Podcasts about physical therapy degree

Franklin J. Rooks Jr. is a graduate of the Philadelphia College of Pharmacy and Science (“PCPS”), where he earned a Bachelor's Degree in Health Science and a Master of Physical Therapy Degree. After graduating from PCPS, he earned a Master of Business Administration (“MBA”), with a concentration in finance, from DrexelUniversity, in Philadelphia, Pennsylvania. Along with his college roommate, he went on to be a founding partner of PRO Physical Therapy, an outpatient physicaltherapy business based in Wilmington, Delaware. At the time that it was sold to the private equity firm KRG Capital, the business had 18 locations in Delaware, Pennsylvania, and Maryland. After selling PRO Physical Therapy, Mr. Rooks earned his juris doctor degree from Delaware Law School. He is licensed topractice law in the State of New Jersey and Commonwealth of Pennsylvania. Mr. Rooks also represents healthcare providers in breachof contract matters and also provides general legal advice pertaining to contracting and compliance with federal and state regulations. Since 2009, Mr. Rooks has been an operating partner of Shore Capital Partners, a private equity firm headquartered in Chicago, Illinois. Currently, he serves on the Board of Directors for Therapy Partners Group, a portfolio company of Shore Capital with 137 outpatient physical therapy clinics primarily located throughout California, Texas, Arizona, and Nevada. After graduating from law school, he and his partner from PRO PhysicalTherapy purchased a single-office occupational medicine business from a hospital system in Delaware. Mr. Rooks and his partner grew the occupational medicine businessto five locations and in 2015, sold it to In-Tandem Capital Partners, a New York-based private equity firm. In 2018, Mr. Rooks and a partner acquired a durable medical equipment business in New Jersey. In 2023, after tripling the business's EBITDA, Mr. Rooks and his partner sold the DME business to a strategic acquirer.  He is currently a partner with Iterum Physical Therapy, and outpatient physical therapy business with locations in Florida and Delaware.Mr. Rooks resides in Chester County, Pennsylvania.   He is married withthree children, 2 sons, one daughter 

Dr. Tabitha Harder is a Women's Health Physical Therapist and Orthopedic Specialist in Brentwood, Tennessee.  She received her Doctorate of Physical Therapy Degree from The University of Tennessee in 2004.  She is a Board Certified Orthopedic Clinical Specialist with the American Physical Therapy Association and is trained in Obstetrics and Postpartum Physical Therapy.  She is an advocate for Women's Health and has a private practice in Brentwood, Tennessee where she provides prenatal and postpartum care for women.     Tabitha is also a pastor's wife and mother of four. She is married to Mike Harder, a pastor of Brentwood Baptist Church. They have four children: Abigail, Violet, Georgia, and Josiah.  Tabitha is active in her local church and serves in various roles. As an adoptive mom, Tabitha values community and support for other foster and adoptive families.  She is honored to support women, families, and vulnerable children in the Middle Tennessee area as a member of the foster and adoption ministry team at Brentwood Baptist Church. Tabitha is also a special needs "Embrace Buddy" where she volunteers with her oldest daughter on Sunday mornings.  They enjoy serving together and being part of a ministry that meets the unique needs of individuals and families impacted by disability.   In this episode, Dr. Harder discusses: What she does every day in her job as a physical therapist to improve healthcare for women in all life stages: prenatal, postpartum, and peri-menopausal   Her passion for educating women on their body's health and seeing the intentionality and design God intended when He created the human body How and why she transitioned to form her own private PT practice and the benefits she has seen by doing that How she images God as a physical therapist How as a pastor's wife, she views her calling in secular work How she navigates being an “influencer” on social media and how she has seen God use Instagram to serve women across the world   Follow Dr. Harder on Instagram. 

Treating and Training Baseball AthletesGuest: Dr. Ryan BuccafurniBio: Ryan received his Doctor of Physical Therapy Degree from Stockton University in 2009. He has 13 years experience practicing orthopedic / sports Physical Therapy with emphasis on the rehab and training with baseball ball players Ryan is the Owner of Peak Performance Sports PT in Northfield New Jersey, as well as the Head of PT for the Baseball Performance Center and 220 Baseball Academy. He is FMS/ SFMA / OnBaseU Certified, as well as certified in Dry Needling and IASTM (Instrument-Assisted Soft Tissue Mobilization) and has extensive Training in Biomechanics.You can follow and connect with Ryan on social media here:https://twitter.com/ryanbuccadpt?lang=enhttps://www.instagram.com/buccafurniryan/

In this episode, we are discussing an important reimbursement issue related to physical therapy, as well as pain care in general. That is value-based healthcare. Value-based healthcare is a healthcare delivery model in which providers, including hospitals, as well as practitioners, are paid based on the patient's health outcome. This model differs from the traditional fee-for-service or a capitated approach in which providers are typically paid based on the amount of services they deliver. Joining me on this episode to discuss the trend of value-based healthcare, specifically in the physical therapy profession, is Dr. Alice Bell.   She earned her Doctorate in Physical Therapy Degree from the University of Montana. Now is on staff as a Senior Payment Specialist in the Public Affairs Unit of the American Physical Therapy Association. Her professional activities include serving as a member of the Centers for Medicare Technical Expert Panel for alternative payment systems, the CPT Editorial Panel, and is an APTA appointee to the NDHI Opioid Crisis Workgroup. She has been involved in bundled payment projects and exploring the alternative practice and payment model efforts focused on early and direct access to physical therapy.   In this episode, you will learn all about value-based healthcare, where value-based care intersects with the biopsychosocial approach to pain. Also, how physical therapists can assess their readiness for participating in an alternative payment model and how physical therapists can play a more central role in addressing pain in the US healthcare system. Without further ado, let's begin and let's learn about values-based healthcare with Dr. Alice Bell. Love the show? Subscribe, rate, review, and share! Here's How » Join the Healing Pain Podcast Community today: integrativepainscienceinstitute.com Healing Pain Podcast Facebook Healing Pain Podcast Twitter Healing Pain Podcast YouTube Healing Pain Podcast LinkedIn Healing Pain Podcast Instagram

Episode 56 - Dalton Laino possesses an intense drive for growth. Whether it be his health journey, his own personal development, or continually hearing other peoples perspectives on the PTCoffeecast that he co-hosts with his partner Will. This drive has lead him to partnering with Don and Will to build The Movement Physio & Performance. Outside of this you can find Dalton dabbling in various areas of fitness such as CrossFit and Running, drinking freshly brewed coffee from his aeropress, and enjoying a hike while listening to his favorite podcast. Dalton completed his Masters of Physical Therapy Degree at Western University. Prior to that, he graduated with a Kinesiology degree from the University of Windsor where he played football in the Canadian Junior Football League. He has spent the early part of his career working as both a physiotherapist and a strength coach. During this time he discovered that the most important thing he can do for people is position himself as a guide on their rehab and fitness journey. Tune in to hear Dalton and I discuss how he was able to create a thriving business through COVID, things you can do to empower yourself, the value of doing hard things, building a strong mindset when rehabbing an injury, the keys to self-growth as well as personal growth, and much more! Make sure to check out all of Dalton's content: PTCoffeeCast: https://podcasts.apple.com/us/podcast/ptcoffeecast/id1336306312 The Weekly D Show: https://podcasts.apple.com/us/podcast/the-weekly-d-show/id1546486133 Instagram: @dlaino.93 - @themvmtpts - @ptcoffeecast - @move.local Connect with me: Instagram: @dominicmfusco YouTube: Dominic Fusco LinkedIn: Dominic Fusco

In this episode, I sit down with fellow pelvic health physiotherapist, Laura Werner from Victoria BC to discuss: what the terms vulvodynia, vestibulodynia, vaginismus meanHow common it is for women to experience vulvogaginal pain and why it is so often undiagnosedmessages these clients are giventhe common path of management symptoms that commonly bring these clients in to see a pelvic health physiotherapistwhat questions we ask as physiotherapistswhat does a physiotherapy assessment look liketreatment optionshow to advocate for yourselfLaura Werner (she/her) graduated with a Master of Physical Therapy Degree from UBC in 2008. She has been practicing as a Registered Physiotherapist with specific training in the management and treatment of pelvic floor, abdominal, uro-gynecological and lumbopelvic dysfunctions since April 2010. Her passion for pelvic health physiotherapy was ignited during her women's health practicum placement in her master's program. Laura has also worked for the renowned Multidisciplinary Vulvodynia Program (now the Vulvar Pain Assessment Clinic) at Vancouver General Hospital. When not supporting her clients, Laura spends time with her three wonderful children. Although she no longer teaches, she is still an avid yoga student and takes any chance she can get to enjoy the outdoors.Laura strives to grow and learn every day and is a self-proclaimed nerd. She is passionate about mental health, body positivity, and healthy sexuality.  website: https://www.laurawerner.ca/Resources mentioned in episode:Vulvar Pain Assessment Clinic at Vancouver General Hospital: https://bcvulvarhealth.ca/Edwards et al 2016 -Treating vulvovaginal atrophy/genitourinary syndrome of menopause: how important is vaginal lubricant and moisturizer composition? https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4819835/Bornstein et al 2015 -  2015 ISSVD, ISSWSH, and IPPS consensus terminology and classification of persistent vulvar pain and vulvodyniahttp://refhub.elsevier.com/S0889-8545(17)30081-5/sref1Thanks for joining me! Here is where you can find more:my online course to walk you through pregnancy, birth prep and postpartum recovery: https://mommyberries.comI offer online 1:1 appointments to help you address the physical symptoms holding you back from living your best life. Follow me on:InstagramFacebookYouTubeSupport the show

Lisa Ray, Doctor of Physical Therapy, is here today to talk all the things Postnatal Physical Therapy. Join us as Lisa sifts through the noise to bring you only expert guidance on how to approach recovery after delivering and how to treat pain naturally. Lisa graduated Magna Cum Laude with a Bachelor of Science in Exercise Physiology from Central Michigan University where she received a full academic scholarship through the Centralis Scholar Honors program. She received her Master of Science in Physical Therapy from Central Michigan University where she graduated with Honors. After many years of clinical experience, Lisa completed her Doctor of Physical Therapy Degree through Florida Gulf Coast University. Lisa has over 20 years of experience in fitness, health, and rehabilitation. Her clinical experience includes women's health, orthopedic, post-surgical, neurological, and vestibular rehabilitation and she has worked with patients of all ages and abilities, from sports therapy to geriatric rehabilitation. As an APTA certified clinical instructor, Lisa has mentored many students from physical therapy schools around the country. She has owned and operated a boutique Fitness studio, and worked as a fitness instructor at the White House Athletic Center in Washington, D.C. She has also worked as a spokesperson for major fitness and nutrition companies and has been featured in publications such as Muscle & Fitness, Fitness Rx, and Oxygen magazines. In her clinical practice, Lisa provides high quality care that utilizes manual therapy and therapeutic exercise along with patient education and improving biomechanics and posture in order to facilitate her patients' return to function. Lisa is a huge sports fan and enjoys spending time with her family, traveling, being outdoors, and attending concerts.

Eric Kinney is a former Captain in the U.S. Army. An initial goal of serving a full military career took a turn when Eric experienced a series of injuries that gave him the opportunity to speak with his Battalion physical therapist and thus steering him in a new career direction. He holds a bachelor's degree in criminology from Eastern Michigan University and a Doctor of Physical Therapy Degree from University of Michigan. He currently works in an outpatient sports orthopaedic setting as well as working with local fire and police departments and training academies. In this episode Eric talks about: His military experience. PT school. Working with firefighters and getting involved with Wellness professionals in fire and rescue. Resources discussed: Becoming a supple leopard by Dr Kelly Starett. The clinical edge podcast and The clinical edge website. The manual physical therapist NSCA TSAC Report. You can stay up to date with Eric via social media on Instagram and Linkedin or see in clinic at Adams sports medicine Keep up to date with Monarch Human Performance via our website, Facebook and Instagram pages.

