Welcome to Module 3 of the course "Diagnosis of Persistent Low Back and Referred Lower Extremity Pain"! You are now ready to see the bigger picture. In this Module you will explore the claudicant patient who may have spinal stenosis, peripheral vascular disease or a hip/buttock related problem. You will see some unusual cases, and consider the issue of the how a psychosocial dimension may act to confound diagnosis & treatment.
It is this Module that puts all the pieces of the puzzle together and enables you to start seeing yourself as a true diagnostician in regards to the lumbar spine and pelvis.
During this Module you must start to consider how you can attend one of the Module 4 seminars that will be arranged in various places throughout the world. While most of the content of this course can quite reasonably be explored online, there is no substitute for a face-to-face seminar environment for learning exactly how to do the sacroiliac joint tests or neurologic screening examination. Just how hard do you push when correcting a lateral shift deformity. Seeing patients being assessed on video is always less powerful that seeing patients in-the-flesh and in real time, which the seminar organizers can hopefully arrange as part of that course. Perhaps the most important part of a Module 4 seminar, is the opportunity to interact directly with the instructor, and with other colleagues in real time for a few days.
Once you have successfully completed this Module, you should then consider receiving formal instruction of the science of diagnostics as such - as distinct from the science of therapeutics. That course will be much shorter than this four Module course on the lumbar spine & pelvis and will hopefully be available from SMS sometime in 2018. The course on the science of diagnostics will teach you where the values for diagnostic accuracy come from, how to calculate them from data yourself, and how to read and understand diagnostic accuracy study reports. In short, it will complete your education as a practical and theoretical diagnostician.
Don't forget to continue to maintain and update your course manual, and keep ticking off those items in the Excel(TM) workbook so you have a complete CEU record for submission to licensing agencies. You will receive your certificate of course completion once you have submitted that Excel spreadsheet and the course evaluation to SMS.
Thanks for your time and commitment!