110th KAC Annual Convention | Investigating Radiology Errors in Spine and Appendicular Conditions with Dr. Beverly Harger

This course will be available after the live event September 2026.

This course was applied for continuing education credit from September 26, 2026 - September 26, 2027, for the state of Kentucky.

All components (video, quiz, affidavit, participation codes, evaluation, etc.) must be completed between September 26, 2026 - September 26, 2027 to count for continuing education credit in Kentucky.

Note: Date of completion will be when you complete the last component - so even if you watch the hours on different days, do NOT complete all of the quizzes on the same day or it will look like you watched all of your hours in 1 day.

Title: Investigating Radiology Errors in Spine and Appendicular Conditions: A Practical Approach for Chiropractors
Speaker: Dr. Beverly Harger, DC, DACBR
CEs: 2 hours
Sponsor:

Course Description and Outline

Chiropractors frequently evaluate musculoskeletal and spine conditions where accurate radiologic interpretation is essential for timely diagnosis and effective management. However, common—and often preventable—radiology errors can lead to missed fractures, delayed recognition of serious pathology, unnecessary imaging, or inappropriate referrals. This 2‑hour course equips chiropractors with practical tools to recognize common diagnostic pitfalls in imaging of the spine, as well as upper and lower extremity conditions commonly seen. Using real clinical cases, participants will learn how radiology errors occur, how to spot subtle or easily misinterpreted findings, what imaging to order (and when), and how to incorporate red‑flag assessment into clinical workflows. The course also addresses communication strategies with radiologists, appropriate follow‑up intervals, and how cognitive biases affect both readers and ordering clinicians. Clinicians will leave with improved confidence in interpreting reports, identifying red flags, and coordinating timely care to reduce adverse patient outcomes

Learner Outcomes

By the end of this 2‑hour course, participants will be able to:

1.     Identify high‑risk radiology pitfalls

Recognize at least five commonly missed spine and appendicular injuries in outpatient settings and describe the clinical scenarios in which they are most likely to occur.

2.     Apply appropriate imaging selection

Select the most appropriate imaging modality (X‑ray, CT, MRI, or ultrasound) for common musculoskeletal and spine presentations based on clinical findings, mechanism of injury, and red‑flag symptoms.

3.     Interpret radiology reports more effectively

Differentiate between equivocal, indeterminate, and critical report language and determine appropriate next steps, including follow‑up intervals and referrals.

4.     Recognize subtle but clinically significant findings

Identify key subtle radiographic signs that may indicate underlying serious pathology despite normal‑appearing initial studies.

5.     Mitigate cognitive bias in clinical practice

Explain at least two cognitive biases (e.g., anchoring, satisfaction of search) and implement strategies to reduce their impact on ordering or interpreting imaging.

6.     Improve communication with radiology teams

Formulate clear, clinically useful imaging orders including mechanism, focal findings, and suspected diagnoses to reduce diagnostic ambiguity and radiology errors.

7.     Determine appropriate follow‑up and referral pathways

Establish evidence‑based follow‑up timelines for patients with persistent symptoms despite “normal” imaging and identify when urgent referral or escalation is necessary.

This course was originally recorded as a part of our 110th KAC Annual Convention September 26-27, 2026

This course counts towards the NCMIC premium discount. Take 8 CEs of NCMIC sponsored content in 1-year to receive the discount. Contact NCMIC to learn more and take advantage of this offier.