Archives: Courses

Evidence-based Evaluation & Management of Common Spinal Conditions: Part 1 Cervical Spine
Joshua R. S. Browning, DC, FIANM(us)
drbrowning@dcpowerhours.com
6 hours of Diagnosis $90.00 $69.00

Overview:       The attendee will learn current evidence-based orthopedic and neurological testing strategies, as well as current evidence-based multimodal treatment strategies, to accurately diagnose and manage the patient presenting with cervical region complaints. PowerPoint presentation and recorded video demonstrated will be presented. Conditions covered include: cervical spine clinical prediction rules, cervical facetogenic pain, cervicobrachial radiculopathy, whiplash-associated disorders, thoracic outlet syndrome, cervical myelopathy, cervical spine trauma, headaches, dizziness & vertigo, and temporomandibular joint disorders. Following each section, the attendee will complete a mini-quiz before moving to the next section.

Objectives:     The attendee will be provided with a basic review of research, statistics and presented with up-to-date evaluation and management techniques concerning lumbar spine conditions. At the end of the presentation, the attendee should have a basic understanding of research terminology and how to interpret published research works. The attendee will have an in-depth understanding of the currently best-supported examination and treatment protocols for the most commonly presenting conditions in the cervical spine region.

Approved For Continuing Education Credit in Illinois, Kansas, and Missouri.
PACE courses are accepted for Continuing Education Credit by The State Boards of Alaska, Connecticut, District of Columbia, Idaho, Indiana, Iowa, Kansas, Maine, Maryland, Massachusetts, Minnesota, Montana, Nebraska, Nevada, New Hampshire, New Jersey, North Carolina, North Dakota, Ohio, Oregon, Rhode Island, South Carolina, South Dakota, Utah, Vermont, Virginia, Washington, and Wyoming. The State Board of Colorado does not pre-approve courses, but this class meets the criteria set forth by their respective boards.

Fraud, Waste, and Abuse
Jenny L. Crosby Wiemann D.C.
drcrosby@crosbychiropractic.com
2 hours of Ethics $30.00 $29.00
This 2 hour class looks at A Review of Compliance for the Chiropractor.

Approved For Continuing Education Credit in Illinois, Kansas, and Missouri.
PACE courses are accepted for Continuing Education Credit by The State Boards of Alaska, Connecticut, District of Columbia, Idaho, Indiana, Iowa, Kansas, Maine, Maryland, Massachusetts, Minnesota, Montana, Nebraska, Nevada, New Hampshire, New Jersey, North Carolina, North Dakota, Ohio, Oregon, Rhode Island, South Carolina, South Dakota, Utah, Vermont, Virginia, Washington, and Wyoming. The State Board of Colorado does not pre-approve courses, but this class meets the criteria set forth by their respective boards.

Radiology Case Review Part 2 – Missed Or Mis-Diagnosed? Do Your Eyes Lie?
Ben Stiles, DC, DACBR
stilesdacbr@gmail.com
4 hours of Radiology $60.00 $49.00
To help doctors improve their radiology interpretation skills, discuss chiropractic cases that can impact their practice, and share research with an emphasis on radiology. Dr. Stiles’ videos were created with the intention that the attendees are sitting with him and discussing the chiropractic cases instead of lecturing to them as if on auto pilot. Each case walked into a chiropractic office and was managed by a Doctor of Chiropractic so there is direct clinical implication.

Approved For Continuing Education Credit in Illinois, Kansas, and Missouri.
PACE courses are accepted for Continuing Education Credit by The State Boards of Alaska, Connecticut, District of Columbia, Idaho, Indiana, Iowa, Kansas, Maine, Maryland, Massachusetts, Minnesota, Montana, Nebraska, Nevada, New Hampshire, New Jersey, North Carolina, North Dakota, Ohio, Oregon, Rhode Island, South Carolina, South Dakota, Utah, Vermont, Virginia, Washington, and Wyoming. The State Board of Colorado does not pre-approve courses, but this class meets the criteria set forth by their respective boards.

