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Quarter Curriculum Course Descriptions

Quarter 1

The first quarter courses provide an integrated study of the systems of the human body and the process of homeostasis from scientific, philosophical and clinical perspectives. A special emphasis is placed on the study of the spine including anatomy, embryology, histology, neurology, biomechanics and biochemistry, as well as developing skills in the chiropractic analysis of the spine for subluxation and understanding the Palmer Package of chiropractic care. Clinical correlations addressing spinal health, development and common conditions inclusive of the subluxation will be incorporated and integrated throughout the four tracks.

STRU51113 Spine, Shoulder & Hip Anatomy
Credit Hours: 4
Contact Hours: 4 lecture and 2 lab hours per week
Prerequisites: None
Prerequisite for: STRU52124, FNCT52123

Students will acquire a thorough knowledge of the structural organization of the spine, shoulder and hip, and become proficient in describing the functional gross anatomy. Students will understand the structural relationships between individual parts that form an integrated whole; students will be able to interpret human anatomy as a particular set of solutions to problems that correlate to clinical situations, and will become fluent in the terminology and vocabulary of gross anatomy. Basic normal radiographic anatomy of the spine, shoulder and hip will be presented with an integration of clinic correlations.

STRU51114 Histology & Embryology
Credit Hours: 3
Contact Hours: 3 lecture and 2 ALS hours per week Prerequisites: None
Prerequisite for: None

Students will acquire a basic knowledge of the cytology and the histology of four types of tissues, will understand the first three weeks of development of the human embryo, will be able to correlate the histology and embryology to clinical situations, and will become fluent in the terminology and vocabulary of histology and embryology.

FNCT51115 Evidence Based Clinical Practice
Credit Hours: 3
Contact Hours: 4 lecture hours per week
Prerequisites: None
Prerequisite for: None

This course provides an introduction to the methodology by which new knowledge is discovered, disseminated and incorporated into patient care. The scientific method and the evidence-based chiropractic model will serve as the foundation for the course. A significant portion of the course will focus on appraisal of literature with a chiropractic focus and how the evidence might be incorporated into improving patient care. The information literacy portion of this course focuses on the different types of literature and the tools by which to access the literature. The medical terminology portion of this course will cover the language used by healthcare professionals so that the student may become an effective communicator within their field.

FNCT51117 Biochemistry I
Credit Hours: 4
Contact Hours: 6 lecture hours per week
Prerequisites: None
Prerequisite for: None

The course provides an introduction to the molecules, macromolecules and processes found in living systems. The structures of nucleotides, proteins, lipids and carbohydrates are studied. The corresponding higher-order structures (i.e. enzymes, nucleic acids, membranes and polysaccharides) are related to their biological functions. The kinetics and mechanisms of enzymes and the central metabolic pathways are discussed. The energetic of biological systems are examined with a quantitative approach.

CARE51112 Protocol Basics
Credit Hours: 4
Contact Hours: 3 lecture and 3 lab hours per week
Prerequisites: None
Prerequisite for: CARE52122

An introduction to the Palmer Package of patient care, including basic psychomotor skills for adjusting, with an emphasis on development of full spine static and motion palpation skills. An introduction to history taking and chiropractic analysis of the vertebral subluxation complex, including skin temperature analysis and identification of radiographic landmarks of the spine will be presented. Basic concepts of the various chiropractic techniques included within the Palmer Package will be introduced. The topic of sexual harassment will be introduced and discussed as it relates to the professional student and health care provider. Additionally, students will be introduced to clinical skills such as the assessment of vital signs, as well as physical examination skills, including orthopedic and neurological evaluation of the spine.

FOUN51111 Chiropractic History & Introduction to Philosophy
Credit Hours:  2
Contact Hours: 3 lecture hours per week
Prerequisites: None
Prerequisite for: None

An introductory study of the philosophy and principles of chiropractic, including the constructs of subluxation, will be the foundation of the philosophy and principles of chiropractic. A study of the Palmer family and other significant figures and major events in chiropractic history are explored.

Quarter 2

The second quarter courses provide an integrated study of the nervous system and endocrine system from a scientific and clinical perspective. A special emphasis is placed on the study of the spinal cord including neuroanatomy, neurophysiology, embryology, histology, biochemistry and pathology, as well as developing skills in the chiropractic analysis of the spine for subluxation and basic adjusting skills using the Palmer Package of chiropractic care. Clinical correlations addressing spinal health, development and common conditions inclusive of the subluxation will be incorporated and integrated throughout the four tracks. Physical examination skill development focuses on orthopedic and neurological assessment of the cervical and thoracic spine regions.

STRU52123 Basic Neuroanatomy
Credit Hours: 4
Contact Hours: 4 lecture, 1 lab and 2 ALS hours per week
Prerequisites: None
Prerequisite for: FNCT53136, FNCT53137, STRU53133

This course covers the microscopic and macroscopic anatomy of the spinal cord, meninges and autonomic nervous system. General sensory, motor and autonomic pathways will be introduced.

STRU52124 Cervical Anatomy
Credit Hours: 2
Contact Hours: 2 lecture and 1 lab hour per week
Prerequisites: STRU51113
Prerequisite for: CARE53132

The anatomy and embryology of the cervical region will be studied. Emphasis is placed on the visceral and anterior cervical structures, including the cervical fascial layers, muscles of the anterior cervical region and cervical plexus.

FNCT52123 Neurology of the Spine and PNS
Credit Hours: 4
Contact Hours: 5 lecture and 2 ALS hours per week Prerequisites: STRU51113
Prerequisite for: None

This course will include a study of physiology and pathology related to the nervous system, focusing on the spinal cord and peripheral nervous system. The fundamentals of pathology, including cellular adaptation, cell death, inflammation, genetics, neoplasia and the common pathologies of the integumentary system, will also be covered.

FNCT52126 Biochemistry II
Credit Hours: 3
Contact Hours: 4 lecture hours per week
Prerequisites: None
Prerequisite for: None

This course covers human metabolism, including carbohydrates, lipids and nitrogenous compounds. Vitamins and coenzymes are discussed. Energy use and metabolic control are considered for each pathway.

CARE52122 Cervico-thoracic Technique
Credit Hours: 3
Contact Hours: 2 lecture and 4 lab hours per week
Prerequisites: CARE51112
Prerequisite for: None

Intermediate history-taking skills and chiropractic analysis related to the cervicothoracic spine will be covered. Chiropractic analysis of cervical and thoracic spine subluxations and psychomotor skill development, including basic adjusting skills of the cervical and thoracic spine using the Palmer Package chiropractic adjusting techniques, will be accomplished. Radiographic signs and mensuration associated with the cervical and thoracic spine will be included.

