POPULARITY
8 episodes with physical therapy specialties
6 episodes with physical therapy specialties
5 episodes with physical therapy specialties
3 episodes with physical therapy specialties
2 episodes with physical therapy specialties
2 episodes with physical therapy specialties
2 episodes with physical therapy specialties
2 episodes with physical therapy specialties
2 episodes with physical therapy specialties
In today's episode, I speak with orthopedic physical therapist, content creator and entrepreneur, Dr. Caleb Burgess. Caleb is a licensed Doctor of Physical Therapy, a certified specialist in Orthopedic Physical Therapy through the American Board of Physical Therapy Specialties, and a Certified Strength and Conditioning Specialist through the National Strength and Conditioning Association. In 2014, Caleb received his Doctorate in Physical Therapy (DPT) from Azusa Pacific University. The next two years he completed a Residency in Orthopedic Physical Therapy and then a Fellowship in Sports and Orthopedic Physical Therapy through Kaiser Permanente Southern California. This advanced training allowed him to become an expert in musculoskeletal conditions both related to the general and athletic populations. Furthermore, as a strength and conditioning specialist, Caleb is qualified to help people develop and achieve higher level performance based goals that extend beyond traditional rehabilitation. To learn more about Caleb's work, visit his instagram account (@dr.caleb.burgess) or his website.
Most healthcare professionals strive to put patients first. But what does that really mean? In the practice of physical therapy specifically, it means a lot of things, beginning with listening to the patient. On our show today, Dr. Diana Mayants joins us to chat about the physical therapy profession as she sees it. Diana is a dual-board certified orthopedic manual physical therapist, with over 13 years of experience as a doctor of physical therapy. We discuss the importance of full-body screening in completing a holistic picture of the patient's movement and posture. We also touch on how to integrate new evidence into our practices and help patients catapult their recovery. Diana emphasizes that we can serve our patients better by communicating with them more effectively.Diana has helped numerous patients return to their baseline and in many cases left patients feeling the best they have in years. She has earned the prestigious title of Orthopedic Clinical Specialist (OCS) through the American Board of Physical Therapy Specialties in 2015. In 2017, she completed the rigorous NAIOMT (North American Institute of Orthopedic Manual Therapists) earning the prestigious title of Certified Manual Physical Therapist (CMPT). Diana earned her doctorate in physical therapy with honors from the University of Medicine and Dentistry of New Jersey. Diana's practice is located in Livingston, NJ where she offers one-on-one sessions and sees clients with various musculoskeletal conditions.Connect with her:orthopronyc.com@Orthopronyc
Unlock the secrets to impeccable posture and peak physical performance with our latest episode featuring Kristen Schuyten, a veteran physical therapist from Michigan Medicine. Kristen's extensive experience with athletes—ranging from athletes and performers—offers a comprehensive look at the critical role of posture in injury prevention and optimal function. Whether you're a fitness professional or a strength coach, Kristen's insights will prove invaluable.Gain a deeper understanding of the natural curves of the spine and why maintaining alignment is essential for overall body health. We discuss the modern-day culprits of poor posture, such as prolonged computer use and weight gain, and how these factors lead to muscle imbalances and spinal issues. Kristen provides practical advice on addressing tightness in the front body and weakness in the back to ensure balanced musculature and prevent injuries during workouts. Finally, navigate the landscape of postural improvements and clinical pathology with expert guidance. Learn how to distinguish between issues that can be managed through standard exercise interventions and those requiring professional medical attention. Kristen emphasizes the importance of warm-up and cool-down routines, offering practical tips and resources to integrate into your daily regimen. This episode is packed with actionable advice and strategies to help you or your clients achieve and maintain optimal posture for superior performance and health.Show Notes Page: https://wellnessparadoxpod.com/episode131Our Guest: Kristen Schuyten, PT, DPT, MS, SCS, CSCSDr. Kristen Schuyten is a Physical Therapy Clinical Specialist and Performing Arts Rehabilitation Program Coordinator at MedSport Domino's Farms and a Physical Therapist with the School of Music, Theatre and Dance Wellness Initiative. She holds her Board Certification in Sports through the American Board of Physical Therapy Specialties and is a Certified Strength and Conditioning Specialist through the NSCA. Dr. Schuyten received her undergraduate education from University of Michigan, and her Master's and Doctorate in Physical Therapy from Central Michigan University. She performs staff training in the evaluation, screening and treatment of Performing Arts patients and coordinates and performs on-site triaging, backstage treatment services for the School of Music, Theatre and Dance (SMTD). She has collaborated in the creation of return to dance post-operative protocol, gymnastic, instrumentalist, post-concussion return and figure skating injury risk screening for these specialized patient populations. For over a decade, she has coordinated injury risk screening for the UM SMTD including analysis of individual screenings and customized exercise prescription. Dr. Schuyten volunteers with the US Figure Skating Team USA, serving on their medical as Team Physiotherapist and supporting the team supported the team in Olympic and World Championship events. Through US Figure Skating and Michigan Medicine collaborations, she has served as a Co-Chief Medical Officer for 2019 National Figure and Synchronized Skating Championships. Follow us on social at the links below: https://www.facebook.com/wellnessparadox https://www.instagram.com/wellnessparadox/ https://www.linkedin.com/company/wellness-paradox-podcast https://twitter.com/WellnessParadox
One topic that I don't think is talked about enough with expecting and new mothers (or people in general) is pelvic floor health. In my opinion, pelvic floor health should be considered as a form of self-care and a part of us taking care of our overall health. I can't even tell you the number of people I have met who weren't totally sure what their pelvic floor is, what it does, how it affects them, and that everyone has one. And when a woman becomes pregnant and gives birth to her baby, these are the times when she might experience some problems with her pelvic floor and wishes she had known more about her changing body and had support. Whether you had a vaginal birth or cesarean birth, your body has done some hard, amazing work. Our guest today, Liz Miracle, knows all about this since she has supported hundreds of women as a pelvic floor physical therapist. Today, she is sharing her tips on how to best take care of our bodies after childbirth, including our pelvic floors. Who is Liz Miracle? Liz Miracle, PT, MPT, WCS is the Head of Clinical Quality and Education at Origin, the leading provider of physical therapy for maternity, menopause, and sexual health, with deep expertise in the pelvic floor and full body. Liz is a Texas native and graduate of Texas Woman's University School of Physical Therapy. She began practicing pelvic floor physical therapy in 2006 and has since received her Clinical Specialization in Women's Health from the American Board of Physical Therapy Specialties. After running her own practice for a decade, she was excited to join Origin Physical Therapy, where she works to implement the highest standards of evidence-based care and help train the next generation of pelvic floor therapists. When not exploring innovative ways to help her patients, she is at home hiking the hills in the North Bay of San Francisco with her husband and daughter. What Did We Discuss? Check out our SHOW NOTES for details on our discussion and my thoughts! Liz Miracle's Resources Liz's Practice: MiraclePT Liz's LinkedIn: @lizmiracle Origin Website: Origin Origin Instagram: @theoriginway Origin LinkedIn: @theoriginway Thank you for listening to this episode! Be sure to follow us on our podcast Instagram page @thebabychickchat. Let us know what you think and if there are any other topics you'd like us to cover. Cheers to taking care of yourself postpartum! Learn more about your ad choices. Visit megaphone.fm/adchoices
In this episode, Dr. Jenny LaCross joins as a guest to share her remarkable academic journey, from starting in athletic training to pursuing a career in pelvic health physical therapy and eventually transitioning into research. The conversation delves into Dr. LaCrosse's experiences as a clinical practitioner, her advocacy for evidence-based practice in pelvic health, and the pivotal moments that led her to pursue a postdoctoral position to make a broader impact in healthcare education.Dr. LaCross's narrative emphasizes the significance of research in pelvic health, the challenges of measuring outcomes objectively in this field, and the importance of addressing gaps in knowledge to enhance patient care. The episode offers insights into the motivations behind pursuing a terminal degree, the considerations involved, and the transformative impact such a journey can have on one's professional trajectory.Jenny LaCross PT, DPT, PhD, ATC, CLT received her B.S. in Kinesiology-Athletic Training from University of Michigan-Ann Arbor in 2011 and her Doctorate of Physical Therapy from Washington University in Saint Louis in 2014. Upon earning her doctorate, Jenny's passion for women's health care led her to complete a 15-month post-professional physical therapy residency in women's and men's health at University of Pittsburgh Medical Center: Centers for Rehab Services, where she also became a certified lymphedema therapist and clinical instructor. She received her Board Specialty Certification in Women's Health Physical Therapy in 2016 from the American Board of Physical Therapy Specialties. She then completed a post-professional certificate program in Women's Health Physical Therapy and her PhD in Physical Therapy at Texas Woman's University's in 2018 and 2023 respectively. Jenny values service to the profession and has volunteered for the American Physical Therapy Association: Academy of Pelvic Health in numerous roles including chair of the clinical practice guideline on physical therapy management of constipation development team, assistant educational review committee chair, and item writer/ member of the specialized academy of content experts in women's health. Feel free to reach out to Dr. Lacross at:https://www.instagram.com/jenn.lacrossjalacros@umich.eduIf you are taking the NPTE or are teaching those about to take the NPTE, visit the NPTE Final Frontier at www.NPTEFF.com and use code "HET" for 10% off all purchases at the website...and BREAKING NEWS!!!! They now have an OCS review option as well... You're welcome! You can also reach out to them on Instagram @npteff If you're a PT and you have student loan debt, you gotta talk to these guys. What makes them unique is that they view financial planning as like running hurdles on a track. And for PTs, the first hurdle many of us run into is student loan debt. Varela Financial will help you get over that hurdle. They not only take the time to explain to you which plans you individually qualify for and how those plans work, but they ALSO take the time to show you what YOUR individual case looks like mapped out within each option. So if you're looking for help on your student loan debt, or any area of your personal finances, we highly recommend working with them. You can check out Varela Financial out at varelafinancial.com. Feel free to reach out to us at: http://healthcareeducationtransformationpodcast.com/ https://www.facebook.com/HETPodcast https://twitter.com/HETpodcast Instagram: @hetpodcast @dawnbrown_pt @pteducator @dawnmagnusson31 @farleyschweighart @mail.in.stew.art @ujima_institute For more information on how we can optimize and standardize healthcare education and delivery, subscribe to the Healthcare Education Transformation Podcast on Apple Podcasts or wherever you listen to podcasts.
In this episode, Dr. Jenny LaCross joins as a guest to share her remarkable academic journey, from starting in athletic training to pursuing a career in pelvic health physical therapy and eventually transitioning into research. The conversation delves into Dr. LaCrosse's experiences as a clinical practitioner, her advocacy for evidence-based practice in pelvic health, and the pivotal moments that led her to pursue a postdoctoral position to make a broader impact in healthcare education.Dr. LaCross's narrative emphasizes the significance of research in pelvic health, the challenges of measuring outcomes objectively in this field, and the importance of addressing gaps in knowledge to enhance patient care. The episode offers insights into the motivations behind pursuing a terminal degree, the considerations involved, and the transformative impact such a journey can have on one's professional trajectory.Jenny LaCross PT, DPT, PhD, ATC, CLT received her B.S. in Kinesiology-Athletic Training from University of Michigan-Ann Arbor in 2011 and her Doctorate of Physical Therapy from Washington University in Saint Louis in 2014. Upon earning her doctorate, Jenny's passion for women's health care led her to complete a 15-month post-professional physical therapy residency in women's and men's health at University of Pittsburgh Medical Center: Centers for Rehab Services, where she also became a certified lymphedema therapist and clinical instructor. She received her Board Specialty Certification in Women's Health Physical Therapy in 2016 from the American Board of Physical Therapy Specialties. She then completed a post-professional certificate program in Women's Health Physical Therapy and her PhD in Physical Therapy at Texas Woman's University's in 2018 and 2023 respectively. Jenny values service to the profession and has volunteered for the American Physical Therapy Association: Academy of Pelvic Health in numerous roles including chair of the clinical practice guideline on physical therapy management of constipation development team, assistant educational review committee chair, and item writer/ member of the specialized academy of content experts in women's health. Feel free to reach out to Dr. Lacross at:https://www.instagram.com/jenn.lacrossjalacros@umich.eduIf you are taking the NPTE or are teaching those about to take the NPTE, visit the NPTE Final Frontier at www.NPTEFF.com and use code "HET" for 10% off all purchases at the website...and BREAKING NEWS!!!! They now have an OCS review option as well... You're welcome! You can also reach out to them on Instagram @npteff If you're a PT and you have student loan debt, you gotta talk to these guys. What makes them unique is that they view financial planning as like running hurdles on a track. And for PTs, the first hurdle many of us run into is student loan debt. Varela Financial will help you get over that hurdle. They not only take the time to explain to you which plans you individually qualify for and how those plans work, but they ALSO take the time to show you what YOUR individual case looks like mapped out within each option. So if you're looking for help on your student loan debt, or any area of your personal finances, we highly recommend working with them. You can check out Varela Financial out at varelafinancial.com. Feel free to reach out to us at: http://healthcareeducationtransformationpodcast.com/ https://www.facebook.com/HETPodcast https://twitter.com/HETpodcast Instagram: @hetpodcast @dawnbrown_pt @pteducator @dawnmagnusson31 @farleyschweighart @mail.in.stew.art @ujima_institute For more information on how we can optimize and standardize healthcare education and delivery, subscribe to the Healthcare Education Transformation Podcast on Apple Podcasts or wherever you listen to podcasts.
About Peter:Dr. Sprague holds the positions of Assistant Professor of Rehabilitation Medicine and Assistant Professor of Orthopaedics in Emory University's School of Medicine. His primary teaching appointment is within the Physical Therapy Division in the Emory School of Medicine where he is the co-course coordinator for the Musculoskeletal Rehabilitation course, the course coordinator for the Introduction to Interventions course, and course coordinator for a course he developed entitled “A Movement System Approach to the Orthopaedic Client.” He is a Board Certified Clinical Specialist in Orthopaedic Physical Therapy and currently serves on the Committee of Content Experts for the American Board of Physical Therapy Specialties. Dr. Sprague has extensive clinical experience working with high school and collegiate athletes in an interprofessional team setting and has assisted in the development and implementation of screening procedures assessing for musculoskeletal injury risk for collegiate and professional sports organizations. He has an active research agenda exploring movement as it relates to outcomes following ACL reconstruction and is interested in exploring teaching methodology that promotes learning related to the identification and treatment of movement dysfunction that results in pain and injury or is caused by pain and injury. Dr. Sprague lives in the Atlanta area and enjoys outdoor activities with his wife and 3 dogs.
