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Evidence-based Spine Care in Daily Practice

Event date: 5/3/2019 2:30 PM - 4:30 PM Export event

Short Description

How can chiropractors as spine care practitioners not only survive but thrive in a world that demands scientific evidence? The Global Spine Care Initiative (GSCI) model incorporates evidence-based information into daily practices and helps us communicate with other healthcare providers about best care for our patients with spine concerns.  During this workshop, participants will receive hands-on training on the GSCI classification system and care pathway to apply in clinical practice. Participants will engage in an interactive environment with a GSCI team member who helped to develop this model of care.


Additional information

The GSCI, comprised of 68 interprofessional and international spine experts, developed an evidence-informed, practical, and sustainable, spine health care model for communities around the world. A series of articles documenting these findings have been recently published in the European Spine Journal. The panel of international experts distilled the values of the model of care down to eight core principles. Based on these principles, a classification system and care pathway assist with implementation into daily practice. The authors believe that the GSCI model of care is the first of its kind to address the global burden of spinal disorders and recent calls for action. The aim of this model is to help transform spine care globally.


Learning objectives: By the completion of this workshop, the participant will be able to:

1.       Understand the GSCI model of care principles and levels of care

2.       List the 6 GSCI classes of spine conditions

3.       Describe the steps of the GSCI care pathway

4.       Apply the GSCI care pathway to sample patient cases



GSCI Model of Care Overview

·       Levels of spine care  - how do they fit in to daily practice?

·       Principles of spine care – how can we use them to transition to a better model of care?

·       How does the model helps establish relationships with other health care providers?


GSCI Classification: Patient needs come first – the patient journey

·       How do we use the GSCI Classification of spinal disorder in clinical practice?


GSCI Care Pathway: Evidence-based recommendations, triage, communication with the patient and other providers, outcome measures of care, following the patient’s journey

·       How do we use the GSCI Care Pathway and link the class of spinal disorder with the treatment recommendations?


Discussion and Conclusion

GSCI model facilitates teaching patients, providers, and improving interprofesssional communication


InstructorClaire Johnson, DC, MSEd, PhD, DACBSP Bart Green, DC, MSEd, PhD, DACBSP
About the Instructor Dr. Claire Johnson is a Professor at National University of Health Sciences. In addition to her chiropractic doctorate degree, she completed a diplomate in sports chiropractic, received her master’s degree in health professions education, and a PhD in public health epidemiology. Over her 27 year career, she has authored numerous scientific papers, guided hundreds of authors toward publication, and coached thousands in the scholarly art of peer review. She views her role as a mentor as one of her important contributions to the future of the profession. Dr. Johnson is the Editor in Chief of three scientific, peer reviewed journals that are indexed in PubMed. The Journal of Manipulative and Physiological Therapeutics is the flagship journal for the chiropractic profession, having published over 3100 peer reviewed articles written by international and multidisciplinary scientists. She has developed the Journal of Chiropractic Medicine as a broad scope specialty journal, which includes general practice, sports, pediatrics, diagnostic imaging, forensics and neurology, and the Journal of Chiropractic Humanities being the most cited philosophy journal of the profession. One of her greatest joys is witnessing change through the power of research and publication. Her professional service includes volunteering for the American Public Health Association (APHA) and the Global Spine Care Initiative (GSCI). The GSCI is an international research group dedicated to reducing the global burden of spine-related disease and disability by bringing together leading health care scientists and specialists, government agencies, and other stakeholders to transform the delivery of spine care in underserved communities worldwide. The GSCI participants are amongst the foremost spine care practitioners and researchers around the world. She has received awards including ACBSP Sports Chiropractor of the Year (2018), American Chiropractic Association Presidential Award, and the APHA-CHC Distinguished Service Award. Bart Green, DC, MSEd, PhD, DACBSP Bart Green is an epidemiologist and practicing chiropractor from San Diego, California. He has been in practice for 26 years and is board certified in chiropractic sports medicine, holds a master of science in medical education from the University of Southern California, and a doctorate in philosophy in public health from Walden University. Bart is a chiropractic physician for Stanford Health Care at the Qualcomm Health Centers, which are corporate primary care and wellness centers for the employees of this telecommunications company. He serves as a scientific journal editor on the faculty of the National University of Health Sciences and also is the editor-in-chief of the Journal of Chiropractic Education. Bart has deep experience in hospital-based practice, having opened the first chiropractic clinic for Naval Medical Center San Diego in 2003 and continued to serve there for an additional 12 years as a staff chiropractor providing chiropractic rehabilitation for active duty military members in environments ranging from sports rehabilitation ambulatory care clinics to a polytrauma and amputee comprehensive combat casualty care center. Bart has published over 100 papers in peer-reviewed journals and has presented research at numerous scientific meetings internationally. His current research projects involve: 1) a systematic review and analysis for the Global Spine Care Initiative on community based screening, education, and prevention of spinal disorders; 2) a study of potential biological gradient in the association between smoking and back pain in a cross-section of adult Americans; 3) a multilogisitc regression analysis of the association of biopsychosocial variables with back pain in adult Americans; 4) a study of the association of body composition and low back pain severity and diagnosis of post-traumatic stress disorder in a sample of United States veterans. Bart serves on the editorial
Subject BreakdownREFERENCES: The Global Spine Care Initiative: public health and prevention interventions for common spine disorders in low- and middle-income communities. https://rdcu.be/4mH6 The Global Spine Care Initiative: classification system for spine-related concerns. https://link.springer.com/article/10.1007%2Fs00586-018-5724-8 The Global Spine Care Initiative: care pathway for people with spine-related concerns. https://link.springer.com/article/10.1007%2Fs00586-018-5721-y The Global Spine Care Initiative: model of care and implementation. https://link.springer.com/article/10.1007%2Fs00586-018-5720-z
Total Credits2.00
FormatIn person - Live
Course OutlineWorkshop outline GSCI Johnson and Green.docx
Co-sponsor or PartnerBart Green, DC, MSEd, PhD, DACBSP Bart Green is an epidemiologist and practicing chiropractor from San Diego, California. He has been in practice for 26 years and is board certified in chiropractic sports medicine, holds a master of science in medical education from the University of Southern Califo
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