FOUN52121 Chiropractic Philosophy
Credit Hours: 2
Contact Hours: 3 lecture hours per week
Prerequisites: None
Prerequisite for: None

This course is an in-depth study of the philosophy as it relates to the chiropractic profession with the focus on the 33 principles of chiropractic. Clinical correlation to cervical and thoracic spine health, development and common conditions will be incorporated.

Quarter 3

The third quarter courses provide an integrated study of the central nervous system and endocrine system from a scientific and clinical perspective. A special emphasis is placed on the study of the head and neck region including anatomy, embryology, histology, neurology, pathology and biochemistry, as well as developing skills in the chiropractic analysis of the upper cervical spine for subluxation and basic adjusting skills using the Palmer Package of chiropractic care. Physical examination skill development focuses on the comprehensive neurological examination.

STRU53133 Advanced Neuroanatomy
Credit Hours: 4
Contact Hours: 4 lecture, 1 lab and 2 ALS hours per week
Prerequisites: STRU52123 Prerequisite for: None
The structure of the central nervous system including embryology, histology and pathways for the special senses will be covered. A study of developmental and abnormal/pathologic nervous system anatomy and histology are considered.

STRU53134 Head Anatomy
Credit Hours: 2
Contact Hours: 2 lecture and 1 lab hour per week
Prerequisites: None
Prerequisite for: None

The gross anatomy of the head, including embryology will be covered. Emphasis will be placed on the oral and nasal cavities and organs of special senses.

FNCT53136 Neurophysiology of Brain and Brainstem
Credit Hours: 3
Contact Hours: 4 lecture hours per week
Prerequisites: STRU52123
Co-requisite: FNCT53137 Prerequisite for: None

A study of normal, developmental and abnormal aspects of the central nervous system, with emphasis on brain and brainstem pathways and functions. Motor pathways of the cerebrum, cerebellum and basal ganglia will be studied in addition to cranial nerves, special senses, sleep, memory, and behavior. The biochemistry and cellular physiology of neurons, including cerebral blood flow and cerebrospinal fluid will be integrated. Common pathologies of the CNS will be explored, particularly in relation to trauma and aging. Clinical correlations to the health, development and common conditions affecting the cranium and its contents will be a focus of study.

FNCT53137 Head and Neck Examination
Credit Hours: 2
Contact Hours: 1 lecture and 3 Lab hours per week Prerequisites: STRU52123
Co-requisite: FNCT53136 Prerequisite for: None

Examination of the head and neck is a fundamental part of the standard physical examination. A study of the physical examination process and skill development of the special senses examination inclusive of the comprehensive neurological evaluation. It requires the use of several special instruments in order to inspect the eyes and ears, and special techniques to assess their special sensory function. Normal and abnormal biomechanics of the TMJ and skull are identified. Clinical correlations to the health, development and common conditions affecting the head and neck region will be a focus of study.

FNCT53138 Endocrinology
Credit Hours: 3
Contact Hours: 3 lecture and 1 ALS hours per week Prerequisites: None
Prerequisite for: STRU61215

Normal, developmental and abnormal aspects of the endocrine system physiology and biochemistry will be covered. Clinical correlations to the health, development and common conditions affecting the endocrine system will be a focus of study.

FNCT53139 Immunology
Credit Hours: 1
Contact Hours: 2 lecture hours per week
Prerequisites: None
Prerequisite for: STRU61215

Normal developmental and abnormal aspects of the immunological system physiology and biochemistry will be covered. Clinical correlations to the health, development and common conditions affecting immunology will be a focus of study.

FNCT53132 Upper Cervical Technique
Credit Hours: 3
Contact Hours: 1 lecture and 5 lab hours per week
Prerequisites: STRU52124
Prerequisite for: CARE62221

Chiropractic analysis of upper cervical spine subluxation, soft tissue structure palpation and psychomotor skill development including intermediate Palmer Package adjusting skills for the upper cervical spine will be accomplished. Palmer Upper Cervical Specific techniques will be studied. Radiographic signs and mensuration associated with the Palmer Upper Cervical Specific technique will be introduced. Students will demonstrate basic competency in adjustive procedures for the upper cervical spine.

FOUN53133 Professional Ethics & Communication
Credit Hours: 1
Contact Hours: 2 lecture hours per week
Prerequisites: None
Prerequisite for: None

Ethical standards for the doctor of chiropractic student and the doctor of chiropractic will be presented. The impact and influence of professional ethics will be evaluated. Professional conduct in patient interactions will be explored. Ethical, effective and evidence-based communication skills for the health care provider will be emphasized and practiced.

Quarter 4

The fourth quarter courses provide an integrated study of the abdomen from a scientific and clinical perspective. A special emphasis is placed on the study of the abdominal and pelvic viscera including anatomy, embryology, histology, neurology, biomechanics, pathology, microbiology and biochemistry. Physical examination skill development focuses on examination of the abdominal viscera. Additionally, students will be developing skills in the chiropractic analysis of the lumbar spine and pelvis for subluxation and basic adjusting skills using the Palmer Package for chiropractic care. Clinical correlations addressing spinal health, development and common conditions inclusive of the subluxation, incorporating an understanding of public health and evidence-based practice will be a focus of study. Patient scenarios and direct observation of chiropractic care will be incorporated and integrated throughout the four tracks.

STRU61213 Chest & Abdomen Anatomy I
Credit Hours: 3
Contact Hours: 3 lecture and 2 lab hours per week
Prerequisites: All first quarter courses, FNCT61213, FNCT61214
Prerequisite for: FOUN63233, STRU71312, STRU71313, STRU71314

A study of embryology, anatomy, histology, biochemistry and pathoanatomy of the gastrointestinal, urinary and reproductive systems. Basic normal radiographic anatomy of the abdomen and pelvis is introduced. Clinical correlations to gastrointestinal and genitourinary health, development and common conditions will be a focus of study.

STRU61215 Microbiology
Credit Hours: 2
Contact Hours: 3 lecture and 1 ALS hour per week Prerequisites: All first quarter courses, FNCT53138, FNCT53139
Prerequisite for: FOUN63232, FOUN63233

This course addresses the basic structure, functions and growth requirements of microorganisms. Additionally, method of control of microorganisms followed by a study of major pathogenic bacteria, virus and fungi, with an emphasis on the relationship between the virulence of the microorganism and the resistance of the host are included. Pathogenic and helminthic conditions are also studied.