Practical Uses for Acupuncture
Richard A. Snow, DC, DABCA, FASA
rsnowdc@hotmail.com
4 hours of Acupuncture $60.00 $49.00
The student will learn tools and techniques for commonly presented health conditions. The student will be able to implement the knowledge in an easy and practical fashion. Included are use of the Yennie Formula and treatment protocols for muscle spasm, torticollis, immune system enhancement, sinus problems , knee pain, hip pain, grief, insomnia, fever reduction, bladder incontinence, female reproductive issues, Carpal Tunnel syndrome, elbow pain, plantar fasciitis, migraines, lung conditions, eye conditions, tinnitus, anxiety, infertility, fatigue, liver Qi stagnation,  self-treatment protocols, and many other conditions.

Approved For Continuing Education Credit in Illinois, Kansas, and Missouri.
PACE courses are accepted for Continuing Education Credit by The State Boards of Alaska, Connecticut, District of Columbia, Idaho, Indiana, Iowa, Kansas, Maine, Maryland, Massachusetts, Minnesota, Montana, Nebraska, Nevada, New Hampshire, New Jersey, North Carolina, North Dakota, Ohio, Oregon, Rhode Island, South Carolina, South Dakota, Utah, Vermont, Virginia, Washington, and Wyoming. The State Board of Colorado does not pre-approve courses, but this class meets the criteria set forth by their respective boards.

Case Review And Radiology Report Writing Part 1
Ben Stiles, DC, DACBR
stilesdacbr@gmail.com
4 hours of Radiology $60.00 $49.00
To help doctors improve their radiology report writing skills, review interesting radiology subjects in the research, and discuss chiropractic cases that can impact their practices. Dr. Stiles’ videos were created with the intention that the attendees are sitting next to him and discussing the chiropractic cases instead of lecturing to them as if on auto pilot. Each case presented to a chiropractic office and was managed by a Doctor of Chiropractic so there is direct clinical application.

Approved For Continuing Education Credit in Illinois, Kansas, and Missouri.
PACE courses are accepted for Continuing Education Credit by The State Boards of Alaska, Connecticut, District of Columbia, Idaho, Indiana, Iowa, Kansas, Maine, Maryland, Massachusetts, Minnesota, Montana, Nebraska, Nevada, New Hampshire, New Jersey, North Carolina, North Dakota, Ohio, Oregon, Rhode Island, South Carolina, South Dakota, Utah, Vermont, Virginia, Washington, and Wyoming. The State Board of Colorado does not pre-approve courses, but this class meets the criteria set forth by their respective boards.

Got Documentation – Clinical and Practical Documentation of Chiropractic
Gregg Friedman, D.C.
drgregg@GotDocumentation.com
4 hours of Documentation/SOAP
4 hours of California Category A/Mandatory Topic – History Taking & Physical Examination Procedures
$60.00 $49.00

Course Objectives
Hour 1
1. Illustrate four effects of good documentation.
2. Define the Problem Oriented Medical Record (POMR).
3. Demonstrate taking a complete patient history – Onset, Provocative/Palliative,
Quality, Radiating, Site/Severity
4. Demonstrate taking a complete patient history – Onset, Provocative/Palliative,
Quality, Radiating, Site/Severity
Hour 2
5. Define the Evaluation and Management Examination for the musculoskeletal system.
6. Describe the reasons for the E/M exam.
7. Demonstrate the proper documentation of exam findings
8. Discuss the new E/M rules from Jan. 1, 2021
Hour 3
9. Define the concept of functional outcome assessments in clinical practice.
10. Distinguish between subjective and objective outcome assessments.
11. Describe the P.A.R.T. format of documentation.
12. Define the P of P.A.R.T. from Centers for Medicare/Medicaid Services
13. Illustrate the proper documentation of Assessment.
Hour 4
14. Demonstrate the proper documentation of Plan for daily visits.
15. Illustrate the proper documentation of therapeutic procedures.
16. Demonstrate the proper documentation of a treatment plan
17. Describe documenting with specific goals.

Approved For Continuing Education Credit in Illinois, Kansas, and Missouri.
PACE courses are accepted for Continuing Education Credit by The State Boards of Alaska, Connecticut, District of Columbia, Idaho, Indiana, Iowa, Kansas, Maine, Maryland, Massachusetts, Minnesota, Montana, Nebraska, Nevada, New Hampshire, New Jersey, North Carolina, North Dakota, Ohio, Oregon, Rhode Island, South Carolina, South Dakota, Utah, Vermont, Virginia, Washington, and Wyoming. The State Board of Colorado does not pre-approve courses, but this class meets the criteria set forth by their respective boards.