In this episode of the Postural Restoration Podcast I sat down with Jennifer Smart, PT, DPT, PRC who practices clinically in Oriental, NC incorporating PRI principles and many other modalities with her patients who have been diagnosed with Parkinson's Disease and those who she believes exhibit "Parkinson's like" symptoms before they are diagnosed. Jennifer discusses the impact that her life story has had on her clinical practice, including many trips across the Atlantic navigating the seas on her small sailboat. These experiences and interacting with a diverse set of mentors and patients have collectively led to her current understanding of neurological flow, perception of time and ground forces all used for human patterned stability. Jennifer earned both a Bachelor's of Science and Doctorate of Physical Therapy Degree and because of the influences of neurological timing and one's position in space whether at sea or on land, her interest in involuntary neurological movement disorders grew. After starting her clinical journey in Oriental, NC Jennifer sailed to Samoa and had the opportunity to work as the head Physical Therapist for the Samoan Olympic team. It was during this experience that she appreciated the influence of pressure and air flow throughout the body while working with an Olympic power lifter. After returning to the U.S. her love for cycling stemmed from her perception of time and her desire to decrease her speed of travel as her body became used to the slow, calculated and predictable movement across open water. Jennifer was introduced to the science of PRI through her cycling interest and a "Bike Fitting" article authored by Faculty Member Lori Thomsen. To this day Jennifer incorporates cycling with numerous clients who have been diagnosed with PD and other autonomic disorders.After her first few courses and clinical experimentation incorporating PRI techniques into her clinical practice she had finally felt that the patterns she had recognized through her own journey were being studied and discussed by someone else. Jennifer completed twelve courses over the span of the next two years and became certified as part of the 2015 PRC Class. Jennifer has extensive training in "LSVT", "PWR", Rock Steady Boxing, and has attended and contributed to numerous Parkinson's organizations, including the World Parkinson Congress. She has used these and various other modalities to incorporate PRI into her daily practice and weekly classes offered to her patients and individuals of all backgrounds experiencing involuntary movement disorders. Jennifer in collaboration with Ron Hruska discusses her upcoming presentations as part of this years 12th Annual Interdisciplinary Integration Symposium "Basal Ganglia Disease - An Interdisciplinary Approach in the Management of Kinesia Paradoxica" alongside Neal Hallinan. You can read more about Jennifer's topics of discussion and this years symposium held on April 22-23rd by visiting our website.

