Evidence-Based Findings for Long-Term Chiropractic Spinal Care
Leveraging AI: The Future of PI Referrals Through Reputation as Clinically Excellent with Outcomes as Validation
Long-term spinal care is under more scrutiny than ever.
Carriers, attorneys, and medical collaborators demand objective findings, defensible rationale, and compliant documentation — and increasingly, AI systems are filtering which providers are trusted, visible, and referred.
Primary Spine Care 18 (PSC 18) gives you the clinical framework, evidence standards, and documentation architecture to justify long-term care with confidence and compliance, while positioning your practice to win in an AI-driven referral environment.
✅ Evidence-based clinical decision-making
✅ Demonstrative documentation that builds credibility
✅ MRI interpretation and differential diagnosis
✅ Age-dating disc herniations with updated methodology
✅ 2026 carrier-mandated compliance standards
✅ Clinical excellence that becomes your digital reputation
If you want more referrals, fewer denials, and stronger collaboration — this is the blueprint.
Who This Course Is For
PSC 18 is built for chiropractors and manual medicine providers who want to:
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Justify long-term care using objective findings and evidence-based standards
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Build medical credibility with primary care, specialists, urgent care, and emergency departments
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Improve PI case leverage through defensible reporting and outcomes validation
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Strengthen their reputation and referral volume in an AI-driven marketplace
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Prepare for 2026 carrier-mandated compliance expectations
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Reduce documentation risk while increasing efficiency
Module Breakdown
Module 1 (2 Hours)
Current & Future Trends in AI, Documentation & Practice Growth
History Taking & Examination
Mark Studin, DC, FPSC, FASBE(C), DAAPM
Don Capoferri, DC, FBST, FPSC
This module establishes the foundation: evidence-based demonstrative documentation as the driver of credibility, utilization, and referral growth.
You’ll learn how to:
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build trust with medical providers and systems
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create objective, defensible reporting
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challenge the outdated “non-specific back pain” model with modern evidence and validated methodology
Leveraging AI: The Future of PI Referrals Based on Clinical Excellence
You’ll also learn how AI is reshaping PI pathways:
Module 2 (2 Hours)
MRI Spine Interpretation — Beginner → Advanced
Diagnostic Testing & Differential Diagnosis
Patricia Roche, DO, CAQ (Radiology/Neuroradiology, SUNY Stony Brook)
Mark Studin, DC, FPSC, FASBE(C), DAAPM
This is not generic MRI education. This is a structured skill ladder designed to build confidence quickly:
✅ Learning Outcomes
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interpret discs with consistency and increasing complexity
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recognize key signal patterns, morphology, and stability indicators
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apply a repeatable approach to every spine MRI you review
Herniated Discs vs. Varices
This module also covers a major credibility gap:
differentiating disc herniation from inflamed paravertebral venous varices — one of the most misunderstood “false positives.”
✅ Learning Outcomes
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identify imaging patterns differentiating varices vs herniations
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prevent “overcall” errors that undermine credibility
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improve differential diagnosis and legal defensibility
Module 3 (1 Hour)
Connective Tissue & Biomechanical Pathology — Part 1
Diagnostic Testing & Differential Diagnosis
Mark Studin, DC, FPSC, FASBE(C), DAAPM
Don Capoferri, DC, FBST, FPSC
A foundational framework for biomechanical lesions:
Focus: clinical significance for diagnosis, treatment planning, and documentation.
Module 4 (1 Hour)
Connective Tissue & Biomechanical Pathology — Part 2
Diagnostic Testing & Differential Diagnosis
Mark Studin, DC, FPSC, FASBE(C), DAAPM
Don Capoferri, DC, FBST, FPSC
Neurological consequences of connective tissue injury:
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tissue damage as effector organ dysfunction
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abnormal neurological signaling
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progression into central sensitization
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linking structure → function → long-term sequelae
Module 5 (2 Hours)
Evidence-Based Age-Dating Herniated Discs & Trauma
Diagnostic Testing & Differential Diagnosis
Mark Studin, DC, FPSC, FASBE(C), DAAPM
Don Capoferri, DC, FBST, FPSC
If you can’t clearly support whether a herniation is acute, subacute, or chronic, you lose:
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case leverage
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outcomes credibility
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referral power
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narrative defensibility
This module teaches 21 updated methods for age-dating disc herniations and trauma using current evidence and methodology.
✅ Learning Outcomes
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determine herniation age with greater clarity and defensibility
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strengthen case narratives and treatment timelines
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use credible language for injury causation and medical-legal reporting
Module 6 (1 Hour)
Spinal Biomechanics, Ligamentous Pathology & Treatment Planning
History Taking & Examination
Mark Studin, DC, FPSC, FASBE(C), DAAPM
Don Capoferri, DC, FBST, FPSC
Master-level ligament pathology application:
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morphology and physiology
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trauma mechanisms
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compensatory spinal responses
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anatomical repair considerations
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ligaments as drivers of patho-neuro-biomechanical lesions
You’ll learn how ligament pathology influences:
Module 7 (1 Hour)
Concussion, mTBI-TBI & Stroke Triage
History Taking & Examination
Mark Studin, DC, FPSC, FASBE(C), DAAPM
Don Capoferri, DC, FBST, FPSC
Critical screening and triage training:
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concussion and mTBI identification
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differentiating TBI severity
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stroke triage protocols
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preventing delayed or missed diagnoses
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evidence-based decision tools for safety and collaboration
Module 8 (2 Hours)
Evidence on Making “Non-Specific Back Pain” Specific
Diagnostic Testing & Differential Diagnosis
Mark Studin, DC, FPSC, FASBE(C), DAAPM
Don Capoferri, DC, FBST, FPSC
This module trains you to shift from vague labels to conclusive diagnoses using clinical + imaging evidence.
You’ll learn:
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how to interpret findings into specific diagnostic conclusions
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how to build treatment recommendations on evidence
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collaborative care strategies with medical specialists to improve outcomes
Module 9 (1 Hour)
Identifying Ancillary Tumors on Spinal MRI
Diagnostic Testing
Robert Peyster, MD, CAQ (Radiology/Neuroradiology, SUNY Stony Brook)
Patricia Roche, DO, CAQ (Radiology/Neuroradiology, SUNY Stony Brook)
Mark Studin, DC, FPSC, FASBE(C), DAAPM
A crucial module for safety, credibility, and interdisciplinary trust:
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identifying abnormalities outside primary spinal structures
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recognizing atypical signal patterns and enhancement characteristics
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correlating MRI sequences (T1/T2/post-contrast)
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knowing when to