Evidence-Based Home Care
Joshua R. S. Browning, DC, FIANM(US)
Ross Vollmer, DC
drbrowning@dcpowerhours.com
Diagnosis – 2 hours $30.00 $29.00

This course is designed to provide the most up-to-date research on common home care recommendations that chiropractors make.

Objectives:

1. Present the most up to date information on heat versus ice.
2. Present the most up-to-date information on ergonomics.
3. Inform the audience of the most up-to-date research about NSAIDs.
4. Inform the audience of the research about bracing and when it should be used.
5. Provide a review on the PEACE & LOVE method for treating soft tissue injuries.
6. Review the most up-to-date information about rest after sustaining an injury.
7. Provide the most current research about home exercise plans and considerations to think about.
8. Review the most up-to-date research about over-the-door traction units and their efficacy.
9. Inform the audience about the most recent research on inversion tables and their efficacy.

After completing this course, you should be able to:

1. Determine when heat or ice should be used.
2. Determine what type of ergonomic changes should be made to a workspace.
3. Understand the mechanism of anti-inflammatories and when they should be used.
4. Know when to brace a patient.
5. Understand the concept of PEACE & LOVE and how to apply them.
6. Understand when to rest a soft tissue injury and for how long.
7. How to incorporate home exercise plans more efficiently into your office.
8. Understand when to use over-the-door traction.
9. Understand the benefits and risks of inversion tables.

First Hour

                We will discuss the physiological mechanism of ice and heat, the different types of heat and ice, contraindications, as well as what each can be used for. We will then discuss ergonomics and how to get the best results with patients. We will cover anti-inflammatories, the different types and their physiological mechanism, as well as their efficacy. We will then cover bracing and when it should be used. That concludes the first hour.

Second Hour

                We will start the second hour by discussing the concept of PEACE & LOVE. We will then progress to rest after injury and when it should be used. We will continue with home exercise plans and how to best implement them. We will discuss over-the-door traction and its efficacy. Then we will finish with a discussion on inversion tables and their efficacy.

Approved For Continuing Education Credit in Illinois, Kansas, and Missouri.
PACE courses are accepted for Continuing Education Credit by The State Boards of Alaska, Connecticut, District of Columbia, Idaho, Indiana, Iowa, Kansas, Maine, Maryland, Massachusetts, Minnesota, Montana, Nebraska, Nevada, New Hampshire, New Jersey, North Carolina, North Dakota, Ohio, Oregon, Rhode Island, South Carolina, South Dakota, Utah, Vermont, Virginia, Washington, and Wyoming. The State Board of Colorado does not pre-approve courses, but this class meets the criteria set forth by their respective boards.

Evaluation and Management of the Knee and Contributing Structures
Advanced Orthopedics of the Knee
Joshua R. S. Browning, DC, FIANM(us)
drbrowning@dcpowerhours.com
4 hours of Diagnosis $60.00 $49.00

Overview:       The attendee will learn current evidence-based orthopedic testing strategies to accurately diagnose many of the most commonly presenting knee and knee-related conditions. Conditions including the collateral sprain, muscle strain, cruciate sprain, meniscus injury, patellofemoral pain syndrome and medial tibial stress syndrome will be discussed.

Objectives:     The attendee will be provided with a basic review of research, statistics, anatomy and physiology review, biomechanics review, and presented with up-to-date evaluation and management techniques concerning knee-related conditions. At the end of the presentation, the attendee should have an in-depth understanding of current research regarding the evaluation and management of the knee and its contributing structures.

Hour 1- Introduction, clinical statistics, anatomy review, trauma

Hour 2- Collateral and cruciate evaluation and management

Hour 3- Meniscus evaluation and management

Hour 4- Patellofemoral pain syndrome, foot biomechanics, medial tibial stress syndrome

Approved For Continuing Education Credit in Illinois, Kansas, and Missouri.
PACE courses are accepted for Continuing Education Credit by The State Boards of Alaska, Connecticut, District of Columbia, Idaho, Indiana, Iowa, Kansas, Maine, Maryland, Massachusetts, Minnesota, Montana, Nebraska, Nevada, New Hampshire, New Jersey, North Carolina, North Dakota, Ohio, Oregon, Rhode Island, South Carolina, South Dakota, Utah, Vermont, Virginia, Washington, and Wyoming. The State Board of Colorado does not pre-approve courses, but this class meets the criteria set forth by their respective boards.