In this episode, Director of Rehabilitation at OL Reign, Dr. Nicole Surdyka, talks about on-field rehab after ACL injury. Nicole is currently the Director of Rehabilitation at OL Reign, one of the founding clubs of the National Women’s Soccer League, NWSL, which is one of the best professional women’s soccer leagues in the world. Today, Nicole shares her 5-phase on-field rehab strategy, and the decision-making process in return-to-play and return-to-performance. What are the criteria that Nicole looks at to determine progress to the next phase of rehab? She tells us about delaying return to sport to reduce second-injury risk, the return to sport continuum and how to define it, and the use of the StARRT framework for the return-to-sport decision-making. Nicole gives some valuable advice to her younger self, she tells us about integrating rehab with team activities, and communicating with athletes and coaches, all on today’s episode of The Healthy, Wealthy & Smart Podcast.   Key Takeaways Nicole implements on-field rehab in 5 phases. Phase 1: Simple, pre-planned, linear movements. The focus is on quality of movement and cleaning up movement technique before moving on. Typically includes walking marches, walking lunges, side shuffles, and jogging. Nicole starts this at 70-75 quad strength limb symmetry index. Phase 2: Pre-planned direction-changing movements. Typically includes accelerations, decelerations, sprinting, and change direction. Phase 3: Adding reactive tasks without a soccer ball. Direction-changing with an element of reacting to an external event. Nicole starts this with at least 80% quad strength limb symmetry index. Phase 4: Soccer-specific movements. The reactions are done in context – with a soccer ball. Phase 5: This phase should look like a modified training session. Delaying return to sport: each month that you delay that, there’s a 51% reduction in second-injury risk, up until the 9-month mark. Return-to-participation: When athletes are participating in their sport in a modified way – participation with certain limitations on activities. Return-to-sport: When there is no longer any medical reason to limit an athlete’s participation – “cleared to play”. Return-to-performance: There are no restrictions and athletes are training to become better at their sport. “Be patient. Every experience is valuable, and you can relate any experience to what you eventually end up doing.”   Suggested Keywords On-field Rehabilitation, StARRT, Injuries, ACL, Sport, Performance, Physiotherapy, PT, Therapy, Wellness, Health, Injury-Prevention, Recovery,   Recommended reading: Consensus statement on return to sport: https://pubmed.ncbi.nlm.nih.gov/27226389/ On-field rehabilitation Part 1: https://pubmed.ncbi.nlm.nih.gov/31291553/ On-field rehabilitation Part 2: https://pubmed.ncbi.nlm.nih.gov/31291556/   More about Dr. Surdyka:  Nicole is currently the Director of Rehabilitation at OL Reign, one of the founding clubs of the National Women’s Soccer League, NWSL, which is one of the best professional women’s soccer leagues in the world. Nicole is a physical therapist and strength and conditioning coach. She played Division 1 college soccer at St. John’s University and then went to Emory University where she got her Doctor of Physical Therapy Degree. Throughout college and PT school, Nicole coached youth soccer and worked as a personal trainer. After PT, school Nicole worked in various outpatient orthopaedic and sports medicine clinics before starting her own practice in 2018 where she worked with youth to professional athletes. Nicole specializes in on-field rehab for soccer players to help bridge the gap between rehab and sport performance. She is passionate about the return to sport process and how we can make better decisions for athletes returning to sport after an injury. Nicole has a website where she writes blog posts on rehab for soccer players, has eBooks available on specific injuries, teaches continuing education courses, and has presented at CSM and other national and international sports medicine conferences. To learn more, follow Nicole at: Website:          Nicole Surdyka Physio Facebook:       Nicole Surdyka Physio Instagram:       @dr.nicolept LinkedIn:         Nicole Surdyka PT Twitter:            @NSurdykaPhysio YouTube:        Nicole Surdyka   Subscribe to Healthy, Wealthy & Smart: Website:                      https://podcast.healthywealthysmart.com Apple Podcasts:          https://podcasts.apple.com/us/podcast/healthy-wealthy-smart/id532717264 Spotify:                        https://open.spotify.com/show/6ELmKwE4mSZXBB8TiQvp73 SoundCloud:               https://soundcloud.com/healthywealthysmart Stitcher:                       https://www.stitcher.com/show/healthy-wealthy-smart iHeart Radio:               https://www.iheart.com/podcast/263-healthy-wealthy-smart-27628927   Read the transcript here:  Speaker 1 (00:00): Hey, Nicole, welcome to the podcast. I am so excited to have you on. Speaker 2 (00:05): Thanks. I'm excited to be on. Speaker 1 (00:07): So this whole month we're talking about ACL injury and ACL rehab, and you are an expert in both. So I'm really excited to have you as one of the guests this month. And today we're going to be talking about something that is really your zone of genius, and that is the on-field rehab, a rehab techniques, I guess, that helped to bring that player back to performance. So can you talk about what is the on field rehab like? Speaker 2 (00:45): Yeah. So I guess it's a concept that I, you know, I was a soccer player. I was a youth soccer coach, and so I always kind of felt in the back of my mind when I was going through PT school, like, Oh, wow, I could blend. Like, if, if we're trying to get this adaptation or build up this physical attribute, we could do that through soccer. And so it just made, it was something that made sense to me trying to incorporate the sport as much as possible, but where it really all clicked and came together. For me, it was actually at the isokinetic conference that I went to a few years ago in Barcelona. And actually your previous guest on this in Arundale was the one who talked me into going. So that was great. And I saw a presentation by Matt Thorpe about on-field rehab. And of course he and Francesco via have published two different articles in WSPT on this, but kind of seeing that presentation really yeah, tied it all Speaker 1 (01:42): Together and made me have that aha moment Speaker 2 (01:44): Like, Oh, this is a thing I can make this happen. And so really what it is is it helps to bridge that gap between the gym-based rehab and then sending the athlete back for their sport. Because if you think about it, there's so much of a difference between doing a drop vertical jump in the gym and then landing from a head ball on the field. Like not even just physically that's different because the surface is different. Your shoe wear is different. The weather obviously is different, but there's also different things in your environment to make decisions based off of, and react to and respond to. So where are my teammates in space? Where is my opponent? Am I going to have a contact or an indirect contact, a perturbation while I'm in the air that I have to land on? Funny, where do I have to redirect my Ron to afterwards? Speaker 2 (02:34): And you can only prep for that so much in the gym. And at some point you really need to get them on the field and do in a controlled way, what they're going to have to do when they're playing with their team again. So on-field rehab. The way that I implement it is really based off of Matt, Matt backdoor, Ben for Jessica, Davey is research and there are papers on it, which is phase one, really simple pre-planned linear movements. And so that can start fairly early. They say in their paper that they want to start. When the athlete has 80% quad strength, limb symmetry index, I tend to start a little bit earlier than that. Typically, when I'm having athletes jog, then they can be doing phase one. So things like walking marches, walking lunges side shuffling is okay in this phase, jogging anything that the athlete is has pre-planned, it's a pre-planned movement and it's just linear. Speaker 2 (03:34): So no changes of direction yet. And in this phase, we really focus on quality of movement. And we start to address here before they move on to more complex tasks we address are they moving efficiently? And are there things we need to clean up with the technique of their movement? So something like a high skip or a walking March, are they getting a lot of trunk lean? Are they yeah. Are they kind of like looking like Gumby out there? And so we need to clean that up a little bit, and this is the phase that we can really take the time to do that. So again, I like to start this pretty early. Typically I want them to be at least 70 to 75% quad strength, limb symmetry index. But the, just as a caveat to that, the paper by Francesco and met, like they're up says 80%. Speaker 2 (04:27): So just be aware of that phase two, they then move on to being able to change direction. Everything is still pre-planned. So we can take those linear movements from phase one and make them a little bit more intense. So we can start working on reaching towards accelerations decelerations, maximum speed. So we start to work on sprinting here and exposing them to high-speed running on the multi-directional staff. We can have them do anything pre-planned so no reactive tasks yet, but they can start to cut decelerate, changed direction, all controlled everything throughout the unfilled rehab program is control first. Then we build volume and intensity. So after phase two, we can progress them to phase three. Now for this, I definitely want them to be at least 80% quad strength, limb symmetry index. And I would love for them even to be closer to 85% and depending on how they look functionally. Speaker 2 (05:29): And so this is when we start to add reactive tasks. So now change of direction tasks, but with a reactive component. So they're reacting to something external to them. So I like to mix up and I know Amy talks about internal versus external cues a little bit. And it's something that definitely is coming up a lot in ACL research with motor learning is that we want some external cues. And so that can be auditory. That can be visual. So I like to do kind of a combination of both. I'll use words that they're going to hear while they're on the field. So turn man on ball, you know, I'll use kind of those that verbiage. And then the visual is you can make it just simple. You pointing to where they have to cut to or change direction to. You can make it be, they have to follow the ball, they have to follow a runner. Speaker 2 (06:25): So they have to follow where the space is that you've set up with, however, you've set up the environment. So that's where we add the reactive components and they anything pre-planned they can now be doing at speed. Next, we're going to go into phase four, which is really going to be more soccer, specific movements. So now they can react with a soccer ball. So everything we didn't base three with the reactive movements is them without a ball at their feet. Now in phase four, we can add a soccer ball. So you have to turn and either dribble, dribble, or pass, or you know, you have to collect the ball and then make a decision based on what's going on around you or what the coach or the physio calls out. And then phase five really should just look like a training session, a modified training session. So I try to replicate what the team has done in their training session or what a typical team training session would look like as much as I possibly can within a more controlled environment. So that's kind of the five phases and then, yeah, and then I started to incorporate them into the team. Okay. Speaker 1 (07:32): So let's, I have a couple of questions. So we're just going to back up a little bit. So for most of these phases, certainly phase one phase two phase three is the player is the player alone on the field? Do they, are they working in tandem with another player on their team? Speaker 2 (07:50): So typically when I was, before I had my current role, I had my own practice and I would work with the athletes. So it would be me and the athlete. If they had a friend or a teammate who was available, it's always nice to add other players. Now here at LL rain. I have two athletes right now who are going through ACL rehab together, kind of they're at a little bit different spots, but I can still work together with them, which is really nice. And then I can always pull some of the other players. So, Hey, do you want to work on crossing and finishing today? Great, like come in for this session this time and I can pull other players and you can do it alone. Eventually you need to start adding other players because there's 22 people on a soccer field. And so they need to start being able to move and react to all of those different people on the field, around them. And you can still do that in a controlled fashion. Absolutely. Speaker 1 (08:51): I will say to, to play or one, I want you to run down to line and cut to the right as your athlete is within the midst of whatever you're asking them to do from a rehab standpoint. Correct. Speaker 2 (09:03): Exactly. You can say, okay, you're going to run up and defend them. I want you to force them to their right. You know, so that way I have that person has to go to their right, so you can control for it. Whereas in a game you can't tell them, or an even in a practice session with their team, you can't say to all the other players on the field, Hey, when you go and defend, so-and-so only for, for her to her right foot, okay. That's never going to happen, but in that nice in on-field rehab, you can control for those things. And Speaker 1 (09:31): The other question I have was what is the criteria for entering phase two? Speaker 2 (09:35): Good. So, and answering into any onto three high program. I mentioned the quad strength, limb symmetry index, but also there should be no joint pain or a fusion. They can have some muscle soreness at times if they had a patella tendon graft they can have some patella tendon pain. I'm okay with that. Hamstring graft, if they have hamstring pain, I'm okay with that. But, and then also no joint laxity. So I'll typically just do a Lockman's anterior drawer test, as long as those are negative and there's no joint fusion, then we're good to go. Now it's progressed through each stage, subsequent to that, as long as they're able to do those movements with control, and there's no increase in joint pain or a fusion during any of those stages, then I can progress them. Although I still want to bear in mind, like we're not just going to do walk like phase one stuff. Speaker 2 (10:27): And then it's like, Oh, they felt good. Okay. Now we can do phase two. Like I still want to make sure that we get a couple sessions in and it's always going to play back into the overall big picture of where they're at in their rehab. You know, we're still doing a gym-based strength program at the same time that we're complementing with on-field rehab. So it that's where it kind of the the art of coaching takes in a little bit. And you just need to understand where your athlete is and if they still need more time in that area before moving on. Got it. And Speaker 1 (10:59): I know this is a question that a lot of people constantly ask when it comes to ACL, what is the timeline? Right. You know, cause you're always here. You don't want to return to play for a year for 10 months, nine months, a year, two years. So as you are going through these phases, are you also taking into account where they are in that rehab continuum or in, you know, post-surgical so how do you question Speaker 2 (11:26): W so it's kind of the, the short answer to that question is we can go back to some of the research that's been done by the Delaware Oslo cohort, so that, Hey, grandam over at Oslo and Lynn center Mackler at Delaware, and they've shown that delaying return to sport each month that you delay that there's a 51% reduction in second injury risk. And really the whole thing of this is when we're sending out fleets back to sport after an ACL reconstruction, our goal is to not allow that to happen again, right? The rate of a secondary injury is so high that there's obviously a flaw in how we're sending athletes back. So I think that most athletes go back too soon. And so each month that we delay up until the nine month Mark and at nine months, we, after that, we don't really see that level of reduction in, in, in second injury risk. Speaker 2 (12:22): Now for a youth player, who's not really in a rush to get back. I will probably never let them go back before a year. I just, there was no reason it's not worth the risk. They're agreed so much more likely to have another injury. And like, why have two ACL injuries in high school before you even get to college? Right. If the goal is to, is to play in college, you're better off missing your entire junior year of high school to just rehab and then be really strong for your senior year. As opposed to feeling like, Oh, I have to show college coaches. I have to go to all these college showcase tournaments, which I know is, is pressure on the athletes, but what does it, do you any good if you go back and now you do it again and you miss all of senior year as well, right then by college, like that's not going to happen for you. Right. So more of the professional athletes, there's a little bit more pressure, it's their livelihood. Right. So I'm okay with moving or even college athletes. I'm okay with moving closer to nine months, but I will never go before that, unless I have somebody like an Adrian Peterson who is just one of those outliers, then they have to give me a really good reasons to let them go back. Speaker 1 (13:33): Okay. And this actually flows perfectly into the next topic I wanted to talk about. And that is that decision-making for return to performance, right? So we've got the return to play. And even if you want to talk a little bit about that distinction between return to play and return to performance and talk a little bit about what your your decision-making Speaker 2 (13:57): Is like. Yeah. So to talk about that continuum a little bit, and actually I just had a meeting with our coaching staff here about that to make sure you're on the same page about these definitions. And so how I define them is based off of the return to sport a consensus statement for that Claire and was lead author on where the return to participation phase is when, or end of the continuum is when athletes are participating in their sport, but in a modified way. So I have a couple athletes now who I say, I look at what the daily session plan is for, for the training session. And