American College of Clinical Electrodiagnosis Annual Symposium
October 13-15, 2023
Location:
Palmer College of Chiropractic - Florida Campus
4777 City Center Parkway, Port Orange, FL, USA
Registration fee is $650 for 19 hours of CE including 3 hours in Ethics and Profession Boundaries and 2 hours in Coding and Documenting. Click the "REGISTER HERE" button at the top of the page. CE is through National University of Health Sciences.
Educational Content Now Approved by the International Board of Chiropractic Specialties (IBCS) - Type I Continuing Education for use toward DIBCN/DIBE Continuing Education Requirement
NEED TO BOOK A HOTEL ROOM? The Shores Resort & Spa is offering a special ACCE Room Block Rate for the symposium weekend, limited room availability: THE SHORES RSVP LINK CLICK HERE
WANT TO BE A VENDOR AT OUR UPCOMING SYMPOSIUM? See bottom of page for details.
Distinguished Speakers
Troy D. Hale, AuD, FAAA
Doctor of Audiology, Associate Professor
Department of Audiology & Speech-Language Pathology
Arizona School of Health Sciences, A.T. Still University
Jeff Strakowski, MD
Physical Medicine & Rehabilitation
Clinical Professor and Associated Professor of Medical Education at The Ohio State University and Ohio Health Riverside Methodist Hospital.
Mary Miller, R.NCS.T, CNCT, R.EEG.T, RPSGT, RST
President of the American Association of Electrodiagnostic Technologists. Past-President of the Mid-Atlantic Neurodiagnostic Society. Southeast Field Application Specialist for Cadwell.
Luis Vera, DC, FIACN, DIBCN, DIBE, DABCE
Chiropractic Neurologist & Electromyographer
Associate Professor, Palmer College of Chiropractic Florida
Assistant Professor, University of Central Florida College of Medicine
Evan M. Gwilliam, DC, MBA, QMCC, CPC, CCPC, CPMA, CPCO, AAPC Fello
Clinical Director at PayDC Chiropractic Software | Professional National Speaker | Certified Compliance Officer, Coder, and Auditor
INCLUDES:
3 Hours Ethics and Professional Boundaries in the Chiropractic Office
+
2 Hours Coding and Documenting for Electrodiagnostic Procedures
FRIDAY, OCTOBER 13TH
4:50-5:40PM
Evan Gwilliam, DC, MBA, QMCC, CPC, CCPC, CPMA, CPCO, AAPC
Discover how ethics and professionalism can enhance your practice and learn why they matter.
With so many rules and regulations and different ways to communicate and provide care, sometimes it is hard to know if things are being done ethically and professionally. The line can be blurry. In this riveting presentation, Dr. Evan Gwilliam, Certified Compliance Officer objective is to help you find that line and know just how to stay on the right side of it, while still running a healthy and thriving practice.
5:40-6:30PM
Evan Gwilliam, DC, MBA, QMCC, CPC, CCPC, CPMA, CPCO, AAPC
Learn how to create appropriate boundaries in your office to avoid sexual misconduct and recognize abuse.
With so many rules and regulations and different ways to communicate and provide care, sometimes it is hard to know if things are being done ethically and professionally. The line can be blurry. In this riveting presentation, Dr. Evan Gwilliam, Certified Compliance Officer objective is to help you find that line and know just how to stay on the right side of it, while still running a healthy and thriving practice.
6:30-7:20PM
Evan Gwilliam, DC, MBA, QMCC, CPC, CCPC, CPMA, CPCO, AAPC
Case studies. Learn from examples from the NCMIC claims vault about mistakes other providers made, so that you don't have to.
With so many rules and regulations and different ways to communicate and provide care, sometimes it is hard to know if things are being done ethically and professionally. The line can be blurry. In this riveting presentation, Dr. Evan Gwilliam, Certified Compliance Officer objective is to help you find that line and know just how to stay on the right side of it, while still running a healthy and thriving practice.
7:20-8:10PM
Evan Gwilliam, DC, MBA, QMCC, CPC, CCPC, CPMA, CPCO, AAPC
Identify the requirements to code and document properly for Evaluation and Management, with an emphasis on office consultations.
The coding rules and descriptions for electrodiagnostic procedures can be used to create rock solid records that ensure that all the t's are crossed and i's dotted so that you can get your work done. After this presentation, the objective is to rest assured that your coding and billing are up to the standard and can withstand scrutiny from outsiders. Join Dr. Evan Gwilliam Certified Coder and Auditor, as he breaks it all down into easy to manage pieces.