About Peter:Dr. Sprague holds the positions of Assistant Professor of Rehabilitation Medicine and Assistant Professor of Orthopaedics in Emory University's School of Medicine. His primary teaching appointment is within the Physical Therapy Division in the Emory School of Medicine where he is the co-course coordinator for the Musculoskeletal Rehabilitation course, the course coordinator for the Introduction to Interventions course, and course coordinator for a course he developed entitled “A Movement System Approach to the Orthopaedic Client.” He is a Board Certified Clinical Specialist in Orthopaedic Physical Therapy and currently serves on the Committee of Content Experts for the American Board of Physical Therapy Specialties. Dr. Sprague has extensive clinical experience working with high school and collegiate athletes in an interprofessional team setting and has assisted in the development and implementation of screening procedures assessing for musculoskeletal injury risk for collegiate and professional sports organizations. He has an active research agenda exploring movement as it relates to outcomes following ACL reconstruction and is interested in exploring teaching methodology that promotes learning related to the identification and treatment of movement dysfunction that results in pain and injury or is caused by pain and injury. Dr. Sprague lives in the Atlanta area and enjoys outdoor activities with his wife and 3 dogs.
Today's Episode Dr. Raj talks with Dr. Mike Shoemaker about their shared history in medical research, his background in physical therapy, and how he became a pilot amongst an arduous medical career. Today's Guest Dr. Shoemaker received a B.S. in Physical Education with an Exercise Science Specialization from Calvin College in 1996. In 1999 he earned his Doctor of Physical Therapy degree from Slippery Rock University, and earned his PhD in Interdisciplinary Health Sciences from Western Michigan University in 2012. He was board-certified as a Geriatric Clinical Specialist by the ABPTS (American Board of Physical Therapy Specialties) from 2002 to 2022. His practice has been focused in cardiopulmonary and geriatric rehabilitation across multiple practice settings including acute care, long-term acute care, long-term care, subacute care, and outpatient care. He currently practices in the cardiothoracic critical care setting at the Corewell Health Meijer Heart Center. Dr. Shoemaker is an active member of his professional association. He currently serves as a delegate to the APTA House of Delegates and has served the roles of Legislative Director, Vice President, and President of the Michigan Chapter of the APTA. Dr. Shoemaker's research interests span 44 peer-reviewed papers, 5 textbook chapters, 28 peer-reviewed platform/poster presentations, and 7 continuing education presentation workshops. He is an instrument-rated commercial pilot, flight instructor, and instrument flight instructor. He serves as an instructor pilot, check pilot, and mission pilot who flies for Search & Rescue and Homeland Security missions for the Civil Air Patrol. About Dr. Raj Dr Raj is a quadruple board certified physician and associate professor at the University of Southern California. He was a co-host on the TNT series Chasing the Cure with Ann Curry, a regular on the TV Show The Doctors for the past 7 seasons and has a weekly medical segment on ABC news Los Angeles. Want more Dr. Raj? Check out the Beyond the Pearls lecture series! The Ultimate High Yield Bundle: The complete review of high-yield clinical medicine topics necessary for graduate medical education board exams including NBME, USMLE Steps 1/2/3, ITE and ABIM Boards. You can also listen to the Beyond the Pearls podcast. Check out our other shows: Physiology by Physeo Step 1 Success Stories The InsideTheBoards Study Smarter Podcast The InsideTheBoards Podcast Produced by Ars Longa Media To learn more about us and this podcast, visit arslonga.media. You can leave feedback or suggestions at arslonga.media/contact or by emailing info@arslonga.media. Produced by: Christopher Breitigan and Erin McCue. Executive Producer: Patrick C. Beeman, MD Legal Stuff The information presented in this podcast is intended for educational purposes only and should not be construed as professional or medical advice. Learn more about your ad choices. Visit megaphone.fm/adchoices
Dr. Kyle Matsel is on the faculty at the University of Evansville as an Associate Professor of Physical Therapy where he teaches in the musculoskeletal content areas of the Doctor of Physical Therapy curriculum and is also the Program Director in Health Professions Education. Kyle received his Doctor of Physical Therapy degree from the University of Evansville in 2011 and his PhD in rehabilitation sciences from the University of Kentucky in 2021. His research interests are in the identification of musculoskeletal injury risk factors and the implementation of arm care exercise programs for baseball players. He is the Director of the ProRehab & University of Evansville Sports Physical Therapy residency program. He is a board-certified clinical specialist in sports through the American Board of Physical Therapy Specialties and a certified strength and conditioning specialist. Dr. Matsel is engaged in patient care at ProRehab specializing in sports and orthopedic rehabilitation. Additionally, Dr. Matsel presents nationally on topics related to comprehensive, systematic movement-based assessment and testing and is a consultant with a number of collegiate and professional sports teams regarding injury prevention strategies. Links: https://www.kylematsel.com Facebook: https://www.facebook.com/kyle.matsel/ X: https://twitter.com/KyleMatsel Instagram: https://www.instagram.com/kyle_matsel/ LinkedIn: https://www.linkedin.com/in/kyle-matsel-bb3563223/ Bonus Link: This is the article on Hypermobility and the Beighton Scale that we refer to on the show: https://ericdagati.com/are-you-too-loose-how-stretching-can-make-some-people-worse/
In this episode of the Brawn Body Health and Fitness Podcast, Dan is joined by Dr. Borko Rodic to discuss his personal journey and backstory, how it impacted the person he has become today, and how a more "holistic" care model can be applied in physical and manual therapy. Borko Rodic, PT, DPT, DSc, OCS, FAAOMPT, graduated from Lebanon Valley College with a Bachelor of Science in 2006 and a Doctor of Physical Therapy in 2008. He then completed an orthopaedic residency program and was recognized as an Orthopaedic Clinical Specialist (OCS) by the American Board of Physical Therapy Specialties in 2011. Borko completed a Doctor of Science degree at Andrews University and a NAIOMT manual fellowship program in 2020. He currently works at Messiah University (Mechanicsburg, PA) as an Assistant Professor in the Doctor of Physical Therapy Program. Borko's research agenda is on topics of clinical reasoning and orthopaedic manual therapy, and his research was presented at the national level. He resides near Hershey, PA, with his wife and three children. For more on Borko and Messiah University, you can visit https://www.messiah.edu/a/academics/facultydir/faculty_profile.php/?directoryID=9&entryID=2957 To keep up to date with everything Dan is doing on the podcast, be sure to subscribe and follow @brawnbody on social media! Episode Sponsors: MoboBoard: BRAWNBODY10 saves 10% at checkout! AliRx: DBraunRx = 20% off at checkout! https://alirx.health/ MedBridge: https://www.medbridgeeducation.com/brawn-body-training or Coupon Code "BRAWN" for 40% off your annual subscription! CTM Band: https://ctm.band/collections/ctm-band coupon code "BRAWN10" = 10% off! PurMotion: "brawn" = 10% off!! TRX: trxtraining.com coupon code "TRX15BRAWN" = 15% off GOT ROM: https://www.gotrom.com/a/3083/5X9xTi8k Red Light Therapy through Hooga Health: hoogahealth.com coupon code "brawn" = 12% off Ice shaker affiliate link: https://www.iceshaker.com?sca_ref=1520881.zOJLysQzKe Training Mask: "BRAWN" = 20% off at checkout https://www.trainingmask.com?sca_ref=2486863.iestbx9x1n Make sure you SHARE this episode with a friend who could benefit from the information we shared! Check out everything Dan is up to, including blog posts, fitness programs, and more by clicking here: https://linktr.ee/brawnbodytraining Liked this episode? Leave a 5-star review on your favorite podcast platform! --- Send in a voice message: https://podcasters.spotify.com/pod/show/daniel-braun/message Support this podcast: https://podcasters.spotify.com/pod/show/daniel-braun/support
Jamahal Hill is a fighter with the UFC and light heavyweight champion of the world. Jamahal sat down for an interview with Dr. Eric Broadworth to discuss how he has used his mindset to help him rehabilitate injuries including his Achilles tear as well as get ready for a fight and a key part of his success for rehabbing injuries using red light therapy. He discusses his plans to retire by age 36 and the next 2 fighters he wants to face as soon as he is able to return to fighting once he is medically cleared to return. Follow Jamahal Hill Instagram: @sweet_dreams_jhill YouTube: @ChampChatPodcast Twitter: @JamahalH --------- Dr. Eric Broadworth is the host of the Healthy Hustling Podcast and owner of Fuel Health & Wellness located in Grand Rapids, Michigan. He is a Board-Certified Orthopaedic Clinical Specialist through the American Board of Physical Therapy Specialties. He received his Doctorate in Physical Therapy and B.S. in Health Professions with a minor in Spanish at Grand Valley State University in Allendale, Michigan. He specializes in outpatient orthopedic and sports physical therapy. Dr. Broadworth also received a Certification in Dry Needling (CDNT) through the Institute of Advanced Musculoskeletal Treatments and is a Certified Strength and Conditioning Specialist through the National Strength and Conditioning Association (NSCA). He has worked with high school, collegiate and professional athletes from the NBA, NHL, MLB, UFC, and CrossFit throughout his career as a physical therapist. Email: eric@fuelphysicaltherapy.com For more information regarding Fuel Health & Wellness visit www.fuelhealthwellness.com
In this episode of the Brawn Body Health and Fitness Podcast, Dan is joined by Dr. Phil Plisky to discuss the overlaps between and importance of collaboration between Physical Therapy, Athletic Training, Strength & Conditioning, and more. Phil Plisky, PT, DSc, OCS, ATC, CSCS, is an Associate Professor in the University of Evansville's Doctor of Physical Therapy Program and is the co-founder of the Professional Rebellion, a community dedicated to helping physical therapists create the career of their dreams. His mission is to advance rehabilitation and performance by inspiring those with the power to change it. He does this as a faculty member, Director of Residency Programs, researcher, co-developer in Functional Movement Systems, consultant in collegiate and professional sports, and author at PhilPlisky.com. Dr. Plisky received his Master of Physical Therapy degree from the University of Evansville and his Doctor of Science Degree in Orthopaedic Physical Therapy from Rocky Mountain University of Health Professions. Dr. Plisky is a board-certified orthopedic specialist through the American Board of Physical Therapy Specialties. He is a NATA board-certified athletic trainer and a certified strength and conditioning specialist through the National Strength & Conditioning Association. Dr. Plisky specializes in sport and orthopedic rehabilitation and performance with an emphasis on injury prevention in athletes. His research focuses on comprehensive movement testing and injury prevention among athletes, military personnel, and school-aged children. Dr. Plisky's fieldwork has garnered research grants in collaboration with multiple universities totaling over 3 million dollars. His peer-reviewed articles have appeared in numerous scientific journals, several of which he serves as a manuscript reviewer. Additionally, he is a performance consultant for collegiate and professional teams, military, and school systems. Dr. Plisky also presents internationally on the subjects of return to sport testing, injury prevention, and field expedient movement testing. To keep up to date with everything Dan is doing on the podcast, be sure to subscribe and follow @brawnbody on social media! Episode Sponsors: MoboBoard: BRAWNBODY10 saves 10% at checkout! AliRx: DBraunRx = 20% off at checkout! https://alirx.health/ MedBridge: https://www.medbridgeeducation.com/brawn-body-training or Coupon Code "BRAWN" for 40% off your annual subscription! CTM Band: https://ctm.band/collections/ctm-band coupon code "BRAWN10" = 10% off! PurMotion: "brawn" = 10% off!! TRX: trxtraining.com coupon code "TRX20BRAWN" = 20% off GOT ROM: https://www.gotrom.com/a/3083/5X9xTi8k Red Light Therapy through Hooga Health: hoogahealth.com coupon code "brawn" = 12% off Ice shaker affiliate link: https://www.iceshaker.com?sca_ref=1520881.zOJLysQzKe Training Mask: "BRAWN" = 20% off at checkout https://www.trainingmask.com?sca_ref=2486863.iestbx9x1n Make sure you SHARE this episode with a friend who could benefit from the information we shared! Check out everything Dan is up to, including blog posts, fitness programs, and more by clicking here: https://linktr.ee/brawnbodytraining Liked this episode? Leave a 5-star review on your favorite podcast platform --- Send in a voice message: https://podcasters.spotify.com/pod/show/daniel-braun/message Support this podcast: https://podcasters.spotify.com/pod/show/daniel-braun/support
In this episode, Dr. Stephanie Weyrauch is back with a great interview with COL Zack Solomon, PT, DPT, OCS, CSCS, to discuss the importance of resiliency in life and in leadership. Colonel Solomon shares his 25-year career journey, starting with his master's program at the US Army Baylor program and his time at Walter Reed and Fort Riley. He also describes his experience as a brigade physical therapist in Iraq during the surge in 2006 and 2007. Additionally, Colonel Solomon discusses his role as a brigade medical officer in a basic training brigade and his time at Aberdeen Proving Ground. Tune in to gain valuable insights on resilience from Colonel Solomon's military experience. · "The views, thoughts, and opinions presented herein are those of the speaker and do not necessarily represent the views of the DoD or the U.S. Army.” Show notes: [00:01:12] Resilience in the military. [00:07:58] Overcoming acute events. [00:11:36] Building resilience in the Army. [00:15:17] Recovering from spinal cord injury. [00:19:16] Building trust and confidence. [00:23:16] General Shelton's incredible recovery. [00:27:06] Setting desired end state. [00:32:03] Resilience in leadership. [00:36:00] Autonomy in physical therapy. [00:42:44] Promoting resilience and reducing burnout. [00:45:15] Providing constructive feedback. [00:48:30] Modeling behaviors as healthcare providers. More About COL Soloman: COL Zack Solomon earned a Master of Physical Therapy degree from U.S. Army-Baylor University and a Doctor of Physical Therapy degree from Baylor University. COL Solomon also graduated from the U.S. Army War College with a Master's degree in Strategic Studies. COL Solomon most recently served as the Branch Chief, Army Medical Specialist Corps, Human Resources Command, Fort Knox, Kentucky. COL Solomon's previous assignments include Commander, California Medical Detachment, Presidio of Monterey, California; Chief of Physical Therapy, Dunham Army Health Clinic, Carlisle Barracks, Pennsylvania; Chief of Physical Therapy at Blanchfield Army Community Hospital, Fort Campbell, Kentucky; Assistant Program Manager, Army Institute of Public Health, U.S. Army Public Health Command, Aberdeen Proving Ground, Maryland; Brigade Medical Operations Officer, 434th Field Artillery Brigade, Fort Sill, Oklahoma; Chief Physical Therapy and Chiropractic Clinics, U.S. Army Health Clinic, Schofield Barracks, Hawaii; Brigade Physical Therapist, 3rd Brigade Combat Team, 25th Infantry Division in support of Operation Iraqi Freedom; Assistant Chief, Physical Therapy Clinic, Irwin Army Community Hospital, Fort Riley, Kansas; Physical Therapist, Walter Reed Army Medical Center, Washington D.C. He is a board-certified orthopedic clinical specialist from the American Board of Physical Therapy Specialties and a certified strength and conditioning specialist from the National Strength and Conditioning Association. More About Dr. Weyrauch: Dr. Stephanie Weyrauch is a self-employed physical therapist at Movement X in Billings, MT. She earned her Doctorate in Physical Therapy and Master of Science in Clinical Investigation from Washington University in St. Louis. Dr. Weyrauch is a highly sought-after speaker and consultant specializing in burnout, generational issues, and injury prevention programs within the workplace. Her clinical expertise has been featured in various media outlets, including NPR, Kaiser Health News, Glamour, Life Hacker, and NBC News. Dr. Weyrauch serves as Chair of the American Physical Therapy Association Nominating Committee and has served on multiple national task forces for the organization. She has performed scientific research through grants from the National Institutes of Health and National Science Foundation at institutions including Stanford University and Washington University in St. Louis. Her research examining movement patterns and outcomes in people with and without low back pain has led to numerous local, regional, and national presentations and a peer-reviewed publication in Archives of Physical Medicine and Rehabilitation, a top journal in rehabilitation. Follow Dr. Karen Litzy on Social Media: Karen's Twitter Karen's Instagram Karen's LinkedIn Subscribe to Healthy, Wealthy & Smart: YouTube Website Apple Podcast Spotify SoundCloud Stitcher iHeart Radio
We talk about the various types of specialties within Physical Therapy and what is interesting to us! Follow us on socials: Instagram: Prepts_inmotion Brenton's IG: Divinewarrior24 Warren's IG: Warrends_fit YouTube: Pre-Pts In Motion --- Support this podcast: https://podcasters.spotify.com/pod/show/pre-pts-in-motion/support
Dr. Janey Prodoehl is a Professor in the Physical Therapy Program and College of Dental Medicine Illinois at Midwestern University Downers Grove, Illinois. She completed her entry level physical therapy degree in Leeds, England, an advanced Master of Science degree in physical therapy at Rosalind Franklin University, and doctoral and post-doctoral studies at the University of Illinois at Chicago. She has over 30 years of experience as a physical therapist primarily in out-patient orthopedic settings and was certified as an orthopedic clinical specialist by the American Board of Physical Therapy Specialties. Her doctoral studies examined motor control in focal dystonia, and her post-doctoral work examined functional and structural neuroimaging in patients with movement problems. She sees patients in the Physical Therapy Institute at Midwestern University with a physical therapy practice focused on neck pain, orofacial pain and headache, and dry needling for musculoskeletal dysfunction. Her research focus is to ask questions related to motor control that will lead to an improved understanding of musculoskeletal movement dysfunction particularly as it relates to orofacial pain and postural dysfunction. Dr. Prodoehl has authored numerous publications from her work. She is a Certified Cervical & Temporomandibular Therapist by the Physical Therapy Board of Craniofacial & Cervical Therapeutics. She is currently leading a team in the development of a national clinical practice guideline sponsored by the Academy of Orthopedic Physical Therapy, a section of the American Physical Therapy Association, on Temporomandibular disorders: diagnosis and management for physical therapists.