I'll say, okay, this athlete can do the technical warmup and they can do the [inaudible], but I don't want them doing the two V twos because it's too much deceleration cutting, et cetera. So they, that counts as returned to participation because they're participating, but I'm still putting restrictions or limitations on them. Speaker 2 (14:53): So anytime there's any kind of modification or restriction or limitation there in returned to participation, when the medical, when there are no longer any medical reasons to hold an athlete back, that's when they're in return to sport. So that's what I would define as saying like you're quote, unquote, clear to play, right? Is that I'm not putting any restriction on you, if you are not being selected for playing time or for your starting position. That's because the coach isn't selecting you, not because I'm holding you back, but then beyond that, because sometimes an athlete's not going to really be satisfied with that outcome, right? If you're used to being the starting center forward and scoring a goal, a game, and now you're cleared, but you're not being selected into the starting lineup, or you're not being selected to the game day roster, or you are, but you haven't scored a goal in five games. Speaker 2 (15:44): Now you're not performing at where you were prior to your injury. So there's no medical reason to hold you back, but maybe you're not playing as much or playing as well as you would like to be. And that's where we transition into return to performance. So return to performance is there's no restrictions on you, no medical limitations or anything holding, holding you back from a rehab perspective. And now we're training to get you to being better at your sport. And I think those are really important distinctions to make, because a lot of times athletes or coaches, and actually it will be back and cleared to play, but coaches like, well, why isn't she as fast as she used to be? Why isn't she scoring goals? Like she used to be? Is she still hurt? It's like, no, it medically fine, but we're just not at return to performance yet. Speaker 2 (16:33): So then to to kind of decide when to send an athlete back for each of those things, I tend to look back to the on-field rehab program and how that is structured. So I'm a big fan of integrating the team, the athlete into team activities as often, and as much as you possibly can. So if they're able to do the technical warmup with the team, I'm putting them in there because, and that would technique that would typically be if they're in stage two, right. Cause it's going to be mostly pre-planned change of direction tasks, maybe some accelerations D cells, depending on, on what the warmup looks like. Sometimes there's reactive components. And so that sometimes takes just a conversation with the performance director or the SNC coach or the sport coaches, just to say, what is involved in this? And then, you know, but if you, if that athlete is able to do those things and they've done them with you and an on-field rehab program, send them back into the team. Speaker 2 (17:33): Cause that is just to me is another level of like the cognitive awareness and their ability to see what's going on on the field, around them and adding more athletes into the mix that they have to interact with. So I'm a big fan of that. So I'll typically have them in that return to participation phase for a fairly long time, like a few months before I say, okay, you're good. So, and the example right now, I have an athlete, who's doing portions of training sessions, but I probably won't like clear her quote unquote, clear her to play in a game until somewhere in the middle of April. Right. So she'll be, Speaker 1 (18:16): Is she about like six months then? Post ACL? Yeah. Yeah. Yeah. Okay. Yeah. And I think it's important to mention all of this because oftentimes a lot of physical therapists and I, this is not to throw our profession under the bus or anything, but a lot of physical therapists tend to be a little bit more restrained. They won't want them to go onto field. They won't want them to do this on-field rehab until they're at 90%. Right. And or until the doctor clears them to return to play well, you can't just be cleared to return to play. And you've only done a weight training program, proprioception, maybe some motor control stuff and then throw somebody on a field. Speaker 2 (18:56): Yeah. And I've seen that way too often. Speaker 1 (18:59): Yeah. Yeah. And so it's, I think that I'm really happy that you're saying like, Hey, you know, at six months they can be with the team, they can do some things. It just, it sounds to me like it's a lot of communication and collaboration from the, all of the stakeholders, right? Speaker 2 (19:14): It is, it does take a lot of communication. And we have twice a day meetings, constant emails, constant communication about where each athlete is. And then, you know, there is things that come up that we have to adapt to, like this was the training session plan. And this athlete was going to be able to do this amount of load that day. And then based on what was happening in the session, the plan changed. And so we have to adapt to that. And then we just supplement that with it with more on field work, you know, if they weren't able to do as much in the session with the team, then I just will take them to the side and do more work with them on the field. Now I will say that this is a lot easier to do in a team setting. And now I didn't work in a team setting for most, all of my career up until very recently. Speaker 2 (20:01): And so what I did in that situation, working in an outpatient clinic, that doesn't mean that this doesn't apply to you because you can still use this. And so what I used to do is whatever I would see my athlete do in the clinic with me or on the field with me, I would say, okay, I want you to go do this in practice with your team. So I want you to do the dynamic warmup with your team and then that's it. And then report back to me if that felt okay for them, then I'll say, okay, you can do any technical drill. You can do rondos, you can do, you know, possession style games but no contact. You can be neutral player. And I'll tell the athlete that depending on their age, I'll also tell their parents I do or did before I was in my current, always try to reach out to their club coach or their high school or college coach and let them know what the restrictions were. I understand sometimes we don't get responses when we reach out. I didn't always get responses when I reached out. But as long as you talk to the athlete and or their parent about that, and just make it very clear to them, like you can do this, you can not do that and then have them report back. But I, my rule of thumb was I wanted to see them do that type of activity with me before I had them do it with their team. Speaker 1 (21:18): Makes sense. And, and I think it's also important to note that just because you work in an outpatient clinic, doesn't mean you can't take these athletes onto a field. I live in New York city. I see patients in their home. I have a 14 year old who had a ACL rupture and subsequent surgery. And when she was 12 she's 14 now. Wow. Yeah. And we still got her out onto a field, got her. We went to the park, we did as much as we could on field. And sometimes that was just me having to be the defender or setting up cones and having her do stuff. But I think it's really important that if you work in an outpatient clinic, don't kind of wall yourself in with the walls literally. Yeah, exactly. You can take them out onto a field somewhere. I mean, if I feel like if I can do it in the middle of Manhattan, then people could probably have a much easier time doing it in places with more space. Speaker 2 (22:15): Yeah. And I would even get like, I've worked in clinics where the only space we had was the parking lot. And maybe that's where we did that. Or again, you can always say like, okay, I've, we've done the 11 plus warmup in our, in our gym based sessions. So you can go do that with your team now. Or we've done some volleying and passing and moving, you just need 10 yards of space. Right. We've done that in the clinic. So now I want you to try that with your team, or can you go in the backyard with your mom, dad, sister, brother, whomever, teammate, friend. And I want you to do these types of exercises in your backyard, you know, like have that be their AGP instead of having them do straight leg raises for six months. I mean, I have that either ETP. Speaker 1 (23:06): Yeah. I had my patient probably much, much to her. Neighbors' dismay, but we would be in the hallway of the building. Yeah. Or go into the basement of a building. I see a girl now for she's a softball pitcher. We go into an empty storefront. That's kind of attached to the building. I mean, you make it work, you know, you just have to Speaker 2 (23:29): Exactly. And like, if you can't find a way to make it work, you have to ask yourself, should I really be working with this type of athlete? Right. If you can't find a way to give the athlete what they need to get back safely and appropriately, then maybe that's not the setting, the athlete to be seeing you. Speaker 1 (23:47): Right. So it's you do the, I call it the blessing release. Oh yes. More, you need more space, you need XYZ. So I'm going to release you to someone that can, can finish the job if you will. Speaker 2 (24:01): Exactly. And that takes, like, I feel like in all walks of life, like just not having an ego is such an important skill set to have. And just saying, I know that there's so much more that can be done for you. And I know that there are too many limitations on me to be able to do this. So here's someone who can help you and you should move on to this person. Speaker 1 (24:22): Yeah. Yeah. And I think that's fair. And again, patient centered. And when you think about that return to sport, decision-making a lot of Claire, our Dern's work is that patient centered decision returned to sport decision-making. And so what you just said is exactly that. And so I think it's important for people listening that it may not always be you. Yes. That is such an important point. Yeah. Now, is there anything that we missed or that I glossed over that you're like, Oh man, I really wanted to make this point. Did we hit everything? Yeah. We hit everything. Speaker 2 (24:57): The only thing I would add is just as something for people to maybe go look up and learn more about is in that consensus statement, they talk about the start framework and that's what I use to guide my return to sport. Decision-Making right. So it's really just a simple needs analysis. What are the demands that this athlete is going to have to face and are they prepared for those? And yeah. So the start framework is a really great method. It's what it's literally what I use to help guide decision-making because it doesn't just look at, like, it looks at the tissue health, it looks at the demands. It also looks at what are some modifiers of those. So is it preseason? And so we can err on the side of being a little conservative or are we in the playoffs and this is one of our star athletes and we need them on the field. And so we're willing to take a little bit more risk. So yeah, I think that that's a really important framework to utilize because it provides you with that context that surrounds the kind of the risk reward ratio. Speaker 1 (25:59): Exactly. Yeah. And that's what I said to my, this 12 year old, who's now 14, but you know, she, we waited a year, at least a year for return to sport and then COVID hit and that night Oh yeah. Which I have to say, I wasn't mad about two years, you know, that's awesome. But you know, like what I told her was exactly what you she's like, Oh, do you think I can like play in this, you know, showcase she's an eighth grade. Yeah. No Roland showcase. And I was like, listen, here's the deal. Can you do this? Yes. Will you be at your best? No. Are you going to college? Is if this, what? And I said, it was like, if this was your senior year and it was the last game Speaker 2 (26:45): Sure. Have at it, you know, Speaker 1 (26:47): But it's not, so you're not going to do it. Are we in agreement there? And, and that's the hard part, right. Is trying to say to like a 12 or 13 was 13 or 14, 13 maybe was, do you want to play in high school? Yes. Would you like to play in college? Yes. Well then you don't need to do this exam because we're not taking any unnecessary risks and that's kind of, how did that start framework is looking at that context and I'm sure you have those difficult conversations all the time. Speaker 2 (27:15): All the time. Yeah. It, and especially after something like Nazi has already been cleared by a physician or previous physical therapist or athletic trainer or whomever, and then it's like, Oh no, I know that you were cleared, but we'll, you are certainly not ready. And just having that conversation can be difficult, but as super important, because all they're going to do is go right back. And the likelihood of them getting another ACL injury within the first year or two is pretty substantial. So sometimes scare tactics, work a little in that regard. Speaker 1 (27:46): And it's not, it's just, you're just being honest. Yeah. Like you can't like, you're the professional, you're the expert. They're the patient they're going to you because you're the expert. Yeah. Right. And so you have to be honest and you have to be upfront and you have to give them all of the options that they have and looking at things realistically, because just, you know, people say, Oh, runners, they just want to run. Well, it's the same with any sport soccer players. They just want to play soccer, football, I just want to play. And so there there's a lot of mental gymnastics that can happen in one's brains in order to justify doing that. Speaker 2 (28:21): Definitely. I think athletes actually appreciate that when you say like, like maybe in the moment they're frustrated, but it's not with you. It's just with the situation. And I think that makes it easier to swallow is that like, Hey, like they appreciate knowing that you're taking that context into consideration. Like, say like, Hey, if you're going to get re-injured, it's going to be in the championship game, not in a preseason friendly, like what sense does that make? And I think they do for the most part, appreciate that and understand it. Even if, again, in the moment it frustrates them a little bit. Yeah. Speaker 1 (28:51): I mean, there's a little bit of disappointment, but you know, something it's upsetting Speaker 2 (28:56): Templating moment. Get over it. You'll be fine. I feel the same. Exactly. I've never said that, but in my head I'm like, you'll be fine. You'll be to sign. Yeah. Like 10 years. That's fine. If you do it again and have to go through another year of this Speaker 1 (29:09): Exactly. Like 10 years from now, you're not going to be like, man, I didn't get to play in this showcase when I was in eighth grade. Speaker 2 (29:17): Yeah. Definitely not. It doesn't make sense. Speaker 1 (29:20): So I think thank you for bringing up that start framework and we'll try and get links to all of this and put them into the show notes so that everyone if you're looking for those papers on on-field rehab, the start framework and the consensus, we'll get all those and put them into the show notes. So you one click and everybody can read all of them. So Nicole, before we end our talk is the question I ask everyone. And that's knowing where you are now in life and career. What advice would you give to your younger self? Speaker 2 (29:51): I would definitely tell myself to be patient. I came out of school thinking like, okay, I just want to work with athletes. You know, I have to find a place where I can just do that. And anything else I do is a waste of time. And what I will say, what I would tell myself is that every experience is valuable and you can relate any experience to what you eventually ended up doing. Even working with a, you know, if it working with the elderly population that has nothing to do with working with athletes, but teaching them a new skill. If you can teach it an older person, who's never worked out a new skill, you can teach an athlete, a new skill, right. It's somebody who's like coordinated and strong and athletic as opposed to an older individual who's never worked out before. So I think that I would tell myself again, just be patient there's value in every experience and yeah, you'll, you'll eventually get to what you're looking for. Just take it, take things in stride and learn from each experience. Speaker 1 (30:56): Excellent advice. Now, where can people find you on social media? I think you've also got an ebook available. So give us all the goods. Speaker 2 (31:03): Yes. So you could to reach out to me. I'm I'm on social media. Instagram is at Dr. Nicole PT. My Twitter is at Encirca physio and my website is Nicole Serta, physio.com. I have a blog there that I grew up on this. I'm going to try to write more. I took a little hiatus. You had, Speaker 1 (31:28): I had a major change of life yourself from California to Portland and a new job. And so I think we, we understand we'll give you Speaker 2 (31:40): We're in the middle of a pandemic. So yeah, I think somewhere in the middle of the Vietnam, I just kind of lost a little motivation there Speaker 1 (31:48): With you all. Speaker 2 (31:51): Okay. It's okay. There's no need to like, feel guilty if you're in the same boat, cause I'm right there with you. But yeah, I will be writing more on that blog. I have actually a couple of different topics on the blog. One is just kind of rehab of soccer related injuries. And then I talk about some of the social issues related to soccer, things like racism and soccer and inclusion and diversity and things like that. And then also I have this little fun part. That's kind of just for me as a little self-indulgent, but life lessons that I've learned through soccer. And so that's on there as well. I also have some eBooks on my website. You can get to just by going and Nicole Serta, physio.com and it's under the eBooks tab. So on an ACL injuries, ankle injuries maybe hamstring injuries too. There's a couple on there now. Awesome. yeah, that's it. Excellent. Well, Nicole, Speaker 1 (32:42): Thank you so much. This was great. I great addition to our month on ACL injury and rehab. So I thank you very, very much. Thank you Speaker 2 (32:52): For having me on carrying this. When I graduated PT school, this is the first PT podcast I started listening to. So it's awesome to be on it. It's come full circle. It truly has. Yes. Speaker 1 (33:04): Well thank you and everyone. Thank you so much for listening. Have a great week and stay healthy, wealthy and smart.

