Registrants must have completed at least one ROA1 course in a previous year. Email cme@the-promise.org with proof in order to register.
Total Credits: 24 including 24 AOA Category 1-A
Hotel booking info: (see also under Hotel Information Tab)
Also: see updated Covid protocol (see Required Covid Protocol Tab)
To register, please contact staff at cme@the-promise.org or by calling our office at 619-548-8815.
Note: Content is subject to change as the ROA Faculty is providing more details. Category A-1 CME credit approval is pending - faculty exemption request has been submitted.
The aim of this course is to apply the principles and practice of Dr. A.T. Still based on a study of Dr. Still’s published works and utilizing the palpatory skills developed whilst following Dr. Sutherland’s Teachings within the Science of Osteopathy. Consideration is given to some newly described anatomy associated with the control of cerebral circulation. The course then reviews some of the functional relationships between the heart and other organs. The course will have a clinical orientation, based on the material presented and the skills developed in ROA 1, and will expand to consider the place of emotion in dysfunction, an approach in the treatment of mother and baby, and hypertension. The course will finish with a new perspective of the CV4 and the many rhythms of life.
“Thus we find the heart to be the mother of all…” Dr. Andrew Taylor Still
1. The Biotensegrity of the Vasculature will explore how vascular fulcra integrate Dr. Sutherland’s model of the PRM with Dr. Still’s principle of the rule of the artery and vein. The functions of the PRM are expressed through vascular tensions with the heart as a biophysical and biomechanical fulcrum.
2. Invisible Rainbows : Charge and Function – how Electro-Magnetic Fields are affecting health: Dr Still spoke of the body’s electrical function as an integral component of its nature. We are living in an increasingly charged environment and some are not coping too well. This lecture introduces 2 models to possibly explain why. The practical explores the implication of excess EMF on our physiology.
3. The vascular interface with the Cerebrospinal fluid; CSF flow dynamics; CSF peptides and cerebral tone.
4. The periosteal membrane will be presented as a continuous functional membrane which resolves the tensions between voluntary and involuntary movements. This will include the fluctuation and function of bone fluid in relation to the physiology and function of bone marrow and the stem cell niche.
5. The spirals of Life lecture developed from an interest in the Fibonacci sequence. It proposes a model of membranous connection between the RTM and the architecture of the heart. This relationship is explored in the practical.
6. Heart as Emperor : Understanding and exploring Ventricular vortex mechanics. This will include blood cavitation and blood volume, and the role of the heart’s trabecular complexes and Thebsian veins in the development of the heart’s code.
7. Kidney and Adrenals: this lecture is an overview of the multiple functions of the kidney and adrenal, and their relationship to the heart and vasculature. This relationship is developed in the practical sessions and will explore the functional dynamics associated with the increasing depth of the vasculature into the glands.
8. The function, anatomy and physiology of the midbrain and cavernous sinus will be investigated in relation to neurodegenerative disorders and brain trauma. 9. The integration of the heart and brain in cognitive function.
Andrew Taylor Still, MD, DO, the founder of Osteopathy, made the pronouncement,
“The rule of the artery is universal.” His student, William Garner Sutherland, DO said, “The rule of the artery is supreme; the CSF is in command.” This course, developed by osteopaths in Australia and New Zealand, seeks to teach these principles and the requisite skills for Osteopaths to evince these truths using osteopathic palpatory diagnosis and treatment. The student of this course will learn:
Upon completion of this course, the participant will learn:
1. How to palpate the flow of blood in the heart and arteries.
2. The quality of spiral flow and turbulent flow.
3. The embryology and anatomy of the cardiovascular system.
4. The routes of venous return and the quality of that palpated blood flow.
5. The anatomy of the lymphatics and palpating that flow.
6. The anatomy of the heart, lungs and mediastinum.
7. How the heart is a generator, the brain a battery, and the autonomic nervous system the intermediary.
8. How the functions of primary respiratory mechanism are expressed through vascular tensions with the heart as a biophysical and biomechanical fulcrum.
