June 26, 2017 MICHAEL W. MATHESIE, D.C. 2929 North University Drive; Suite 204 CORAL SPRINGS, FLORIDA 33065 (954) 755-1434 Curriculum Vita Education: Life Chiropractic College (University)/ GA (1988) Doctor of Chiropractic Regents College (Excelsior College), Albany: The University of the State of New York Bachelor of Science Licensure / Board Certificates/ Designations: State of Florida, Board of Chiropractic Medicine, Physiotherapy Qualified (1989) Board Certificate/ License #: CH6082 National Board of Chiropractic Examiners, Part I, Part II, Part III, Physiotherapy (1988) Board Certificate #: 35987 American Chiropractic Rehabilitation Board/ Council on Phys. Therap & Rehabilitation (ACA) 300+ hours of coursework; 3 written exams; 2 practical/oral examinations, (03/12) Diplomate Status: DACRB Board Certified in Physical Rehabilitation (08/12) Board Certificate#:133 American Board of Forensic P.; Council on Forensic Science; Amer. Chiropractic Association 300+ hours of coursework; oral and written examination, (10/10) Diplomate Status: DABFP Board Certified in Chiropractic Forensic Science Board Certificate #: 0059 American Chiropractic Board of Sports Physicians/ Logan Chiropractic College (1993) 120 hrs Certified Chiropractic Sports Physician Board Certificate #: 1880 (CCSP) Inact. American Board of Disability Analysts (1996) (Non-accredited Board) Analyst and Fellow: Inactive Board Certificate #: 3677-96 Certified Laser Practitioner/ Texas Chiropractic College (2011) Designation Granted: (C.L.P.) Certified Health Coach Designation (2007) (CHC) Wellspring Healthcare Professional Practice Experience: Director/ Chiropractor: Mathesie Chiropractic Life Center, Inc., Coral Springs, FL. 11/89 to Present Type of Practice: A full time, solo practice involved with the evaluation and conservative non-surgical treatment of patients with conditions of the spine, joints, muscle system, nervous system, extremities, and other regions related to injury, degeneration, joint dysfunction or unknown causes. The type of patient may be a child, adult, geriatric, male, female, amateur/professional athlete, automobile accident, worker’s compensation, Medicare, Self Pay, H.M.O. or medical insurance type patient. Evaluation consists of consultation, physical, chiropractic, orthopedic, and neurological examinations, x-rays, other diagnostic imaging, other professional consultations, laboratory/diagnostic testing, and other methods. Treatment consists of manual or instrumental spinal adjustments/manipulation, soft tissue therapy, electrical, laser, and thermal modalities, physical therapy, physical rehabilitation and exercise, stabilization, nutritional and other counseling. President/ Director of Physical Medicine: Michael W. Mathesie, D.C., P.A. 05/08 to present Professional Inquiry & Consulting Services, Inc 03/00 to 03/08 Type of Business: A multifunctional corporation that performs fraud review, malpractice review, peer review, medical records review, radiology and medical expert opinions, forensic evaluations for worker’s compensation, automobile accident, health insurance companies, corporations, plaintiff and defense law firms and agencies of the State. The firm supplies clinical consulting for patient management, treatment protocols, and seminars for education to physicians on sports injuries, physical therapy, documentation, record keeping and coding, laws and rules, prevention of medical errors, ethics and boundaries, and risk management. Associate Doctor/ Extern: Chiropractic Life Center, Fort Lauderdale, FL. 09/88 to 10/89 Description of Position: Evaluation and treatment of patients under the supervision of an experienced chiropractor as well as discussing case management and best treatment methods and protocols for patient care. Senior Intern: Life Chiropractic College Public & Research Clinic, Atlanta, GA. 12/87 to 09/88 Description of Position: After passing an oral and written examination, this position allowed for direct supervision of clinicians and patients in the clinic, working side by side with expert researchers and clinic professors. This position allowed participation with research data collection and chiropractic protocols for AIDS patients and other major diseases of the public health system in the Atlanta area. Scholarship was awarded. Professional Appointments/ Selections: Page 2/11 National Board of Chiropractic Examiners: Inter-Rater Reliability Study-Selected Examiner Participant; 05/13 National Board of Chiropractic Examiners: Ethics & Boundaries Examination; Item Developer/Grader; 2013 to Present National Board of Chiropractic Examiners: Part IV, Lead Examiner Team (HIT Team) 2012, 2013; 2014, 2015, 2016, Palmer, FL Florida Board of Chiropractic Medicine: Chairman of the Board; 04/2012 to 11/2012 Florida