Today we will hear from Dr. Christina Pettet, from Penn Therapy & Fitness in University City, Philadelphia, to learn about headache management. Headaches are the most reported symptom after a brain injury that can cause difficultly in carrying out daily activities. In this episode, we will learn about the different types of headaches that a person can experience. Dr. Pettet will provide recommendations for behavior changes and healthy habits that we can implement to help with managing headaches. Christina Pettet is a physical therapist at Penn Therapy & Fitness, University City. She received her Doctor of Physical Therapy Degree from DeSales University in 2017. Christina holds a certification of competency in vestibular rehabilitation from Emory University. Her clinical expertise includes treatment of concussion/mild traumatic brain injury, headache/migraine and vestibular disorders where she utilizes an integrated multiple-system approach in collaboration with Penn Medicine and CHOP neurology. Resources: https://americanmigrainefoundation.org/resource-library/how-posture-impacts-migraine

This interview is a special front-line discussion with Dr. John Corcoran, William Finley, and Vincent Cavallaro.  Dr. John Corcoran is the Site Director for Rehabilitation Therapy Services and Director of Inpatient Therapy Services at NYU Langone Health - Rusk Rehabilitation. He is a CARF Medical Rehabilitation Surveyor and surveys rehabilitation hospitals both nationally and internationally. He is a Clinical Assistant Professor in the Department of Rehabilitation Medicine, NYU Grossman School of Medicine - specializing in rehabilitation, critical care rehabilitation and pain rehabilitation. His Doctor of Physical Therapy Degree is from Long Island University Health Sciences Center and he won the Division of Physical Therapy Academic Excellence Award. He has won two awards at the NYU Langone Health Annual Quality and Safety Day (2015) for his work on Early Mobilization (lead author of the team award) and the Children’s Hospital Safety Network Fall Prevention Program (team award). William Finley is the Program Manager of the Safe Patient Handling and Mobility Department at NYU Langone Health and is on the faculty at NYU Medical Center. He received his Master’s Degree in Occupational Therapy and Bachelor’s Degree in Health Science from Quinnipiac University. He obtained his Master’s of Business Administration degree with a dual specialty in Accounting and Health Care Administration from the University of Scranton. He has over a decade of experience as an occupational therapist in acute care and outpatient orthopedics and sports medicine. The focus of much of his research relates to biomechanics of the upper extremity and safe patient handling. His other professional interests include healthcare informatics, program development, and value based practice. Vincent Cavallaro serves as a Vice President for hospital operations at NYU Langone Hospital – Brooklyn. He began his career as a staff physical therapist at Lutheran Medical Center in 1981. He was instrumental in the development and regulatory planning of a 30-bed Inpatient Rehabilitation Facility (IRF). He assumed various roles across the rehabilitation continuum in Acute Care, IRF, Subacute, Homecare and Outpatient services. He was chiefly responsible for operationalizing multiple outpatient Rehabilitation therapy sites within the Lutheran Family Health Center Network. He assumed operational responsibilities for Neurology and Epilepsy services as the Vice President of Hospital Operations for Neurology and Rehabilitation Services. Lutheran Medical Center underwent a merger with NYU Langone Health. His degree in physical therapy is from SUNY Downstate. The three interviewees discussed the following: the technique of prone positioning; differences between proning in the ICU vs. proning of acute care patients; challenges in treating coronavirus patients; different stages when occupational therapy and physical therapy are most effective when coronavirus patients are hospitalized; engaging with patients using telehealth; differences between providing hands-on care in a clinical setting and a telehealth approach for treatment; stresses and strains being experienced by caregivers; specific challenges that must be addressed in treating patients with different personal characteristics, such as age; questions that arise worth pursuing in future research studies; and based on experiences working with coronavirus patients, what could possibly be incorporated in occupational therapy and physical therapy education programs

This interview is a special front-line discussion with Dr. John Corcoran, William Finley, and Vincent Cavallaro.  Dr. John Corcoran is the Site Director for Rehabilitation Therapy Services and Director of Inpatient Therapy Services at NYU Langone Health - Rusk Rehabilitation. He is a CARF Medical Rehabilitation Surveyor and surveys rehabilitation hospitals both nationally and internationally. He is a Clinical Assistant Professor in the Department of Rehabilitation Medicine, NYU Grossman School of Medicine - specializing in rehabilitation, critical care rehabilitation and pain rehabilitation. His Doctor of Physical Therapy Degree is from Long Island University Health Sciences Center and he won the Division of Physical Therapy Academic Excellence Award. He has won two awards at the NYU Langone Health Annual Quality and Safety Day (2015) for his work on Early Mobilization (lead author of the team award) and the Children’s Hospital Safety Network Fall Prevention Program (team award). William Finley is the Program Manager of the Safe Patient Handling and Mobility Department at NYU Langone Health and is on the faculty at NYU Medical Center. He received his Master’s Degree in Occupational Therapy and Bachelor’s Degree in Health Science from Quinnipiac University. He obtained his Master’s of Business Administration degree with a dual specialty in Accounting and Health Care Administration from the University of Scranton. He has over a decade of experience as an occupational therapist in acute care and outpatient orthopedics and sports medicine. The focus of much of his research relates to biomechanics of the upper extremity and safe patient handling. His other professional interests include healthcare informatics, program development, and value based practice. Vincent Cavallaro serves as a Vice President for hospital operations at NYU Langone Hospital – Brooklyn. He began his career as a staff physical therapist at Lutheran Medical Center in 1981. He was instrumental in the development and regulatory planning of a 30-bed Inpatient Rehabilitation Facility (IRF). He assumed various roles across the rehabilitation continuum in Acute Care, IRF, Subacute, Homecare and Outpatient services. He was chiefly responsible for operationalizing multiple outpatient Rehabilitation therapy sites within the Lutheran Family Health Center Network. He assumed operational responsibilities for Neurology and Epilepsy services as the Vice President of Hospital Operations for Neurology and Rehabilitation Services. Lutheran Medical Center underwent a merger with NYU Langone Health. His degree in physical therapy is from SUNY Downstate. The three interviewees discussed the following: the technique of prone positioning; differences between proning in the ICU vs. proning of acute care patients; challenges in treating coronavirus patients; different stages when occupational therapy and physical therapy are most effective when coronavirus patients are hospitalized; engaging with patients using telehealth; differences between providing hands-on care in a clinical setting and a telehealth approach for treatment; stresses and strains being experienced by caregivers; specific challenges that must be addressed in treating patients with different personal characteristics, such as age; questions that arise worth pursuing in future research studies; and based on experiences working with coronavirus patients, what could possibly be incorporated in occupational therapy and physical therapy education programs