9. Two models explaining how Electro-magnetic fields could be affecting health and palpating those effects in the body.
10. The vascular interface with the cerebrospinal fluid, including its effects on CSF flow dynamics, CSF peptides and cerebral tone, and palpating those effects.
11. How the periosteum functions as a continuous functional membrane which resolves the tensions between voluntary and involuntary movements, and palpating this effect.
12. A model of the membranous connection between the reciprocal tension membrane and the architecture of the heart.
13. Cardiac ventricular vortex mechanics and the role of physics of the blood fluid and anatomic structures of the heart.
14. The relationship of the heart to the functions of the kidneys and adrenals and palpatory findings of that functional dynamic.
15. The functional anatomy and physiology of the midbrain and cavernous sinus, and its relation to neurodegenerative disorders and brain trauma.
16. The integration of the heart and brain in cognitive function.
TARGET AUDIENCE
Medical physicians (DO or MD only).
ELIGIBILITY REQUIREMENTS & PREREQUISITES
Target audience must have successfully completed at least one ROA1 course.
To apply for registration, email us at cme@the-promise.org.
COURSE LOCATION
Osteopathic Center San Diego
3706 Ruffin Road, San Diego, CA 92123
** if there are more than 30 registrants, the location will be moved to the Hilton (below)
LODGING
Hilton Garden Inn San Diego Mission Valley Stadium
3805 Murphy Canyon Road, San Diego, CA 92123 (1/2 mile from OCSD)
** NOTE ** Group Room Rates and Booking information and links will be added closer to the date.
| Brochure / Agenda (402.4 KB) | 8 Pages | Download |
| ROA2/3 Resources - links to Video Clips (79.4 KB) | 1 Pages | Available after Purchase |
| ROA 2/3 Introduction slides (985.5 KB) | 4 Pages | Available after Purchase |
| Acute and Time-Course Effects (175.6 KB) | 1 Pages | Available after Purchase |
| Cardiac Autonomic Response After Cranial Technique of the Fourth Ventricle (169.9 KB) | 1 Pages | Available after Purchase |
| Cerebral Perfusion and OMT Tamburella 2019 (1.2 MB) | 10 Pages | Available after Purchase |
| Cerebral Perfusion and OMT (321.1 KB) | 2 Pages | Available after Purchase |
| Craniosacral Rhythm - Reliability and Relationships with Cardiac and Respiratory Rates (1.8 MB) | 7 Pages | Available after Purchase |
| CV4 and Hypertension (169.8 KB) | 1 Pages | Available after Purchase |
| Effects of Osteopathic Manipulative Therapy on Arrhythmias (123.5 KB) | 1 Pages | Available after Purchase |
| Effects of osteopathic Treatment on Pulmonary Function and Chronic Thoracic Pain after Coronary Artery Bypass (882.8 KB) | 9 Pages | Available after Purchase |
| Pulmonary Function and Chronic Thoracic Pain after Coronary Artery Bypass (1.7 MB) | 7 Pages | Available after Purchase |
| Heart and its osteopathy - literature list (65.1 KB) | 3 Pages | Available after Purchase |
| HRV following OMT (2.3 MB) | 12 Pages | Available after Purchase |
| OCF and Brain Injury (1.8 MB) | 17 Pages | Available after Purchase |
| OCF and HRV 2019 (154.8 KB) | 1 Pages | Available after Purchase |
| OMM in the Treatment of Hypertension - an Alternative Conventional App (331.1 KB) | 1 Pages | Available after Purchase |
| OMT and ANS (1021.4 KB) | 9 Pages | Available after Purchase |
| OMT and ANS Rechberger (890.2 KB) | 14 Pages | Available after Purchase |
| OMT and HRV (1.7 MB) | 7 Pages | Available after Purchase |
| OMT and Vascular Responses (172.3 KB) | 1 Pages | Available after Purchase |
| Osteopathic Considerations in the Management of Chest Pain (2.3 MB) | 8 Pages | Available after Purchase |
