Triple board certified in Chiropractic, PM&R, and Pain Medicine — combined with two doctoral degrees, a pain medicine fellowship, and a decade of hands-on clinical practice. A credential profile that stands alone in interventional pain medicine.
Dr. Migdale is on track to be triple board certified — in Chiropractic (NBCE, 2008), Physical Medicine & Rehabilitation (ABPM&R Part 1 passed August 2025, Part 2 scheduled May 2026), and Pain Medicine (ABPM&R, upon fellowship completion). Combined with two doctoral degrees and training at nationally recognized academic medical institutions, this credential profile is extraordinarily rare.
Dartmouth-Hitchcock Medical Center · Lebanon, NH · 2025–2026
Comprehensive ACGME-accredited fellowship with training in fluoroscopic- and ultrasound-guided procedures, neuromodulation, functional restoration, and multidisciplinary pain management within a leading academic environment.
Corewell Health / Beaumont Health East · Taylor, MI · 2021–2025
Four-year PM&R residency (PGY 1–4) in a collaborative multidisciplinary setting. Completed June 30, 2025. Team physician for Michigan Catholic High School Football League and Kensington Lakes Athletics Association 2021–2025.
American University of Antigua College of Medicine · 2020
Clinical clerkships through Florida International University Graduate Certificate Clinical Core Clerkship Program (2018–2019). Global Brigades participant — Honduras, 2017. Fourth semester Vice President.
Palmer College of Chiropractic West · San Jose, CA · 2008
CA License #DC-31145
Pre-graduate internship with Dr. Fysh, D.C., F.I.C.C.P. (Pediatric Chiropractic). Post-graduate internship with Dr. Hoffmann, D.C. Member of Palmer West Sports Council.
McMaster University · Ontario, Canada · 2024
Advanced Medical Enhancement Certification — Contemporary Medical Acupuncture Program. Completion of structured physician acupuncture curriculum at one of Canada's leading research universities.
Patten University · San Jose, CA (2003–2005) · Pre-Chiropractic
Sonoma State University · Sonoma, CA (2000–2001)
Monterey Peninsula College · Monterey, CA (1997–2000)
Monterey Institute of Touch (1997) · Certified Massage Therapist
A breadth of certifications across clinical, procedural, and regulatory domains.
State of California · Department of Industrial Relations · Division of Workers' Compensation Medical Unit
The California Qualified Medical Examiner (QME) designation is one of the most demanding medical-legal credentials in the United States. To be certified, a physician must: pass a rigorous state-administered written examination; demonstrate active clinical licensure; complete 44 hours of required classroom training and instruction; be individually vetted and approved by the CA Division of Workers' Compensation Medical Unit; and maintain continuing medical education and periodic reappointment.
As a certified QME, Dr. Migdale was authorized by the State of California to conduct independent medical-legal evaluations of injured workers — producing binding written reports used as legal evidence before the Workers' Compensation Appeals Board (WCAB). Her role as QME required her to render expert medical opinions on: causation of injury; work-relatedness; nature and extent of disability; appropriate and necessary medical treatment; and workers' compensation entitlement. She served as a neutral, state-certified expert trusted by labor, management, and the Board alike.
Dr. Migdale was reappointed by the State of California multiple times — with documented appointments through December 15, 2012, December 15, 2014, and a further reappointment through 2016. Each renewal required meeting all CME requirements and re-approval by the DWC Medical Unit. She relinquished her QME certification upon entering medical school, at which point an active clinical practice was no longer maintained.
Industrial Injury Evaluator Certification — International / Chiropractic Association of California · September 2009
Completed 44 hours of required classroom lecture and training, passed the required examination, and was certified as an Industrial Disability Evaluator — a prerequisite pathway to full QME designation.
Active member and emerging leader in the nation's leading pain medicine and neuromodulation societies.
Three accepted conference abstracts and a published quality improvement initiative.
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