FNCT61213 GI Physiology and Pathology
Credit Hours: 4
Contact Hours: 4 lecture and 2 lab hours per week
Prerequisites: All first quarter courses
Prerequisite for: FNCT63232, FOUN63233

The gastrointestinal system physiology and pathophysiology will be covered, including development and aging of the gastrointestinal system. Acute abdominal emergencies, spine biomechanics and LBP will be discussed. Skill development in physical examination of the abdomen will be provided, including laboratory procedures. Clinical correlations to health, development and common conditions related to the gastrointestinal system will be a focus of study.

FNCT61214 GU Physiology and Pathology
Credit Hours: 3
Contact Hours: 3 lecture and 2 ALS hours per week Prerequisites: All first quarter courses
Prerequisite for: FNCT63232, FOUN63233

The urinary and reproductive systems physiology, microbiology, biochemistry and pathophysiology will be covered. Investigation of the body’s normal and abnormal immune response to infectious and chemical agents will be studied. Development and aging of the urinary and reproductive systems, as well as clinical correlations to health, development and common conditions related to the urinary and reproductive systems will be a focus of study.

FNCT61215 Spine Biomechanics and Exam
Credit Hours: 2
Contact Hours: 2 lecture and 2 lab hours per week
Prerequisites: All first quarter courses
Prerequisite for: FOUN63233

This course will include a study of normal and abnormal biomechanics of the spine and extremities; including an introduction of models of subluxation. Physical examination skills including functional, orthopedic, and neurological evaluation of the patient focusing on the spine will be studied.

CARE61212 Lumbar Spine and Pelvic Technique
Credit Hours: 4
Contact Hours: 2 lecture and 5 lab hours per week
Prerequisites: All first quarter courses
Prerequisite for: CARE62221

Chiropractic analysis of spinal and pelvic subluxation, palpation and Palmer Package adjusting skills will be accomplished with an emphasis on the lumbar spine and pelvis. Radiographic signs and mensuration associated with the lumbar spine and pelvis will be introduced.

FOUN61212 Subluxation Theories
Credit Hours: 2
Contact Hours: 3 lecture hours per week
Prerequisite: All first quarter courses
Prerequisite for: None

Concepts of subluxation and spinal lesions will be explored including the various models of subluxation. Application of basic science principles to subluxation processes, pain syndromes and the manifestations of autonomic/visceral symptoms will be discussed. Homeostatic mechanisms of the nervous system will be discussed relative to the subluxation complex, chronic pain and inflammation, neurogenic inflammation and tissue healing.

Quarter 5

The fifth quarter courses provide an integrated study of the cardiovascular and respiratory systems from a scientific and clinical perspective. A special emphasis is placed on the study of the chest region including anatomy, embryology, histology, pathology and biochemistry. Full-spine chiropractic analysis and adjusting skills will be reviewed, and competency in adjusting in a controlled laboratory setting, under close supervision and using the Palmer Package for chiropractic care, will be developed.

STRU62222 Chest & Abdomen Anatomy II
Credit Hours: 2
Contact Hours: 2 lecture, 2 lab hours per week
Prerequisites: All first and second quarter courses
Prerequisite for: FOUN63233
Co-requisite with: FNCT62223, FNCT62224

A study of embryology, anatomy, histology, biochemistry and clinical pathology of the cardiovascular and respiratory systems. Basic normal radiographic anatomy of the chest is introduced. The study of toxicology will be accomplished. Clinical laboratory analysis and special imaging studies will be integrated. Clinical correlations to cardiovascular and respiratory health, development and common conditions as well as preventive health and wellness will be a focus of study.

FNCT62223 Cardiovascular and Pulmonary Physiology and Pathology
Credit Hours:  5
Contact Hours: 7 lecture hours per week
Prerequisites: All first and second quarter courses
Prerequisite for: FNCT63232, FOUN63233
Co-requisite: STRU62222

The cardiovascular and respiratory systems’ physiology, biochemistry and pathophysiology will be covered, as well as investigation of the body’s normal and abnormal immune response to infectious and chemical agents. Normal and abnormal biomechanics of the thoracic cage and chest will be studied. Clinical laboratory analysis including blood count and serum chemistry will be incorporated. Development and aging of the cardiovascular and respiratory systems, as well as clinical correlations to cardiovascular and respiratory health, development and common conditions will be a focus of study.

FNCT62224 Cardiopulmonary Integrated Diagnosis
Credit Hours: 3
Contact Hours: 2 lecture, 3 lab and 1 ALS hour per week
Prerequisites: All first and second quarter courses
Prerequisite for: FOUN63233
Co-requisite: STRU62222

This course will include the physical examination of the cardiovascular and respiratory systems as well as competency training in standard first aid procedures. Clinical correlations to cardiovascular and respiratory health conditions will be a focus of study.

FNCT62227 Basic Nutrition
Credit Hours: 4
Contact Hours: 4 lecture and 2 ALS hours per week Prerequisites: All first and second quarter courses
Prerequisite for: FOUN63233

This course is designed to study the role of dietary nutrients in the maintenance of health and disease prevention. Nutritional characteristics of macronutrients and micronutrients will be discussed in detail.

CARE62221 Subluxation Analysis and Full Spine Adjusting
Credit Hours:  4
Contact Hours: 2 lecture, 4 lab and 2 clinic hours per week
Prerequisites: All first and second quarter courses, CARE53132, CARE61212
Prerequisite for: CARE71311

This course provides comprehensive review of chiropractic analysis of spinal subluxation, including inspection, palpation, skin temperature analysis, leg length analysis and radiographic analysis inclusive of the full spine utilizing the Palmer Package. Students will learn intermediate full-spine adjusting skills. Experiential learning will include the opportunity for students to adjust in a laboratory setting under close, direct supervision for the purpose of skill development. In addition, a venipuncture module will be taught during this course.

FOUN62222 Public Health
Credit Hours: 2
Contact Hours: 3 lecture hours per week
Prerequisites: All first and second quarter courses
Prerequisite for: None

Public health basics that shape the national and international standards of effective public health. Topics include the basic tools of epidemiology, management of infectious diseases, programs for screening and prevention of infectious and chronic diseases. Access to healthcare, affordable health care, workplace safety, substance (legal and illegal) abuse and the pharmacological and toxicological implications of these attempts at controls are also covered.

