Annual Conference
Two days of advanced clinical training, imaging, research, and case studies with the doctors moving this work forward, November 6–7 at the Pierce Clinic of Chiropractic, St. Petersburg.
- ✓Explore what’s new in CBCT, 3D analysis, research, and the AdvO protocol
- ✓Put updated analysis and clinical concepts into practice in two supervised labs
- ✓Earn 14 CE hours through Sherman College of Chiropractic
- ✓Spend two days with the doctors researching, refining, and advancing the work
From 2027, the Annual Conference is held the third Friday–Saturday of October every year. Subject to change.
Full refund if you cancel 30 or more days before the seminar; inside 30 days, credit toward another seminar.
This year’s theme: Inflection Point.
An inflection point is the place on a curve where its direction changes. The Institute and the technique are at one: modernizing the work while building on the foundation that brought us here. Across two days at the Pierce Clinic of Chiropractic, the home of Advanced Orthogonal, the program takes that on directly: cone-beam CT and three-dimensional analysis of anatomical position and spatial relationships; updated terminology and corrective positioning; Sonus: Blueprint; the practice-based research project; and the clinical questions that decide whether a correction holds.
Thirteen presenters, fourteen instructional hours, and the case studies that only this community can share. It is also the Institute’s working weekend, where the membership’s voice shapes the year ahead: the research initiative, the instructor pathway, and the announcements for 2027.
Two days, one room, the doctors moving this work forward.
A few of the talks you won’t want to miss
Clarifying the Dizzy Factor
The short chain of questions and the bedside tests that sort out the dizzy patient fast, then a hands-on lab to practice them in pairs.
Cone-Beam CT in Upper Cervical Practice
What CBCT shows that plain X-ray cannot, which cases call for it, patient safety and dose, and what adopting it takes in a working clinic.
Upper Cervical Misalignments in Operator Syndrome
Clinical lessons from caring for combat veterans, with a detailed case and a nonprofit care pathway for veterans.
Practice-Based Research
How the Institute’s research project works inside a working practice, and how you can take part and add your cases.
Register for the Annual Conference
November 6–7, 2026 · 8:00 AM–6:00 PM both days · Pierce Clinic of Chiropractic, St. Petersburg, FL · 14 CE hours through Sherman College of Chiropractic.
Members and chiropractic college faculty still register; the fee comes off at checkout. Members: sign in first so we can see your membership.
Why doctors come to the Conference
Practical Clinical Topics
The dizzy patient, why a correction doesn’t hold, scar tissue, and more, with two hands-on labs where you practice what you’ve just learned.
Your Colleagues, in One Room
Talk through hard cases with doctors who do what you do, and keep up with imaging and research together instead of on your own.
14 CE Hours
Live, in-person instruction through Sherman College of Chiropractic. Check your state’s status below.
Shape the Year Ahead
The research project, the instructor pathway and the 2027 announcements happen here, with members in the room.
13 presenters, one weekend
Tap a presenter to read their bio. Swipe or tap the arrows to see everyone.
Dr. Josh Silver
- FRI NOV 6 · 9:00 AMCervical-Vestibular-Ocular Rehabilitation
Dr. Josh Silver trained for five years at the Pierce Clinic of Chiropractic under Dr. Pierce Sr., the founder of the Advanced Orthogonal technique, and went on to serve on the Advanced Orthogonal Institute board as a technique instructor. A graduate of Life Chiropractic College West, he completed his DACNB through the Carrick Institute and has built several tools now used in AdvO practice, including a laser positioning system, 3D-printed instruments, and CBCT analysis software for the upper cervical spine. He leads Neuroplasticity St. Pete in St. Petersburg, Florida, integrating structural correction with neurological rehabilitation.
Who is this conference for?
What to expect
What you'll learn
How the time is spent
Registration, Breakfast & Vendor Hall
Check-in with photo ID, coffee, and the vendor floor opens. Breakfast from 8:00.
Welcome and CE Housekeeping
Opening remarks, the weekend overview, and sign-in and sign-out instructions.
Cervical-Vestibular-Ocular Rehabilitation
How the upper cervical spine, vestibular system, and oculomotor control interact — and how rehabilitating that triad supports and extends the correction in post-concussion, dizziness, and chronic cases.
Clarifying the Dizzy Factor — Part 1
A hands-on approach to getting to the right diagnosis, fast: the short chain of questions that narrows the field, then the bedside tests that separate BPPV, vestibular, cardiovascular, central, and cervicogenic causes.
Upper Cervical Misalignments in Operator Syndrome
Clinical insights and case-based approaches for treating combat veterans, including a detailed case of Multiple System Atrophy with dysautonomia and a nonprofit care pathway for veterans.
Vendor-Sponsored Lunch
Lunch in the vendor hall.
Why the Correction Doesn’t Hold
Upper cervical muscle analysis and soft-tissue reactivation: a structured analysis of suboccipital muscle, ligament, and capsule, and a reactivation technique aimed at restoring normal tone and mechanoreceptor input.
Clarifying the Dizzy Factor — Part 2
Supervised hands-on laboratory. Participants work in pairs to practice each bedside test from Part 1 until the sequence is reliable.
Vendor Break
Thirty minutes on the vendor floor.
Updated Terminology, Corrective Positioning & Sonus Worksheets — Part 1
The updated Advanced Orthogonal terminology and each step of the corrective setup, with worksheets completed and reviewed in session.