Some people think physical therapy is all about getting massages. Others might think it's about doing a few exercises. Still others (SADLY!) think it's about getting a hot pack and ultrasound to their knee. Oof!Although my guest, Dr. Julia Rosenthal, and I are both physical therapists, we are not biased in knowing the truth that physical therapy is one of the only therapeutic professions that addresses physical and mental resilience, mindfulness, capacity building, trauma, pain management, and lasting changes to quality of life without the use of any kind of pill or invasive technique.Dr. Julia Rosenthal is a pelvic floor and orthopedic physical therapist and founder of Empower Physical Therapy in DUMBO, NYC. In our discussion today, we touch on how important it is to show our patients how strong they really are and how moving is safe since everything we do as physical therapists affects the nervous system. Julia helps people build habits, and movement habits promote longevity. She also bridges the gap between strength/fitness and pelvic PT. Julia has extensive clinical experience in treating people with both orthopedic and pelvic conditions in a variety of settings including multiple outpatient physical therapy practices in New York City, backstage on Broadway, and with multiple professional dance companies. She earned her Doctorate of Physical Therapy (DPT) at Columbia University, and went on to complete an orthopedic residency through NYU, where she specialized in Dance Medicine at the Harkness Center for Dance Injuries. Following her residency, she obtained board certification as an Orthopedic Clinical Specialist (OCS) through the American Board of Physical Therapy Specialties and became a certified Pelvic Health Practitioner through the Herman and Wallace Pelvic Rehabilitation Institute. Julia is also an RKC and DSPCC certified kettlebell coach, and a certified pregnancy and postpartum strength coach through Girls Gone Strong. Julia is completing a certification in functional nutrition coaching and plans to launch those services spring 2023. Connect with her:www.empowerpt.nyc@empower_physical_therapy
With over 14 years of experience in physical therapy, Alison is a Board-Certified Clinical Specialist in Orthopedics and holds both a Master of Science and Doctor of Physical Therapy degree from Texas Woman's University. She began her career in Houston, TX before relocating to Southern California where she received her Pilates Instructor Certification through Body Arts and Science International (BASI). She has an extensive background, working with a wide range of orthopedic cases, including pre/postoperative rehabilitation, sports injuries, and geriatrics, and has completed advanced manual therapy training in the Maitland-Australian technique. Alison values a one-on-one approach when treating patients, and utilizes manual therapy, fascial mobilization, Pilates-based rehabilitation, and movement science in her current work. She enjoys working with all orthopedic and pelvic floor conditions. She has been a clinical instructor for over 10 years, mentoring and clinically instructing student physical therapists as they prepare to enter the field. She has also conducted numerous training sessions for physical therapists and Pilates instructors on the specific use of Pilates for rehabilitation and has taught as a guest lecturer at Doctorate Physical Therapy programs on pelvic floor physical therapy. Alison has served as both Director and Assistant Director of Physical Therapy and understands the importance of quality patient care and service. She is a proud member of the American Physical Therapy Association, The Academy of Pelvic Health Physical Therapy, and the American Board of Physical Therapy Specialties. Hey everyone! In today's episode of the Mother Embrace podcast, I'm here with Alison Gallup! Alison and I talk about the importance of our pelvic floor, the emotional toll of pelvic floor issues, and rehab while healing from trauma. We also talk about Alison's run-in with Leukemia, why we need to get back to the basics, and what to expect when you go for pelvic floor physical therapy. Tune in this episode to hear more! Register for Rachel's FREE upcoming workshop, UNLOCKED, on March 15th! Let's Write Your Instagram Bio FREE Download Already have the Free IG Bio Download? Sign up for Rachel's Weekly Soulful + Strategic Emails Let's Work Together Let's dive in! In this Episode You'll Learn: [07:03] A bit about Alison. [11:59] The role of our pelvic floor in our lives. [21:27] The emotional toll of pelvic floor issues. [25:50] Healing from trauma. [35:13] Alison's family story. [39:45] The journey with Leukemia. [52:00] The importance of the basics. [56:02] Doing the inner work. [59:54] What to expect in pelvic floor physical therapy. [66:35] The team at RVA Holistic PT. [68:35] Alison's song for our playlist. Quotes: “If something's not working right, there's going to be dysfunction.” [13:40] “You have to start with the fundamentals.” [53:08] “It doesn't take a person. It takes a village.” [66:46] Connect with Alison · LinkedIn: Alison Gallup. · Instagram: @rvaholisticpt. + @aligalluppt · Email: alison@rvaholisticpt.com. · Website: www.aligalluppt.com. Connect with Rachael: Instagram: @Rachelcamfield or @themothers.embrace Website: https://www.rachelcamfield.com/ Resources: RVA Holistic PT.
In this episode of the Brawn Body Health and Fitness Podcast, Dan is joined by Dr. Phil Plisky to discuss movement assessment and movement testing for athletes, including the use of the Y balance test in athletics. Phil Plisky, PT, DSc, OCS, ATC, CSCS, is an Associate Professor in the University of Evansville's Doctor of Physical Therapy Program and is the co-founder of the Professional Rebellion, a community dedicated to helping physical therapists create the career of their dreams. His mission is to advance rehabilitation and performance by inspiring those with the power to change it. He does this as a faculty member, Director of Residency Programs, researcher, co-developer in Functional Movement Systems, consultant in collegiate and professional sports, and author at PhilPlisky.com. Dr. Plisky received his Master of Physical Therapy degree from the University of Evansville and his Doctor of Science Degree in Orthopaedic Physical Therapy from Rocky Mountain University of Health Professions. Dr. Plisky is a board-certified orthopedic specialist through the American Board of Physical Therapy Specialties. He is a NATA board-certified athletic trainer and a certified strength and conditioning specialist through the National Strength & Conditioning Association. Dr. Plisky specializes in sport and orthopedic rehabilitation and performance with an emphasis on injury prevention in athletes. His research focuses on comprehensive movement testing and injury prevention among athletes, military personnel, and school-aged children. Dr. Plisky's fieldwork has garnered research grants in collaboration with multiple universities totaling over 3 million dollars. His peer-reviewed articles have appeared in numerous scientific journals, several of which he serves as a manuscript reviewer. Additionally, he is a performance consultant for collegiate and professional teams, military, and school systems. Dr. Plisky also presents internationally on the subjects of return to sport testing, injury prevention, and field expedient movement testing. To keep up to date with everything Dan is doing on the podcast, be sure to subscribe and follow @brawnbody on social media! Episode Sponsors: MedBridge: https://www.medbridgeeducation.com/brawn-body-training or Coupon Code "BRAWN" for 40% off your annual subscription! CTM Band: https://ctm.band/collections/ctm-band coupon code "BRAWN10" = 10% off! TRX: trxtraining.com coupon code "TRX20BRAWN" = 20% off Red Light Therapy through Hooga Health: hoogahealth.com coupon code "brawn" = 12% off Ice shaker affiliate link: https://www.iceshaker.com?sca_ref=1520881.zOJLysQzKe Training Mask: "BRAWN" = 20% off at checkout https://www.trainingmask.com?sca_ref=2486863.iestbx9x1n Make sure you SHARE this episode with a friend who could benefit from the information we shared! Check out everything Dan is up to, including blog posts, fitness programs, and more by clicking here: https://linktr.ee/brawnbodytraining Liked this episode? Leave a 5-star review on your favorite podcast platform! --- Send in a voice message: https://anchor.fm/daniel-braun/message Support this podcast: https://anchor.fm/daniel-braun/support
National Physical Therapy Appreciation Month continues with out third guest for the month of October Kathryn Haskins. Kathryn received her Bachelor of Science degree from Shenandoah University in 2008, where she also played softball as a pitcher and center fielder. During her time at SU, Kathryn helped lead her team to a USA South Conference Championship victory in 2008, and was also named an ESPN Academic-All-American. She continued her education at Shenandoah University where she graduated first in her class in 2011 with her Doctorate in Physical Therapy. She went on to obtain her board certification as an Orthopedic Clinical Specialist (OCS) through the American Board of Physical Therapy Specialties and also became a certified Myofascial Trigger Point Therapist (CMTPT), through Myopain seminars (a dry needling certification), as well as a Certified Cervical and Temporomandibular Therapist (CCTT) through the Physical Therapy Board of Craniofacial and Cervical Therapeutics. After practicing in out-patient orthopedics and treating patients with varying musculoskeletal diagnoses for a number of years, Kathryn pursued her interest in the upper extremity by completing a hand therapy fellowship at the Hospital for Special Surgery. Kathryn then went on to successfully obtain her designation as a Certified Hand Therapist (CHT), and joined the JAG-ONE team shortly thereafter. Kathryn has a special passion for exercising creativity through custom orthosis fabrication, and also enjoys taking a global approach to treatment through integration and application of her orthopedic knowledge of more distant movement systems that can affect the mechanics of the upper extremity. During her time at JAG-ONE, Kathryn has focused on building a strong physician rapport to increase referrals and foster constructive working relationships in order to optimize patient outcomes and in doing so, make JAG-ONE hand therapy the clear choice for the care of their patients. She has also enjoyed having the opportunity to “pay it forward” and promote hand therapy through mentorship for those interested in pursuing the field. Kathryn finds great reward in her work as a hand therapist and is looking forward to helping shape the future of the Hand Therapy team at JAG-ONE. For more information about visit www.bemoretoday.com or email us at info@bemoretoday.com --- Send in a voice message: https://anchor.fm/bemoretoday/message Support this podcast: https://anchor.fm/bemoretoday/support
October is Physical Therapy Appreciation month and we are kicking off this week with Michael R. Dunne PT, DPT, ATC, Board-Certified Sports Clinical Specialist (SCS). After graduating from The University of the Sciences in Philadelphia with a Master of Physical Therapy and a Bachelor of Science in Health Sciences in 2001, Mike went on to receive his Doctorate of Physical Therapy from the University of Scranton in 2009. Prior to receiving his doctorate, in 2003 Mike completed his Athletic Training Certification, via the internship route, with well-rounded clinical experience at Saint Joseph's University PA, Hasbrouck Heights High School, and Montclair State University. Since 2004, Mike has been a Physical Therapy/Athletic Trainer consultant with the New York Football Giants. His career reaches beyond the field as a well-established physical therapist at Jag-One Physical Therapy in Hackensack. Mike's dedication has earned him the title of Board-Certified Sports Clinical Specialist (SCS) through the American Board of Physical Therapy Specialties of the American Physical Therapy Association. Mike currently serves as Vice Chair for the American Physical Therapy Association of New Jersey Sports PT Special Interest Group. In addition to being a member of APTA and NATA (National Athletic Trainer Association), Mike also continues to expand his knowledge by attending continuing education courses, including Hospital for Special Surgery's Advanced Hip Clinician, dry needling, blood flow restriction, Graston Technique, cupping/myofascial decompression and various manual based courses. He assists with Jag-One Physical Therapy's Mentorship Program for new graduates and is also a Clinical Instructor for physical therapy students. Having played basketball at the University of the Sciences, Mike continues to follow college basketball and enjoys attending and watching games with his family, as well as coaching his children's' teams. Mike, along with his wife and kids, developed a passion for lacrosse and whenever possible, Mike can be found on the lacrosse field coaching boys and girls lacrosse as a US Lacrosse Certified Level 1 Coach. Mike's unique experience, working simultaneously in out-patient sports medicine physical therapy clinics while also providing treatment for the New York Football Giants for the past 19 seasons, has enable him to assist patients and physical therapists under a wide umbrella of sports physical therapy. For more information visit www.bemoretoday.com. --- Send in a voice message: https://anchor.fm/bemoretoday/message Support this podcast: https://anchor.fm/bemoretoday/support
In this episode we talk to Dr. Jacob Long about their 2019 Neilsen-ASIA Research Award project titled "Does the Speed of Robotic Leg Movements During Tilt-Table Verticalization Mitigate Orthostatic Hypotension in Subacute SCI?" Note: this episode was recorded live in New Orleans at the 2022 American Spinal Injury Association (ASIA) annual scientific meeting. Dr. Long received his doctorate in Physical Therapy from the University of Mississippi Medical Center in 2013. He joined Methodist Rehabilitation Center in 2014, soon transitioning to the Spinal Cord Injury program to advance his education and clinical expertise with this complex condition. In parallel to his clinical duties, he achieved two assistive technology certifications from the Rehabilitation Engineering and Assistive Technology Society of North America (RESNA), and the Assistive Technology Professional (ATP) and Seating & Mobility Specialist (SMS). After passing the American Board of Physical Therapy Specialties board examination in Neurologic Physical Therapy (NCS) in 2018, he has been promoted to the position of Clinical Specialist. In this role, he serves as a resource and mentor for other therapists and students, and actively collaborates with the investigators at the Methodist research division, the Center for Neuroscience and Neurological Recovery.