Quarter 6

The sixth quarter courses provide an integrated study of the upper and lower extremities from a scientific and clinical perspective. A special emphasis is placed on the study of the extremities including osteology, myology, embryology, histology, peripheral neuroanatomy, biomechanics and biochemistry. Cervical spine chiropractic analysis and adjusting skills will be reviewed and basic competency in adjusting skills using the Palmer Package for chiropractic care will be developed. Extremity adjusting protocol using the Palmer Package will be included. Clinical correlations addressing spinal health, development and common conditions inclusive of the subluxation will be covered, incorporating an understanding of public health and jurisprudence. Clinical correlations to upper and lower extremity health, development and common conditions, such as repetitive stress injuries and trauma, and toxicology will be a focus of study. Patient scenarios and direct observation of chiropractic care will be incorporated and integrated throughout the four tracks.

STRU63233 Extremities Anatomy
Credit Hours: 2
Contact Hours: 2 lecture and 2 lab hours per week
Prerequisites: All first through third quarter courses
Prerequisite for: STRU71314
Co-requisite: CARE63231, STRU63235

A study of anatomy and histology of the upper and lower extremities will be covered. Clinical correlations to upper and lower extremity health, development and common conditions, such as repetitive stress injuries and trauma, will be a focus of study. Clinical relevance of anatomy salient to the chiropractic clinician will be emphasized.

STRU63235 Upper Extremity Exam and Pathology
Credit Hours: 3
Contact Hours: 3 lecture, 1 lab and 1 ALS hours per week
Prerequisites: All first through third quarter courses
Prerequisite for: STRU71312, FNCT72325
Co-requisite: STRU63233

A study of the common and uncommon upper extremity pathologies encountered in the chiropractic setting. The physical examination and critical clinical thought process will be emphasized in the laboratory setting, while the detailed presentation of extremity pathology and lesions will be presented didactically through lectures. Clinical correlations to upper extremity health, development and common conditions, such as repetitive stress injuries and trauma, will be a focus of study.

FNCT63232 Pathology
Credit Hours: 6
Contact Hours: 8 lecture and 2 ALS hours per week Prerequisites: All first through third quarter courses, FNCT61213, FNCT61214, FNCT62223, STRU61215
Prerequisite for: STRU72322

This is a capstone course intended as an intense review of the structural and functional abnormalities that result in diseases of organs and systems. Principles of general and systemic pathology will be covered, with an emphasis on neuromusculoskeletal, cardiovascular, immune-mediated and neoplastic disorders.

FNCT63233 Introduction to Radiology
Credit Hours: 1
Contact Hours: 1 lecture and 1 lab hour per week
Prerequisites: All first through third quarter courses
Prerequisite for: FNCT71312, FNCT72324

Normal radiographic anatomy is the focus of this introductory course. The students’ ability to develop a search pattern and identify normal anatomy on radiographs will be developed.

CARE63231 Extremities Analysis and Technique
Credit Hours:  3
Contact Hours: 2 lecture, 2 lab and 2 clinic hours per week
Prerequisites: All first through third quarter courses, CARE62221
Prerequisite for: CARE71311

This course will include chiropractic analysis of upper and lower extremities with Palmer Package adjusting skills for the extremities. There will also be a comprehensive use of the Palmer Package chiropractic analysis and adjustment skills for spinal subluxation reduction. The spinal analysis will include the use of inspection, palpation, skin temperature analysis, leg length analysis and radiographic analysis that will be used for clinical methods. Intermediate full spine adjusting skills and toggle recoil will be accomplished. Experiential learning will include the opportunity for students to adjust in a laboratory setting under close, direct supervision for the purpose of skill development.

FOUN63231 Toxicology
Credit Hours: 2
Contact Hours: 3 lecture hours per week
Prerequisites: All first through third quarter courses Prerequisites for: None

The pharmacologic and toxicologic aspects of chemicals as related to health and chiropractic will be explored.

FOUN63233 Basic Science Review
Credit Hours: 3
Contact Hours: 4 lecture hours per week
Prerequisites: All first through fifth quarter courses

This course is a review of general concepts of biochemistry, general anatomy, spinal anatomy and physiology in preparation for NBCE Part I exams.

Quarter 7

The seventh quarter courses integrate and synthesize clinical sciences, critical thinking and clinical reasoning. Patient care skills will focus on the application of physical examination skills, chiropractic analysis and adjusting competencies using the Palmer Package protocol and techniques to special populations of patients. Incorporation of active care associated with rehabilitation will be studied. Experiential learning will be incorporated into the clinical experience.

STRU71312 Integrated Assessment I
Credit Hours: 4
Contact Hours: 5 lecture and 2 lab hours per week
Prerequisites: All first through fourth quarter courses, STRU63235
Prerequisite for: CLIN73380, CLIN81425

This course covers advanced integration and application of clinical science knowledge to patient presentations and clinical reasoning. Patient presentations will include wellness, development, common and uncommon conditions. Patient assessment skills will be reviewed and integrated to include outcome assessment measures, and will be the platform for the continued development of clinical reasoning and patient management skills. Focus will be on the student’s synthesis and evaluation of cognitive information needed for critical thinking and clinical reasoning.

STRU71313 X-ray Physics
Credit Hours: 2
Contact Hours: 3 lecture hours per week
Prerequisites: All first through fourth quarter courses, FNCT63233
Prerequisite for: STRU72323, CLIN81425

This course covers concepts of X-ray physics including general radiation concepts, X-ray production and interactions with matter. Protection and biologic effects will be covered as well as the components of the X-ray unit and the factors of exposure, technique charts, filters, beam limiters and tube limits. Discussions of radiographic quality, film, film holders and intensifying screens along with darkroom and film processing will be included.

STRU71314 Lower Extremity: Exam and Pathology
Credit Hours: 3
Contact Hours: 3 lecture, 1 ALS and 1 lab hours per week
Prerequisites: All first through fourth quarter courses, STRU63233
Prerequisite for: FNCT72325, CLIN73380, CLIN73381, CLIN81425

A study of the common and uncommon lower extremity pathologies encountered in the chiropractic setting. A correlative review of relevant anatomy will be carried out. The physical examination and critical clinical thought process will be emphasized in the laboratory setting, while the detailed presentation of lower extremity pathology and lesions will be presented didactically through lectures. Clinical correlations to lower extremity health, development and common conditions, such as stress injuries and trauma, will be a focus of study.

FNCT71312 Radiology Diagnosis I
Credit Hours: 3
Contact Hours: 5 lecture hours per week
Prerequisites: All first through fourth quarter courses, FNCT63233

Prerequisite for: CLIN73380, CLIN73381, CLIN81425 Abnormal radiographic patterns is the focus of this course including common and uncommon presentations of skeletal and visceral conditions likely to be found in the primary care practice of the doctor of chiropractic. Radiology I covers the following categories of pathology: Anomalies, Dysplasia, and Trauma to include Spondylolisthesis. Synthesis and evaluation of scientific and clinical information will be the platform for the continued development of clinical reasoning and patient management skills. Focus will be on the student’s ability to develop and apply reasoning skills appropriately.