| Osteopathic Manipulation as a Complementary Treatment for the Prevention of Cardiac Complications (321 KB) | 7 Pages | Available after Purchase |
| Osteopathic Pain Management and Cardiovascular Diseases (616.1 KB) | 3 Pages | Available after Purchase |
| ROA Case Study and Ref (27.6 KB) | 2 Pages | Available after Purchase |
| Thor HVLA and HRV (249.4 KB) | 9 Pages | Available after Purchase |
| Presentation 1a - Biotensegrity - Waves Within Waves (5.9 MB) | 52 Pages | Available after Purchase |
| Presentation 1b - Biotensegrity of the Vasculature (28.2 MB) | 76 Pages | Available after Purchase |
| Presentation 2 - Dr. Still's Carinae (9.3 MB) | 43 Pages | Available after Purchase |
| Presentation 3 - Structured Water and Body Electric (7 MB) | 45 Pages | Available after Purchase |
| Presentation 4 - Motor Functions of the Forgotten Veins (22.8 MB) | 44 Pages | Available after Purchase |
| Presentation 5 - Interventricular Septum - Shifting Suspended Fulcrum (6.2 MB) | 38 Pages | Available after Purchase |
| Presentation 6 - Heart and Vasculature as Therapeutic Fulcra (19 MB) | 72 Pages | Available after Purchase |
| Presentation 7 - Spleen, GIT and Neurotransmitters (6.7 MB) | 34 Pages | Available after Purchase |
| Presentation 8 - Matrix Dysfunction and Hypertension (5.7 MB) | 50 Pages | Available after Purchase |
| Presentation 9a - Function of the Cavernous Sinus and Mid-Brain (10.9 MB) | 37 Pages | Available after Purchase |
| Presentation 9b - Cavernous Sinus and Neurodegeneration (7.6 MB) | 56 Pages | Available after Purchase |
| Presentation 10 - Heart, Brain and Cognitive Functions (17.1 MB) | 32 Pages | Available after Purchase |
| Presentation 11 - PTSD, Neurogenesis and TBI (21.6 MB) | 54 Pages | Available after Purchase |
| ROA 2/3 Timetable (736.5 KB) | 3 Pages | Available after Purchase |
| ROA 2/3 Outline and Prac (916.5 KB) | 7 Pages | Available after Purchase |
| Shadows of the Mind (3.5 MB) | 10 Pages | Available after Purchase |
Maxwell Fraval, DO (UK) MOSc(Paed) received his undergraduate osteopathic degree in England in 1978 and his masters level degree in pediatric osteopathy in Australia in 1998. He has extensive additional training through post-graduate courses taken in Europe, Australia, and the US. He has been involved in osteopathic teaching throughout his career and in Australia he has been instrumental in the development of several teaching programs and helped found two teaching foundations.
In 2012 he established the Australian Research College of Osteopathic Medicine, Ltd. This is a non-profit public company with the mission of promoting and carrying out educational and research activities. Mr. Fraval has several published papers in osteopathic journals and has contributed chapters for two osteopathic textbooks.
Dr. Fraval is a leading scholar in osteopathic manipulative medicine in general and osteopathy in the cranial field in particular. He, along with his colleagues in Australia and New Zealand, has developed a unique and innovative understanding in his application of osteopathy. He will be sharing this osteopathic knowledge and skills with US physicians who will benefit by being able to incorporate these approaches into their own clinical practices for the benefit of their patients. In addition, many of the US physicians attending the course are themselves teachers in post-graduate education and several of them are faculty at various US colleges of osteopathic medicine. And so there will be significant opportunities for exchange between Dr. Fraval and US faculty from around the country. Another task for Dr. Fraval is to begin to develop a select group of physicians here in the US that can become specialized in this approach and continue a high level of teaching in this subject.