Concussion 101
Joshua R. S. Browning, DC, FIANM(US)
Ross Vollmer, DC
drbrowning@dcpowerhours.com
Diagnosis – 2 hours $30.00 $29.00
This course is designed to provide the average chiropractic office that occasionally treats concussions with the best evidence-informed practices without having a specialized setup. The objectives of the course are:

1. Present the most up to date information on the pathophysiology of concussions.
2. Present the most common assessment methods that are clinically relevant.
3. Inform the audience of the most up to date information about advanced imaging guidelines.
4. Provide the most up to date treatment methods for concussion.
5. Review ICD-10 codes for diagnosis.

After completing this course, you should be able to:

1. Accurately assess and document a concussion.
2. Determine whether imaging is required.
3. Effectively manage and treat concussion symptoms.
4. Correctly use the ICD-10 codes for diagnosis.

Approved For Continuing Education Credit in Illinois, Kansas, and Missouri.
PACE courses are accepted for Continuing Education Credit by The State Boards of Alaska, Connecticut, District of Columbia, Idaho, Indiana, Iowa, Kansas, Maine, Maryland, Massachusetts, Minnesota, Montana, Nebraska, Nevada, New Hampshire, New Jersey, North Carolina, North Dakota, Ohio, Oregon, Rhode Island, South Carolina, South Dakota, Utah, Vermont, Virginia, Washington, and Wyoming. The State Board of Colorado does not pre-approve courses, but this class meets the criteria set forth by their respective boards.

Topics in Radiology for the Practicing Chiropractor, Part 2
Aaron Welk, DC, DACBR
aaron.welk@gatewayrad.com
4 hours of Radiology $60.00 $49.00
This lecture will finish frequently encountered variations in with lower extremity anatomy that can be seen on x-ray or or advanced imaging. We will discuss the clinical implications, or lack thereof, related to these anomalies.  We will discuss contraindications to HVLA adjusting associated with certain anomalies and if additional imaging is needed prior to the application of chiropractic adjustments.  The class then gives a thorough review of Mensuration of of diagnostic imaging of the spine and extremities.
Objectives: This course will focus on spinal and extremity anatomic variants and the clinical significance of such variants, and review standard radiological measurements of spinal and extremity imaging. The imaging presented with this course will cover X-ray, CT, and MRI modalities.

Approved For Continuing Education Credit in Illinois, Kansas, and Missouri.
PACE courses are accepted for Continuing Education Credit by The State Boards of Alaska, Connecticut, District of Columbia, Idaho, Indiana, Iowa, Kansas, Maine, Maryland, Massachusetts, Minnesota, Montana, Nebraska, Nevada, New Hampshire, New Jersey, North Carolina, North Dakota, Ohio, Oregon, Rhode Island, South Carolina, South Dakota, Utah, Vermont, Virginia, Washington, and Wyoming. The State Board of Colorado does not pre-approve courses, but this class meets the criteria set forth by their respective boards.

Stress, Anxiety & Depression in Traditional Chinese Medicine, Part 2
Jenny L. Crosby Wiemann D.C.
drcrosby@crosbychiropractic.com
4 hours of Acupuncture $60.00 $49.00
This 4 hour class continues introducing you to the classical Traditional Chinese Medicine views on stress, anxiety and depression. It looks at the energies involved in each and outlines treatment of stress and anxiety with acupuncture and with lifestyle changes and provides basic acupuncture recommendations for stress and mild anxiety

Approved For Continuing Education Credit in Illinois, Kansas, and Missouri.
PACE courses are accepted for Continuing Education Credit by The State Boards of Alaska, Connecticut, District of Columbia, Idaho, Indiana, Iowa, Kansas, Maine, Maryland, Massachusetts, Minnesota, Montana, Nebraska, Nevada, New Hampshire, New Jersey, North Carolina, North Dakota, Ohio, Oregon, Rhode Island, South Carolina, South Dakota, Utah, Vermont, Virginia, Washington, and Wyoming. The State Board of Colorado does not pre-approve courses, but this class meets the criteria set forth by their respective boards.

