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Spine Care: Where Are We and Where Are We Going?

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General CE
Scott Haldeman, DC, MD, PhD, FRC(C), FAAN, FCCS(C)
1 Hour 28 Minutes
Audio and Video
Access till 02/28/2023 after purchase.


  • Health care in general and especially the care of spinal disorders is undergoing tremendous changes. This is being hastened in 2020 during a pandemic that is requiring a high degree of physical separation and mandated precautions.
  • The burden of back and neck pain is increasing worldwide and the cost of treatment in the United States, at $130 billion a year, is higher than the cost of any other health problem.
  • The current model of care, despite the tremendous cost, has not been shown to be effective in controlling spine related disability. This is forcing government and insurance companies as well as all spine care clinicians to look at alternative approaches to impact this increasing important health care problem. This is increasing the importance of models of care based on evidence-based guidelines.
  • The Global Spine Care Initiative convened a large interprofessional team of clinicians and scientists that published a Model of Care based on current guidelines and which focusses on triage of serious spine pathology and non-pharmacologic, non-invasive interventions to improve spine related disability.
  • The requirement for physical distancing to combat COVID-19 has led to the development of Clinician and Patient Guides to assist chiropractors and other spine care clinicians to continue helping patients during this period and could likely be incorporated as part of spine care in the future.
  • These models of care require that there be an identifiable clinician with the training and skills to act as the primary clinician for any patient presenting with spine related complaints. Chiropractors are in a unique position to assume this role and hopefully will become leaders in the care of the 1 billion people worldwide whose lives are impacted by spine related symptoms.

Learning Objectives

It is anticipated that attendees will better understand the health burden of spinal disorders.

Attendees should be more aware of the major changes in evidence-based spine care models that are being initiated and how they might impact clinical practice.

They should have better understanding of the role of chiropractors wishing to practice in interdisciplinary settings or communicate with other clinicians in the management of patients with spinal disorders.

The importance and role of the primary spine care clinician that is available to those chiropractors who wish to become the first contact and coordinating clinician for all patients who with a spine related disorder will be described.

Attendees should also be aware of evidence-based Guides for managing patients with spinal disorders in situations where physical distancing is necessary.




Scott Haldeman, DC, MD, PhD, FRC(C), FAAN, FCCS(C)'s Profile

Scott Haldeman, DC, MD, PhD, FRC(C), FAAN, FCCS(C) Related seminars and products

Scott Haldeman DC, MD, PhD, FRCP(C), FCCS(C), FAAN holds the positions of Clinical Professor in the Department of Neurology, University of California, Irvine, Adjunct Professor, Department of Epidemiology, School of Public Health, University of California, Los Angeles, Adjunct Profession, Department of Health Sciences, Ontario Tech University and Adjunct Professor, Southern California University of Health Sciences. He is a graduate of the University of Pretoria, South Africa (B.Sc. M.Sc), the Palmer College of Chiropractic, USA (DC) and the University of British Columbia, Canada (Ph.D., M.D.) He completed his internship at the Vancouver General Hospital, residency in Neurology at the University of California Irvine and fellowship in electrodiagnosis at the Long Beach Veterans Hospital. He is certified by the American Board of Neurology and Psychiatry, is a Fellow of the Royal College of Physicians of Canada and a Fellow of the American Academy of Neurology. He is a Diplomate of the American Board of Electrodiagnostic Medicine, the American Board of Electroencephalography and Neurophysiology and the American Board of Clinical Physiology. He is Past President of the North American Spine Society, the American Back Society, the North American Academy of Manipulative Therapy, and the Orange County Neurological Society. He served on the Executive Council of the International Society for the Study of the Lumbar Spine. He was appointed and continues to serve as an International Ambassador for the Decade of the Bone and Joint Currently the Global Alliance for Musculoskeletal Health. He served as Chairman and is currently Chairman Emeritus of the Research Council of the World Federation of Chiropractic He is the founder and currently serves as President of World Spine Care, a non-profit organization endorsed by the Decade of the Bone and Joint, an initiative of the WHO. This Foundation has the goal of helping people in underserved regions of the world who suffer from spinal disorders. He currently chairs the Global Spine Care Initiative to develop evidence-informed, practical, and sustainable, spine health care models for communities around the world. The proceedings of the GSCI which was a collaboration of 68 clinicians from 24 countries was published as 15 papers in the European Spine Journal in October 2018. He has served on the editorial boards of eight professional and scientific journals. He has published over 230 scientific articles or book chapters and has authored or edited 8 textbooks. He served on the US department of Health AHCPR Clinical Guidelines Committee on Acute Low Back Problems in Adults as well as 4 other Clinical Guidelines Committees. He presided over The Bone and Joint Decade 2000 to 2010 Task Force on Neck Pain and Its Associated Disorders. He served as a member of the Scientific Advisory Council of the National Center for Complimentary and Integrative Health. He was awarded the David Selby Award by the North American Spine Society, the Patenge Distinguished Lecturer Award from Michigan State University, an honorary Doctor of Humanities degree from the Southern California University of Health Sciences. In 2015 he received the Bone and Joint Decade Global Alliance Distinguished Service Award. In 2018 he received the Dr. Lou Sportelli Lifetime of Leadership Award.



Overall:      4.7

Total Reviews: 46

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