Michael Solano, BSc(HM) DipED(Sec) BAppSc(Osteo), received his osteopathic degree in 1992 in Australia. He has extensive additional training through post-graduate courses taken in Australia and the US. He has been very actively involved in post-graduate osteopathic teaching since 2009, including in a number of European countries. He is associated with and teaches for the Australian Research College of Osteopathic Medicine, Ltd. Particular areas of expertise in his teaching are anatomy and embryology. Mr. Solano was an editor of the Australian Osteopathic Journal for five years.
Mr. Solano was a lecturer of the OCF Fundamentals for the Osteopathic Summer & Winter Schools. During the same time, he has been teaching the ROA I and 2 courses in Australia, Europe and the USA. Dr. Solano has experience with organizing and lecturing multiple courses, please find a list of these courses in his CV. Mr. Solano is a leading scholar in osteopathic manipulative medicine in general and osteopathy in the cranial field in particular. He, along with his colleagues in Australia and New Zealand, has developed a unique and innovative understanding in his application of osteopathy. He will be sharing this osteopathic knowledge and skills with US physicians who will benefit by being able to incorporate these approaches into their own clinical practices for the benefit of their patients. In addition, many of the US physicians attending the course are themselves teachers in post-graduate education and several of them are faculty at various US colleges of osteopathic medicine. And so there will be significant opportunities for exchange between Dr. Solano and US faculty from around the country. Another task for Dr. Solano is to begin to develop a select group of physicians here in the US that can become specialized in this approach and continue a high level of teaching in this subject.
COVID-19 Protocol and other relevant public health challenges for Live Events - Updated March 23, 2023
The County of San Diego has updated its Health Order to match the recent changes from the California Dept of Public Health Order.
Updated Requirements for Masking in High-risk and Health Care Settings
Beginning April 3, masks will no longer be required in indoor high-risk and health care settings. This includes health care, long-term care, and correctional facilities as well as homeless, emergency, and warming and cooling centers. This change takes effect on Monday, April 3 to allow local health departments and individual health care facilities to develop and implement plans customized to their needs and local conditions to continue to protect Californians through the end of the winter virus season. CDPH's recommendations for the use of face masks for individuals in non health care settings remain unchanged.
See masking guidance (https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/Guidance-for-Face-Coverings.aspx).
OPC will continue to follow CDPH and County of San Diego health orders. Review the current guidance for the Use of Face Masks until April 2, 2023. Please contact us directly at director@the-promise.org with any questions.
POLICY: UPDATED COVID PROTOCOL AND GUIDELINES FOR LIVE COURSES AS OF April 3, 2023
** The requirements and guidelines listed below apply to the Osteopathic Center San Diego healthcare and teaching facility which the Osteopathic Promise to Children operates. In the event registrations for live CME events exceed the capacity of OCSD for a given course, the respective course location could be moved to the nearby appropriate venue and any new considerations, requirements or guidelines required will be provided to registrants. Any changes by the CDC, State or County public health officers or other relevant agencies, will be reviewed and necessary changes with our protocol will be provided to the registrants.
Osteopathy’s Promise to Children is committed to the Osteopathic Center San Diego physicians, patients, staff and learners. We closely monitor COVID-19 and other relevant public health challenges prevalent in San Diego and surrounding counties, adjusting live course attendance limits and protocol guidelines as necessary.
OPC’s policy is to follow all CDPH and County of San Diego public health orders. For questions regarding current guidance for the Use of Face Masks until April 2, 2023 use previous link. Please contact us directly at director@the-promise.org with any questions.