CARE71311 Special Populations and Active Care
Credit Hours:  5
Contact Hours: 4 lecture, 2 lab and 2 clinic hours per week
Prerequisites: All first through fourth quarter courses, CARE62221, CARE63231
Prerequisite for: CLIN81425

Advanced full-spine and extremity adjusting skills will be accomplished focusing on adjusting special populations including pregnant patients, infants, children, aging patients and patients with mobility challenges. Advanced radiographic signs and mensuration will be accomplished. Concepts of active care, incorporating the use of exercise strategies and rehabilitation procedures into chiropractic practice, will be studied.

FOUN71311 Healthy Psychology
Credit Hours: 3
Contact Hours: 5 lecture hours per week
Prerequisites: All first through fourth quarter courses Prerequisite for: CLIN81425

Normal and abnormal psychological factors influencing chiropractic care will be explored, with a focus on identifying factors that can interfere with patient compliance and recognition of clinical indications for referral to psychological health professionals. Psychosocial factors impacting health and wellness and concepts of stress management will be explored.

Quarter 8

The eighth quarter courses integrate and synthesize clinical sciences, critical thinking and clinical reasoning. Patient-care skills will focus on the application and synthesis of physical examination skills, and clinical analysis will focus on differential diagnosis of visceral conditions. Special emphasis will be placed on radiological positioning and abnormal radiographic interpretation skills. Incorporation of passive care will study the application of physiotherapeutic modalities into the practice of chiropractic. Students will have the ability to participate in elective technique courses, which offer advanced study of selected chiropractic techniques.

STRU72322 Integrated Assessment II
Credit Hours: 3
Contact Hours: 4 lecture hours per week
Prerequisites: All first through fifth quarter courses, FNCT63232, STRU71312
Prerequisite for: CLIN73380, CLIN81425

Advanced integration and application of clinical sciences and clinical reasoning to the evaluation and assessment of visceral conditions and gender-related health issues likely to be found in the primary care practice of the chiropractic clinician will be the platform for the continued development of clinical reasoning and patient management skills. Focus will be upon the learner’s investigation of cognitive information needed for application to patient management.

STRU72323 X-ray Positioning
Credit Hours: 2
Contact Hours: 1 lecture and 3 lab hours per week
Prerequisites: All first through fifth quarter courses, STRU71313
Prerequisite for: CLIN81425

This course prepare the student to create diagnostic images of the axial and appendicular skeleton. Positioning lecture material will be supported by experiential lab exercises to include radiation safety practices. Image quality assessment criteria, to include radiographic anatomy and physics principles, will be discussed and actively applied in the evaluation of radiographs. The application of relevant legal and ethical standards will also be discussed.

FNCT72324 Radiology Diagnosis II
Credit Hours: 3
Contact Hours: 5 lecture hours per week
Prerequisites: All first through fifth quarter courses, FNCT63233

Prerequisite for: CLIN73380, CLIN73381, CLIN81425 Abnormal radiographic patterns is the focus of the course including common and uncommon presentations of skeletal and visceral conditions likely to be found in the primary care practice of the Doctor of Chiropractic. Radiology II covers the following categories of pathology: Arthritis, Neoplasia, Infection, Metabolic, Endocrine and Hematological disorders. Synthesis and evaluation of scientific and clinical information will be the platform for the continued development of clinical reasoning and patient management skills. Focus will be on the student’s ability to develop and apply reasoning skills appropriately.

FNCT72325 Neuromusculoskeletal Diagnosis
Credit Hours: 4
Contact Hours: 5 lecture and 2 clinic hours per week Prerequisites: All first through fifth quarter courses, STRU63235, STRU71314
Prerequisite for: CLIN73380, CLIN81425

Advanced integration and application of clinical and basic science knowledge to patient presentations focusing on the health of the aging patient will be covered. Clinical chemistry and laboratory analysis and basic concepts of differential diagnosis are also investigated and applied. Patient presentations including wellness, common and uncommon conditions will be the platform for the continued development of clinical reasoning and patient management skills. The focus will be on the learner’s ability to develop and apply reasoning skills appropriately.

CARE72321 Ergonomics and Passive Care
Credit Hours:  5
Contact Hours: 4 lecture, 1 clinic and 3 lab hours per week Prerequisites: All first through fifth quarter courses
Prerequisite for: CLIN81425

Application of patient education skills and public health knowledge to concepts of ergonomics is covered. Theory and application of passive care including physiotherapeutic modalities used to complement chiropractic care will be included. Indications and contra-indications to the use of physiotherapeutic modalities will be studied.

FOUN72322 Professional Responsibilities
Credit Hours: 2
Contact Hours: 3 lecture hours per week
Prerequisites: All first through fifth quarter courses
Prerequisite for: CLIN81425

This course is an integrated study of patient contracting, patient management guidelines, and functioning in a multi-doctor and/or multidisciplinary practice. A study of risk management, including medical records and prevention of medical errors associated with chiropractic practice with an emphasis on electronic medical records data entry with diagnostic codes, procedures and evaluation/management codes for the chiropractic professional is provided in preparation for entry into the Palmer Clinic System. The doctor-patient relationship regarding professional boundaries is discussed. HIPAA, FERPA and Sexual Harassment Prevention online training is required as an annual classroom process.

Quarter 9

The ninth quarter courses synthesize and apply clinical sciences with critical thinking to clinical reasoning. Physical assessment skills will focus on gender-related health disorders including obstetrics and gynecology, and the proctological examination will be presented. The pediatric examination throughout various phases of childhood from the neonatal evaluation through adolescence will be included. Additionally, clinical nutrition will be explored from the perspective of preventive health and wellness. The history of the chiropractic profession will be explored. A discussion of the current political climate of the chiropractic profession will be presented with a focus on professional leadership and responsibility. An opportunity will be given to the students to further develop their understanding of the nature of pain so they can better communicate with other health professionals.

STRU73332 Normal Aging and Development
Credit Hours: 3
Contact Hours: 5 lecture hours per week
Prerequisites: All first through sixth quarter courses
Prerequisite for: CLIN81425

Phases of development throughout life will be evaluated in relationship to health care and wellness. An understanding of anatomical, physiological and psychological development will be synthesized in the evaluation and management of patients throughout various phases of life. Integrated patient assessment, including physical examination, radiological and chiropractic analysis and the application of complex critical thinking and clinical reasoning, will be applied to patient management. In addition, emergency medical procedures including open and closed head trauma will be covered. Cases of high complexity will be presented to develop critical thinking skills.