Mike Puniello, DPT, MS, OCS, FAAOMPT (Former ABPTRFE Board Member) comes onto HET Podcast to chat about his perspective serving on the ABPTRFE Board, an overview of how ABPTRFE operated at that time,  along with discussing the recent task force he is on looking at different OMPT fellowship credentialing standards) and much more.   *Mike's answers and responses on this episode are his personal views and are not representative of the views of ABPTRFE   Mike's Email: mpuniello@aol.com   American Board of Physical Therapy Residency and Fellowship Education (ABPTRFE) Website ABPTRFE Audit Summary (APTA Member Access Only) APTA Academy of Orthopedic Physical Therapy Website AAOMPT Website IFOMPT Website Education Leadership Partnership (ELP) Website Education Leadership Partnership (ELP) 2018 Annual Report Education Leadership Partnership (ELP) 2017 Annual Report Talus Media's Residency/Fellowship Page Eric Robertson's Interview on Residency/Fellowship Education with Karen Litzy Residency Education in Every Town: Is It Just So Simple?  Postprofessional Cartography in Physical Therapy: Charting a Pathway for Residency and Fellowship Training Mark Shepherd's Article on the Future of Residency & Fellowships AAMT Blog Article on APTA/ABPTRFE Fellowship Standards Kevin L. MacPherson, Mark Shepherd, Jamie Childs Everett, Adam Fritsch, J.M. Whitman & Kim Dunleavy (2018) Perceptions of the professional and personal impact of hybrid fellowship training: a qualitative study, Journal of Manual & Manipulative Therapy, DOI: 10.1080/10669817.2018.1542850 (if desire full article, email brandonpoen@gmail.com)  The Impact of Physical Therapy Residency or Fellowship Education on Clinical Outcomes for Patients With Musculoskeletal Conditions Jason Rodeghero, Ying-Chih Wang, Timothy Flynn, Joshua A. Cleland, Robert S. Wainner, and Julie M. Whitman . Journal of Orthopaedic & Sports Physical Therapy 2015 45:2, 86-96      Gregory W Hartley, Kathryn E Roach, Kendra L Harrington, Stephanie McNally; Program-Level Factors Influencing Positive Graduate Outcomes of Physical Therapy Residency Programs, Physical Therapy, Volume 99, Issue 2, 1 February 2019, Pages 173–182, https://doi.org/10.1093/ptj/pzy125      The PT Hustle Website Schedule an Appointment with Kyle Rice HET LITE Tool   Anywhere Healthcare (code: HET)     CV   MICHAEL S. PUNIELLO, DPT, MS, OCS, FAAOMPT                                                          100 Station St.                                                      Hingham, Ma. 02043                                                            781-749-5833 EDUCATION:                           MGH Institute of Health Professions.  Boston, MA.          Doctor of Physical Therapy Degree.  May 2002         Advanced Masters Degree in Orthopedic Physical Therapy.  August, 1997.         MGH Biomotion Laboratory, Student research associate June 1995 to August 1997.               Quinnipiac College.  Hamden, CT.         Bachelor of Science Degree in Physical Therapy.  May, 1980.         Minor:  Psychology          Honors:  Dean's List SPECIALIZATION:     Board Certified in Orthopedic Physical Therapy by the American Board of Physical                   Therapy Specialties.  1991-present.     Fellow, American Academy of Orthopaedic Manual Therapy.  2001 – present. PROFESSIONAL LICENSURE:   Massachusetts # 3936 PROFESSIONAL EXPERIENCE:     South Shore Physical Therapy Associates.  100 Station St., Hingham MA:           September, 1983 to present. Independent practice.  Advanced examination and          treatment of patients with musculoskeletal dysfunction involving the spine,          extremities and the craniomandibular complex.  Athletic screening evaluations,           home care, consulting.     MGH Institute of Health Professions: Postprofessional         Program in Physical Therapy:        Clinical Instructor, appointed 1998        Promoted to Clinical Assistant Professor, 2002.  Adjunct faculty as of 2007.            Develop and coordinate clinical residency program in Orthopedic Physical                                                                              Therapy; received APTA residency credential March 2003.         Coordinator in Orthopedic Specialization, student advising, preceptorship             coordinator, thesis advisor.                               Musculoskeletal Dysfunction:  Lumbo-Pelvic Region. 2001-2010         Musculoskeletal Dysfunction:  Cervico-Thoracic Region. 2000-2010         Lecturer, Musculoskeletal Dysfunction: Upper Quarter, 1995-2010.         Lecturer, Musculoskeletal Dysfunction: Lower Quarter, 1995-2006              Developed course curriculum for upper and lower quarter and spine courses.              Converted Musculoskeletal Dysfunction to hybrid format consisting of on-line               Format with on-site laboratory sessions.         Diagnostic Screening: When to Treat, When to refer.  On-line version,             Co-teach 2003         Clinical Preceptor for Orthopedic Specialty, 1991 to 2011         Lecturer, Manual Therapy: Extremities, 1993, 1994.         Adjunct Faculty, Manual Therapy: Lumbo-Pelvic Region, 1992.         Laboratory Instructor, Manual Therapy: Spine, 1986.    MGH Biomotion Laboratory:  Research Associate,  December 1997 to 2002.     Regis University, Denver, CO.  Adjunct Faculty, Clinical instructor for Manual              Therapy Fellowship Program.  2006-2010.             Affiliated Community VNA:  Develop and conduct back school lectures,  1998.      University of Kentucky Rural Health Campus:         Instructor, PT 846-852 Medical and Physical Therapy Management of Orthopedic            Problems; PT 807-520 Clinical Functional Anatomy, Summer 1993.     Boston University, Dept. of Physical Therapy:         Laboratory Instructor, Introduction to Joint Mobilization, Fall Semester 1984-85,                 Spring Semester 1985.     Baystate Bombardiers Professional Basketball Club:  Worcester MA.         Physical Therapy Consultant, 1984-85.     Lifestyle Management Systems:  368 congress St., Boston, MA.         Physical Therapy Consultant to develop a musculoskeletal athletic screening             evaluation. May 1984 to July 1985.       Kimberly Home Health Care:  18 Tremont St.  Boston, MA.         Advisory board and Utilization Review committee member, February 1983 to             December 1985.     Visiting Nurse Association of Boston:           Part-time physical therapist, January 1984 to September 1985.     Home Care PRN, TAC Medical Services:  797 Washington St., Newton, MA.         Part-time physical therapist, April 1982 to March 1985.     Massachusetts Home Health Services:  Wellesley MA.         Part-time physical therapist, April 1983 to May 1984.     University Hospital, Boston University Medical Center:  75 East Newton St.         Boston, MA.  Staff physical therapist, June 1, 1980 to August 26, 1983.         Outpatient Department:  April 1, 1983 to August 26, 1983.            Patient Care Responsibilities:  Advanced examination and treatment of patients             with musculoskeletal dysfunction involving the spine, extremities and the cranio-             mandibular complex.  This included much involvement with recreational and             professional athletes.            Department Responsibilities:  Physical therapy aide and student supervision,             staff orientation, coordination of out-patient department and physical therapy/             orthopedic staff in-service programs, staff lecture and training, patient education             and back school lectures, development of upper quarter examination form.          Neurology Rehabilitation Rotation, June 1, 1980 to December 31 1980.          Chest Physical Therapy Rotation,  January 1, 1981 to March 31, 1981.     Newton-Wellesley-Weston Visiting Nurse Association:         Part-time physical therapist, March 1982 to September 1983. PRESENTATIONS:          New York University.  Examination and Treatment of the Hip and                        Sacroiliac Joint. March 24-25, 2017               New York University.  Examination and Treatment of the Hip and                        Sacroiliac Joint. March 4-5, 2016           New York University.  Examination and Treatment of the Hip and                        Sacroiliac Joint. March 6-7, 2015          New York University.  Examination and Treatment of the Hip and                        Sacroiliac Joint. March 7-8, 2014          New York University.  Examination and Treatment of the Hip and                        Sacroiliac Joint. March 8-9, 2013          New York University.  Examination and Treatment of the Hip and                        Sacroiliac Joint. May 4-5, 2012.          Faulkner Hospital.  Examination and Treatment of the Upper Cervical Spine                        And Shoulder Girdle. November 19, 2011.          Faulkner Hospital.  Examination and Treatment of the Cervical and Thoracic                       Spine. August 13, 2011          New York University.  Examination and Treatment of the Foot and Ankle.                        April 15-16, 2011.          New York University.  Examination and Treatment of the Hip and Sacroiliac                      Joint. May 6-7, 2011.                   Performance Physical Therapy.  Examination and treatment of lumbo-pelvic                     Dysfunction.  1-day course.  September, 2007.          Lepre Physical Therapy.  Examination and treatment of Cervical and Thoracic                   Spine Dysfunction. 1 day course.  January 16, 2006.                     Boston University.  Introduction to Thrust Manipulation of the Spine and                   Extremities.  Ronald Schenk, Stephen McDavitt, Michael Puniello                    3-day course, September, 2005.          Lepre Physical Therapy.  Examination and treatment of lumbo-pelvic                 Dysfunction. 1-day course.  January 17, 2005.          MGH Institute of Health Professions.  Laboratory Instructor.  Spinal                 Manipulative Therapy, James Meadows.  April 30-May 3, June 25-27, 2004                              Performance Physical Therapy.  Examination and treatment of cervical and               Thoracic Spine Dysfunction.  1-day course,  January, 2004.                   American Academy of Orthopaedic Manual Physical Therapists Annual             Conference. Platform Presentation:  Short-term effects of spinal mobilization in               Patients with low back pain.  Reno, NV.  October 2003         Performance Physical Therapy.  Examination and treatment of lumbo-pelvic              dysfunction. 1-day course, September, 2003.        American Physical Therapy Association Annual Conference, Poster           Presentation:  Short-term effects of spinal mobilization in patients with low back          Pain. Washington, DC. June 2003       American Physical Therapy Association of MA Annual Conference.  Poster          Presentation:  Short-term effects of spinal mobilization in patients with low back          Pain. October 19, 2002.      MGH Institute of Health Professions.  Laboratory Instructor.  Spinal Manipulative           Therapy, James Meadows.  May 9-11, May 17-19, June 21-23, 2002     South Shore Hospital.  Manual Therapy of the Cervical Spine. September 26, 2001            MGH Institute of Health Professions.  Laboratory Instructor.  Spinal Manipulative           Therapy, James Meadows.  May 23-25, June 9-11, 16-19, 2000.     MGH Department of Orthopaedic Surgery, Residents' Education Series.  Physical therapy treatment of shoulder dysfunction.  May 12, 2000,  May 16, 2001.     Caritas Norwood Hospital.  Examination and treatment of the lumbar spine.  1-day course.  September 19, 1999.      American Physical Therapy Association Annual Conference.  Education Session:          “To Bend or Not to Bend: A Literature Review of Lifting Biomechanics and            Coordination.  June 7, 1999.     American Physical Therapy Association Combined Sections Meeting.  Platform                   Presentation:  Lifting Characteristics of Functionally Limited Elders.         February 13, 1998.       First Annual Boston Back Pain Conference:  The Patient Interview Process.          December 13-14, 1996.     Massachusetts Chapter APTA Annual Conference:  Platform Presentation:          Trendellenburg Gait deviation After Femoral Osteotomy, A Case Study.           Hyannis MA., October 21, 1995.     Education Resource Associates:  Laboratory Instructor.  Australian approach to        Evaluation and Treatment of the Cervical and Thoracic Spine, David Groom, PT.        March 31 to April 2, 1995.     Back Pain Society, Sports Med'94:  Physical Therapy for Restoration, Prevention,        and High Performance.  Boston, MA, March 6, 1994.     Nurse Practitioner Association for Continuing Education:  Physical Examination        of the Lower Extremity.  Burlington, MA., January 30, 1993.     Massachusetts Chapter APTA Annual Conference:  Platform Presentation.          The Influence of Iliotibial Band Tightness on Medial Glide of the Patella in Patients        With Patellofemoral Dysfunction.  Danvers MA., October 24, 1992.     International Federation of Orthopedic Manipulative Therapists (IFOMT):        The Influence of Iliotibial Band Tightness on Medial Glide of the Patella in Patients         With Patellofemoral Dysfunction.  Vail, CO., June 4, 1992.     Fallon Clinic:  Advanced Orthopedic Examination and Manual Therapy of the        Lumbopelvic Region.  Worcester, MA.  Daniel Dyrek, PT, May 16-17, 1992.     Education Resource Associates:  Faculty for One Day, Sacroiliac Joint.         Differential Diagnosis and Treatment of Lumbar and Sacroiliac Joint Dysfunction.         Russell Woodman, PT, November 16, 1991.     Education Resource Associates:  Faculty for One Day, Sacroiliac Joint Dysfunction.        Russell Woodman, PT, January 6 1991.     Education Resource Associates:  Advanced Examination and Manual Therapy of        the Pelvis.  Daniel Dyrek, PT, October 13-14, 1989.     Education Resource Associates:  Advanced Examination and Manual Therapy of        the Pelvis.  Daniel Dyrek, PT, April 29-30, 1988.      Physical Therapy Services of Canton:  Evaluation and Treatment of the Lumbar        Spine and Sacroiliac Joint.  March 14 and March 21, 1987.     Education Resource Associates:  Advanced Examination and Manual Therapy of        the Pelvis.  Daniel Dyrek, PT, May 8-9, 1986.     Foxboro Health Center Physical Therapy Department:  Introduction to Evaluation        and Treatment of the Cervical Spine.  October 22, 1986.     Norwood Hospital Physical Therapy and Orthopedic Departments:  Physical        Examination of the Spine.  November, 20, 1985.     Sports Injuries Seminar:  Biomechanics of the Shoulder Complex, Assessment and        Rehabilitation Techniques, Laboratory Instructor.  Newbury College,        August 7, 1985.     Dave Cowens Basketball Camp:  Athletic Screening Evaluation and Presentation        on Flexibility Exercises.  August, 1984.     Orthopedic Resident Staff, University Hospital:  Boston, MA.  1982-1983        Cyriax Approach to Soft Tissue Examination        Isokinetics:  Evaluation and Treatment With Cybex and Orthotron     Physical Therapy Staff:  University Hospital: Boston, MA.  1982-1983        Examination and Treatment of the Spine and Extremities With Joint Mobilization        Cyriax Approach to Soft Tissue Examination        Traction:  Cervical and Lumbar Spine, Theory and Practice        Upper Quarter Examination        TENS: Theory and Application        Boston University School of Medicine, Biology of Disease Class:  Physical        Examination of the Spine, Lecture and Laboratory Session, 1983. PUBLICATIONS:         Clinical Decision Making.   Sullivan PE, Puniello MS, Pardasaney P. Book chapter                 in Scientific Foundations and Principles of Practice:  Musculoskeletal              Rehabilitation Series.   Edited by Magee DJ, Zachazewski JE, Quillen WS.                Pages 314-327; 2006.         Mobilization and Manipulation.  Puniello, MS.  Book chapter in Clinical Care in               Rheumatic Diseases.  Multiple Editors.  2006.        Short term effects of spinal mobilization in patients with low back pain.             Vousboukas D, Puniello MS, Watkins MP.      Submitted for publication.       Mechanical energy transfer during gait in relation to strength impairment and pathology in elderly women.  McGibbon CA, Puniello MS, Krebs DE: Clinical Biomechanics  16:324-333, 2001.       Mechanical energy analysis of identifies compensatory strategies in disabled elders' gait.  McGibbon CA, Puniello MS, Krebs DE.    J Biomechanics. 34:481-490, 2001.      Lifting Strategy and Stability in Strength Impaired Elders.  Puniello, MS,                            McGibbon, CA, Krebs DE.  Spine. 26: 731-727, 2001.           Lifting characteristics of functionally limited elders.  Puniello, MS, McGibbon, CA.        Krebs, DE.  J Rehabilitation Research and Development.  May/June 37:341-352,        2000.     Iliotibial band tightness and medial glide of the patella in patients with        patellofemoral dysfunction.  Puniello, MS.  Journal of Orthopedic and Sports        Physical Therapy.   March, 1993. PROFESSIONAL ACTIVITIES:     American Physical Therapy Association.  Active Member 1980 to present,             Student Member 1978 to 1980.        Orthopedic Section Member 1980 to present.        Private Practice Section Member 1984 to present.        Select Reviewer for Volume II:  A Guide to Physical Therapy Practice: Preferred            Practice Patterns.  1996.        Site reviewer for Clinical Residency and Fellowship Credentialing Committee.          2006-present.        American Board of  Residency and Fellowship Education:  Appointed to the           Credentialing  Services Council August 2010      American Board of Residency and Fellowship Education:  Appointed to the           Board, term July 2013 - 2017.     American Physical Therapy Association of Massachusetts.  1980 to present.        Assembly Representative.  1994-1996, 1996-1998, 1998-2000, 2001-2003.     Specialization Academy of Content Experts.  American Board of Physical Therapy        Specialties.  Item writer for Orthopedic Specialization Examination. 2000-2002.     American Academy of Orthopedic Manual Therapists. Associate Member 1995 to   Fellow 2001 to present.  Examination committee, 2001-2015        Chairman, Board of Examiners, 2003-2015.        Received John McMillan Mennell Service Award  2010        Chair, Task Force to Re-Validate Description of Specialty Practice in Orthopedic           Manual Physical Therapy.  2016-2018         North American Spine Society, associate member 2002 to present CONTINUING EDUCATION:            American Academy of Orthopaedic Manual Therapists Annual Conference                  Reno, NV.  November 8-11, 2018            Myopain Seminars: Dry Needling DN-1 Foundations I                  Bethesda, MD.  Instructor: Tracy Adler, August 24-26, 2018            American Academy of Orthopaedic Manual Therapists Annual Conference                   Salt Lake City, UT,  October 19-23, 2017            American Academy of Orthopaedic Manual Therapists Annual Conference                   St Louis, MO,  October 24-257,  2016            American Academy of Orthopaedic Manual Therapists Annual Conference                   Louisville, KY,  October 22-25, 2015           American Academy of Orthopaedic Manual Therapists Annual Conference                 San Antonio, Tx October, 2014            American Physical Therapy Association Combined Sections Meeting.                    Las Vegas, NV.  February 2-8 2014            International Federation of Orthopedic Manual Physical Therapists                Conference. Quebec City, Canada.  September 30-October 5, 2012           American Academy of Orthopaedic Manual Therapists Annual Conference               Anaheim, CA.  October 28-30, 2011          Osteopathic Manipulation.  Laurie Hartman, DO, PhD.  Las Vegas, NV.              March 25-27, 2011.          American Academy of Orthopaedic Manual Physical Therapists Annual            Conference. San Antonio, TX.  October 2010         American Physical Therapy Association Annual Conference            Boston, MA.   June, 2010         American Academy of Orthopaedic Manual Physical Therapists Annual            Conference. Washington DC,  October 2009        American Academy of Orthopaedic Manual Physical Therapists Annual           Conference.  Seattle, WA, October, 2008        American Academy of Orthopaedic Manual Physical Therapists Annual          Conference.  St Louis, MO.  October,, 2007        American Physical Therapy Association Combined Sections Meeting.               Boston, MA. February, 2007.                American Academy of Orthopaedic Manual Physical Therapists Annual          Conference.  Charlotte, NC.  October, 2006       American Physical Therapy Association Combined Sections Meeting.                San Diego, CA.  February, 2006        American Academy of Orthopaedic Manual Physical Therapists Annual          Conference.  Salt Lake City, UT.  October, 2005          American Physical Therapy Association Annual Conference            Boston, MA.   June, 2005                American Physical Therapy Association Combined Sections Meeting.              New Orleans, LA,  February, 2005        American Academy of Orthopaedic Manual Physical Therapists Annual          Conference.  Louisville, KY.  October, 2004.       American Physical Therapy Association Combined Sections Meeting.            Nashville, TN.  February, 2004.       American Academy of Orthopaedic Manual Physical Therapists Annual          Conference.  Reno, NV.  October, 2003      American Physical Therapy Association Annual Conference.  Washington, DC.          June, 2003     Designing a Clinical Curriculum for a One-Year Physical Therapy Internship:         A Consensus Conference.  MGH Institute of Health Professions,          March 28-30, 2003.     American Physical Therapy Association Combined Sections Meeting.           Tampa, FL.  February 12-16, 2003         Functional & Pathological Pelvic Dynamics/Low Back Pain.  Richard DonTigney,         Boston, MA.  January 31, 2003     American Physical Therapy Association of MA Annual Conference, Hyannis, MA        October 19-20, 2002.     American Academy of Orthopaedic Manual Physical Therapists Annual        Conference.  Orlando, FL  October 1-5, 2002.     American Physical Therapy Association Combined Sections Meeting.        Boston, MA.  February 20-23, 2002.     American Academy of Orthopaedic Manual Physical Therapists, Annual         Conference.  San Antonio, TX.  October 18-21, 2001.     Norwegian Manual Therapy Approach,  Olaf Evjenth,  Boston, June 16-17, 2001.     American Physical Therapy Association Five State New England Conference.         Portland, ME.  October 2000.     Specialization Academy of Content Experts, Item Writers Workshop.        American Board of Physical Therapy Specialties.  New Orleans, LA.         February 1, 2000.     American Physical Therapy Association Combined Sections Meeting.        New Orleans, LA.  February 2-6, 2000.       Examination and Treatment of Muscle Imbalance.  Vladimir Janda, M.D.        Boston, MA December 16-17, 1999.     American Physical Therapy Association Annual Conference.  Washington, DC         June 1999.     American Physical Therapy Association of Massachusetts Annual Conference.         Hyannis, MA.  October 1999.     Evaluation and Treatment of Neural Tissue Disorders: Differentiating Cervical,                 Neural Tissue and Shoulder Dysfunction.  Robert Elvey.  Boston, MA.         June 26-28, 1998.     American Physical Therapy Association Combined Sections Meeting.            Boston, MA.  February 9-13, 1998.          American Physical Therapy Association of Massachusetts Annual Conference.          Springfield, MA.  November 1997.     Spinal Manipulative Therapy.  James Meadows, PT.  Swodeam Consulting,           Hingham, MA. June 13-15, June 27-29, August 22-24, 1997.     Headache, Dizziness and Chronic Neck Pain.  James Meadows, PT.  North        American Institute of Orthopedic Manual Therapy (NAIOMT),  Boston, MA.        February 15-16, 1997.     First Boston Back Pain Conference:  Boston, MA.  December 12-13, 1996.     Massachusetts Chapter APTA Annual Conference.  Hyannis MA.  October 20-22, Pre-conference Workshop,  Physical Therapy Outcomes: Going Beyond the Rhetoric.  Alan Jette, PhD.     Chain Reaction Plus.  Gary Gray, PT.  Boston, MA. March 25-26, 1994.     Massachusetts Chapter APTA Annual Conference.  Sturbridge, MA.  October        14-16, 1994.  Pre-conference Workshop, Strain-Counter Strain.  Randy Kusonose.     Massachusetts Chapter APTA Annual Conference.  Springfield, MA.        October 22-24, 1993.  Pre-conference Workshop, Examination in Physical Therapy        Practice:  Screening for Medical Disease.  William Boissonault, PT.     Massachusetts Chapter APTA Annual Conference.  Danvers, MA.  October 22-24 Pre-conference Workshop, Diagnosis of Muscle Imbalances.           Shirley Sahrmann, PhD, PT.       International Federation of Orthopedic Manipulative Therapists Conference.        Vail CO.  June 1-5, 1992.     Advanced Evaluation and Treatment of Upper Quadrant Dysfunction.  North        American Institute of Orthopedic Manual Therapy,   Clifford Fowler COMP,        Erl Pettman, COMP.  Boston, MA. October 3-5, 1991.     American Physical Therapy Association National Conference. Boston, MA.        June 23-27, 1991.     First North American Orthopedic Symposium.  Ottawa, Canada.  April 12-13, Canadian and American Physical Therapy Association Orthopedic Sections.     Advanced Evaluation and Treatment of the Craniovertebral Region.  Ottawa,        Canada. Clifford Fowler, COMP, Erl Pettman, COMP.  April 14-16, 1990.     Massachusetts Chapter APTA Annual Conference.  Falmouth, MA.  November Pre-conference Seminar, Craniosacral Therapy.  John Upledger, DO.     Massachusetts Chapter APTA Annual Conference.  Hyannis, MA.  November, Featured Speaker:  Sandy Burkhart, Ph.D., PT.     Massachusetts Chapter APTA Annual Conference.  Hyannis, MA.  November, Featured Speaker:  Shirley Sahrmann, Ph.D, PT.      Functional Capacity Evaluation and Work Hardening.  Boston, MA.           October 10-11, 1986.  Employment Rehab Institute of California.            Leonard Masterson, Ph.D.     Massachusetts Chapter APTA Annual Conference.  Hyannis, MA.  November, Featured Speakers: A. Nachamson, S. Paris, J Frymor, S. Snook.     Myofascial Release Seminar.  Boston, MA. August 16-18, 1985. John Barnes, PT.     When the Foot Hits the Ground Everything Changes.  Boston, MA.  September        21-23, 1984.  Practical Programs in Applied Biomechanics.  Gary Gray, PT.     Lenox Hill Brace Seminar.  Boston MA.  May 21, 1983.       Head and Neck in Dentistry.  New York, NY.  October 1-5, 1982.         Mariano Rocobado, PT.     Advanced Evaluation and Manipulation of the Cervical and Thoracic Spine        and Craniofacial Region.  Boston, MA.  June 25-26, July 9-10, 1982.        Stanley Paris, PT, Steven Kraus, PT.     Introduction to Evaluation and Manipulation of the Spine.  Boston, MA.        April 25 - May 3, 1981.  Alan Grodin, PT.     Transcutaneous Electrical Nerve Stimulation.  Boston, MA.  November 10, 1981.        Jeffrey Manheimer, PT.     Evaluation and Mobilization of the Extremity Joints.  Boston, MA.  January 24-25 Paul McAndrew, PT.     Seminar on Isokinetics.  Hartford, CT.  January 17-18, 1981.  James Tucker, PT.     X-Ray Interpretation for Physical Therapists.  Newton, MA.  December 8, 1980.     Traction:  Current Principles.  Framingham, MA.  October 18-19, 1980.        Duane Saunders, PT.     Orthopedic Medicine.  Rochester, NY.  October 3-7, 1980.  James Cyriax, M.D.     Massachusetts Chapter APTA Annual Conference.  Hyannis, MA.  May 9-11, Featured Speaker:  Paul McAndrew, PT.          

