Pain is a common complaint and one of the most frequent reasons people seek healthcare. The person training to be a clinician or the practicing clinician can grow frustrated with management of pain because traditional instruction falls short on providing an adequate understanding of pain. The overall goal of this primer is to supplement traditional instruction by providing content that allows the individual that completes this primer to gain a “transformed understanding” of pain consistent with Institute of Medicine guidelines. Primer content will emphasize examples in musculoskeletal pain from selected studies reported in the peer-review literature. Musculoskeletal pain was selected as the core of this primer because of its overall prevalence and high societal impact.

Meet your Instructor

Steven Z. George, PT, PhD, is director of musculoskeletal research (Duke Clinical Research Institute) and vice chair of clinical research (Orthopaedic Surgery) at Duke University. He is an active member of the American Physical Therapy Association, American Pain Society, and International Association for the Study of Pain. He is past program director at the University of Florida, having taught the evidence-based practice sequence for 10 years. His speaking experiences include symposia, educational, and keynote presentations at national and international conferences. In 2016 he was the 21st John H.P. Maley Lecturer, and the title of his lecture was “Pain Management: Road Map to Revolution.”

This course is designed to acquaint the physical therapist and physical therapist assistant with basic knowledge regarding monitoring of heart rate, rhythm and common dysrhythmia’s utilizing an electrocardiogram (EKG). EKG alterations during myocardial ischemia and infarction will be covered. Differentiation of the EKG alterations and dysrhythmia’s will be categorized into non-threatening, potentially dangerous or life-threatening events. Correlation to hemodynamic changes e.g. pulse palpation, arterial line, swan-ganz catheter and heart sounds will also be covered. EKG’s will be presented relevant to various patient populations.

Meet our Presenter

Steven H. Tepper, PT, PhD, FAPTA Dr. Tepper is President of Rehab Essentials, Inc., which powers the transitional DPT program at University of Montana. He is also a “freelance” professor with the Universities of Delaware, George Washington, and Maryland. Dr. Tepper received his BS in Physical Therapy and a PhD in Experimental Pathology from the University of Maryland. He taught at University of Maryland for 12 years and then spent 13 years Shenandoah University where he was a full professor and Director of the entry-level and transitional-DPT programs. He has authored several chapters and peer reviewed journal articles on various topics. His professional highlights include President of the Cardiovascular and Pulmonary Section of the APTA, Task Force Member on Clinical Practice Guidelines III for the APTA, recipient of the Cardiovascular and Pulmonary Sections Linda Crane Merit Award 1999, University of Maryland Alumnus of the Year 2003, Robert C. Bartlett Award for Innovation in Fundraising from the Foundation for Physical Therapy 2005, the APTA’s Lucy Blair Service Award recipient, 2013, Charles Magistro Service Award from the Foundation for PT in 2016, became Catherine Worthingham Fellow in 2016, Awarded the Barbara Cossoy Service Award for an individual who has made extraordinary contributions to the University of Delaware’s Physical Therapy Program 2019 and received the Spirit of Philanthropy Award from the Foundation for PT Research in 2020. Dr. Tepper has a passion for teaching.

This course provides an introduction to clinical informatics applied to multiple heath care settings from a rehabilitation perspective. It provides a context of challenges in the contemporary healthcare environment and conceptual frameworks to address these challenges and enhance value at population and patient levels. A model for translation of evidence into practice is used to explore the pivotal nature of clinical data by leveraging the electronic health record (EHR). Participants will compare real examples of collection and utilization of outcome measures and process measures, and learn key concepts to advocate for EHR build of data collection within feasible workflows. The course will differentiate between several healthcare professionals as our non-traditional partners to achieve value initiatives. A foundation is defined for data security, data privacy, and quality assurance for secondary use of EHR data. Participants will design an outcomes report and a process report. Lastly, EHR add-ons such as wearables and apps are demonstrated to add value to clinical programs.

Meet our Presenter

Kelly Daley, PT, MBA is the Director Rehabilitation Informatics and Analytics for the Department of Physical Medicine and Rehabilitation (PM&R) at the Johns Hopkins Hospital in Baltimore, Maryland. Kelly Daley leads multidisciplinary informatics and analytics initiatives for the department of PM&R at JHH and is faculty at the Johns Hopkins University. She has been a funded member of PCORI study teams focusing on pragmatic physician, therapist, and neuropsychologist care of back pain by leveraging the EMR for clinical decision support and data. She provides invited lectures on topics ranging from informatics to operations in various settings including numerous national DPT programs and conferences sponsored by the APTA and Johns Hopkins as well as others. Her passion is to ensure that the EMR and other hospital systems support a learning organization for clinical quality and value.

SPECIAL NOTICE

The course is designed to be a competency, rather than a typical CEU course. The "recorded time" for the course does not accurately reflect the amount of time the learner will spend. It will take the average learner about 10 hours to complete given the nature of the content, and interaction anticipated by the participant. This course will be useful for a therapist working in a state that allows them to order imaging, but does not have any evidence of being "competent" beyond graduating from an accredited program.

Course Description

This course illustrates peer-reviewed musculoskeletal imaging cases from the archives of the Journal of Orthopedic and Sports Physical Therapy (JOSPT). These cases demonstrate excellent clinical decision skills and appropriate referral to imaging by physical therapists resulting in optimal patient care. The design of the course is interactive. The student is asked to make clinical decisions throughout each case. A valuable feature of this course is the opportunity for the student to make a wrong clinical decision and see how it can lead to adverse consequences. The student is provided rationales to understand why a decision is wrong. The course then returns the student to the critical decision point and allows them to choose a correct action. The cases then proceeds as in actuality, with optimal patient outcomes.