Updated Terminology, Corrective Positioning & Sonus Worksheets — Part 2
Supervised laboratory: the corrective setup sequence performed on partners under instructor observation, with correction on each step.
Breakfast & Vendor Hall
Coffee, breakfast, and a second pass through the vendor floor.
Day Two Welcome and CE Housekeeping
Sign-in reminders and the day’s overview.
Cone-Beam CT in Upper Cervical Practice
Three-dimensional analysis and case selection: what CBCT shows that plain X-ray cannot, patient safety and dose, and what adopting CBCT involves in a working clinic.
CBCT and Three-Dimensional Reference Frames
The evolution of vector analysis: reference frames, coordinate systems, and the relationships between patient positioning, instrument orientation, and vector application in true three-dimensional space.
Scar Tissue and the Atlas
Finding and clearing fibrous adhesion in the cervical spine by hand — where it accumulates, how it feels, which patterns point to a tether on the atlas — and the Joint Clearing Technique for releasing it.
Lunch & Vendor Hall
Last pass through the vendor floor.
Upper Cervical Case Studies
Three twenty-minute case presentations: complex neurological presentations resolved through upper cervical care; From BJ to Blueprint, the evolution of orthogonal work; and managing the complex patient.
Teaching Is a Clinical Skill
Maintaining procedural fidelity through mentoring: how psychomotor skill is transferred, how to spot the specific procedural error, and the competencies a doctor must show to teach the procedure.
Practice-Based Research — Part 1
Study design and outcome measurement: the clinical question, the design, how outcomes are defined and measured, and what data collection looks like inside a working practice.
Practice-Based Research — Part 2
Case selection and data collection: screening sample presentations against the criteria, completing the instruments correctly, and the record-keeping and consent obligations of participation.
Closing Announcements
Closing remarks, the 2027 seminar announcement, and the presale opening.
TAP ANY INSTRUCTOR PILL FOR THEIR BIO
14 CE hours through Sherman College of Chiropractic
Live, in-person instruction only. Sixty minutes of instruction counts as one CE hour; sign in and out of every session, with photo ID, to receive credit. No partial credit within a block.
CE counts in British Columbia, Colorado, Connecticut, Delaware, District of Columbia, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Montana, Nebraska, New Jersey, New York, Newfoundland, North Carolina, Ohio, Ontario, Oregon, Puerto Rico, Quebec, Rhode Island, South Carolina, Utah, Vermont, Virginia, Washington, Wyoming. Pending: Florida, New Hampshire.
Approval numbers, states not covered and special cases
- New YorkAOI112026
- KansasAOI112026
- MissouriAOI112026
- Georgia20-1408759
- North Carolina20-1408759
- MinnesotaMBCE ID #91129
- Puerto RicoApproved territory
Colorado · Connecticut · Delaware · District of Columbia · Idaho · Indiana · Maryland · Massachusetts · Michigan · New Jersey · Ohio · Rhode Island · South Carolina · Utah · Vermont · Virginia · Washington · Wyoming · Newfoundland · Ontario
Illinois · Iowa · Montana · Nebraska · Oregon · British Columbia · Quebec
Alabama · Alaska · Arizona · Arkansas · California · Hawaii · Kentucky · Louisiana · Maine · Nevada · New Mexico · North Dakota · Oklahoma · Pennsylvania · South Dakota · Texas · West Virginia · Wisconsin · Nova Scotia · Saskatchewan
- Mississippi Sherman does not apply to Mississippi; attendees may apply to the Mississippi Board directly as a licensed DC.
- Tennessee Sherman does not apply to Tennessee; the hosting organization applies to the TN board directly.
- Alberta Attendees are responsible for confirming the activity meets provincial requirements.
- New Brunswick The NBCA no longer pre-approves courses; eligibility rests with the member.
Sherman College is a CCE-accredited college, so applications are not made to states listed as Auto Approval or DC Self; check with your board that the content falls within its scope requirements. Missouri: approval of this course is not a ruling by the Board that the methods taught are the appropriate practice of chiropractic as defined in Section 331.010, RSMo. The opinions and statements of the speakers do not necessarily reflect those of Sherman College.
Frequently Asked Questions
Is the Conference included in membership?
Yes. Registration is part of AOI membership. Sign in when you register and the fee is waived. Members add the 14 hours of CE credit for $50.
How many CE hours can I earn?
14 hours through Sherman College of Chiropractic, for live, in-person attendance. Sign in and out of every session with photo ID to receive credit.
Where is it held?
At the Pierce Clinic of Chiropractic in St. Petersburg, Florida.
What are the hours?
8:00 am to 6:00 pm both days. Doors open at 7:00 am on Friday for registration and breakfast.
Do I need to be an Advanced Orthogonal doctor?
No. The program is built for upper cervical doctors of every technique, as well as students and chiropractic college faculty.
Can students and faculty attend?
Yes. Students register at $347. Chiropractic college faculty attend free; register as faculty and the Institute confirms your seat.
Be in the room in St. Petersburg.
Included with AOI membership · two days at the home of Advanced Orthogonal
Related training
Fundamental 3
Learn the corrective setup, where a careful analysis becomes a consistent correction.
AdvO Intensive
One day to learn the procedure. One day of hands-on training. Come ready to jump in and move fast.
AdvO Bootcamp
Five days of lecture, hands-on training, guest experts, research updates — and the Friday night awards dinner.