are after.

As a brief overview of the ProAdjuster patient care system, I would like to discuss the basic patient encounter that occurs on a day-to-day visit, which is the chiropractic manipulative therapy (CMT). When a patient, say for example, a Medicare patient on a medically necessary treatment plan with pain, asymmetry, ROM, tissue/tone (P.A.R.T.) examination findings, etc., presents for care in your office, the CMT should have a somewhat standardized sequence for an uncomplicated encounter.

The ProAdjuster office visit sequence after, of course, updating the history, chief complaints, etc., consists of five basic steps:

1. Analyze

2. Adjust

3. Re-analyze

4. Educate

5. Recommend

This sequence is standardized in the hope of delivering a consistent level of patient service that leaves no stone unturned in terms of communication and education of the patient, as well as, delivering the appropriate care.

The Piezoelectric Sensor—The Heart of the ProAdjuster

In the analysis mode, the ProAdjuster head contains a technology called the piezoelectric sensor. When the ProAdjuster instrument delivers a measured percussion over the motor unit in a region—say, the cervical or thoracic spine—a six-pound pre-load is required from the DC to initiate the test. The motor unit consists of the joint complex and the overlying soft tissues, etc. The concept of tapping "the bone" is outdated.

The sensor, which has been used for years in industries like aerospace, mechanical engineering, and civil engineering to evaluate the motion characteristics of materials, gives us a very accurate depiction of the state of the motor unit in terms of oscillatory characteristics. The sine wave displayed on the screen as a result of the test percussion contains, within it, many pieces of information that the DC will find helpful in allowing him/her to determine which segments are of interest today.

For example, the sine wave that is produced as a result of a fixation or a resistant motor unit will be higher in amplitude or height (see "A" in Graph 1 and Graph 2). If hypomobility related to hysteresis exists in a motor unit, the apex or peak of the wave will be located to the left of the midline of the sine wave (see "B" in Graph 1 and Graph 2). The frequency of oscillation (Hz) is displayed by the length of the sine wave along the X-axis (see "C" in Graph 1 and Graph 2). The characteristic of articular gliding (termed motoricity) is best illustrated by the smoothness or grouping of the sine wave (see "D" in Graph 1 and Graph 2).

When the doctor takes these readings into account, along with other physical findings as part of the normal evaluation, the DC can then determine which segment he or she is going to adjust. The beauty of the piezoelectric sensor is this: Since it measures the resonant frequency of the motor unit, the computer software uses this data to determine an appropriate sub harmonic impact rate to most efficiently oscillate the joint and cause the optimal effect. The sensor continues to function during the chiropractic adjustment. It measures the similarity of the percussions as the adjusting tip interfaces with the motor unit. When a predetermined number of impacts (actually, ten) are measured to have 95 percent similarity, the adjustment is terminated.

After the segments in the region are addressed by the DC, the re-analysis phase is initiated. This lets the DC know, with certainty, about the effect of the treatment. This is very important because the patient is also able to see the results objectively on the computer screen. This helps tremendously when you are trying to educate your patient about objective findings beyond the topic of symptoms.

During the education step, you will be able to show the patient that their wellness care is effective or if they have had a measurable degree of segmental dysfunction subsequent to a flare-up.

Finally, recommendations can be made with this knowledge that allow the patients to become more compliant with the prescribed treatment plan because they are more informed about their conditions.

So, along with the DC’s analytical skills, the piezoelectric sensor of the ProAdjuster helps gather objective date that would otherwise be unattainable and lets the doctor make more informed treatment decisions and deliver precise, controlled adjustments. This is one of the most beneficial aspects of having this type technology.

I’m confident that, if you utilize this system, your patient care and your patient results will reach another level. A wonderful byproduct is that your practice, your business and your life will also reach another level.

This winning combination, patient care along with strong business results are simply one more step toward achieving our goal and mission of making chiropractic the number one health care choice on planet Earth!

 

Dr. Maurice A. Pisciottano is the President and CEO of The ProAdjuster Group. He is a 1989 graduate of Palmer College of Chiropractic and the winner of the Entrepreneur of the Year award as given by Ernst and Young in 2006® for Professional Services. He may be contacted at 724-916-0400.

 
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