In this episode we talk to Dr. Jacob Long about their 2019 Neilsen-ASIA Research Award project titled "Does the Speed of Robotic Leg Movements During Tilt-Table Verticalization Mitigate Orthostatic Hypotension in Subacute SCI?" Note: this episode was recorded live in New Orleans at the 2022 American Spinal Injury Association (ASIA) annual scientific meeting. Dr. Long received his doctorate in Physical Therapy from the University of Mississippi Medical Center in 2013. He joined Methodist Rehabilitation Center in 2014, soon transitioning to the Spinal Cord Injury program to advance his education and clinical expertise with this complex condition. In parallel to his clinical duties, he achieved two assistive technology certifications from the Rehabilitation Engineering and Assistive Technology Society of North America (RESNA), and the Assistive Technology Professional (ATP) and Seating & Mobility Specialist (SMS). After passing the American Board of Physical Therapy Specialties board examination in Neurologic Physical Therapy (NCS) in 2018, he has been promoted to the position of Clinical Specialist. In this role, he serves as a resource and mentor for other therapists and students, and actively collaborates with the investigators at the Methodist research division, the Center for Neuroscience and Neurological Recovery.
Physical Therapist (MPT) since 1998 and board certified orthopedic clinical specialist (OCS) with the American Board of Physical Therapy Specialties (2011 to 2021). Extensive postgraduate training in neck and back rehabilitation with an emphasis in manual therapy. Certified Therapeutic Pain Specialist (TPS) through Evidence in Motion Institutes of Health Professions in partnership with Purdue University (2020). Jarlo Ilano has been teaching martial arts for over 20 years, with a primary focus on Filipino Martial Arts. His main goal is to teach students how to fight effectively as quickly as possible and enjoy their training.
Dr. Anne Kertson owns a small physical therapy private practice in Snoqualmie Washington and provides physical therapy and wellness services to clients. I started seeing Anne about 8 or 9 years ago when I was suffering with back, hip and groin pain and then tossed Sciatica into the mix. She was AMAZING! I actually wrote a book about my experience called: What Now?: My Journey of Trial and Error While Healing Back Pain Naturally! Check it out! I'm now injury free thanks to Anne! She received her undergraduate degree from University of Washington in 2001 and her Doctorate of Physical Therapy from University of Southern California in 2004. In 2011, Anne became Board Certified as an Orthopedic Specialist (OCS) from the American Board of Physical Therapy Specialties. She is an active member of the American Physical Therapy Association (APTA) and Orthopedic Section since 2001, and has been certified as a Clinical Instructor for physical therapy students through the APTA in 2007. Anne is highly passionate about physical therapy and pours this passion into her patients. She has built a specialty treating lower extremity injuries (foot/ankle, knee) and orthotics, but truly enjoys all aspects of physical therapy, including treating back and shoulder injuries. She works to listen to her patient's goals and help them find ways that work in their lifestyle to achieve them. She believes in using a combination of hands-on treatment, exercise, as well as patient education, therefore allowing the patient to not only heal quickly from their current injury but also allowing them to understand their injury and ideally prevent it from reoccurring in the future. You can find Anne at: https://edgeptandrehab.com/. Hey, are you enjoying the podcast? If so, new episodes are released each Friday, so please follow Coffee with Kim, leave a review, and share with your friends!
The ABPTS (American Board of Physical Therapy Specialties) oncology exam is an amazing opportunity to deepen your knowledge of oncologic physical therapy, but it's not for everybody. In fact, there's some very important reasons why you shouldn't take the exam. Today, we're exploring why you should or should not take the ABPTS Exam, plus the steps you need to apply for the exam. It is not my intention to discourage you from taking the exam, but rather to help you decide if this is the right next step for you and your practice. Even though I am pro-exam, I believe you need to ensure that you are approaching the process with the right mindset. The process is not for everyone. If you are considering applying for the examination, register for my webinar on April 20th, Start Your ABPTS Oncology Application on the Right Foot BY CLICKING HERE.
In this HET Podcast episode, Dr. Eric Trauber, PT, DPT, OCS, CSCS, FAAOMPT talks about his transition from a clinical role to a non-clinical PT role. Biography: Dr. Eric Trauber received his Doctor of Physical Therapy from Utica College. Eric is a Board-Certified Orthopedic Clinical Specialist through the American Board of Physical Therapy Specialties. He is a Fellow of the American Academy of Orthopaedic Manual Physical Therapists. He is currently the Director of Clinical Education at Fabrication Enterprises. Eric's strives to contribute to the development of aspiring physical therapists. Contact Information: Twitter: EricTrauber
Dr. Caleb Burgess is a Doctor of Physical Therapy, a certified specialist in Orthopedic Physical Therapy through the American Board of Physical Therapy Specialties, and a Certified Strength and Conditioning Specialist who practices in California. He joins the show for a second appearance today. This time he answers a few questions that Clinical Leadership Podcast listeners submitted on Instagram. Listen in for more gems from Dr. Burgess on growing your social media account! Find Caleb on:InstagramTwitterWebFind more information about courses at https://www.mwri.co and follow us on Instagram to keep up with Clinical Leadership Podcast updates!
In this episode, Dr. Sylvia Czuppon, Associate Professor of Physical Therapy and Orthopaedic Surgery at Washington University School of Medicine, talks about balancing her role as an academic with her role as a clinician. More about Sylvia Czuppon: Dr. Sylvia Czuppon received her Bachelor of Arts in Psychology in 2000, Master of Science in Physical Therapy in 2002, and her clinical Doctorate in Physical Therapy in 2011, all from Washington University. She received her Certification as an Orthopaedic Clinical Specialist from the American Board of Physical Therapy Specialties in 2010. Her work has been published in British Journal of Sports Medicine, PM&R, Physical Therapy, and Journal of Orthopaedic & Sports Physical Therapy. Dr. Czuppon is currently an Associate Professor of Physical Therapy and Orthopaedic Surgery at Washington University School of Medicine in St. Louis, Missouri. She divides time between outpatient clinical practice treating musculoskeletal pain patients and teaching orthopaedic content in the professional DPT curriculum at Washington University. She has given local, state, and national presentations on lower extremity injury rehabilitation and return to sport. She volunteers her time educating coaches, parents, athletes, and the community about youth injury prevention strategies. To learn more, follow Sylvia at: Twitter: @czuppons 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 Full Transcript Here: 00:03 Hey, Sylvia, welcome to the podcast. I'm so happy to have you on. 00:07 Thanks for having me, Karen. 00:08 Of course, of course. And, you know, we were talking before we went on the air about, you know, not seeing people in person and going to conferences. And the last time we saw each other was in Vancouver, at the third annual World Congress of sports, physical therapy. 00:30 Yes, right. That's right. Yeah, 00:32 I think that's correct. Yeah. 00:33 I can't believe it's been that long. 00:34 I know. I know. 2019. Right. Beginning of 2019. 00:39 I think it was. Yeah, it was COVID. Year, but it was before all that stuff. Yeah, yeah, 00:43 exactly. And, you know, shameless plug, the fourth annual World Congress on sports. PT is going to be outside of Copenhagen in August of 2022. Absolutely. So I encourage people to try and and your fingers crossed, it'll work. I keep saying 2022. It's gonna be the year. So shameless plug for that. Now, let's move into you. So today, we're going to be talking about life as a clinician and academia. And I love this topic, because I think there's a lot of clinicians out there who are wondering, well, how do I get into academia? How do I how do I do that? So why don't you give the listeners a little bit more about your background and how you did it? Sure. Yeah. So 01:38 I've been fortunate to be on faculty at Washington University in St. Louis for 15 years now. I think, approximately, it's been a while. And yeah, I sometimes I'm like pinching myself. I'm like, How is time flown that way? How 15 years? Yeah. 15 years? I graduated in 2002. So yeah, yeah, it is, oh, my gosh, I 02:05 can't believe it, I can't believe it. 02:07 So. So when I, when I joined the faculty, honestly, it was it was a nice, it was a nice mix of events. When I came out of PT school, I knew I wanted to do a little bit of teaching, but the Washington University at least, recommends that you have about a year of clinical practice under your belt before you join an academic institution. Like lab assisting. So that's how I got my start, I started lab assisting in classes that had orthopedic content. And when a position on the faculty opened up, I, I basically jumped at the opportunity got lucky enough to be hired. And away I went. So when I first started, my split, I think was 90% of my time was in clinical practice. And about 10% of my time was in, it was in teaching and it was all a lab assisting. And over the years, that is at has morphed considerably. I'm about 5050 right now. So I spent 20 hours a week in the clinic and 20 hours a week, teaching or doing teaching related things. And it's been a I don't think I'll ever go below that. But who knows what will happen. But I like that balance that I've struck right now, I can't ever see myself coming completely out of the clinic into teaching, like some of my colleagues have done, you know, you go to PT school to become a clinician, you don't go to become an educator, otherwise I go to, you know, to get my teaching degree. And I think that's probably been one of the biggest challenges is I am a PT, learning how to provide high quality education without an education degree. So there's been a bit of a learning curve associated with that as well. 03:42 And what do you feel are the advantages of being a clinician and, and working in academia? So what does your clinician hat bring to your students? 03:55 Yeah, you know, I think it's interesting. So, um, as a clinician, what is nice is I can give them I don't want to call it real world application, but it really is. So they students, we teach them in the ideal scenario, like, Okay, your your patient comes in, they have this positive test this positive test this positive test, what must be their diagnosis? Is any patient ever that cookie cutter clean No, 99% of the time, they're not right. So we teach our students in the best case scenario, the easiest ways to understand and so being a clinician, I can still give them a little bit of perspective, but like, here's where the gray areas come in. And this is why we teach you that ideal scenario so that you recognize the ideal, but here's how you can kind of think more with the clinical hat on it's a little bit similar to being like a clinical instructor. I think that's the greatest part about being a clinical instructor and shameless plug for those of you that are out there that are not clinical instructors. We need a lot more of them there. You know, our students are. It's such a rewarding experience. It really is. It's time consuming, don't get me wrong, but it is very, very rewarding, but I'm so be so being a clinician and being able to, to give the clinical the true clinical perspective on some of the things that students is learning, I think can be, can be invaluable. Like I have students all the time. They're like, Sylvia, this this sounds like a load of hooey like this doesn't even make sense, like help me understand when I would ever do this, and to be able to tell them look, you know, this is exactly why you need to know this level of detail, or this is why as a, even though, you are determined to go into sports, physical therapy, or you're determined to go into orthopedics. This is why you need to understand neuro for example, like, this is why they teach you neuro related things. I think I posted on Twitter, you know, like a couple of weeks ago, I've been to patients this year, that I think I'm, you know, not to toot my own horn or anything, but it's unfortunate, these people fell through the cracks, I think, in referring them out, both of them have gotten a diagnosis of ALS that nobody caught before this point. And it was based on what history they had given me, as well as some of the signs and symptoms that I saw with it within them. They referred to me like one had scoliosis, and horrible back pain, and another one that was a total knee replacement. And those are not diagnoses, you would expect to have ALS diagnoses associated with them. But some of the other things they were describing, it was terrifying. And just, again, like these are things to help students understand that they all do go together, you're treating a person that doesn't come in with a strict diagnosis, you're treating a whole person. And they don't always get that in the education setting when we're giving them fabricated cases. 06:27 Yeah, I couldn't agree more. And that's, that's amazing, by the way, from a clinical standpoint, that you were able to refer them to the right people to get the right diagnosis. Yeah. And that's, you know, and again, that's where physical therapists come in. And I'm sure that this is part of your teaching to your students that, you know, we can be that kind of primary care provider, you know, and even the second opinion, 06:56 sure, sure, yeah. And it is, it is one of those, you know, Missouri is not a direct access state. And so it's interesting, like teaching in a non direct access state, because we do typically get the patients they have the referral, it's generally pretty accurate, but you get some of these that fall through the cracks. And it's why we get the training that we get as physical therapists, you know, for those scenarios. But even again, in a non direct access state, these patients had been screened by other physicians, and it possibly just the complexities of their care, it just things got missed. So 07:33 amazing. Well, now, let's talk about what your responsibilities are, as a clinician, educator, so if you want to break it apart clinician educator, separately, or just let because I think it's important if people are interested in in, going in this direction, they need to know what it entails and what their responsibilities. Sure. 07:59 So I think it's a little bit different if you're so so my position is a faculty member means that I split my my time, assume a 40 hour work week, you know, nobody who actually works that when they're a faculty member on any any academic program, but, um, so I split my time for many people that come from a physician, whether lab assistant, in addition to holding a full time job, that's usually hours, in addition to whatever your hours are in a week. So when I was working as a lab assistant, before I joined faculty, I was working 40 hours a week plus lab assisting X number of hours a week, so there was a little bit of that, because very few employers will give you that time off and say, Oh, you want to live six, eight hours, we sure only work 32 hours here, like, it's very difficult to get that. And then depending on when the classes are during the day. So we have labs from like one to three, some people couldn't do that it's smack in the middle of prime, you know, treating hours. So that is definitely a consideration that people want to make. If you're working part time, it becomes a whole lot easier. Your schedules are a lot more flexible, as a faculty member, so I have 20 hours a week, again, dedicated to patient care, 20 hours for teaching. So in my patient care responsibilities, I basically have a set schedule that is has to be designed around the times that I'm supposed to be in class. So that has to probably be the worst for the person for my for my clinic boss who has to come up with the clinic schedule. He's working around everybody's class schedules and the times that we can actually physically be in the clinic. And so I treat in our clinic, we have a one on one model, so we don't overlap patients, you know, and so that's, that's really nice. We do have physical therapy assistants that we work with as well. And so I balance my caseload, I feel like any like I would anywhere else, I have autonomy to decide when I want to delegate when the patient needs, needs to come back to CV, frequency, duration, all of those kind of standard, standard types of things. Um, I am fortunate because I've been there long enough that I do get a little bit of flexibility and asking for the patient. Two types that I want to see. So I love the postoperative knees and any knee, really. So I do get a little bit more of those than maybe some others do seniority, it's great. And then my academic hat is complicated. So