Medicare Billing and Coding
Dr. Ron Short, DC, MCS-P, CPC, CPCO
chiromedicare@gmail.com
4 hours of Medicare/Documentation $60.00 $49.00
Medicare has very specific requirements for coding procedures and conditions and for billing those codes. This series will teach you the details of coding and billing. Additionally, you will learn the importance of Medicare reviews and how to respond to them. Finally, Medicare has a new ABN form which is mandatory starting January 1, 2021.

Approved For Continuing Education Credit in Illinois, Kansas, and Missouri.
PACE courses are accepted for Continuing Education Credit by The State Boards of Alaska, Connecticut, District of Columbia, Idaho, Indiana, Iowa, Kansas, Maine, Maryland, Massachusetts, Minnesota, Montana, Nebraska, Nevada, New Hampshire, New Jersey, North Carolina, North Dakota, Ohio, Oregon, Rhode Island, South Carolina, South Dakota, Utah, Vermont, Virginia, Washington, and Wyoming. The State Board of Colorado does not pre-approve courses, but this class meets the criteria set forth by their respective boards.

Stress, Anxiety & Depression in Traditional Chinese Medicine, Part 1
Jenny L. Crosby Wiemann D.C.
drcrosby@crosbychiropractic.com
4 hours of Acupuncture $60.00 $49.00
This 4 hour class introduces you to the classical Traditional Chinese Medicine views on stress, anxiety and depression. It looks at the energies involved in each and outlines treatment of stress and anxiety with acupuncture and with lifestyle changes and provides basic acupuncture recommendations for stress and mild anxiety.

Approved For Continuing Education Credit in Illinois, Kansas, and Missouri.
PACE courses are accepted for Continuing Education Credit by The State Boards of Alaska, Connecticut, District of Columbia, Idaho, Indiana, Iowa, Kansas, Maine, Maryland, Massachusetts, Minnesota, Montana, Nebraska, Nevada, New Hampshire, New Jersey, North Carolina, North Dakota, Ohio, Oregon, Rhode Island, South Carolina, South Dakota, Utah, Vermont, Virginia, Washington, and Wyoming. The State Board of Colorado does not pre-approve courses, but this class meets the criteria set forth by their respective boards.

East Meets West Tongue and Nail Diagnosis
Jenny L. Crosby Wiemann D.C.
drcrosby@crosbychiropractic.com
4 hours of Acupuncture $60.00 $49.00
This 4 hour class looks at both Western “pay attention” tongue and nail moments and Traditional Chinese Medicine diagnoses. For the beginner student looking to gain some understanding of tongue diagnosis, it will also help you with nutritional deficiencies and other western systemic diagnosis.

Approved For Continuing Education Credit in Illinois, Kansas, and Missouri.
PACE courses are accepted for Continuing Education Credit by The State Boards of Alaska, Connecticut, District of Columbia, Idaho, Indiana, Iowa, Kansas, Maine, Maryland, Massachusetts, Minnesota, Montana, Nebraska, Nevada, New Hampshire, New Jersey, North Carolina, North Dakota, Ohio, Oregon, Rhode Island, South Carolina, South Dakota, Utah, Vermont, Virginia, Washington, and Wyoming. The State Board of Colorado does not pre-approve courses, but this class meets the criteria set forth by their respective boards.

Topics in Radiology for the Practicing Chiropractor, Part 1
Aaron Welk, DC, DACBR
aaron.welk@gatewayrad.com
4 hours of Radiology $60.00 $49.00
This lecture will highlight frequently encountered variation in spinal and extremity anatomy that can be seen on x-ray or or advanced imaging. We will discuss the clinical implications, or lack thereof, related to these anomalies.  We will discuss contraindications to HVLA adjusting associated with certain anomalies and if additional imaging is needed prior to the application of chiropractic adjustments.  
Objectives: This course will focus on spinal and extremity anatomic variants and the clinical significance of such variants, with specific attention to the clinical significance of or presentation of anomalies, including dysplasia syndromes.  The imaging presented with this course will cover X-ray, CT, and MRI modalities.

Approved For Continuing Education Credit in Illinois, Kansas, and Missouri.
PACE courses are accepted for Continuing Education Credit by The State Boards of Alaska, Connecticut, District of Columbia, Idaho, Indiana, Iowa, Kansas, Maine, Maryland, Massachusetts, Minnesota, Montana, Nebraska, Nevada, New Hampshire, New Jersey, North Carolina, North Dakota, Ohio, Oregon, Rhode Island, South Carolina, South Dakota, Utah, Vermont, Virginia, Washington, and Wyoming. The State Board of Colorado does not pre-approve courses, but this class meets the criteria set forth by their respective boards.