April 3, 2023 - New CDPH Requirements and Guidelines for Live (In-Person) Course and Conference Attendees at Osteopathy’s Promise to Children (OPC) Events:
Updated Requirements for Masking in High-risk and Health Care Settings
(Beginning April 3, 2023 new requirements from CDPH) Masks will no longer be required in indoor high-risk and health care settings. This includes health care, long-term care, and correctional facilities as well as homeless, emergency, and warming and cooling centers. This change takes effect on Monday, April 3 to allow local health departments and individual health care facilities to develop and implement plans customized to their needs and local conditions to continue to protect Californians through the end of the winter virus season. CDPH's recommendations for the use of face masks for individuals in non health care settings remain unchanged. See masking guidance (https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/Guidance-for-Face-Coverings.aspx).
Current (pre April 3, 2023) OPC recommended guidelines for activities within the Osteopathic Center San Diego (OCSD)
Attendance/participation in any event at OCSD implies adherence to all course public health requirements and guidelines as described below. Prior to attending an event at the OCSD please review and observe all applicable state and local COVID-19 or other public health travel guidance, resources and/or restrictions:
Attendees must attest that they understand and accept the inherent risk (no matter the magnitude) associated with being within groups of people in an indoor setting.
Attendees are recommended to be vaccinated to the level recommended by the CDC and considered typical for active health care workers.
While participating in an OCSD educational activity but not actively at the Center, please consider your fellow students’ health and safety through your judgment, behaviors, and activities while enjoying all that San Diego has to offer.
Face masks will be required indoors during instructional periods, however there may be brief periods of removal as required by the curriculum. Masks and shields will be available for students as needed.
Recommended face masks include N-95, KN-95, or KF-94 masks. An acceptable face covering/face mask DOES NOT include a scarf, ski mask, balaclava, bandana, gaiter, turtleneck, collar, plastic face shield, or cloth masks.
Attendees who are or become symptomatic in an infectious nature during an educational activity are requested to take an antigen test for COVID-19. Tests will be supplied by OCSD. A positive test will require the student to cease live educational activities at OCSD. A negative test will, at the discretion of the course director, allow for the the student to continue to participate in the live course with enhanced use of PPE - as well as a repeat antigen test the following day in multiple day educational activities
If an attendee has received a positive COVID-19 test result of any kind within the past 30 days, attendees must attest it has been at least 10 days since a negative COVID-19 infection, and they are currently asymptomatic to participate live at an OCSD activity.
Cancellation and Refund Policy
OPC reserves the right to change the delivery format, delay, or cancel a CME event due to any unforeseen circumstances. If an event is canceled, OPC will refund your registration fee in full. OPC will not be held responsible for the registrant's travel, hotel or other costs incurred resulting from the cancellation. Substitutions of other CME events may be made at any time without an additional charge; email cme@the-promise.org with your request. Refunds will be issued for all cancellations received two weeks prior to the start of the event. However, an administrative fee of $100.00 will be charged for all refunds. “No shows” are subject to the full CME event fee. Cancellations/substitutions must be made in writing by email to cme@the-promise.org. No refunds or credits will be issued once the CME event has started.
Hotel Booking:
Note: The cut-off date to make reservations for ROA1 is Wednesday, April 5th, 2023.
Hotel Contact:
Mario Martinez
Sales Coordinator
HILTON GARDEN INN San Diego Mission Valley/Stadium
3805 Murphy Canyon Road, San Diego, CA 92123
T 858-278-9300 D 858-503-2545 F 858-571-2997
HILTON GARDEN INN San Diego Mission Valley/Stadium
3805 Murphy Canyon Road, San Diego, CA 92123
Block of rooms will be reserved for this course at the rate on the link above.
TARGET AUDIENCE
Medical physicians (DO or MD) and International Osteopaths are welcome to apply.
ELIGIBILITY REQUIREMENTS & PREREQUISITES
Target audience must have successfully completed at least one ROA1 course.
To apply for registration, email us at cme@the-promise.org.
You cannot attest to your attendance until the entire course is complete (ie. after 5pm on Monday).
