Celebrating 18 Years of
Enhancing Neuro Healthcare Through Education and Research
1015 South Mercer Avenue ● Bloomington, Illinois 61701 ● Toll Free 800.997-CINF ● Telephone 309.663.1522 ● Facsimile 309.663.2344
Welcome ACA News Readers!
On behalf of our Board of Directors, physicians, staff and volunteers, thank you for visiting our website! Below, you will find some reflections about CINF and multi-disciplinary cooperation and collaboration from some of our colleagues and graduates of the neurosurgery residency program. If you would like more information about CINF, please feel free to call or email us.
I feel fortunate to have experienced an academic environment that was truly multidisciplinary. The CINF hosted our weekly neuroscience case conferences that successfully recruited several influential disciplines from nursing, neurology, radiology, physiatry, pain management as well as a core group of chiropractors from the community. Not only did that allow us to share our unique viewpoints on case management, but I believe it really opened our eyes to how important it is for those of us participating in spine care to collaborate with one another. As osteopathic-trained physicians completing training in neurosurgery, I believe we had a special connection with our local chiropractors. Not only did this opportunity allow us to communicate with our chiropractic colleagues on a regular basis, but helped us better understand the importance of comprehensive spine care for our pre or post-surgical patients along with our nonsurgical patients. I can personally recall several case reviews from Steve Troyanovich, DC which allowed me to better understand the chiropractic prospective of evaluating and managing patients with back or joint pain. Furthermore, this open forum helped us understand each others skill sets and provided opportunity for clearer referrals.
As I am completing a neurosurgical spine fellowship, I have had the privilege of apprenticeship under an attending neurosurgeon with a very rare background in both osteopathic and chiropractic training. This surgeon regularly demonstrates how to apply our unique training backgrounds in the musculoskeletal system to our daily practice of surgical spine care. Even though we are typically treating patients with severe deformities or those that have failed multiple conservative treatments, I can appreciate that osteopathic and chiropractic physicians alike have a tremendous amount to offer our patients afflicted with spine disorders regardless of the operative candidacy. I have the CINF to thank for introducing that concept and hope to establish similar relationships with local chiropractic colleagues as I complete my current fellowship and enter into practice.
Seth S. Molloy, DO, MS
Neurosurgery Spine Fellow
Department of Neurological Surgery
University of Miami MILLER School of Medicine
In treating degenerative spine disease in today's patient care environment it is necessary that most patients undergo conservative therapy prior to operative management. Having a close working relationship with quality chiropractic medicine can help patients avoid or postpone surgical intervention. Although the generators of back and neck pain are multifactorial, the musculoskeletal system frequently contributes. I find in my practice that spinal adjustment and strengthening of the spinal column can treat and improve a majority of patients symptoms. Finally, it is imperative to have a team approach when treating a patient with degenerative spine disease in today's patient care arena.
John Soliman, DO
Neurosurgery of West Florida
Health care practitioners don't think ABOUT their training, they think FROM their training. Being able to participate in multidisciplinary conferences gives different types of practitioners a glimpse into the decision making process of the various disciplines regarding patient care.
The CINF provides an atmosphere where collaboration for the betterment of patient care is fostered and encouraged. Our patients appreciate the spirit of cooperation and, frankly, never understood the adversarial lack of cooperation from days past. The ultimate winner is the patients we are all privileged to serve.
Stephan Troyanovich, DC
Editor, Chiropractic History
Chair, Research Committee, CINF
I have been a practicing neurosurgeon for almost 30 years. During my training, in the late 70’s and early 80’s, chiropractic was not well understood by the medical establishment. However, by the mid-90’s, with improved communication and appreciation of the training required to become a chiropractor, the relationship changed. For CINF, what changed the dynamic was when the neurosurgeons and neurologists invited the chiropractors to discuss the role, value and evidence supporting chiropractic in the treatment of headache, neck and low back pain at one of our monthly continuing medical education meetings. This was the start of a truly open dialogue that translated into more case sharing, collaboration and mutual respect – a natural fit, really, as our disciplines overlap a lot. We used this as a platform to build and reach out to other providers with research and educational programs.
As early embracers of the value of chiropractic in the management of spinal conditions and others, we were way ahead of the game and, today, our patients genuinely appreciate it. Ultimately, it’s the outcome that is most important from the perspective of the patient and provider, and working together allows us to maximize positive results. In today’s healthcare environment, a team approach is critical to achieving better outcomes and better patient satisfaction.
Ann Stroink, MD, FAANS
Neurosurgeon, Central Illinois Neuro Health Sciences
Director, Continuing Medical Education, CINF
Medical Director, Neurosurgery, Advocate Healthcare