Kelly Duggan received her Doctor of Physical Therapy Degree in January of 2009 at the Massachusetts General Hospital Institute of Health Professions, and has since practiced in multiple areas of therapy including inpatient rehabilitation. In 2016 she opened her own physical therapy clinic, which sees over 150 visits per week. Listen in to this episode of Women Inspired where you will hear: What is physical therapy? Why you should see a PT before your MD Why “healthcare” is turning into healthcare consumerism Full show notes

On this episode of the Healthy Wealthy and Smart Podcast, I welcome Andrew Vigotsky and Dr. Nick Rolnick back on to the show to discuss Andrew’s paper, Interpreting single amplitude in sports and rehab sciences.  In this episode, we discuss: -What information can you conclude from a surface EMG study -The limitations of surface EMG research -What to look for in a surface EMG methods section -And so much more!   “I would urge practitioners not to make clinical decisions primarily based off of surface EMG or any acute type of measure especially when they want a longitudinal outcome for a given patient.”   “There are no studies that validate surface EMG as a predictive outcome for strength or hypertrophy.”   “Look for studies that are relevant to your patient population and your outcomes.”   “I would look at all surface EMG studies with a critical eye especially as they pertain to your patient population and desired patient outcomes.”   “Don’t apply measures that aren’t validated to the outcomes you want.”   For more information on Andrew: Andrew is currently a PhD student in Biomedical Engineering at Northwestern University, where he studies neuromuscular biomechanics. He has published papers in areas ranging from rehabilitation to surface electromyography methodology and biomechanical modeling. His dissertation works aims to understand the neuromechanical implications of muscular heterogeneities.   For more information on Nick:  Dr. Nicholas Rolnick, DPT is a licensed physical therapist, the founder of the Human Performance Mechanic and the co-founder of Blood Flow Restriction Pros. He received his Doctor of Physical Therapy Degree with academic honors from Columbia University in New York City. Through his work as a physical therapist his goal is to keep his patients in perfect balance, have the skills to recognize asymmetries and help patients enjoy the benefits of pain-free movement. He teaches across the United States as a clinical instructor for SmartTools Plus and is an adjunct faculty member at Concordia University – Chicago where he teaches Kinesiology I and II in their MS Applied Exercise Science Program. He also speaks nationally and internationally on the use of blood flow restriction therapy for various diagnoses and populations. He has been featured on The Mind Muscle Project Podcast, Highly Functional Podcast, The Muscle Medicine Podcast, The Missing Variable Podcast, the PTA Tapes Podcast and the Alinea Podcast. He currently lives and works in New York City.   Resources discussed on this show: Vigotsky, Andrew & Halperin, Israel & Lehman, Gregory & Trajano, Gabriel & Vieira, Taian. (2018). Interpreting Signal Amplitudes in Surface Electromyography Studies in Sport and Rehabilitation Sciences. Frontiers in Physiology. 8. 10.3389/fphys.2017.00985.   Andrew Vigotsky Twitter Andrew Vigotsky Research Gate Andrew Vigotsky Facebook The Human Performance Mechanic Website The Human Performance Mechanic Instagram The Human Performance Mechanic Facebook     Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter, instagram  and facebook to stay updated on all of the latest!  Show your support for the show by leaving a rating and review on iTunes!   Have a great week and stay Healthy Wealthy and Smart!    Xo Karen    

Michael Wong, Co-Founder and Chief Learning Strategist at Physio U, comes onto the show to discuss the topic of clinical reasoning. He discusses what clinical reasoning is, how and why Physio U started, how PTs can use apps/software to advance the profession, barriers to education and learning clinical reasoning from the educator and student perspective, how to better integrate clinical reasoning in DPT education, how DPT students and clinicians can improve their clinical reasoning skills, ineffective methods of facilitating clinical reasoning and limitations of his proposed clinical reasoning methods, how clinical reasoning should be addressed to all healthcare providers and what we need to do to shift the needle. This is a very powerful and important episode for all educators, clinicians, and students to hear! Physio U is a software program (also available as apps) which focuses on improving clinical reasoning by deciphering the latest evidence based guidelines into meaningful clinical practice to really help clinicians in a variety of setting including orthopedic, neurologic, cardiopulmonary & pediatrics along with sections dedicated to specifically gait and ROM. http://www.physiou.com/ Physio U Twitter Page: https://twitter.com/physio_u  Physio U Facebook Page: https://www.facebook.com/PhysioU/  Physio U Instagram Page: https://www.instagram.com/physio_u/  Mike's Biography Dr. Michael Wong holds a full time appointment as an Associate Professor at Azusa Pacific University, teaching in the specialty areas of Modalities, Therapeutic Exercises, Orthopedic Physical Therapy, Evidence Based Practice, Diagnostic imaging and Medical Screening. He is a residency and fellowship trained orthopaedic clinical specialist. He currently lectures for the Southern California Kaiser Permanente Orthopaedic Fellowship and Sports Rehabilitation Program and the University of Southern California (USC) Spine Fellowship. He is the author of Pocket Orthopaedics: Evidence based survival guide and has presented nationally and internationally on various topics related to manual therapy and movement. Dr. Wong has lectured in 8 sessions for Combined Sections Meeting in the last 3 years (2015-2017) covering topics related to movement analysis, manual therapy and using technology to enhance guideline implementation and entry level education. The following topics were his talks from 2017 Combined Sections Meeting in San Antonio Texas. "Sports medicine secrets: aberrant spinal movements in the rotational athlete" "Advanced Cervico-Thoracic & Shoulder Interventions for Upper Limb Symptoms" "Guideline implementation in the digital age" Dr. Michael Wong graduated from the Entry-level Physical Therapy Professional Program at Loma Linda University in 2000, receiving his Masters of Physical Therapy Degree. In 2001, he received his Post-professional Doctor of Physical Therapy (DPT) degree while simultaneously completing the Kaiser Permanente Orthopedic Residency Program. In 2003 Dr Wong continued with his advanced training in physical therapy by successfully completing the Southern California Kaiser Permanente Fellowship Program in Manual Therapy. In 2003 he also began teaching orthopaedics at Azusa Pacific University, became a Board Certified Specialist in Orthopedic Physical Therapy and a Fellow of the American Academy of Orthopaedic Manual Physical Therapist. He is a reviewer for the Journal of Orthopaedic and Sports Physical Therapy musculoskeletal imaging feature. Dr. Wong has presented nationally and internationally on various topics related to manual therapy and movement. He was a keynote speaker at the 2011 Ohio State Physical Therapy Association Annual Conference regarding the latest guidelines: Neck/Shoulder Disorders: Get with the Guidelines and Low Back/Hip Disorders: Get with the Guidelines. He is currently a lead author on the Medical Screening Guidelines Task Force sponsored by the Orthopaedic and Federal sections of the American Physical Therapy Association.   Recent Publications include: Wong, M Pocket Orthopaedics: an evidence based survival guide Bartlett and Jones Publishers 2009. Wong, M; Godges, J; Boissonault, B; Chapter 6 Symptom Investigation Primary Care for the Physical Therapist: Examination and Triage, Second Edition Saunders 2011 Recent presentations include: Podium Presentation- 2012 International Federation of Orthopaedic Manipulative Physical Therapist, Quebec, Canada “Blood pressure and heart rate response to unilateral posterior glide of the cervical spine in normal volunteers- a pilot case series” Podium Presentation- 2012 International Federation of Orthopaedic Manipulative Physical Therapist, Quebec, Canada “The combined effect of utilizing manual therapy and motor control training for 2 recreational throwers with chronic shoulder pain” Poster Presentation- 2012 International Federation of Orthopaedic Manipulative Physical Therapist, Quebec, Canada “The effect of ankle and foot manual therapy for chronic Achilles tendinosis in a duathlete who is non-compliant to clinical practice guideline based interventions” 3rd Place Best Poster presentation- 2011 American Academy of Orthopaedic Manual Physical Therapist “USE OF MIRROR BOX THERAPY FOR REDUCING FEAR AVOIDANCE IN A PATIENT WITH ANKLE OPEN REDUCTION INTERNAL FIXATION (ORIF)” Poster Presentation- 2011 California Chapter APTA Annual Meeting “PLANTAR FASCIA THICKNESS IN RUNNERS AND NON-RUNNERS: AN IMAGING ULTRASOUND STUDY.” Poster presentation- 2011 American Academy of Orthopaedic Manual Physical Therapist “DOES TAPING DECREASE PLANTAR FASCIA THICKNESS IN SUBJECTS WITH PLANTAR FASCIITIS?: A PILOT STUDY” Lecturer University of Southern California (USC) Spine Fellowship March 14, 2012 Movement System Impairments of the Lumbar Spine linked to the Low Back Pain ICF Guidelines Lecturer University of Southern California (USC) Spine Fellowship March 15, 2012 Movement System Impairments of the Cervical Spine linked to the Neck Pain ICF Guidelines Key Speaker Ohio Physical Therapy Association Annual Conference April 7, 2011 Neck/Shoulder Disorders: Get with the Guidelines Key Speaker Ohio Physical Therapy Association Annual Conference April 8, 2011 Low Back/Hip Disorders: Get with the Guidelines Continuing education course Ohio Physical Therapy Association Annual Conference April 9, 2011Neck/Shoulder & Low Back/Hip Disorders Manual Procedures Poster Presentation- 2010 American Academy of Orthopaedic Manual Physical Therapists Annual Conference, San Antonio, Tx Yung EY, Wong M Case Study Report “JOINT MOBILIZATION OF A PATIENT WHO DID NOT TOLERATE ECCENTRIC CALF MUSCLE TRAINING INITIALLY FOR CHRONIC ACHILLES TENDINOSIS” Podium Presentation- 2010 California Chapter APTA Annual Conference “THE EFFECTS OF ANTIOXIDANT, ANTI-INFLAMMATORY SUPPLEMENT RACE DAY FUEL® ON POWER, ENDURANCE, MAXIMUM OXYGEN UPTAKE, LACTATE THRESHOLD AND CYTOKINE LEVEL IN ELITE MALE CYCLISTS” Wong, M; Ford, P   Mike's Email: mswong@apu.edu  Mike's Twitter Page: https://twitter.com/mikeswong     

Michael Wong, Co-Founder and Chief Learning Strategist at Physio U, comes onto the show to discuss the topic of clinical reasoning. He discusses what clinical reasoning is, how and why Physio U started, how PTs can use apps/software to advance the profession, barriers to education and learning clinical reasoning from the educator and student perspective, how to better integrate clinical reasoning in DPT education, how DPT students and clinicians can improve their clinical reasoning skills, ineffective methods of facilitating clinical reasoning and limitations of his proposed clinical reasoning methods, how clinical reasoning should be addressed to all healthcare providers and what we need to do to shift the needle. This is a very powerful and important episode for all educators, clinicians, and students to hear! Physio U is a software program (also available as apps) which focuses on improving clinical reasoning by deciphering the latest evidence based guidelines into meaningful clinical practice to really help clinicians in a variety of setting including orthopedic, neurologic, cardiopulmonary & pediatrics along with sections dedicated to specifically gait and ROM. http://www.physiou.com/ Physio U Twitter Page: https://twitter.com/physio_u  Physio U Facebook Page: https://www.facebook.com/PhysioU/  Physio U Instagram Page: https://www.instagram.com/physio_u/  Mike's Biography Dr. Michael Wong holds a full time appointment as an Associate Professor at Azusa Pacific University, teaching in the specialty areas of Modalities, Therapeutic Exercises, Orthopedic Physical Therapy, Evidence Based Practice, Diagnostic imaging and Medical Screening. He is a residency and fellowship trained orthopaedic clinical specialist. He currently lectures for the Southern California Kaiser Permanente Orthopaedic Fellowship and Sports Rehabilitation Program and the University of Southern California (USC) Spine Fellowship. He is the author of Pocket Orthopaedics: Evidence based survival guide and has presented nationally and internationally on various topics related to manual therapy and movement. Dr. Wong has lectured in 8 sessions for Combined Sections Meeting in the last 3 years (2015-2017) covering topics related to movement analysis, manual therapy and using technology to enhance guideline implementation and entry level education. The following topics were his talks from 2017 Combined Sections Meeting in San Antonio Texas. "Sports medicine secrets: aberrant spinal movements in the rotational athlete" "Advanced Cervico-Thoracic & Shoulder Interventions for Upper Limb Symptoms" "Guideline implementation in the digital age" Dr. Michael Wong graduated from the Entry-level Physical Therapy Professional Program at Loma Linda University in 2000, receiving his Masters of Physical Therapy Degree. In 2001, he received his Post-professional Doctor of Physical Therapy (DPT) degree while simultaneously completing the Kaiser Permanente Orthopedic Residency Program. In 2003 Dr Wong continued with his advanced training in physical therapy by successfully completing the Southern California Kaiser Permanente Fellowship Program in Manual Therapy. In 2003 he also began teaching orthopaedics at Azusa Pacific University, became a Board Certified Specialist in Orthopedic Physical Therapy and a Fellow of the American Academy of Orthopaedic Manual Physical Therapist. He is a reviewer for the Journal of Orthopaedic and Sports Physical Therapy musculoskeletal imaging feature. Dr. Wong has presented nationally and internationally on various topics related to manual therapy and movement. He was a keynote speaker at the 2011 Ohio State Physical Therapy Association Annual Conference regarding the latest guidelines: Neck/Shoulder Disorders: Get with the Guidelines and Low Back/Hip Disorders: Get with the Guidelines. He is currently a lead author on the Medical Screening Guidelines Task Force sponsored by the Orthopaedic and Federal sections of the American Physical Therapy Association.   Recent Publications include: Wong, M Pocket Orthopaedics: an evidence based survival guide Bartlett and Jones Publishers 2009. Wong, M; Godges, J; Boissonault, B; Chapter 6 Symptom Investigation Primary Care for the Physical Therapist: Examination and Triage, Second Edition Saunders 2011 Recent presentations include: Podium Presentation- 2012 International Federation of Orthopaedic Manipulative Physical Therapist, Quebec, Canada “Blood pressure and heart rate response to unilateral posterior glide of the cervical spine in normal volunteers- a pilot case series” Podium Presentation- 2012 International Federation of Orthopaedic Manipulative Physical Therapist, Quebec, Canada “The combined effect of utilizing manual therapy and motor control training for 2 recreational throwers with chronic shoulder pain” Poster Presentation- 2012 International Federation of Orthopaedic Manipulative Physical Therapist, Quebec, Canada “The effect of ankle and foot manual therapy for chronic Achilles tendinosis in a duathlete who is non-compliant to clinical practice guideline based interventions” 3rd Place Best Poster presentation- 2011 American Academy of Orthopaedic Manual Physical Therapist “USE OF MIRROR BOX THERAPY FOR REDUCING FEAR AVOIDANCE IN A PATIENT WITH ANKLE OPEN REDUCTION INTERNAL FIXATION (ORIF)” Poster Presentation- 2011 California Chapter APTA Annual Meeting “PLANTAR FASCIA THICKNESS IN RUNNERS AND NON-RUNNERS: AN IMAGING ULTRASOUND STUDY.” Poster presentation- 2011 American Academy of Orthopaedic Manual Physical Therapist “DOES TAPING DECREASE PLANTAR FASCIA THICKNESS IN SUBJECTS WITH PLANTAR FASCIITIS?: A PILOT STUDY” Lecturer University of Southern California (USC) Spine Fellowship March 14, 2012 Movement System Impairments of the Lumbar Spine linked to the Low Back Pain ICF Guidelines Lecturer University of Southern California (USC) Spine Fellowship March 15, 2012 Movement System Impairments of the Cervical Spine linked to the Neck Pain ICF Guidelines Key Speaker Ohio Physical Therapy Association Annual Conference April 7, 2011 Neck/Shoulder Disorders: Get with the Guidelines Key Speaker Ohio Physical Therapy Association Annual Conference April 8, 2011 Low Back/Hip Disorders: Get with the Guidelines Continuing education course Ohio Physical Therapy Association Annual Conference April 9, 2011Neck/Shoulder & Low Back/Hip Disorders Manual Procedures Poster Presentation- 2010 American Academy of Orthopaedic Manual Physical Therapists Annual Conference, San Antonio, Tx Yung EY, Wong M Case Study Report “JOINT MOBILIZATION OF A PATIENT WHO DID NOT TOLERATE ECCENTRIC CALF MUSCLE TRAINING INITIALLY FOR CHRONIC ACHILLES TENDINOSIS” Podium Presentation- 2010 California Chapter APTA Annual Conference “THE EFFECTS OF ANTIOXIDANT, ANTI-INFLAMMATORY SUPPLEMENT RACE DAY FUEL® ON POWER, ENDURANCE, MAXIMUM OXYGEN UPTAKE, LACTATE THRESHOLD AND CYTOKINE LEVEL IN ELITE MALE CYCLISTS” Wong, M; Ford, P   Mike's Email: mswong@apu.edu  Mike's Twitter Page: https://twitter.com/mikeswong   