8:10-9:00PM
Evan Gwilliam, DC, MBA, QMCC, CPC, CCPC, CPMA, CPCO, AAPC
Take a deep dive into coding and documenting for needle electromyography, nerve conduction tests, short-latency somatosensory evoked potential studies, and even intraoperative neurophysiology monitoring.
The coding rules and descriptions for electrodiagnostic procedures can be used to create rock solid records that ensure that all the t's are crossed and i's dotted so that you can get your work done. After this presentation, the objective is to rest assured that your coding and billing are up to the standard and can withstand scrutiny from outsiders. Join Dr. Evan Gwilliam Certified Coder and Auditor, as he breaks it all down into easy to manage pieces.
SATURDAY, OCTOBER 14TH
8:00 - 8:50 AM
Troy Hale, AuD, CCC-A
Videonystagmography Foundations and Instrumentations (The Basics)
This lecture is for healthcare professionals who are involved in evaluating patients with dizziness and/or balance complaints. Practical information necessary to make VNG an effective part of your diagnostic battery will be discussed. Materials presented will address basic vestibular anatomy & physiology as well as pathophysiology of vestibular disorders. Participants will gain practical knowledge regarding test recommendations, patient setup, recording techniques and proper administration of the oculomotor, positional and caloric subtests of the VNG exam.
At the conclusion of the lecture, participants should be able to understand basic concepts including: -Describe the role of the vestibular system as it relates to postural stability and visual acuity -List common complaints of individuals with vestibular dysfunction -Understand the role of VNG in evaluating patients with dizziness, imbalance and mTBI -Familiarize themselves with the various VNG subtests including: -Ocular Motility exam -Dynamic and static positional exams -Caloric irrigations -Discuss and recognize recording artifacts and test limitations involved with VNG
9:00 - 9:50 AM
Troy Hale, AuD, CCC-A
Videonystagmography Foundations and Instrumentations (VNG analysis and exam interpretation)
This lecture participants will also learn basics of VNG analysis and exam interpretation. Case studies on individuals with acute dizziness, balance dysfunction and mTBI will be provided to supplement learning with both peripheral and central abnormalities demonstrated.
At the conclusion of the course, participants should understand the basics to: -Analyze and interpret basic VNG results -Determine site of lesion based upon the review of VNG test findings -Determine the most likely diagnosis, make appropriate recommendations and/or determine proper treatment plan based upon VNG findings
10:00 - 10:50 AM
Jeff Strakowski, MD
Introduction to Peripheral Nerve Ultrasound. Correlation with EDX
Peripheral Nerve Sonography: Introductory Ultrasound and EMG Concepts lecture is designed to provide a comprehensive basis and approach for the use of ultrasound and electrophysiologic techniques for the assessment of the peripheral nervous system and peripheral nerve disorders. The presentation is structured to review the appropriate elements of the clinical and electrophysiologic evaluation. It also reviews the fundamentals of musculoskeletal and neuromuscular ultrasound including ultrasound physics and image acquisition and optimization, ultrasound instrumentation scanning techniques, and both normal and abnormal sonographic characteristics of nerves, muscles, and other anatomic tissues. There is a detailed and comprehensive description of the approach to successfully image peripheral nerves and their disorders.
- Perform the clinical assessment for patients with a possible peripheral nerve disorder.
- State the relative value and technical aspects of commonly employed electrophysiologic techniques used for assessment of peripheral nerve disorders.
- Apply the basic fundamentals of ultrasound physics and instrumentation.
- Demonstrate the scanning techniques and image optimization for musculoskeletal and neuromuscular ultrasound.
- Identify the sonographic appearance of the anatomic tissue pertinent to musculoskeletal and neuromuscular ultrasound
- Apply the ultrasound evaluation of peripheral nerves including recognition of sonographic appearance of normal and abnormal nerves.
- State the relative value of utilizing muscle echotexture in assessment of peripheral nerve disorders.
11:00 - 11:50 AM
Jeff Strakowski, MD
EDX and Ultrasound of the Median Nerve
Ultrasound and Electrodiagnosis (EMG) of the Median Nerve lecture is designed to provide a comprehensive approach to the use of ultrasound for the assessment of the median nerve and carpal tunnel. The presentation is structured to review the nerve anatomy, clinical assessment, the relative value and technical approach of routine electrophysiologic techniques, scanning techniques, and image optimization with ultrasound. In addition, the clinical basis for utilizing ultrasound for assessment of both normal / abnormal sonographic characteristics of the nerves, muscles, and other related anatomy is included.
- State clinical indications for ultrasound of the median nerve.