STRU73333 Obstetrics and Gynecology
Credit Hours: 3
Contact Hours: 3 lecture and 1 lab hours per week
Prerequisites: All first through sixth quarter courses
Prerequisite for: CLIN81425

This course encompasses a comprehensive study of obstetrics, gynecology, sexually transmitted diseases, normal physiologic changes of the pregnant patient as well as clinical manifestations of pregnancy-related disorders. The course will also include gender-related health issues, skill in physical examination with clinical correlations, coverage of basic and specialized areas of obstetrics and gynecology for survival and success as a primary health care provider. This course will cover the normal birth process and common complications related to antepartum and postpartum periods. Physical examination and assessment skills are included with focus on breast, prostate, proctological and gynecological examinations.

FNCT73333 Clinical Nutrition
Credit Hours: 3
Contact Hours: 5 lecture hours per week
Prerequisites: All first through sixth quarter courses
Prerequisite for: CLIN81425

This course prepares students to apply principles of dietetics and the biomedical and nutritional sciences to design and manage effective nutritional programs as part of clinical treatment and therapy programs. It includes instruction on human nutrition, nutrient metabolism, supplementation, and the role of foods and nutrition on health promotion and disease prevention using an evidence-based approach to care.

FNCT73334 Soft Tissue Radiology Diagnosis
Credit Hours: 2
Contact Hours: 3 lecture hours per week
Prerequisites: All first through sixth quarter courses
Prerequisite for: CLIN81425

This course covers methods of imaging, normal anatomy, normal variants, and chest, gastrointestinal and genitourinary system related conditions that are important in primary care settings.

CARE73332 Health and Chiropractic Care for Families
Credit Hours: 5
Contact Hours: 7 lecture, 1 lab and 1 clinic hour per week
Prerequisites: All first through sixth quarter courses
Prerequisite for: CLIN81425

This course will be a comprehensive study of health-related issues specific to chiropractic care for children and women who are pregnant. Skills in physical examination and developmental assessment of neonates through adolescence will be discussed. Aspects unique to patient care and chiropractic management of the pregnant patient, the role of chiropractic care in the birth process and neonatal care through adolescence will be incorporated. CPR for the professional rescuer is taught to teach those with a duty to act (professional rescuers) the skills needed to respond appropriately to breathing and cardiac emergencies, including the use of automated external defibrillators (AEDs).

FOUN73331 Practice Regulations
Credit Hours: 2
Contact Hours: 3 lecture hours per week
Prerequisites: All first through sixth quarter courses
Prerequisite for: CLIN81425

Chiropractic philosophy and principles related to the political aspects of chiropractic practice are explored and applied to a study of the current political climate of the chiropractic profession. A discussion of professional leadership and responsibility including chiropractic case management, Florida state laws and rules, OSHA regulations and the potential impact of chiropractic on public health and HIV/AIDS will be explored.

CLIN73350 Student Clinic Practice
Credit Hours: 2
Contact Hours: 2 lecture and 3 clinic hours per week Prerequisites: All first through sixth quarter courses
Prerequisite for: CLIN81425

This course focuses on the student intern being instructed in the use of clinic forms and the application of clinic procedures. They learn through lecture and laboratory application of these processes. The student intern will demonstrate level appropriate competency in history taking, physical examination, NMS examination, psychosocial assessment, diagnosis, case management, patient education, adjusting using Palmer approved techniques, record-keeping, case follow-up, wellness, nutrition, doctor-patient relations/ethics/integrity, and non-adjustive therapeutics.

CLIN73380 OSCE Clinical
Prerequisites: All first through sixth quarter courses, FNCT71312, FNCT72324, FNCT72325, STRU71312, STRU71314, STRU72322
Prerequisite for: CLIN83433 Clinical Competency Exam.

CLIN73381 OSCE Radiology
Prerequisites: All first through sixth quarter courses, FNCT71312, FNCT72324, STRU71314
Prerequisite for: CLIN83433 Radiology Competency Exam.

Quarter 10

CLIN81425 Patient Management I
Credit Hours: 9
Contact Hours: 25 clinic and 2 ALS hours per week Prerequisites: All first through ninth quarter courses
Prerequisite for: CLIN82435

This course focuses on the novice intern providing care under the guidance of licensed doctors in the clinical setting, including supervised clinical management of patients for the full range of conditions and health improvement via chiropractic care. Emphasis is placed on the development of professional skills, including specific chiropractic skills in subluxation analysis and correction, patient education, and demonstration of clinical competency. Interns will participate in clinical education development in active learning seminars, focusing on addressing the needs and professional responsibilities associated with patients presenting with a complexity of conditions in a “grand rounds” setting.

FOUN81413 Health Care Marketing and Patient Education
Credit Hours: 2
Contact Hours: 3 lecture hours per week
Prerequisites: All first through eighth quarter courses Prerequisite for: FOUN83432

This course will focus on basic marketing principles as they relate to health care, internal and external marketing, doctor-patient relationships and public speaking. The preparation of a detailed marketing plan and its importance for practice development will be explored. Written and verbal communication skills will be emphasized as they relate to patient education, an effective report of findings and overall communication of the benefits of chiropractic. The application of these skills will be encouraged within the Palmer Clinic setting.

FOUN81414 Special Imaging
Credit Hours: 1
Contact Hours: 2 lecture hours per week
Prerequisites: All first through eighth quarter courses Prerequisite for: None

This course is an introduction to special imaging. It includes common and uncommon presentations of skeletal and visceral conditions likely to be found in the primary care practice of the Doctor of Chiropractic. The course covers the following categories of pathology: normal variants/anomalies, dysplasia, trauma, spondylolisthesis, arthritis, neoplasia to include tumor-like conditions, infection, metabolic, endocrine, and hematological disorders. Synthesis and evaluation of scientific and clinical information will be the platform for the continued development of clinical reasoning and patient management skills. Focus will be on the students’ ability to develop and apply reasoning skills appropriately.

Quarter 11

CLIN82435 Patient Management II
Credit Hours: 9
Contact Hours: 25 clinic and 2 ALS hours per week
Prerequisites: All first through eighth quarter courses, CLIN81425
Prerequisite for: CLIN83433

This course focuses on the intermediate intern providing care under the guidance of licensed doctors in the clinical setting, including supervised clinical management of patients for the full range of conditions, as well as health improvement via chiropractic care. Emphasis is placed on the development of professional skills, including specific chiropractic skills in subluxation analysis and correction, patient education and demonstration of clinical competency. Interns will participate in clinical educational development in active learning seminars focusing on addressing the needs and professional responsibilities associated with patients presenting with a complexity of conditions in a grand rounds setting.