I'm depending on what semester in the year that we're in. And we're also going through a curriculum renewal right now, which is a whole nother whole nother topic of discussion. But in some semesters, I am a course master for for a class. And so that entails doing everything you would expect from a course to making sure the syllabus is up to date, to organizing exams, practicals, lab assistants, supplies, outside lectures, patient labs, etc. to an other the other semester I am, quote, unquote, just a course assistant, so facilitating the course master with all of those duties. So those hours are kind of wrapped up in our actual academic time. So if I have 20 hours a week, and I'm only in lab for 12 hours, my other eight hours are supposed to be spent doing all these other behind the scenes things which are, which easily kind of add up. So it is a little bit of a mix, and the curriculum renewal that I was talking about. So Wash U is going towards more of competency based education, which I think is the movement in education as a whole. And so we're we're in the beginning stages of that our first year classes going through the start of our new revised curriculum, and I am helping to craft the second year curriculum. So that's a huge task, taking what we currently have reorganizing it, restructuring it into an even better product than what we currently have. So there's a lot going on, that is certainly more than 20 hours a week. So yeah. 11:49 And can you explain competency based education versus what's currently happening? I don't know if that's like opening a huge can of worms. But let's go for 11:59 Yeah, yeah. It's also challenging my my full understanding of this, because it's all it's all this is like a complete foreign language. It's like going through, as I as I kind of alluded to earlier, I'm going through, I'm becoming like, I feel like I'm going through to get my education degree in the process of learning how to teach the this material better. So with the competencies, it's essentially like saying, Okay, you're competent in gosh, there's domains, there's, there's all sorts of terminology, but basically saying that, like, okay, that you have this one domain of patient and client care, within that you have different competencies, like, I'm able to take a, I'm making stuff up, because I don't know them off the top my head, but like, able to take a complete history for like, able to do communicate with respect and dignity for the patient and care provider, like things like that. So there's different things that this student is now having to pass and show competence in these competencies, a pass individual competencies, versus getting a grade in a class to say, you're good enough for that grade, it could be really strong in one area, but really not great and another, but their overall grade is enough to move them forward. We want to kind of raise the bar a little bit and say, You know what, that was good. But we can do better. And taking it to like each one of these competencies you need to pass in order to continue on curriculum. Got it? 13:15 Got it? Well, that makes actually makes a lot of sense. 13:19 Does now trying to make every lesson plan, every lecture that you give mapped to every competency that you have is a whole nother topic of discussion. Yeah, 13:32 good luck. Yes. Yeah. Good luck with that. And now something that you kind of alluded to before, which I want to dive into is, so your 20 hours practice care, 20 hours teaching, and I put 20 hours in quotation marks, right? So we know as clinicians, it's always more than 20 hours, right? And in teaching Gosh, it's definitely more than maybe what you signed up for. So how do you and here comes the question, how do you balance all of that with the rest of your life? Because you've got kids? 14:09 I've got two teenagers. Yes, got a dog. 14:12 I've got two dogs, actually two dogs, you've got a home, you have got a life outside of all of this. So what do you do to balance it all? 14:22 Yeah, so that was probably the most challenging thing that if I could have gone back in time and talk to my younger self, I would have been like, don't say yes to everything. That was probably the first thing that nobody really ever told me. Because I thought that if I said, No, nobody would ever asked me to do anything again, you know, you feel like this. Oh, this is a fantastic opportunity. I don't know where the time is gonna come out of but I really want to do it. And so I just started I would say at the time yes to pretty much anything that sounded interesting. And even yes to some things that I was like, I'm not sure if this is what I want to do, but I feel like if I don't say yes, I'm going to lose this. They're going to think I'm not interested in it. Think so, naively when I was when I was a younger faculty, um, that's what I did, I said yes to literally everything and almost put myself in a horrible spiral of I had so many issues in terms of that work life balance, I didn't have any it was work, work work. And then life was like a tiny fraction of that. And that was when my kids were little, I've got teenagers that are 17 and 14 now. Um, but what I discovered over the years was that those opportunities are at least and I still believe this, if those opportunities were meant to be, they're going to come around again, if people really want you, they value your expertise and your knowledge and your skill set, they will come asking around again. And you know, just saying no, one time, and just even saying like, No, you know, what, now is not the right time, I'd love to help you out. Can you come back again, like, you know, if you have another project, just ask me. I mean, hopefully I'll have time at that point, you know, there's no, there's good ways to not just firmly shut the door right to leave that still open. Um, so I've found a better balance for myself now, because I've figured out what is super important for me, and what is not, like really important. So I started saying no to different class commitments that I had previously done, because it was it was stuff that was okay. But it was not my passion in teaching. And so I started whittling down to the things that that made me honestly, the maybe the most happy to think about teaching or be involved in. And when I started doing that, I did become happier with with how that balance was shaping up, because some of that work really wasn't work anymore. You were enjoying doing it, versus looking at it and saying, Man, I got three more hours of this that I've got to prepare for, and I'm just not feeling it. You know, there's a reason nobody's ever asked me to be an anatomy lab assistant. And it's, I mean, enjoy anatomy. Don't get me wrong, but the level of detail I just, that would that was not my forte. No, that was not my forte. And it's like, I want to know the applications and things that I'm interested in. But some of the things that they have to learn for PT school, it just wasn't wasn't in my wheelhouse. You know? Yeah. So it's like, things like that, where, where I just prioritize a little bit better. 17:06 Yeah. And I was gonna follow up question I was going to ask is, How did you? Like, what methods did you use to decide what was best for you? And what methods did you use to break down? Like, no, like, this is a No, maybe not forever? But uh, no, for now, this might be a no forever. This isn't a solid? Yes. Do you know what I? 17:30 Yeah, yeah, it wasn't in certainly not easy. Um, it came again, across several, several years to try to figure that out. So part of it came down to okay, I was lab assisting in multiple classes. And did I really want to stay lab assisting in that context? If the context, if there was a, there was an immediate hesitation in my answer, then I thought, okay, that can't be the number one priority that I really want to stay in that class. So then I started adding up hours, and how many hours a week? Or really, am I spending in that class? What could I replace it with? Um, is there another opportunity right now that I want to replace it with? So it was sort of like, figuring out the timing of things would be one thing? And then some of it was just just deciding, okay, well, I know it's gonna throw me over the, the 20 hours or whatever that I have right now. Am I okay with that for a little while. And for a period I was and then now that I'm older, I'm not, you know, I've got I've got a, I've got a teenager that's going to be leaving the house in two years. And I've decided, you know, what this would, this is the time I actually I want to spend with her, you know, not that I didn't want to spend it with her as a little kid. But now I'm like, feeling that like, empty nest feeling starting to grow. And I'm like, I don't want to miss, you know, all the things that she's doing. And, and so I've just prioritize, you know, what, no, I'm gonna say no to that. Or I'm gonna say, you know, I can't do this this year, or I can only do this for part of the time, like, admissions committee, you know, figuring out who we accepted to our program. Like, well, I can't do it the whole year, but I can do it for part of the year Will that be okay, you know, and try to work out compromises with the people that are there looking for my time. 19:11 I love it. And, you know, so often women have such a hard time with this. Yes, you know, yes. Because we think if we say no, like you said, That's it, we're done, or we're gonna be labeled difficult, or, you know, someone that you know, she doesn't, she's not interested. We'll never get back to that. Right. So I think it's, as a woman, we really have to kind of get over that kind of thinking and and realize like, Hey, if you say it's a no for now, but not a no forever and the people are like, Oh, God, she was setting it up, well, then they're probably not your people. Right? And that's okay to let that go as well. Right. 19:52 I think what also complicates it a little bit is this whole Superman thing, right, like women that believe they can literally do everything. So you've got to be the best parent, you've got to be the volunteer at all the PTO, whatever school stuff, the sporting team, the in then at school, and then it works the same thing, I got to be able to handle this whole load and show nobody a crack in my facade, you know, so that they can see that I can do it, you know, and if I do you crack, then they're gonna think that I'm weaker, you know, just stereotypes that way. I think that's obviously it's really unfortunate that that still exists. Um, but, uh, I, we're not super human, like we have, you know, we have breaking points too. And we need to know what those are for ourselves for our own sanity, you know, for the sanity of our family members, our friends, all the people around us, you know, the pets, yo, all of that. So, 20:43 yeah, and your students as well, like Have, have you ever kind of displayed that vulnerability, whether it be to your employer, obviously, your family, and that's a different story, but maybe to your employer or to the university, to say like, I'm reaching a breaking point. And so how did you do that? 21:04 Yeah, definitely. to the employer. Um, yeah. So So there have been times where and unfortunate our program director, gammon Earhart is amazing. And her predecessor, the CCD singer, was was great, too. And they've always been wonderful with this sort of open door policy. So when you hit that point, or you feel like you're coming up to that point, I felt 100% comfortable going to them and saying, Hey, guys, look, I am, I'm over my head right now. And I don't know what to do. Like, I really need some help. And they kind of talk you down a little bit and say, Okay, well, how can we make this better, I have been very fortunate to be supported in that role. Same thing with even my immediate supervisors within the clinic. Same kind of idea. I had some personal struggles earlier this year, unrelated to COVID. And having and knowing that I had that support system, by being in a good place, I think this is true of any job. But being in a in a in a supportive environment, where they were like, take the time that you need to get your your self. Right. You know, it was it was very nice to know that I had that kind of support. 22:12 Yeah. And so I think the moral here is, it's okay. Absolutely, to let people know that you're not okay. And it's okay to be vulnerable. And if you're the people you're working with or for don't accept that, then I think it's a clear sign to say, Well, wait, wait a second, what am I doing here? 22:38 Right, right. Yeah. And I would love to say like that, I have been fantastic. And always being vulnerable. That is definitely a lie. Nobody, nobody, nobody, nobody is and I, I, you know, grew up in a, in a, in a household where perfection was like, required, it wasn't even, you know, it was it was an expectation, just as you know, my hair is black. And it will say, well, it's gray now, but that it'll say one color like it was the expectation you will be perfect you will be you will not show or have any flaws. So bringing that into a scenario like I am in right now and telling somebody I'm not like I'm vulnerable, I'm hurting, I need help, like even asking for help was was a huge, huge deal for me. But again, I had I had a good support structure, even within my workplace environment to allow me to do that. 23:24 Yeah. And it is, it's hard to ask for help, you know, because because you don't want people to think you can't handle it. All. Right. Right. Right. So asking for help is I know, I have a really hard time asking for help. But I'm getting better at it. Yeah. But it is, it's hard to reach out, it's hard to ask for help. Because you're afraid that someone will maybe think of you as less than or incapable or whatever, you know, all those bad things that spin around in your head, right? 23:55 Or just that if they're thinking about asking you to help out with something that you really want to do, they're not going to ask you anymore, right? Like, you know, and kind of where I'm at as a as an associate professor trying to rise to the professor level in a couple of years, trying to take a larger leadership role in our curriculum, there was definitely a fear of well, wow, if I tell them that I can't handle what I've got right now. There's no way they're going to ask me to do X, Y, or Z. So do I risk doing that? Or do I just drown? And I wasn't willing to drown? No, no, no job is worth that. My personal happiness was not worth that. And again, fortunately, everybody was very understanding the the fear that I had built up in my head was no near nowhere near what I experienced at all. Like it wasn't there. They were like, You know what, we get it. Take the time that you need, it's fine. We'll figure it out. And we'll help you figure it out. We'll give you whatever resources you need, whatever support you need. So it was wonderful. It's really wonderful. 24:47 Yeah. And it's so important to kind of voice that because like you said, you're trying to kind of climb up this academic ladder. So if you never voiced that maybe you would never, you would never reach that Professor level. because you would have burned out left. Absolutely. Yeah. Right. So why not put those fears out there and and find the things that like not to use Marie Kondo here. I don't know if you know Marie Kondo she's so Marie Kondo is like this organizational guru. And her thing is if it doesn't bring you joy, get rid of it. Yeah. And so I wrote that down when you were talking about how, you know, anatomy lab, not for me doesn't bring me joy. This does. So I'm sticking with this. And and what you find is when you do the things that bring you joy, this sort of Marie Kondo method, I mean, she doesn't like, you know, does this shirt bring you joy? And if it doesn't know, this book, this, you know, tchotchke, whatever it is, but you can you can apply those principles, I think, in this scenario, when deciding what to say yes, and what to say no to? And even if you have nothing else on your plate at the moment, you can still say 25:58 no, sure. Absolutely. Absolutely. Right. 