- List routine electrodiagnostic techniques for assessment of the median nerve.
- Recognize sonographic appearance of the median nerve anatomy.
- List ultrasound examination protocols and scan techniques for evaluation of the median nerve including post-surgical assessment.
- Identify commonly seen median nerve pathology recognized with ultrasound and apply diagnostic criteria for accurate diagnosis.
12:00 - 1:20 PM - LUNCH
1:30 - 2:20 PM
Jeff Strakowski, MD
EDX and Ultrasound of the Ulnar Nerve
Ultrasound and Electrodiagnosis (EMG) of the Ulnar Nerve training video is designed to provide a comprehensive approach to the use of ultrasound for the assessment of the ulnar nerve and ulnar neuropathy at the elbow and other locations. The presentation is structured to review the nerve anatomy, clinical assessment, the relative value, and technical approach of routine electrophysiologic techniques, scanning techniques, and image optimization with ultrasound. In addition, the clinical basis for utilizing ultrasound for assessment of both normal / abnormal sonographic characteristics of the nerves, muscles, and other related anatomy is included.
- State clinical indications for ultrasound of the ulnar nerve.
- List routine electrodiagnostic techniques for assessment of suspected ulnar neuropathy.
- Recognize sonographic appearance of the ulnar nerve anatomy.
- List ultrasound examination protocols and scan techniques for evaluation of the ulnar nerve including post-surgical assessment.
- Identify commonly seen ulnar nerve pathology recognized with ultrasound and apply diagnostic criteria for accurate diagnosis.
2:30 - 3:20 PM
Jeff Strakowski, MD
EDX and Ultrasound for Pre-Surgical Planning
This lecture is designed to introduce EDX and ultrasound scan techniques and protocols for performing ultrasound pre-surgical planning. It reviews technical considerations for performing safe and effective procedures.
3:30 - 4:20 PM
Jeff Strakowski, MD
Challenging Cases Combining EDX and Ultrasound
This lecture is designed to review numerous clinical cases which utilized the combination of EDX and ultrasound to assess various peripheral nerve lesions, that lead to a proper diagnosis and treatment plan.
4:20 - 5:20 PM
Mary Miller, R.NCS.T, CNCT, RPSGT, RST, R.EEG.T
Nerve Conduction Study Fundamentals
The basis/goal of the lecture is to provide the attendees with the fundamentals of anatomy and physiology to plan, perform, and understand nerve conduction studies.
Objectives: Fundamentals of Anatomy, Fundamentals of NCS, Fundamentals of performing NCS
5:20 - 6:10 PM
Mary Miller, R.NCS.T, CNCT, RPSGT, RST, R.EEG.T
OPEN EMG LAB
Practice montages for various nerve conduction study setup. Review pertinent technical factors regarding the electrodiagnostic equipment to reduce noise and interference. Hands on practice of various nerve conduction studies and needle EMG setup.
Objectives: Provide practice for the physician to improve electrodiagnostic equipment set-up skills, perform various nerve conduction study set-ups and refine their technique, and to enhance their technical problem solving skills.
SUNDAY, OCTOBER 15TH
8:00-9:00 AM
Mary Miller, R.NCS.T, CNCT, RPSGT, RST, R.EEG.T
Nerve Conduction Study Fundamentals
Hands on special study/complex NCS training.
Objectives: Performing Upper Complex Nerve conduction studies, Performing Lower Complex NCS, Technique Explanation.
9:00 - 10:00 AM
Mary Miller, R.NCS.T, CNCT, RPSGT, RST, R.EEG.T
Introduction to Neuromuscular Ultrasound & Basic Scanning of the Median and Ulnar Nerves.
Objectives: Introduction to NMUS, Basic scanning of Median nerve, Basic scanning of Ulnar nerve.
10:00 - 11:00 AM
Luis Vera, DC, FIACN, FIBE, DIBE
2023 Clinical Perspectives in Nerve Conduction Testing
Daily operations in clinical electrodiagnosis including both nerve conduction studies and needle EMG will
be reviewed. From patient management to electrodiagnosticc procedures.
Objectives: To review patient management. To review technical operation. To review clinical relevance.
11:00 - 12:00 AM
Luis Vera, DC, FIACN, FIBE, DIBE
Advanced and Uncommon Electrodiagnostic Procedures
Atypical nerve conduction testing will be reviewed. A second component of the lecture will be compromised of a laboratory.
Objectives: To review uncommon NCV procedures from an academic perspective. To review uncommon NCV procedures from an laboratory perspective. Clinical applications of uncommon procedures.
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