FOUN82422 Financial Management
Credit Hours: 2
Contact Hours: 2 lecture and 1 ALS hour per week
Prerequisites: All first through eighth quarter courses Prerequisite for: FOUN83432

This class is a study of the entrepreneurial concepts and procedures relating to the practice of chiropractic and practice ownership. Factors in determining a site and designing a facility plan will be examined. Personal financial status evaluations and commercial funding sources will be explored. The process of creating and implementing a comprehensive reimbursement policy and procedure plan will be demonstrated. The importance of a well designed business plan will be studied, and the process of development of a business plan will be performed.

FOUN82423 Billing & Coding
Credit Hours: 1
Contact Hours: 2 lecture hours per week
Prerequisites: All first through eighth quarter courses Prerequisite for: None

This course will teach students the proper methods of documentation, coding and billing to be in compliance with current industry and governmental regulations. Students will engage in classroom learning and small group activities designed to help them understand the most current aspects of the third-party system and prepare them to handle this aspect of private practice.

Quarter 12

CLIN83433 Patient Management III
Credit Hours: 9
Contact Hours: 25 clinic and 2 ALS hours per week Prerequisites: All first through ninth quarter courses, CLIN82435
Prerequisite for: CLIN91520

This course focuses on the advanced intern providing care under the guidance of licensed doctors in the clinical setting, including supervised case management of patients for the full range of conditions and health improvement via chiropractic care. Emphasis is placed on the development of professional skills, including specific chiropractic skills in subluxation analysis and correction, and patient education, along with demonstration of clinical competency. Interns will participate in clinical education development in active learning seminars focusing on addressing the needs and professional responsibilities associated with patients presenting with a complexity of conditions, as well as sharing cases with lower quarter students in a grand rounds setting.

FOUN83432 Practice Management
Credit Hours: 2
Contact Hours: 3 hours of work per week
Prerequisites: All first through ninth quarter courses, FOUN81413, FOUN82422
Prerequisite for: None

This is a distance education course. Business concepts of practice management related to practice startup plans, operations and employment issues will be the focus of this online course. Management of office procedures and regulatory laws will be explored in the context of practice management. A startup timetable outlining the elements of getting a practice opened will be demonstrated. Human resource issues will be explored relating to hiring, training, benefits, discipline policies and termination. Management of office procedures using metrics and benchmarks for assessment and improvement will be presented. Concepts for developing a business plan will be presented with the student producing a work product suitable for submission for funding or as a management plan.

FOUN83433 Wellness in Chiropractic
Credit Hours: 1
Contact Hours: 2 hours of work per week
Prerequisites: All first through ninth quarter courses Prerequisite for: None

This is a distance education course. Principles of wellness in chiropractic will be explored. The impact and influence of chiropractic in preventive care and wellness promotion will be evaluated. Evidenced-based health risk assessment and wellness promotion interventions will be studied and implemented. A multifaceted wellness program for a chiropractic practice will be created.

Quarter 13

CLIN91520 Practice Development Quarter (PDQ)
Credit Hours: 9
Contact Hours: 25 clinic and 2 ALS hours per week
Prerequisites: All first through twelfth quarter courses

This course provides the opportunity for learners to custom-tailor their learning experiences to prepare and excite them for the various professional opportunities available within the chiropractic profession. Interns will be mentored and supported in mastery of specified learning objectives while encouraged to select from a prescribed range of options that meet their personal objectives to prepare for practice or advanced professional training residencies. A significant part of this transition phase involves clinical experiences. Students will be able to select from a variety of clinical settings, as well as work with mentors regarded as specialists in caring for specific sub-populations or following established care protocols. Interns who have completed all quantitative clinical requirements for graduation may elect to participate in an off-site educational experience. Where legally permitted by law, qualified students may complete a preceptor internship in an approved field practice located in areas where they wish to establish practice. The preceptor field training experience often leads to immediate post- graduate employment as an associate, thus facilitating easier practice start-up.

FOUN91512 Planning for Practice Success
Credit Hours: 2
Contact Hours: 3 hours of work per week
Prerequisites: All first through twelfth quarter courses

This is a distance education course. During this online course the learner’s evaluation and synthesis of knowledge and understanding of contractual and organizational aspects of practice management will be applied to their development of a business startup plan. This will include practical aspects of contract negotiations and establishment of professional business relationships. The final assignment will demonstrate the student’s acumen in long-term planning and operational issues of owning and managing a chiropractic practice. The student will create and produce chiropractic clinic business startup and operation plans. This will include the process of preparing and presenting a competition analysis, a strategic plan, marketing plan and business management plan for a startup chiropractic practice.

FOUN91513 Pain & Stress Management
Credit Hours: 1
Contact Hours: 2 hours of work per week
Prerequisites: All first through twelfth quarter courses

This is a distance education course. Principles of pain and stress management will be explored. The impact and influence of evidence-based psychological and physical interventions for pain and stress management will be studied and implemented. An in-depth mastery of identification assessment and interventions of psychosocial factors in pain syndromes and musculoskeletal disorders will be achieved.

Technique Elective Courses

The following technique electives are available to students who have completed the prerequisite courses at Palmer’s Florida campus. Students in the sixth through thirteenth quarter are eligible to enroll in technique elective courses. These electives are designed to facilitate investigation of specialized techniques after the student has completed the study of the adjustive procedures included in the Palmer Package. Students who are on academic probation, warning or contract are not eligible to take technique elective courses. Eligible students may enroll in no more than two electives per quarter. First priority is given to upper-quarter students and to students who are not enrolled in any other technique elective. Technique electives are presented in a seminar format during evening and/or weekend hours.

CEPE63802 Gonstead Technique – Advanced Lumbo-Pelvic
Contact Hours: 22 hours per session
Prerequisite: CARE62221

This course refines the skills learned in the core curriculum with attention to Gonstead X-ray analysis and adjusting procedures of the lumbar spine and pelvis.

CEPE63803 Thompson-Terminal Point Technique
Contact Hours: 22 hours per session
Prerequisite: CARE62221

Analytical and adjustive methods as written and practiced by J. Clay Thompson, D.C., will be taught. Derefield and cervical syndrome analytical procedures, special approaches to the adjustive correction of pelvic misalignments, spondylolisthesis, ribcage and other spinal areas, and extremities, utilizing the terminal point table, and emphasis on practical work will be covered. The Thompson Technique is a low-force, specific adjustment technique, which includes the Derefield-Thompson Leg Analysis System.