26:02 You can still say no, and that's okay. Absolutely, well, this oh my god, I'm so glad that we talked about this is so good. So let's, let's talk about now, I would love to get from you, maybe two or three pieces of advice that you would give to a clinician who's trying to break into the world of academia. Yeah, 26:27 so, um, I think with with clinicians, the first thing is that you've, you've got to know what your, what kind of teaching you want to do, right. So like, if you're, if you're an orthopedic just being happy with, I'll take any orthopedic class, that could take you from going geometry and manual muscle testing, to examination and treatment kind of thing. So knowing sort of what level you want to be involved in helps. Because when you're then approaching the education division director of a program, that's usually who you send your resume or your CV to, when you're interested, they can have a better idea of whether there's a need honestly, in the in the curriculum, for another lab assistant for another lecture, if there are certain topics that you know very well, that you are passionate about, that he would love to lecture on. I'm even offering that up, like, hey, you know, I have a special interest in blood flow restriction training, but I'd love to be able to share that with your students. You know, this is my experience and background with that, let me know if there's there's any any availability for that, I think that's that's another part of it. I do think that it is, um, it is nice if you have a connection to the school, I mean, obviously, like, I got fortunate, I graduated from Washington at school, I'm now in faculty here. So I already had a connection to the program, it made it easier for me to get my foot in the door, because they already knew me as a student. And then as a clinician, because I was in the area. I do believe it is harder when you don't have those connections. But that's where I think networking in general is huge, right? So like you and I, we met through the Twitter verse, and then of course in Vancouver, but like making connections because people that you connect with have connections elsewhere, right. And they might know, just in talking to you. They might say, Oh, wait, I remember Sylvia said that they were looking for X, Y or Z at their at Wash U, maybe you should reach out and talk to her and see if there's anything going on. You know, I think connections are the other part that that people value, but you don't necessarily value maybe as much as you should. As a clinician, I think I take for granted that. And I don't know, if you feel the same way, we travel a lot, we get to go to a lot of conferences, we get to get a lot of all these pre COVID, we went to a lot of conferences. And that's where a lot of the networking happened, right. Clinicians do have to take continuing education in order to keep their their licenses active. But I feel like clinicians are probably taking the cheap local easy place near them to take on it because they don't probably have the benefit, always a funding behind it like I do at an academic institution. And I think that's, you know, you do what you have to do, but finding other ways to network, whether it's through your state organization, like the Missouri Physical Therapy Association here, through the national organization through some of the sections like sports section, ortho section, you know, getting involved that way to make connections, you don't have to attend conferences to do this, but you can get involved. I mean, everything's through zoom right now, you know, and so being involved that way to make connections can get you in the door in other ways. And I think that's probably an underappreciated part of the whole, how do I get my foot in the door? 29:41 Yeah, I would agree with that. And I love all the options that you just gave for clinicians and even students who are thinking, hey, one day I want to do both. Sure, right. So let's know what kind of teaching you want to do. Reach out to people in the school if you have a connection if you don't have a connection start making those connections. Absolutely right. And as a student, I think connecting through whether it's a PTA in general, or the components or your state is a great way to do that. And I would also say, stay in touch with the with your professors. 30:17 100% 100%. Yeah, I mean, and your clinical instructors as well, I mean, for me, my first job coming out of PT school, was because I went back to talk to one of my clinical instructors, and she's like, Hey, by the way, we have a job opening, would you be interested in applying? And I said, Oh, I'm not sure. And she goes, Well, I already submitted your name. And literally, that's how I landed, my first job was like, Okay, well, I guess I have to like, contact them now. So it was great. Yeah. 30:41 Yeah. I love it. I love it. Okay, so now, as we start to kind of wrap things up, is there anything that maybe we didn't hit in the conversation that you came in? Like, ooh, I definitely want to talk about this. Did we miss anything? 30:55 The one thing I will say is, is being on faculty, what did help me was naturally meshing and getting myself a mentor on the faculty. So not all academic institutions, like I know why she didn't have it at the time. They didn't really have like sort of a mentoring program for new faculty joining. And I don't know if this is true for all academic institutions. But for anybody that's interested in doing that, or joining an academic institution, as a clinician, academic, or as a researcher academic, is understanding if there is some kind of mentoring program because without the guidance of my mentor, Marcy Harris, Hayes, there is no way I'd be where I was at today, Marcy was like, kind of like my voice of reason, she was the one that was just like, Okay, you your interests are like humongous Sylvia, you need to narrow it down a little bit, you cannot keep saying yes to everything. She was the one that pushed me in certain directions, because she knew that a gentle nudge would help me get to where I wanted to be, even if I didn't want to take that leap for myself. If I was doubting myself, she would be the one that would say, you can you can do this. She was the first person that put me in front of a crowd of 300 people at CSM. So I have a lot to say, and I never would have, I genuinely never would have done that without for encouragement. And her understanding that I was ready for it. As well as it was something that was going to help me in the future. And that I'd appreciate it later on down the line versus my fear, again, of doing it on my own, would have prevented me from getting that far. So so definitely identifying a mentor. And again, this is for clinicians, even to in the clinic, like don't go into a clinic, and just expect to just learn it all just on your own or through Con Ed guy, I would hope that whatever clinic somebody joins into, has some kind of mentoring program as well. So that you can learn you can shadow you can get experience from other people. And it's different than just being able to say to your your pod mate, hey, I had this patient that was a little complicated. What do you think like truly having a mentor, I think is a big, big thing. To help enhance the level of clinician you are as well as again, if you're an academia, how to get up that level ladder and how to navigate it to I think that was the other thing Marcy gave me was some advice on how to how to get a little bit further because she was ranked ahead of me, and she had some great personal experience. Pros and cons, I guess you could say, to navigate that. 33:25 I love it. I think that's great advice. And I love how you said not only get up the ladder, but navigate it as well. Right? Because there's a lot of things that are gonna push and pull you along each rung of that ladder. Absolutely. So I think that's amazing advice. Okay, where can people find you if they need a mentor? Or they have questions? 33:47 Yeah, so Twitter's the easiest place. So I think you've got my contact information, but I am on Twitter, and an email is perfectly fine as well. So they can find my email address just to the washi website. Or really, if you just Google my name, it's pretty impossible to miss. There's not that many Soviet coupons out in the world. There's none, in fact, so it's pretty easy to find me I come up readily on a Google search. 34:10 Excellent. And we will have all the all of those links in the show notes. And now I have a question that I asked everyone at the end, but you already answered it, but I'm gonna ask it again. And that's what advice would you give to your younger self? 34:27 Yeah, totally. My younger self would be learn how to say no, and how to prioritize what you really want to do. prioritize what's going to make you happy. What's going to make you the clinician, the person that you wanted to be when you grew up, you know, because if you sacrifice what you want for what everybody else wants, you're not going to be happy. Perfect, I 34:52 love it. Thank you so much. I appreciate this conversation so much. I appreciate you for coming on. This was wonderful. So thank you so much. 35:00 Yeah, thank you so much for giving me the opportunity to be on I appreciate it 35:03 too, of course, and hopefully we will see each other in person soon. That 35:07 would be fantastic. Indeed, indeed. All right, and everyone, 35:10 thank you so much for listening, have a great couple of days and stay healthy, wealthy and smart.
Today The Clinical Leadership Podcast is joined by Dr. Caleb Burgess PT, DPT, OCS, CSCSDr. Caleb Burgess is a Doctor of Physical Therapy, a certified specialist in Orthopedic Physical Therapy through the American Board of Physical Therapy Specialties, and a Certified Strength and Conditioning Specialist who practices in California. Dr. Burgess has one of the larger social media followings of anyone in the rehab world. Chances are you have probably seen his posts floating around somewhere. Listen in to find tips Dr. Burgess shares for growing a social media account/ online presence, creating comprehensible yet clinically accurate content, and much more! Find Caleb on: InstagramTwitterWebFind more information about courses at https://www.mwri.co and follow us on Instagram to keep up with Clinical Leadership Podcast updates!
You can find Bobby and learn more about Reform Physical Therapy by clicking here.Bobby is a New England native who got to Maine as soon as he could. Bobby graduated from the University of New England in 2009 with a Bachelor's degree in Applied Exercise Science. He then went on to earn his Doctorate in Physical Therapy from the University of New England in 2012. Since that time, Bobby has worked in large outpatient orthopedics practices focusing on both operative and non-operative care. In 2016, Bobby became a Sports Clinical Specialist through the American Board of Physical Therapy Specialties. This makes him one of 10 Sports Clinical Specialists in the state and 2500 nationally to hold this prestigious certification. While he has tremendous experience with orthopedic injuries, his true clinical passion is concussion management and treating individuals with post-concussion syndrome. Bobby goes the extra mile to provide exceptional, patient-focused care to ensure that patients receive top-notch service while at Reform Physical Therapy. Bobby is an avid outdoorsman and fisherman. When he is not working, you can find him with his wife, two young boys and Golden Retriever named Moose.
Dr. Eric Broadworth is the owner/founder of Fuel Physical Therapy & Sports Performance. Dr. Broadworth is a Board-Certified Orthopedic Clinical Specialist through the American Board of Physical Therapy Specialties. He received his Doctorate in Physical Therapy and B.S. in Health Professions with a minor in Spanish at Grand Valley State University in Allendale, Michigan. He specializes in outpatient orthopedic and sports physical therapy. Dr. Broadworth is also a Certified Strength and Conditioning Specialist through the National Strength and Conditioning Association (NSCA). He has worked with both high school, collegiate and professional athletes throughout his career as a physical therapist. Dr. Eric Broadworth is a member of the American Physical Therapy Association (APTA), the Sports Physical Therapy Section of the APTA, the Michigan Physical Therapy Association (MPTA), and the NSCA. He especially enjoys working with CrossFitters, runners, golfers, and hockey players as well as adults that want to be more active. He enjoys being active in his spare time by playing hockey, weight lifting, running, and golfing.
Megan Conklin serves as Program Manager of Rusk Pediatric Therapy Services, which is part of Hassenfeld Children’s Hospital at NYU Langone Health. She earned her Doctor of Physical Therapy degree from the University of Scranton and has been practicing physical therapy for 15 years, all of them spent at NYU. In 2012, she was awarded the professional designation of board-certified clinical specialist in pediatric physical therapy by the American Board of Physical Therapy Specialties of the American Physical Therapy Association. Since 2017, she also has been a part-time faculty member at the University of Scranton teaching pediatric specialty for the doctoral physical therapy program. In this interview, she discusses the following topics: the kinds of pediatric patients she and the rest of a health care team treat and the nature of health problems involved; how therapies provided in the hospital differ from therapies furnished in the early intervention or school settings; challenges for patients with long-term health problems who have to make the transition from pediatric to adult care; how telehealth differs from care provided in the clinical setting; how COVID-19 has affected how health care services are delivered; and description of a case study that was challenging, interesting, and rewarding for both patients and their caregivers.
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In this episode, [P]Rehab team has a boys night with Dillon, Sherif, and Tommy to answer questions that have been submitted! What causes lower back stiffness in the morning? Should you do mobility exercises with hip osteoarthritis? For PT students, how do you choose to do a residency after PT school? Lastly, joint clicking, is it okay to keep moving with snap, crackles, and pops? Enjoy! -Team [P]Rehab Link To Low Back [P]Rehab Program Link To Hip [P]Rehab Program Video to MRI showing "joint cracking" from Kawchuk et al 2015 Link To PT Residency Information Link To American Board of Physical Therapy Specialties Learn about the guys from boys night here: Dillon, Sherif, Tommy Link To Submit Questions Visit our website: www.theprehabguys.com Follow us on: Instagram | Facebook | Youtube | Twitter Connect with Team [P]Rehab info@theprehabguys.com [P]Rehabbers thank you for listening and let us know what to talk about next. We hope to help you take control of your health through education! Did you enjoy this? Please rate, review, share, and subscribe. Every bit of feedback, comments, subscriptions, and sharing helps!!!
Dr. Jordre is an associate professor of Physical Therapy in the School of Health Sciences at the University of South Dakota (USD). She is an alumna of USD where she earned her Bachelor of Science degree in Psychology in 1999. She received her Doctor of Physical Therapy (DPT) degree from Duke University's School of Medicine in 2002. She is board certified in Geriatric Physical Therapy from the American Board of Physical Therapy Specialties and is a Certified Exercise Expert for Aging Adults through the American Physical Therapy Association's Academy of Geriatric Physical Therapy. Dr. Jordre spends her time teaching DPT students at USD and conducting research on successful aging. She created a fitness screen, the Senior Athlete Fitness Exam (SAFE) for use at the South Dakota Senior Games in 2009 and brought it to the National Senior Games in 2011. Since then she and her students have screened nearly 4,000 athletes. Dr. Jordre publishes her findings from studying senior athletes and uses what she learns to educate other physical therapists, her students, athletes and anyone interested in successful aging. Dr. Jordre did not consider herself much of athlete in her youth but she has run three marathons and she now enjoys swimming masters, playing rec volleyball and participating in triathlons. Dr. Jordre is originally from Minnesota and now resides in Vermillion, South Dakota with her husband and two children. In her free time she enjoys spending time with her family and training to be a senior athlete. Find more about the SAFE here https://nsga.com/healthygames/
Have you ever had physical therapy after giving birth? If your answer is no, you aren’t alone. It’s not very common and very few women think or are offered or advised to have physical therapy after giving birth. In this interview, Jenny LaCross, a board certified Women’s Health Physical Therapist and who specializes in pelvic health in women, breaks down a lot of the realities of the women’s anatomy and why pelvic health and physical therapy is so important, especially after giving birth. She gives great tips and information that I wish I would have known sooner! Take a listen to learn more about what you can do now to help with your pelvic health! Her research interest is in the relationship between the hip and pelvic floor in active females. She has completed training in rehabilitative dry needling and myofascial decompression. Jenny values collaborative patient care and desires to educate as many people as possible about this specialty. Jenny is a St. Louis native currently residing in Stillwater Oklahoma, received her B.S. in Kinesiology-Athletic Training from University of Michigan-Ann Arbor in 2011 and her doctorate of physical therapy from Washington University in Saint Louis in 2014. She received her Board Specialty Certification in Women’s Health Physical Therapy in 2016 from the American Board of Physical Therapy Specialties. She then completed Texas Woman’s University’s post-professional certificate program in Women’s Health Physical Therapy in May 2018 and is currently working on her PhD at Texas Woman’s University. More on Jenny and resources she suggested: Instagram: @pelvicboxer You can DM her to have a consultation with Jenny about whether pelvic/physical therapy may be something you need. Podcast: Real Talk with the Pelvic Docs Resources Mentioned: American Physical Therapy Association- Find “Academy of Pelvic Health” Pelvic Guru Haili Info: Want to make some new mom friends and have fun?! Join the Legit Motherhood Community Facebook Group Want to see my legit mom life on the daily? You can find me on Instagram @hailimurch To get updates on THIS is Legit Motherhood Podcast, CLICK HERE.