Infection: Concerning Trends for the Chiropractor
D. Robert Kuhn, D.C., DACBR, ART®
robert.kuhn@logan.edu
4 hours of Diagnosis $60.00 $49.00
Not all back and joint pain is the result of benign, mechanical musculoskeletal syndromes. Every so often there are patients who, despite our best efforts, fail to appropriately respond to our care.  In those few situations we must rule out the possibility the patient’s symptoms are due to serious conditions like tumor or infection.  It isn’t easy to know there is a more concerning underlying problem before we adjust/treat this type of patient.  Which makes our recognition of their response to our care so important.  This presentation includes cases of misdiagnosis and a delay in proper management.  This class will take a close look at the common causes of osteomyelitis and septic arthritis; plus the concerning rising trend of resistant strains.  This is a class you can’t afford to miss since the focus is on conditions you can’t afford to miss for your patient’s well-being.

Approved For Continuing Education Credit in Illinois, Kansas, and Missouri.
PACE courses are accepted for Continuing Education Credit by The State Boards of Alaska, Connecticut, District of Columbia, Idaho, Indiana, Iowa, Kansas, Maine, Maryland, Massachusetts, Minnesota, Montana, Nebraska, Nevada, New Hampshire, New Jersey, North Carolina, North Dakota, Ohio, Oregon, Rhode Island, South Carolina, South Dakota, Utah, Vermont, Virginia, Washington, and Wyoming. The State Board of Colorado does not pre-approve courses, but this class meets the criteria set forth by their respective boards.

Evidence-Based Evaluation and Management Of Common Lower Back Conditions
Advanced Chiropractic Orthopedics
Joshua R. S. Browning, DC, FIANM(us)
drbrowning@dcpowerhours.com
4 hours of Diagnosis $60.00 $49.00
New research is being published daily in various journals all over the world and keeping up can be daunting. While some research is excellent, some lacks a scientific basis. How does the chiropractor keep up? If you are wanting a refresher on the most up-to-date, research-based evaluation and management techniques for common lower back disorders, then this is the class for you! Conditions including facet pain, disc pain, sciatica, sacroiliac pain and lumbar stenosis are taught on the chiropractic orthopedist level. This course will improve both your diagnostic and treatment skill sets.

Approved For Continuing Education Credit in Illinois, Kansas, and Missouri.
PACE courses are accepted for Continuing Education Credit by The State Boards of Alaska, Connecticut, District of Columbia, Idaho, Indiana, Iowa, Kansas, Maine, Maryland, Massachusetts, Minnesota, Montana, Nebraska, Nevada, New Hampshire, New Jersey, North Carolina, North Dakota, Ohio, Oregon, Rhode Island, South Carolina, South Dakota, Utah, Vermont, Virginia, Washington, and Wyoming. The State Board of Colorado does not pre-approve courses, but this class meets the criteria set forth by their respective boards.

Clinical Prediction Rules & Predicting Successful Interventions
Advanced Chiropractic Orthopedics
Joshua R. S. Browning, DC, FIANM(US)
drbrowning@dcpowerhours.com
Diagnosis – 2 hours $30.00 $29.00
Have you ever wondered why some patients improve while others don’t? Did you know that there are some clinical “recipes” that predict success? This class reviews some of the most commonly used chiropractic clinical prediction rules. The attendee will learn various rules which apply to the cervical and lumbar spinal regions, as well as how to apply them in clinical practice. This class is guaranteed to improve your clinical outcomes while adding clarity to the diagnostic process.

Approved For Continuing Education Credit in Illinois, Kansas, and Missouri.
PACE courses are accepted for Continuing Education Credit by The State Boards of Alaska, Connecticut, District of Columbia, Idaho, Indiana, Iowa, Kansas, Maine, Maryland, Massachusetts, Minnesota, Montana, Nebraska, Nevada, New Hampshire, New Jersey, North Carolina, North Dakota, Ohio, Oregon, Rhode Island, South Carolina, South Dakota, Utah, Vermont, Virginia, Washington, and Wyoming. The State Board of Colorado does not pre-approve courses, but this class meets the criteria set forth by their respective boards.