Prior to the cases, an overview of imaging modalities and evidence-based imaging guidelines are presented. The student is tasked with utilizing the American College of Radiology Appropriateness Criteria throughout the cases to emphasize correct choice of patient condition and variant when accessing this standard resource.

Meet our Instructors

Lynn N. McKinnis, DPT, PT, OCS Lynn is currently a Physical Therapist at Concordia Lutheran Ministries in Cabot, PA. She has authored several text books and articles all in the topic area she presents in this course.

Michael E. Mulligan, M.D. Michael is currently a professor in the Department of Diagnostic Radiology and Nuclear Medicine at the University of Maryland School of Medicine.

This course provides an introduction to Population Health Management and builds the context for the essential role that multi-faceted, scale-able health promotion and prevention interventions play in achieving sustainable, value-based health outcomes at national and global levels. This course will lay the foundation for assessing and developing population health initiatives using the social-ecological framework. In Part 1, participants will evaluate the economic burden and prosperity costs of chronic disease management. In Part 2, participants will survey historical and contemporary population health initiatives to close the gap between disease management and sustainable community health. In Part 3, participants will evaluate evidence-based interventions for key health behaviors.

Meet your Instructor

Dr. Jennifer Gamboa, PT, DPT, OCS is the CEO of Body Dynamics, Center for Sustainable Health. A Physical Therapist by training, she founded BDI as an integrated health clinic in 1995. Throughout her practice, she’s seen first-hand the profound changes people can realize when “we meet them where they are,” and help them navigate towards their best self. Working with an integrated team requires courageous collaboration, deep curiosity and respect for multiple approaches, and an understanding that there is always a next small step. Living upstream on the spectrum of health care, Jen and her team have been privileged many times over to help roll clients off medications and maximize their health potential even if living with chronic disease, including Parkinson’s, MS, post-Polio, and post-stroke.

In 2013, Jen began working on the Sustainable Health Index, a health assessment tool, health literacy training program, and communication/engagement platform so that she could scale the upstream health model beyond her bricks and mortar practice and into the employer and population health space. The Sustainable Health Index launched as a commercially viable product in June 2018. SHI provides with Jen the opportunity to impact health at scale in employer settings, university settings, municipalities and even countries. Stay tuned, many interesting projects are coming down the pike.

This course is designed to bring the learner up to Doctor of Physical Therapy entry-level educational competence in the area of women’s and pelvic health physical therapy, primarily in the cognitive domain of learning. The course focuses on pelvic floor dysfunction and management of musculoskeletal dysfunction in the obstetric patient, with some content related to breast cancer. It does not cover osteoporosis, lymphedema, or chronic pain syndromes such as lymphedema; conditions sometimes covered under the women’s health umbrella. These topics, though germane to the area of women’s health, are often covered elsewhere in entry-level curricula as well as in their own continuing education courses.

Meet the Instructor

Jill S. Boissonnault, PT, PhD, is an American Board of Physical Therapy Specialists Certified Specialist in Women’s Health and an Associate Professor at Shenandoah University, Physical Therapy Program where she teaches professional issues, therapeutic exercise related to the spine, women’s health, and research. She teaches continuing education seminars in women’s health physical therapy on musculoskeletal management of obstetrics clients and on pelvic floor dysfunction. Dr. Boissonnault is a past president and founder of the International Organization of Physical Therapists in Women’s Health, a subgroup of the World Confederation for Physical Therapy (WCPT). She received her bachelor of science in physical therapy from the University of Illinois, her master’s in orthopedic physical therapy from Northwestern University, and her PhD from the University of Wisconsin–Madison, in curriculum and instruction with a minor in women’s studies. She has held various leadership positions within the Section on Women’s Health of the American Physical Therapy Association (APTA), including treasurer from 1983–1989, vice president 1995–1999, and education director 2005–2006. In 2000, Dr. Boissonnault was awarded the Elizabeth Noble Award; in 2006, the Wisconsin Physical Therapy Association Mentor of the Year Award, and APTA’s Lucy Blair Service Award; and in 2011, WCPT’s International Service Award. She is the author of numerous professional articles and textbook chapters.

This course will explore the physical therapist’s role as an interdependent practitioner working within a collaborative medical model. Inherent in the responsibilities associated with this role is the ability to recognize clinical manifestations that suggest that physician (e.g., MD, DO) contact is warranted regarding a client’s health status. A proposed examination scheme promoting a more efficient and effective collection and evaluation of the examination data, will be the primary focus. Professional communication with the patient/client and the physician will also be a central theme.

Meet the Presenter

Bill Boissonnault, PT, DPT, DHSc, FAPTA, is executive vice president of professional affairs for APTA. Until recently, he was a professor at the University of Wisconsin-Madison and senior physical therapist at the University of Wisconsin Hospital/Clinics. He earned a bachelor’s degree in physical therapy from the University of Wisconsin-Madison, a master’s degree and doctor of health sciences degree from the University of St Augustine, and a doctor of physical therapy degree from the Institute of Health Professions-Massachusetts General Hospital. He is a fellow of the American Academy of Orthopaedic Manual Physical Therapists. He has published numerous articles related to patient direct access to physical therapist services, consulted with more than 70 hospitals and clinics regarding implementation of Wisconsin’s direct access model, and served on the WPTA task force for promoting the adoption of the model.