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Evidence-Based Practice 204 — at a Glance
| Course: | Imaging in Clinical Practice II · 2 PACE-approved CE hours |
| Faculty: | Monte Horne, DC · Founder and CE Program Director, CCEDseminars |
| Format: | On-demand online video with case walk-throughs and assessment · downloadable handouts · instant certificate |
| Pricing: | $20/hr · automatic 10% off at 6–9 hrs, 20% off at 10+ hrs in one order · no promo codes |
| Approval: | PACE Provider #34015544 · co-sponsored by Texas Chiropractic College · acceptance varies by state |



Board-approved · PACE Provider #34015544 · CE Broker auto-reporting for states served · Instant certificate
The refractory case is where imaging stops being a protocol and starts being a judgment. Straightforward presentations are covered by guidelines. The atypical one — the patient who has not responded, whose findings do not fit, whose file will be read closely if anything goes wrong — requires a clinician who can select the right specialized study, interpret it, report it clearly, and carry the diagnostic responsibility that comes with having looked.
Dr. Monte Horne takes the second half of the imaging series into complex territory: specialized modality selection for atypical cases, structured reporting that another provider can act on, the high-risk legal questions around imaging findings and diagnostic responsibility, and a technical review of radiation protection in the modern chiropractic office.
Choose Your Evidence-Based Practice Path — Three Lanes, One Curriculum
The Evidence-Based Practice series is a method curriculum, not a regional one: it runs from how you evaluate a patient, through how you image and document, to how care is delivered and shared. Nine courses, two hours each.
1 · The Clinical Encounter (201–202)
The foundation the rest of the curriculum rests on: how a patient is evaluated, and how that evaluation is recorded so it holds up.
201: Patient Evaluation
202: Documenting Clinical Outcomes
2 · Imaging in Clinical Practice (203–204)
Modality selection, red-flag criteria, interpretation and the medicolegal and radiation-safety standards that govern ordering images in a chiropractic setting. You are here: Evidence-Based Practice 204.
203: Imaging in Clinical Practice I
204: Imaging in Clinical Practice II
3 · Care Delivery and Collaboration (205–209)
Modes of care, collaborative management by region, and the two regional spine files — where evidence-based method becomes an actual treatment plan.
205: Modes of Care
206: Collaborative Care for the Upper Extremities
207: Lower Extremity Collaborative Care
208: Lumbar Spine Management
209: Cervical Spine Management
Every course in the series is 2 PACE-approved CE hours at $40, and the automatic bundle discounts apply across the whole lane.
What You'll Learn in Evidence-Based Practice 204
Select the specialized study, not the default one. Determine the appropriate use of advanced imaging for refractory and atypical presentations — the cases where standard modality selection has already failed to answer the question.
Report so another clinician can act. Build proficiency in clinical interpretation and structured reporting, so findings travel intact to the next provider rather than stopping at your own impression.
Understand what you become responsible for. Address the high-risk legal issues surrounding imaging findings and diagnostic responsibility — including what it means, medicolegally, to have ordered a study and reviewed it.
Work the technology, present and coming. Review radiation protection protocols and safety standards for the modern chiropractic office, and evaluate the clinical utility of emerging imaging advancements and how they integrate into practice workflows.
Your Evidence-Based Practice Faculty
Monte Horne, DC — instructor of this course — leads the Evidence-Based Practice curriculum through evaluation, documentation, imaging, modes of care and collaborative management (201–207). Founder and CE Program Director of CCEDseminars, a Designated Doctor for the Texas Department of Insurance and a peer reviewer and expert witness, he teaches the evidence-to-encounter translation from the position of someone who has defended records for a living.
Steve Yeomans, DC, FACO closes the series with the two regional management files, lumbar and cervical spine (208–209), as a Fellow of the Academy of Chiropractic Orthopedists and author of several authoritative texts on clinical outcomes and orthopedic assessment.
Full bios and the complete instructor roster: CCEDseminars faculty page.
Where Evidence-Based Practice Hours Count — State Rules Worth Knowing
Evidence-based practice coursework is clinical subject matter — evaluation, documentation, imaging, modes of care and collaborative management — which is exactly what several state boards ask for. In Iowa, these hours serve the 36-hour clinical case-management minimum; in Rhode Island, they address the 50-of-60 clinical requirement; and in Vermont — where practice-building coursework earns nothing — patient-care education like this counts fully under the clinical-focus rule.
Online-format allowances still vary by state — some accept every hour online, others cap distance learning or require in-person blocks. Check your state's guide in the full state directory before building your renewal plan.
Build Your Evidence-Based Practice Block
Every course in the Evidence-Based Practice series runs 2 hours at $40, so the automatic discounts do the bundling for you: 6–9 hours in one order earns 10% off, and 10 or more earns 20% off — the full nine-course series is 18 hours at roughly $288 instead of $360, with no promo codes. This course completes the imaging lane with 203 Imaging in Clinical Practice I, which establishes modality selection and red-flag criteria; 202 Documenting Clinical Outcomes supplies the reporting standard, and 201 Patient Evaluation the examination findings that justify the study. Browse Evidence-Based Practice Courses
Evidence-Based Practice 204 — Frequently Asked Questions
What does Evidence-Based Practice 204 cover?
This course is the advanced half of the imaging series, covering complex interpretation and medicolegal responsibility. Also known as advanced diagnostic imaging for chiropractors, radiology reporting standards, or imaging medicolegal risk, it covers specialized modality selection for refractory and atypical cases, clinical interpretation and structured reporting, the legal issues around imaging findings and diagnostic responsibility, advanced radiation protection technology, and a critique of emerging imaging modalities.
How many CE hours is this course, and what does it cost?
Evidence-Based Practice 204 is a 2-hour, PACE-approved online course priced at $40 — the standard $20 per CE credit hour across the CCEDseminars catalog. It is recorded, self-paced, and includes video and handouts.
If I order the study, am I responsible for everything on it?
That question is the medicolegal core of this course. You will work the high-risk legal issues around imaging findings and diagnostic responsibility — what ordering and reviewing a study commits you to, how incidental findings are handled, and how structured reporting protects both the patient and the practice.
Do I need 203 before taking this course?
203 Imaging in Clinical Practice I establishes modality selection, red-flag patient selection and the baseline radiation-safety standards that this course builds on, so taking them in order is the natural path. 204 stands on its own if you already work confidently with imaging and want the advanced interpretation, reporting and medicolegal material.
Will this course count toward my state CE requirement?
CCEDseminars is a PACE-recognized provider (#34015544) and this course is accepted in Texas and 40-plus additional states, with CE Broker auto-reporting where applicable. Requirements vary by board, so confirm your state’s current rules before you enroll.
State Approval and Licensing Reminder
Continuing education requirements — including online-hour caps and clinical-hour minimums — vary by jurisdiction. Review the online chiropractic CE guidelines page and contact CCEDseminars with questions about your specific licensing requirements before registering.
Ready to Enroll in Evidence-Based Practice 204?
2 CE hours · $40 · online & self-paced · instant certificate. Add it to your cart, or pair it with 203 Imaging in Clinical Practice I to complete the imaging lane.
CCEDseminars · PACE Provider #34015544 · Reviewed by Monte Horne, DC · Last updated September 3, 2026 (CT)
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