Board of Chiropractic Medicine: Chairman, Disciplinary Compliance Committee, 12/2011 to 10/2013 Florida Board of Chiropractic Medicine: Vice Chairman of the Board, November 2011 to April 2012 American Chiropractic Association’s Clinical Documentation Committee; Member, September 2011 to 2014 Job Task: Editing, Updating, the ACA Clinical Documentation Essentials for Doctors of Chiropractic National Board of Chiropractic Examiners, Part IV Item/Question Selection Committee, Greeley, CO, June 2010 Florida Board of Chiropractic Medicine: Chairman, Certified Chiropractic Physician’s Assistant Committee, Jan.2010 –Sept.2012 Florida Board of Chiropractic Medicine: Chairman, Probable Cause Panel A: January 2010 to Jan. 2011, Panel C: 12/12, 04/13 National Board of Chiropractic Examiners: Part IV Examiner; November 2009 thought Present Job Task: Measuring the clinical competency for an entry level chiropractic physician on a national level Florida Board of Chiropractic Medicine: Chairman, Continuing Education Approval Committee, February 2009 to January 2010 Florida Board of Chiropractic Medicine: Member: Probable Cause Panel, February 2009 to 2011 Job Task: Determining if the evidence presented from an investigation of a chiropractor reaches the level in which an administrative complaint should be forwarded to the Board of Chiropractic or Dismissed Governor Charlie Crist Appointment/ Senate Confirmed to the Florida Board of Chiropractic Medicine, 2009-2013 Fla. Department of Health, Med. Quality Assur. Compliance Mgmt Unit, Probation Supervisor/Monitor, Brd. of Chiro, 2007-2009 Job Task: a chiropractor receiving discipline may require probation and monitoring. This task requires the monitor to evaluate records, correcting flaws in treatment plans, education in documentation and record keeping, laws, rules and ethics. A report of the monitoring sessions are sent to the Board AHCA, Member of Managed Care Ombudsmen Committee, District 10: Sec. of State Approval Sept.14, 2007-2010, ended 2011 Job Task: Assisting consumers in resolving complaints made regarding denials or other coverage dispute issues from their Florida health insurance. Conferences were conducted with consumers and insurance representatives to mediate disagreements and to expedite the approval of required procedures or supplies. Governor Jeb Bush Reappointment/ Senate Confirmed to the Florida Board of Athletic Training, 2006-2009 Governor Jeb Bush Appointment/ Senate Confirmed to the Florida Board of Athletic Training, 2004-2006 Florida Senior Games Advisory Board: Board Member at Large, December 2005-December 2009 Expert Medical Advisor, Div.of Hlth Qual.Assur, Bur.of Mngd Hlthcare, Workers Comp.Unit, for FL. Judges & AHCA 2005-07 State of Florida, Dept of Health, Testing Services, Exam Developer; Board of Chiropractic: Consultant, 1999-2008 Job Task: Writing, researching, formulating, and psychometrically evaluating test questions for Laws and Rules, Radiology, Physical Diagnosis, and Technique Portions of the Florida Board of Chiropractic Medicine Licensure Examination working together with Department of Health Administrators. Fla. AHCA/DOH, General Counsel Office, MQA Allied Health, Prosecution Unit: Expert Witness Consultant, 1999–Present State of Florida, Dept. of Health: Board of Chiropractic, Test Score Litigation: Expert Witness, 1998 – 2009 State of Florida, Dept. of Health: Bureau of Operations: Chiropractic Examiner, 1998 – 2008 Job Task: Testing & Measuring the clinical competency for an entry level chiropractor on the State level State of Florida, Agency for Healthcare Administration, D.B.P.R., Chiropractic Examiner, 1996 - 1997 State of Florida, Agency for Healthcare Administration, D.B.P.R. Chiropractic Examiner Trainee, 1995 Division of Workers Compensation, I.M.E. Physician List, for Worker’s Compensation Judges, 1991-1993 Broward Community College, Massage Therapy Educational Program, Advisory Board, 2007-2008, Chairman, 2009-2016 Professional Leadership: American Chiropractic Association; Council on Forensic Sciences; Treasurer, 2016-2017 Florida Chiropractic Association; Alternate Delegate for Board of Directors; Broward; 2015 Federation of Chiropractic Licensing Boards; Honorary Fellow: 2014 Broward Director, Florida Chiropractic Association, Board of Directors, 11/2008 to 01/2009 Broward County Chiropractic Society, President, 2007, President 2008 Broward County Chiropractic Society, President Elect, 2006 F.C.A. Council on Sports Injuries, Physical Fitness, and Rehabilitation: Vice President, 1998/99 F.C.A. Council on Sports Injuries, Physical Fitness, and Rehabilitation: President, 1999-2001 F.C.A. Council on Sports Injuries, Physical Fitness, and Rehabilitation: Past President/Treasurer, 2001/2002 F.C.A. Council on Sports Injuries,