Clinical Transitions is a VIRTUAL RESIDENCY program that accelerates professional growth, confidence, and clinical authority.

Participants receive exposure to real-life clinical scenarios that are rarely encountered during their formative training.

By actively engaging in cases as they are presented, clinicians will improve on their ability to think logically, accurately, and efficiently.

Clinical Transitions transforms learning into knowing.


Real life cases. The way they will come to your office

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Confidence grows as you use your knowledge, logically and pragmatically to determine appropriate diagnostic and treatment strategies.

The scenarios illustrated represent a wide range of common and uncommon disorders that had presented for evaluation and management at a consulting spine-care facility.

Information obtained in one module could be applicable to others, thereby approximating the integrative thought processes required in actual clinical situations.

Convenient, affordable, engaging, and fun

listen2 hour sessions, presented live and on-line, are attended from the comfort of your home. There are 6 convenient time-frames to choose from.

Your active participation leads to a lasting experience that is as much fun as it is rewarding.

New, diverse cases are presented every 2 weeks exhibiting common symptoms you encounter in practice.

As low as $8 per credit hour, the program is as affordable as it gets.

Continuing education credits, tuition, and FAQ’s

  • Approved by:  To be determined
  • CE acceptance varies by state. To be determined.
  • Hours acceptable to International Board of Electrodiagnosis and International Academy of Chiropractic Neurology


  • $400: 21 modules, 50 credit hours.
  • $150: Choose any 5 modules for 12 credit hours.
  • Enroll at any point in the program.  Click HERE.

Frequently asked questions:


  • Click HERE to register for a FREE live session.
  • Click HERE to receive a FREE previously recorded program.
  • Sign up HERE for Spine-Source, for free and practical clinical updates.




62 year old male with progressive leg weakness presents for a second opinion on the need for lumbar spine surgery

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  • Notice the myelographic “block” at L2/3 on the right image that led to this patient’s diagnosis of lumbar spinal stenosis.
  • But, you will also note that the other images shown raise questions about this being due to lumbar spinal stenosis.  What are they?
  • What other findings would you look for to reconcile a diagnosis of lumbar spinal stenosis versus other potential causes of progressive leg weakness?
  •  You will figure all of this out, and more, as you work through this interesting case.

What would you advise for this woman who is having trouble walking?

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  • This 63 year-old woman presented stating that “I can’t walk straight anymore.”
  • Click the blue link to the right to watch her walk.  IMG_2203  
  • What is name for this posture while walking?
  • 15 years ago she had a lumbar discectomy at L2/3 and was told by that same surgeon that she now needed a fusion due to spinal instability.
  • She reported mild pain with no change in the character of pain during assessment.  Does this play a role in your decision-making.
  • Would you look beyond the lumbar spine and low extremity during your assessment?
  • If so, what would you look for and why?
  • 2 tests were the clue to her diagnosis.  Do you know what these were?

55 year-old man develops subacute neck pain with progressive weakness and dexterity problems in the right arm

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  • There is often more than what meets the eye in clinical care.
  • This patient’s multi-level cervical decompression surgery failed to alleviate the weakness and dexterity problems in his right arm.
  • The NCV data shown, performed after the surgery, is incompatible with cervical myelopathy, his presumed diagnosis prior to surgery.
  • You will work through this case and determine your recommended course of action.

50 year-old woman with an unexpected miraculous recovery after a unique non-surgical procedure

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  • Patient developed abrupt left anterior thigh pain, weakness, and numbness.
  • On examination, she had no patella reflex, markedly reduced strength in her left thigh, and could not bear weight on her left leg.
  • Prior to being seen for an expedited surgical appointment, she underwent a non-surgical procedure resulting in complete recovery.
  • What do you think this procedure was?
  • Are there signs on her films that could be predictive of this type of response?

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