Join host Amy Zellmer as she chats with Christy Sands of Mt. Washington Pediatric Hospital.  Christy Sands, PT, DPT Christy Sands has been a physical therapist at Mt. Washington Pediatric Hospital for 9 years. She earned a B.S. in Kinesiological Science in 2004, and a Doctor of Physical Therapy Degree from University of Maryland in 2009. She has a clinical specialty treating pediatric vestibular and coordination disorders. She assisted with development and oversight of MWPH’s Balance Clinic in conjunction with occupational therapy. She is responsible for organizing physical and occupational therapy care for patients in the Concussion Assessment and Management Program (CAMP) at MWPH.  Mt. Washington Pediatric Hospital provides family-focused, integrated care to children with serious, chronic or complex medical needs. Since 1922, the hospital has helped children heal from illness and injury, and now treats nearly 9,000 patients each year. The 102-bed hospital is a jointly owned affiliate of The University of Maryland Medical System and Johns Hopkins Medicine and has locations in Baltimore City, Prince George’s County and in the community. For more information, please visitwww.mwph.org. Episode sponsored by: Minnesota Functional Neurology DC 

Today's podcast is brought you by Podcasting for Creatives, my course for creative women who want to Create, Publish and GROW their own podcast! Head to Bit.ly/letspodcast to learn more and enroll! Class starts March 27th! My guest today is Kari Roberts! Kari Roberts is a mobile makeup artist based out of Atlanta, GA, She provides an on-location pampering experience – traveling to her clients with her makeup kit, professional lighting, and chair. After pursuing her Doctor of Physical Therapy Degree, she rekindled her love childhood love of makeup.She brings her strong people skills from connecting with individuals and merges it with her strong background and understanding of anatomy and bone structure. With that base she is able to enhance her clients' natural beauty without ever looking over done. Over the 4+ years of being a makeup artist she has been mentioned in Brides.com blog and RuffledBlog. She has won Wedding Wire Couples' Choice Awards for 2015, 2016 and 2017. She has found her niche of doing natural beauty where "beat face" is all the rage. She will make you look like you - only better! Join the conversation!

On this week’s episode of the Healthy Wealthy and Smart Podcast, Dr. Jason Silvernail joins me for Part 2 of Ask Jason Anything! Dr. Silvernail is a Doctor of Physical Therapy who was selected for the prestigious Army-Baylor Doctoral Fellowship in Orthopedic Manual Physical Therapy at Fort Sam Houston for subspecialty training and graduated in 2010, earning him both a Doctor of Science degree from Baylor University and Fellow status in the American Academy of Orthopedic Manual Physical Therapists. A clinician and researcher, he has published clinical commentaries and original research in the medical literature including the Journal of Orthopedic and Sports Physical Therapy, Manual Therapy, and the Journal of Manual and Manipulative Therapy. In this show, we discuss: -The roadmap to a military physical therapy career -Jason’s hiring process for seasoned professionals and new graduates -How to translate the present body of knowledge into clinical practice -Jason’s overall outlook for the physical therapy profession and advice for fresh PTs -And so much more!   For more about Jason: Jason Silvernail DPT, DSc, FAAOMPT qualified with a Master of Physical Therapy degree from the University Of Scranton Pennsylvania in 1997, and he has been in practice as a physical therapist since then. He completed his Doc tor of Physical Therapy Degree in 2006. He was selected for the prestigious Army-Baylor Doctoral Fellowship in Orthopedic Manual Physical Therapy at Fort Sam Houston for subspecialty training and graduated in 2010, earning him both a Doctor of Science degree from Baylor University and Fellow status in the American Academy of Orthopedic Manual Physical Therapists. Dr. Silvernail is a board-certified Orthopedic Clinical Specialist (OCS) from the American Board of Physical Therapy Specialties and a Certified Strength and Conditioning Specialist (CSCS) with the National Strength and Conditioning Association. He is a career military officer, practicing in the US Army since 1998, and has been stationed across the United States, Europe, the Middle East and in Afghanistan. Dr Silvernail has worked with a wide variety of patient populations and settings including orthopedic/sports, chronic pain, amputee and neurological rehabilitation, and strength and conditioning. A clinician and researcher, he has published clinical commentaries and original research in the medical literature (including the Journal of Orthopedic and Sports Physical Therapy, Manual Therapy, and the Journal of Manual and Manipulative Therapy) and he has a prominent professional presence online where you can connect with him on Facebook or Twitter. Dr. Silvernail is married to Carolyn T. Silvernail, who is a graduate student at American University with degrees in Exercise Science, Digital Film and in Music Performance. They live in the northern Virginia area and enjoy hiking, fitness, and ballroom dancing. Opinions expressed by Dr Silvernail are his own and do not represent the official policy or position of the United States Army, the Department of Defense, or the United States Government.   Resources discussed on this show: Keith Smart Publications Systematic Clinical Reasoning in Physical Therapy (SCRIPT): Tool for the Purposeful Practice of Clinical Reasoning in Orthopedic Manual Physical Therapy The Mechanisms of Manual Therapy in the Treatment of Musculoskeletal Pain: A Comprehensive Model Soma Simple US Army-Baylor DPT Program USA Jobs San Diego Pain Summit 2017   Make sure to follow Jason on twitter and facebook for more great resources and conversations!   Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter and facebook to stay updated on all of the latest! Show your support for the show by leaving a rating and review on iTunes!   Have a great week and stay Healthy Wealthy and Smart!   Xo Karen   P.S. Do you want to be a stand out podcast guest? Make sure to grab the tools from the FREE eBook on the home page! Check out my latest blog post on The Do’s and Don’ts of Social Media!  

On this week’s episode of the Healthy Wealthy and Smart Podcast, Dr. Jason Silvernail joins me for Part 1 of Ask Jason Anything! Dr. Silvernail is a Doctor of Physical Therapy who was selected for the prestigious Army-Baylor Doctoral Fellowship in Orthopedic Manual Physical Therapy at Fort Sam Houston for subspecialty training and graduated in 2010, earning him both a Doctor of Science degree from Baylor University and Fellow status in the American Academy of Orthopedic Manual Physical Therapists. A clinician and researcher, he has published clinical commentaries and original research in the medical literature including the Journal of Orthopedic and Sports Physical Therapy, Manual Therapy, and the Journal of Manual and Manipulative Therapy. In this show, we discuss: -How manual therapy is integrated into the biopsychosocial framework -Rethinking the goals of your initial evaluation -Strengths and limitations of a pain science perspective on patient care -The roadmap to a military physical therapy career -Jason’s hiring process for seasoned professionals and new graduates -And so much more!   While Jason is a proponent for making advances in research, he also believes that there is more to gain from the existing literature to improve patient care. He challenges clinicians and researchers to “actually start using the evidence we already have. What can we do to build processes in our health systems to help us better integrate existing research evidence and clinical practice to make it relevant to clinicians, to make it relevant to payers, and to make it popular and effective for patients so patients start asking for it… What can we do to integrate and better use what we already know?”   Jason believes that there is a positive outlook for physical therapy and that the profession can fill a desired role in the current marketplace. He states, “Patients are looking for a low cost, low risk, non-invasive approach that they can have quick access to that is an appropriate match to their goals, that is matched to exactly what they want, and you can get what you want when you want it. There are not too many people in medicine that are offering something close to that, but PT is one of them.“   Utilizing the biopsychosocial framework for patient care has proven to be effective for Jason in his career. He advices, “One of the things I say the most to PT students is this job is half psychology and I used to think that my job was the evaluation, diagnosis and treatment of non-surgical musculoskeletal conditions. That’s actually not my job. I am in the business of behavior change. And if you’re a PT, you’re in the business of behavior change too. And the sooner you understand that and the sooner you start to work on your ability to help engage others for behavior change, the more success you will have in your profession. “   For more about Jason: Jason Silvernail DPT, DSc, FAAOMPT qualified with a Master of Physical Therapy degree from the University Of Scranton Pennsylvania in 1997, and he has been in practice as a physical therapist since then. He completed his Doc tor of Physical Therapy Degree in 2006. He was selected for the prestigious Army-Baylor Doctoral Fellowship in Orthopedic Manual Physical Therapy at Fort Sam Houston for subspecialty training and graduated in 2010, earning him both a Doctor of Science degree from Baylor University and Fellow status in the American Academy of Orthopedic Manual Physical Therapists.   Dr. Silvernail is a board-certified Orthopedic Clinical Specialist (OCS) from the American Board of Physical Therapy Specialties and a Certified Strength and Conditioning Specialist (CSCS) with the National Strength and Conditioning Association.   He is a career military officer, practicing in the US Army since 1998, and has been stationed across the United States, Europe, the Middle East and in Afghanistan. Dr Silvernail has worked with a wide variety of patient populations and settings including orthopedic/sports, chronic pain, amputee and neurological rehabilitation, and strength and conditioning.   A clinician and researcher, he has published clinical commentaries and original research in the medical literature (including the Journal of Orthopedic and Sports Physical Therapy, Manual Therapy, and the Journal of Manual and Manipulative Therapy) and he has a prominent professional presence online where you can connect with him on Facebook or Twitter.   Dr. Silvernail is married to Carolyn T. Silvernail, who is a graduate student at American University with degrees in Exercise Science, Digital Film and in Music Performance. They live in the northern Virginia area and enjoy hiking, fitness, and ballroom dancing. Opinions expressed by Dr Silvernail are his own and do not represent the official policy or position of the United States Army, the Department of Defense, or the United States Government.   Resources discussed on this show: Keith Smart Publications Systematic Clinical Reasoning in Physical Therapy (SCRIPT): Tool for the Purposeful Practice of Clinical Reasoning in Orthopedic Manual Physical Therapy The Mechanisms of Manual Therapy in the Treatment of Musculoskeletal Pain: A Comprehensive Model Soma Simple US Army-Baylor DPT Program USA Jobs San Diego Pain Summit 2017   Make sure to follow Jason on twitter and facebook for more great resources and conversations!   Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter and facebook to stay updated on all of the latest! Show your support for the show by leaving a rating and review on iTunes!   Have a great week and stay Healthy Wealthy and Smart!   Xo Karen   P.S. Do you want to be a stand out podcast guest? Make sure to grab the tools from the FREE eBook on the home page! Check out my latest blog post on The Do's and Don'ts of Social Media!