Peter Sprague, PhD, holds the positions of Assistant Professor of Rehabilitation Medicine and Assistant Professor of Orthopaedics in Emory University's School of Medicine. His primary teaching appointment is within the Physical Therapy Division in the Emory School of Medicine where he is the co-course coordinator for the Musculoskeletal Rehabilitation course, the course coordinator for the Introduction to Interventions course, and course coordinator for a course he developed entitled “Movement System in Orthopaedic Physical Therapy Practice.” He is a Board Certified Clinical Specialist in Orthopaedic Physical Therapy and currently sits on the Orthopaedic Specialty Council for the American Board of Physical Therapy Specialties, serving a four year appointment beginning in January 2018. Dr. Sprague has extensive clinical experience working with collegiate athletes in an interprofessional team setting and has assisted in the development and implementation of screening procedures assessing for musculoskeletal injury risk for collegiate and professional sports organizations. He has an active research agenda exploring musculoskeletal injury risk reduction in active populations and is interested in exploring the effects of movement-based interventions on population health. Dr. Sprague lives in the Atlanta area and enjoys outdoor activities with his wife and 3 dogs.In this conversation Dr. Sprague talks about the nature and importance of human movement. Not just the fact that we move, but how we do it. What does the science say about the various benefits of multifaceted versatile movement through the day and how it can inherence our overall physical state? Tune in to learn more!This podcast is brought to you by Emory Lifestyle Medicine & Wellness. To learn more about our work, please visithttps://bit.ly/EmoryLM
If you were looking for the human form of "passionate about your job", look no further than Dr. Sean Johnson. I'm telling you guys, you do NOT want to miss out on this gold mine of advice and information. In this episode I sit with Sean Johnson, who is in his fourth season with the LA Angels Organization as a Physical Therapist and Assistant Strength and Conditioning Coach. He is board certified by the American Board of Physical Therapy Specialties as an Orthopedic Clinical Specialist. He is also a Certified Strength and Conditioning Specialist. In addition, he is member of the Orthopedic Section and Sport Section of the American Physical Therapy Association. In his role Sean facilitates continuity between Athletic Medicine and Strength and Conditioning for the Angel Players. Sean's unique role beautifully exemplifies what it means to "bridge the gap" as he manages to treat the elite athlete along both sides of the rehabilitation spectrum daily. Our topics in this episode included: Sean's story, how he became a PT/CSCS for the Angels organization, the benefits of his multidisciplinary role, work-life balance, and most importantly ... what it takes to be great. Along the way, Sean, being the passionate educator he is, was kind enough to drop knowledge bombs and reality checks for students every few moments; so be sure to give this episode a listen no matter what setting you wish you work with. You can find Sean on IG here. Enjoy! As always please share this episode with your friends, drop me 5 stars on Apple if you enjoyed it, and follow me on instagram here!! --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app Support this podcast: https://anchor.fm/the-halo-effect-podcast/support
The January podcast, which features a discussion with Dr. Ruth Maher, a professor in the Department of Physical Therapy at PCOM Georgia, is now live. Professor Maher is a board-certified clinical specialist in women’s health from the American Board of Physical Therapy Specialties. Prior to joining academia, she owned and ran private physical therapy practices in Dublin, Ireland, and in the United States specializing in women’s health and chronic pain conditions. In this episode, we discuss Dr. Maher’s work in the treatment of individuals with pelvic floor dysfunction and we’ll learn more about a device that is helping many patients overcome what has been termed an epidemic. In addition, we discussed how we as clinicians can help change the healthcare system to improve patient outcomes.
On this episode of the Healthy, Wealthy and Smart Podcast, I welcome Nicole Stout on the show to discuss cancer rehabilitation and survivorship care. Dr. Nicole L. Stout is a renowned health care researcher, consultant, educator, and advocate. She is research assistant professor in the School of Medicine, Department of Hematology/Oncology at West Virginia University Cancer Institute. Dr. Stout is an internationally recognized expert and leader in the field of cancer rehabilitation and survivorship care. In this episode, we discuss: -Functional morbidity in cancer survivors and the role of rehabilitation -Evidence for rehabilitation and exercise interventions to support individuals with cancer -Physical therapy clinical, research and education needs to develop survivorship care models -Why every clinician should be familiar with survivorship care -And so much more! Resources: Nicole Stout Twitter Nicole Stout LinkedIn Academy of Oncologic Physical Therapy 2nd International Conference on Physical Therapy in Oncology (ICPTO) American Congress of Rehabilitation Medicine American Cancer Society Nicole Stout Research Gate Email: nicole.stout@hsc.wvu.edu For more information on Nicole: Nicole L. Stout DPT, CLT-LANA, FAPTA Dr. Nicole L. Stout is a renowned health care researcher, consultant, educator, and advocate. She is research assistant professor in the School of Medicine, Department of Hematology/Oncology at West Virginia University Cancer Institute. Dr. Stout is an internationally recognized expert and leader in the field of cancer rehabilitation and survivorship care. She has given over 300 lectures nationally and internationally, authored and co-authored over 60 peer-review and invited publications, several book chapters, and is the co-author of the book 100 Questions and Answers about Lymphedema. Her research publications have been foundational in developing the Prospective Surveillance Model for cancer rehabilitation. Dr. Stout is the recipient of numerous research and publication awards. She has received service awards from the National Institutes of Health Clinical Center, the Navy Surgeon General, and the Oncology Section of the American Physical Therapy Association. She is a Fellow of the American Physical Therapy Association and was recently awarded the 2020 John H. P. Maley Lecture for the American Physical Therapy Association. She holds appointments on the American Congress of Rehabilitation Medicine’s Cancer Rehabilitation Research and Outcomes Taskforce, the WHO Technical Workgroup for the development of Cancer Rehabilitation guidelines, the American College of Sports Medicine President’s Taskforce on Exercise Oncology, and also chairs the Oncology Specialty Council of the American Board of Physical Therapy Specialties. She is a federal appointee and co-chair of the Veterans Administration Musculoskeletal Rehabilitation Research and Development Service Merit Review Board. Dr. Stout is a past member of the American Physical Therapy Association Board of Directors. Dr. Stout received her Bachelor of Science degree from Slippery Rock University of Pennsylvania in 1994, a Master of Physical Therapy degree from Chatham University in 1998 and a clinical Doctorate in Physical Therapy from Massachusetts General Hospital Institute of Health Professions in 2013. She has a post graduate certificate in Health Policy from the George Washington University School of Public Health. Read the full transcript below: Karen Litzy: 00:01 Hey Dr. Nicole Stout, welcome to the podcast. I am so excited to have you on today. So today we're going to be talking about for all the listeners, cancer, survivorship and morbidity burden among growing populations, probably around the world, certainly in the United States. But Nicole, before we even get to all of those sort of big topics, can you define for the listeners what cancer survivorship is? Nicole Stout: Yeah, thanks Karen. That's a great question to start off with. And it's a little bit of a Pandora's box right now. So we've historically defined cancer survivors as anyone from the point of their cancer diagnosis, really through the remaining lifespan that that individual has. So we consider a survivor from point of diagnosis and you know, it's sort of different or it's kind of different than what the word expresses. Nicole Stout: 01:06 The word survivor, I think in some kind of patient means they're done with treatment, they've survived. And you know, we've seen a bit of pushback in the last few years around people who don't necessarily identify with the word survivor. So if we go back to 2006, there was a very important report that the Institute of medicine released called lost in transition from cancer patient to survivor. And this is where the term came from. Basically that IM report was critical because it said, Hey, medical community, you're doing a great job of treating cancer, that disease, but you're doing a terrible job of helping these people transition back to their life when they're done with treatment. They have a lot of functional morbidities, physical, cognitive, sexual, not managing those things. So this term survivorship was put forward. The idea of managing people to become survivors was put forward. Nicole Stout: 02:05 And what's been very exciting is to see the evolution of emphasis and focus on better managing the human being that goes through the disease treatment in addition to managing the disease. But we've come so far with treatments and in some regard, some people who have advanced cancers for example, will be on cancer treatments for the rest of their life. And you know, I participate in a lot of social media groups and I hear these people say, I'm not a survivor and I'm never going to be one. Eventually I'm going to die from my cancer. I know that. And it's a matter of time. And so they don't identify with the word survivor or survivorship. So, you know, we're sort of moving away from that a bit and we're talking for now without individuals who are living with and beyond cancer. And I like to use that terminology. Even though survivorship is prevalent in the literature and prevalent in, you know, our conversations and in oncology circles is how we describe it. But I think we're trying to be more sensitive to the much, much broader population of individuals who are going through cancer treatments today. Karen Litzy: 03:19 Yeah. And I liked that phrase, living with and beyond cancer, it seems a little more inclusive to me. Is that why you prefer that phrase? Nicole Stout: 03:29 I do. I think that encompasses anyone who ever had a cancer type know who is in treatment, who is a, what we call an ed has completed treatment and has no evidence of disease. And it's also those individuals who may be in palliative care, who are progressing towards end of life, who are still being treated or managed in various ways. So I think it is more encompassing and reflective really of the broad, broad scope of this population. Karen Litzy: 04:04 Yes. Because I think oftentimes, and myself included, people think you either have cancer or you don't. After you've gone through treatment, you don't have it in you're a survivor. So you forget about that population of people, like you said, who have cancers that they'll be in treatment for the rest of their lives. Nicole Stout: 04:26 Yeah. And that that is actually a growing population with more sophisticated treatment technologies and changes that we've seen around the immunological therapies, the hormonal therapy treatments. Many of these targeted agents as we've come to so call them. And we are seeing individuals live much, much longer with disease, with stable disease, we're able to stabilize it. And so therefore what they would have died from in six months or a year, they're now surviving. I have years on continued temporization treatments. And so how would we describe those individuals? And yeah, let me make sure that the supportive care needs of those people are met and identified and met. It is a very broad population. So I think sometimes we say survivorship and it is not nearly as homogenous as, you know, that group of you either have cancer or you don't. You've been treated and you're finished. Now some people, for some folks that is the case. But for many, there's this very gray area that is the remainder of them. Karen Litzy: 05:39 Yeah. And I think saying living with cancer treatment or living through cancer treatment and beyond is just a little more sensitive to the person. Like you said, the person behind the cancer. Because oftentimes when you read articles or even whether it's in a scientific journal or mainstream media and you think about cancer, they are always talking in percentages and numbers but not in the person. And so this kind of brings it down to the personal level. Now you mentioned it a couple of times, as we were talking here about different morbidities related to cancer or cancer treatment. So can you talk a little bit about what people undergoing treatments or maybe have completed their treatments might be experiencing? Nicole Stout: 06:37 Yeah, that's a huge topic. We could spend hours just talking about that. But first of all, just in general, when we say morbidity, we're talking about the complications and the side effects that impact an individual's ability to function. So we're talking about functional morbidity. And the good news, the good news is this. The good news is we have a growing population of individuals who are living with and far beyond their cancer diagnosis. We talk about the population of cancer survivors growing. And you know, we look back to like the 1970s, all types of cancers. We were looking at about somewhere between a 40 and 50% survival rate to five years. So we have, and today we have dramatically driven that number much, much higher when we look across all cancers. That number today is around 70%. But when you drill into some of the more commonly diagnosed cancers like breast and prostate, those survival numbers to five years or even higher, upwards of 90% plus. Nicole Stout: 07:47 So the good news is more people are being treated and getting to that side of your Mark of survival with no evidence of disease. And that tells us a story that they're more likely to live the rest of their lifespan, but they are living with significant functional morbidity. And so the side effects of cancer treatments are things that we absolutely anticipate. We know that when people go through different types of chemotherapies or mental therapies, radiation therapy, you named the therapy, they are going to be side effects that negatively impact their function. The issue is how severe is the impact? How disabling does it become and does it persist? So multisystem impacts from these interventions. Chemotherapy is a multi, it's a systemic approach to managing disease burden. And unfortunately chemo is not selective. It doesn't go into your body and say, Hey, here's a cancer cell and there's a cancer cell and it wipes out rapidly dividing cells. Nicole Stout: 08:54 So is the systemic impact to the body. Your immune system is suppressed, you know, your blood counts drop, you become anemic, you become fatigued. Some chemotherapeutic agents cause cardiac complications and cardiotoxicities some chemotherapeutic agents we know are highly neurotoxic and cause peripheral neuropathies. None of these. And there's a spectrum, right, of the severity of that toxicity that people experience. And so some of those are mild, some of those are more severe. That it is the majority of patients going through treatment will experience at least one or more many experience, more than at least one about 60% experience, at least at one or more functional morbidity. And so when I talk about function, I want to say just sort of as a caveat, I always say I talk about Function with a capital F, meaning that it's not just the physical function. You know, I think in physical therapy we think about movement and mobility and gait and balance and you know, activities. But there's cognitive functioning as well. There's sexual functioning, there's being able to assume your psych. Karen Litzy: 10:10 Yes. Nicole Stout: 10:10 Social and psychological functioning and all of that, assuming your roles and your daily life. So we have to think very broadly, but when we talk about the morbidity burden, it's very real associated with cancer treatments in the short term. So while people are going through treatment, we expect to see it. But here's the trick. When treatments are done and withdrawal, people do recover to a very high degree. They regain their strength and mobility. But many of them suffer with persistent morbidity. And that disables many from going back to work or resuming their prior roles. And again, those can be across systems. And they can be encompassing of the physical, the cognitive, et cetera. Karen Litzy: 10:55 And that gives me a lot to think about as a physical therapist. So if I might be seeing a patient too, let's say they have completed their chemotherapy, radiation, whatever their treatment was a year ago as the physical therapist, it sort of behooves me to ask these questions of them. So even though I may have a patient who's recovering from breast cancer that's coming to see me for knee pain, but these are things that if you are the treating healthcare provider, you have to have in your head and kind of ask these questions of them, of those different systems. Right? Nicole Stout: 11:41 Absolutely. And that's actually a great and very critical point to make for physical therapists. And you know, even more broadly, occupational therapist, speech and language, all of our rehab cohort, you know, you said one year after treatment that the thing about cancer treatments, and I refer to them as the gift that keeps on giving because even though an individual finishes treatments, the treatments are oftentimes not done with them. Radiation therapy is a great example. We see individuals have side effects of radiation therapy in the acute timeframe, of course that we can see for example with chest wall radiation and breast cancer, we can see changes to the lung tissue, the bone and the cardiac function even years beyond the completion of treatment in five years, 10 years. So it behooves us to think about the history of cancer but not just did it have a history of cancer and concerned about recurrence of disease with what I'm seeing in my assessment. Nicole Stout: 12:41 That's one little piece of it. But the bigger question is, is the impairment that I'm seeing in this patient in front of me somehow related to their cancer treatments? Quite possibly, I would say yes. And if it is, are there things that I need to know about cancer and its treatments so that I can optimally manage this patient? And I would say yes to that as well. It's funny because in, I've been a PT for over 20 years now. I've worked in cancer for the majority of that time. Almost 19 of those 20 plus years have been exclusively cancer. And I still today have physical therapists say to me, I don't really see cancer patients in my practice. And my response to them is they see you every day. They see you everyday. Someone who has had a history of breast cancer with radiation therapy to the chest wall on the left side 10 years ago. Nicole Stout: 13:38 And you're seeing them as they are deconditioned, they may have dyspnea, they're now having some cardiac complications that can absolutely be related to