CEPE63805 Sports Elective
Contact Hours: 22 hours per session
Prerequisite: CARE62221

Sports Elective is designed for students to gain knowledge in common on-field treatment approaches. It will prepare students for emergencies that may occur at a sporting event, such as on-field emergency protocols, spinal and head trauma, implementing the ABC’s of emergency care, skin lesions and extremity evaluation and treatment. It will also cover principles of stretching, myofascial release technique and taping.

CEPE63809 Grostic/AO Procedures
Contact Hours: 22 hours per session
Prerequisite: CARE62221

This is an introductory course on the Grostic and AO technique protocols and procedures, including X-ray analysis, line-of-correction calculations, patient placement and patient adjustments using both manual and table-mounted instrument techniques.

CEPE71810 Instrument Assisted Soft Tissue Technique (IASTT)

Contact Hours: 22 hours per session
Prerequisite: CARE62221

This course introduces students to concepts of soft tissue injury, diagnosis and treatment procedures. Emphasis is placed on correlation of soft-tissue dysfunction with the vertebral subluxation complex. Functional assessment, differential diagnosis and case management of soft tissue lesions incorporating instrument-assisted procedures are also included.

CEPE72810 Sacro-Occipital Technique Part I
Contact Hours: 22 hours per session
Prerequisite: CARE71311

Patient categorization and the basic treatment regimens for the SOT categories, blocking methods and category management, analysis of physical findings as written by M.B. DeJarnette, D.C., basic cranial maneuvers and emphasis on practical experience are covered.

CEPE72811 McKenzie MDT Part A
Contact Hours: 22 hours per session
Prerequisite: CARE63231

Students will learn how to functionally assess Cervical & Thoracic complaints and categorize them into mechanical sub-groups enabling the student to accurately and efficiently triage patients. Students will learn the importance of centralization of symptoms and directional preference with the application of repeated functional spine movements and/or static positioning. Patient management, including progression of forces up to and including spinal adjusting, will be emphasized. Patient education regarding postural correction and the application of functional spine movements for the self treatment aspects of care are stressed. Students will learn how this process promotes patient empowerment, increases satisfaction with treatment, and is cost effective.

CEPE72812 McKenzie MDT Part B
Contact Hours: 22 hours per session
Prerequisite: CEPE72811

This course is a continuation of CEPE72811, McKenzie MDT Part A.

CEPE72812 Activator Methods I
Contact Hours: 22 hours per session
Prerequisite: CARE71311

Students must be in eighth quarter or higher to take this course. Activator procedures, including mechanisms of subluxation, analysis, adjustive procedures and light force activator adjusting instrument will be studied. Testing and treatment procedures for the pelvis, spine and scapula are incorporated. The importance of the leg length check is emphasized, with individual critique and skill development in performing the leg length analysis being the foundation for most activator methods. We discuss proper documentation and coding for assessment and treatment utilizing Activator Methods. In addition, we present a review of the evidence base behind the technique, both for the instrument and for the testing procedures.

CEPE72813 Flexion Distraction/Decompression
Contact Hours: 22 hours per session
Prerequisite: CARE71311

This course provides instruction on Flexion Distraction Protocols I and II for the cervical and lumbar spine. Instruction on decompression using the standard decompression table (DX2) will also be provided. Indications and contraindications to decompression will be taught. Only students passing this course can provide flexion-distraction and decompression in our clinics using the flexion-distraction tables (including the Cox 7 tables) and the standard (Dyantron DX2) decompression table.

CEPE72814 Pettibon Spinal Biomechanics Technique
Contact Hours: 22 hours per session
Prerequisite: CARE71311

This course focuses on the Pettibon rehabilitation and adjusting protocols. There will be an emphasis on structural correction, use of rehabilitation equipment and use of specific Pettibon equipment. Case management and X-ray analysis are incorporated into this course.

CEPE72817 Logan Basic Technique
Contact Hours: 22 hours per session
Prerequisite: CARE71311

This course covers practical, philosophical and written material related to the evaluation and care of patients under the Logan Basic technique model. Emphasis will include the assessment of patients, the interpretation of findings and the appropriate application of the Logan Basic chiropractic adjustment.

CEPE72819 Comprehensive Spinal Rehabilitation
Contact Hours: 22 hours per session
Prerequisite: CARE71311
Co-requisite with: CARE72321

The rehabilitative approach to spinal conditions has a high patient outcome and response to care measure. There is a wide appreciation for the functional restoration of joint arthro-kinematics and proper spinal movement. Clinical research has continued to support the functional rehabilitation model and improved patient outcomes has resulted in better third party reimbursement for active care CPT codes. This course is designed to prepare the student by enhancing their clinical treatment approach by utilizing soft tissue mobilization, nerve root flossing techniques, post-surgical and post-injury spinal rehabilitation, and emphasize cervico-thoracic and thoraco-lumbar adjusting skills.

CEPE72820 Myofascial Trigger Point Assessment & Treatment
Contact Hours: 22 hours per session
Prerequisites: Care71311

The history and scientific basis for the trigger point techniques will be taught in this course, with emphasis placed on skill development. The focus will be on soft tissue procedures complementary to the chiropractic adjustment. A variety of myofascial trigger point treatment techniques will be explored, such as, ischemic compression, myofascial release, cross friction massage, and different types of PNF stretching. Soft tissue palpation and muscle function testing will be presented as part of the development of an overall musculoskeletal analysis.

CEPE73816 Activator Methods II
Contact Hours: 22 hours per session
Prerequisite: CARE72321, CEPE72812

This course moves the student from beginner to intermediate level in Activator technique practice. Additional testing and treatment procedures for the pelvis, sacrum, spine, extremities, and TMJ are incorporated. The importance of the leg length check is re-emphasized, with individual critique and skill development in performing the leg length analysis, the foundation for most Activator methods. Students have the opportunity to perfect their adjusting skills with the Activator instrument, both in the Basic and Intermediate protocols. The Activator 5 adjusting instrument is also introduced and the student is instructed on its use. Proper documentation and coding for assessment and treatment utilizing Activator Methods is presented. In addition, we present a review of the evidence base behind the technique, both for the instrument and for the testing procedures. The student is introduced to the process of writing and publishing case studies as a means of reporting Activator patient treatment as well as adding to the body of evidence in this area.

CEPE73817 Extra Spinal Adjusting
Contact Hours: 22 hours per session
Prerequisite: CARE72321

This elective course focuses on the student intern being confident in their extra-spinal adjusting ability. The student interns will be able to demonstrate level-appropriate competency in history taking, physical examination, diagnosis, and case management in regards to extra-spinal adjusting.