radiation cardiotoxicity. You're seeing someone's three years out from prostate cancer treatment who is now having some balance deficits and issues, has had a fall at home for example, do a close assessment of their sensation, because they probably have residual peripheral neuropathy directly related to their neurotoxic chemotherapeutic agents. So we know that many of these side effects persist and can cause what we call these late effects, which are the downstream side effects that patients will experience. And a lot of it is musculoskeletal, neurological as well. You know, there are changes that can happen with regard to sensation, cognition, memory, those types of things also can persist for, can come on more substantially later after the completion of treatment. Nicole Stout: 14:43 So there are functional needs someone's going through treatment, but those needs may be, they may be less, they actually may be more in some folks as they age. Because by the way, there's that pesky thing called aging. I'm done with cancer treatments five years, 10 years later. But you know, you've also aged whole cluster of what are the co-morbidities that we're facing that this individual is facing. You know, what type of lifestyle behaviors are they choosing. So really looking at that from that very encompassing perspective and in the short and the long term, not negating that history of cancer, even though it was, you know, five or seven years ago. Karen Litzy: 15:26 Yeah. And you know, you kind of answered the question I was going to ask and that's as a physical therapist, why should we care? Well, I think you answered that one very well, but let's talk about the evidence for rehabilitation. And exercise interventions for these individuals with cancer. What does the evidence tell us? Nicole Stout: 15:43 Yeah. And so when you asked why should we care, not just to alleviate their morbidity and to give a good quality of life and better function, but there are big, big issues that these folks face that caused downstream medical and healthcare utilization than escalate costs, pain medications, imaging, additional hospitalizations. So we should care from an individual perspective. I want my individual patient to be functioning. We should also care from a system and a societal perspective that we can help to alleviate that burden. So the exercise or the evidence, boy, where do I start? The good news is, as I said, multi-system impact for many of the cancer treatment interventions. And that's everything from surgery through hormonal treatments, including everything in between. But the goodness is there is evidence to demonstrate the benefits of rehabilitation intervention for nearly any patient with any disease type across the continuum of cancer care. Nicole Stout: 16:50 From the point of diagnosis through end of life, there's evidence to support our interventions. And you know, I always say that about cancer oncologist everywhere. Cancer does not discriminate based on body region. It does not discriminate based on system impact. It doesn't discriminate based on race, based on gender. Everybody is at risk for having a cancer diagnosis. Now you know, there are some nuances there that level of risks. So we have to be thinking about that evidence very broadly. And so if we start at the beginning, at the point of diagnosis, there are some populations for whom a prehabilitation exercise intervention is highly recommended. We have seen over the last decade, the idea and concept of prehab is, you know, many times we make a diagnosis for a patient with cancer and it is not emergent to treat them. Now some types, it is some types of leukemias. Nicole Stout: 17:49 We immediately begin treatment like the sun doesn't set, we treat them. But for a number of populations, there's testing, there's workups that are done. There's lab work, there's imaging and that can take several weeks. And so in populations like lung and colorectal, we had started to see these prehabilitation exercise programs put into place and there's a nice body of literature that has grown and has strengthened demonstrating the benefit of therapeutic exercise, aerobic conditioning, moderate intensity supervised over the course of about two to three weeks. What it does is it prepares them to enter, whether it's surgery or chemotherapy. First it prepares them to enter. They are cancer care continuum in a much better physical performance status. Really the exciting thing in lung cancer with the pre habilitation exercise that we've seen some evidence, the lung cancer population in general, many of them are not in good physical performance status when they're diagnosed. Nicole Stout: 18:52 And some of them by virtue of that are not candidates for surgery. They're not candidates for the ideal regimen of chemotherapy because of their performance status. And we're starting to see evidence that that prehabilitation exercise intervention can actually convert someone for being a non surgical candidate to the surgical candidate. And that is, that's where we need to really be looking longer term and saying, does the rehab intervention improve survival in that population? The question is not, you know, something that we haven't answered yet but not far from being plausible. So that's evidence sort of from the point of diagnosis. We also have a large body of evidence around that post usually surgery is the first stop for some, for most folks and that perioperative time period. And it just makes sense. You know, the PT, the rehab consults, for especially our head and neck population, we talk about oropharyngeal, laryngeal parasite as we sort of put those into the head and neck population. Nicole Stout: 19:56 Immediate referral for speech and language pathology should be done in that patient population. Immediate referral for PT or OT console for upper quadrant for cervical mobility, first those things should be standards that should become standards of care. The evidence is building in that regard. And then as patients move through treatment, the chemotherapy, radiation therapy, sometimes chemo, radiotherapy combined, is sometimes the next stop. And around that time period the exercise literature supports intervention during chemotherapy, the conditioning to help to mitigate fatigue, moderate intensity, low intensity exercise for individuals to alleviate distress, anxiety, depression. So exercise prescription is something that we're really starting to see more focused on. The American college of sports medicine just released new guidelines last week, providing some very specific evidence around exercise prescription. So we're getting to the point where we can actually prescribe exercise for targeted impairments that individuals are experiencing during cancer treatments. Nicole Stout: 21:17 There's strong evidence around fatigue management exercise. To moderate and low intensity for fatigue management. There's strong evidence around lymphedema using exercise to help for women who have, especially in the breast cancer population. There's strong evidence also around using weight bearing exercise to mitigate bone density loss that happens with many of the hormonal agents. So I know I'm sort of picking and choosing out of the air here, but in general, what do people experience when they go through cancer treatments? Debilitating fatigue is probably one of the most prevalent impairments across all cancer types. There's also so deconditioning that comes along with that and you know, that's a starting place for exercise interventions and you know, half the battle I feel with the rehabilitation intervention. And I feel like my role sometimes as the PT on the team, half of the battle is engaging the patient repeatedly in a conversation about enabling them because as they go through treatment, they feel terrible. Nicole Stout: 22:30 You're sick. They're fragile, they're medically complex, right? Their blood counts drop, okay, let's maybe low. So there's risks and you know, it's sort of like the docs will say things like, well, you know, I guess you can exercise but don't overdo it. And that's almost worse than saying don't exercise. And so sometimes it's just, you know, our role in rehab is so critical during that time period of treatment to see them in a repeated fashion. And by that I don't mean, you know, two, two times a week for the duration of their cancer treatment. But you know, maybe it's a monthly basis, maybe it's every other month, maybe it's every three months as they're going through treatment for those check-ins. Re-assessing how their function has changed. Giving them guidance and support and enabling them. Karen Litzy: 23:23 Yeah. And it reminds me of some of the work that I do with patients who have chronic pain is that it's not like you said, two times a week for six weeks. It's checking in, it's helping to build their self efficacy so that they can do yeah. And they can do more for themselves. Nicole Stout: 23:47 And within their own bodies and giving them permission to do it. Cause like you just said, well you can work out but not too hard. Well like, yeah, that saying, well that's confusing and sometimes our patients need permission to feel more confident with their bodies. I had a patient say something to me once and I will never forget it and I use it in all of my talks and it's always sort of at the core in my mind. And she said to me, you know, the medical oncologists, they may have saved my life that you gave me my life back and if I'm going to survive cancer, what is it worth if I can't have my life back, at least to some degree to do things that I love to do. That just really hits at the heart of why rehabilitation is so critical for these individuals. Nicole Stout: 24:39 Because yeah, that treatments that we have now, I mean, we're detecting cancers earlier. The treatments are so much more sophisticated. Many people will go on and live their full lifespan and die from something else and however, it's not good enough anymore for us to say. He said, I have cancer. You should be happy to be alive. You know, even if you're suffering with pain or lymphedema or conflict fatigue or neuropathies and, or cognitive dysfunctions and you're frustrated because you can't think straight and you don't have good short term memory. It's not good enough for us to say you should just live with those things and be happy to be alive. Not when we have the evidence like we do around rehabilitation interventions. And I mean, I could go on about the evidence. We could get into specific impairments, pelvic floor, for example, returning people to continent. Nicole Stout: 25:32 Again, that's a place where prehab and then following them through the continuum of care. Makes sense. And you know, we in PT and in rehab has to get out of this episodic care mindset when we're working with patients who have cancer. So that's really where we went and we develop the prospective surveillance model. Way back in the early two thousands when I went to work at the Naval hospital in Charleston, Garvey and Cindy falls there, had developed this protocol for a research study and I went in and this prospective surveillance model said, Hey, we know people going through cancer treatment are gonna experience just awful side effects that are going to negatively impact their function. And if we know that ahead of time, why aren't we using rehab prospectively to help to identify the changes, manage them early when they're less intense and can be managed more conservatively. Nicole Stout: 26:28 So we ran those studies over the course of the next 10 years and published extensively on this concept of prospective surveillance, which is start with rehab at the point of diagnosis, assess function at baseline, know what's normal, follow that patient then at punctuated intervals, throughout treatment, one month after they start treatment, they're going to have had surgery or they're going to have started treatment. They're going to start to decline. See them at that one month period, reassess baseline and identify clinically meaningful change. Everything might look great and then you say, good, I'll see you in three months. And then we follow them on an every three month basis after that for the first year, every six months, then up to two years and you're only out to buy. And what we found was that I do think that we indeed identified impairments early because for most people it's not if they occur, it's when, when is it going to happen? Nicole Stout: 27:23 So we're able to identify them early. We can treat them much more conservatively when the impairment is less severe rather than waiting for severe, debilitating fatigue or a big fat swollen leg, and trying to fix or rehabilitate, right? We have to be much more proactive and we have the tools to be able to do that. We have the clinical measurement tools, we have the problem solving skills as rehab providers. What we have got to change is our perspective on an episode of care. This really is a more consultative role for rehabilitation and I think that's great. I think it's a great place for us to think about moving to as a profession. Consultation in that, like you said, sometimes you just see the patient, we tweak a little bit on their program and you coached them a little bit and talk about some of the behaviors they want to move towards and talk about. You're going to get there and you enable need and then I'll see you in three months. But sooner if anything goes wrong, you know? Karen Litzy: 28:21 And now this brings up to me an interesting question for you. So this, you said back in the early two thousands, this work was done on this, prospective surveillance. So now it is 2019 so you know where I'm going with this, right? So, as rehabilitation professionals, where are we? Are we doing this? Has this been put into mainstream practice? And if not, what do we need to do as the rehabilitation professions? Nicole Stout: 29:00 Yeah. So my heart is really as a researcher and it takes time. It takes time to do good studies. So that protocol kicked off in 2000. We didn't publish really our first remarkable studies until 2008 so it took us that eight years to enroll enough patients, analyze the data, come up with a full data set. You know, we completed our enrollment, we had the full data set. So in 2008 we published the first article from that prospective surveillance trial and then we published many, many more that the first was lymphedema, we published on shoulder morbidity, we published on fatigue and it was sort of this cascade after that, you know, once we had the data collected. So I'll start by saying it takes a long time to do good quality research. So really I sort of start the clock around 2008 and we've all heard the adage it takes 17 years for something to go from, you know, the research being published to actually implementing it in practice. Nicole Stout: 30:08 So I looked around at my research, okay, I'm out waiting 17 years. How did the escalate the timeline to get this into practice? And, I encourage individuals who do publish, to think about how you advocate for your research. And so where are we right now as a profession? Well for the first few years it was challenging to get people around their head around this concept of prospective surveillance. We had some uptake in some larger cancer centers who said, this makes sense, let's implement and put a physical therapist in the cancer center, which I think is an ideal situation. It's hard to do though because again, in hospital systems we're in our cost centers and you know, the rehabilitation department, you have to have her referral to PT. I mean, we've got to find ways to overcome all of those barriers. Nicole Stout: 31:03 So, I would say one moment that was a real catapult for us was in 2010, the American cancer society had identified the evidence around prospective surveillance and they said, do you think that this is ready for sort of an expert review panel? And I said, hell yeah. And so I got to work collaboratively with them and some other colleagues in putting together an expert consensus panel on prospective surveillance. We ended up after a two day symposium look, did the research, worked in groups and teams for about another year and publish 16 articles that came out in a supplement to cancer in 2012. And that I feel like was a bit more of a pivotal moment for us. You know, these research studies were great, but to pull all of that together with a group of experts in a consensus forum and say, this is a model that we need to think about for cancer patients because if we start at the beginning, not just with physical function, but if we start at the beginning with things like assessing someone's cognition, assessing their family status, assessing their financial status, assessing their nutrition status, and we follow them prospectively, all of those things are going to take a negative hit at some point during cancer treatments. Nicole Stout: 32:21 So I think prospective surveillance lends itself to a much larger cancer supportive care model, which is how I have been describing it. And it is my intent to really focus on how we can study that model and look at better avenues for implementation in this new position that I'm in now at West Virginia university. This is my goal, which is amazing. Now how, so, you know, if we look toward the future and hopefully what you will be able to achieve in your colleagues across the medical spectrum, what are there policies that need to change that will impact the future of cancer survivorship or the future of living with cancer and beyond? Yeah, so the good news to that is there are a lot of things we can impact because we've laid this foundation of the evidence. We have laid this foundation of expert consensus and there's been a lot between that 2012 and today, more and more providers in rehabilitation services are becoming aware and engaging in cancer. Nicole Stout: 33:36 You know, it's not something we prevalently teach in our curriculum in PT school. Think about how you learned about cancer. You learned about cancer in the negative. You learned all of the contraindications to your modalities and exercise and cancer was always one of them, right? You would say in your practical, okay, ultrasound, great, don't do it over the eyes. Don't do it on a pregnant uterus and cancer. So we find it in the negative for so many years. We have generations of therapists out there who love cancer and negative that never learned about the interventions to help to impact improve someone's function going through cancer treatment. So we're seeing that change and it's changing in how do we know it's changing? Individuals are engaging in cancer rehabilitation networks. We're seeing far more publications. We've published on this. A couple of years ago we did a billion metric analysis of the cancer rehabilitation literature and we've seen this tremendous upswing in the evidence base and an increase in volume. Nicole Stout: 34:39 We're also seeing more therapists move towards specialty practice and evidence of that is what we have seen culminate in the last year with the first ever deployment of the oncology board specialty certification exam. We had 68 people pass the first exam. So we now have a growing conduct contingency and it will continue to go of therapists who are oncologic clinical specialists, which is fantastic. So we are positioning ourselves, we are moving forward. But when you ask where do we go in the future, I really think of three things. Number one is impacting policy, like you said, second is impacting education. And third really is impacting research. And so I think where do we need to move to in the future? We're starting to see the clinical practitioners really grow. We're starting to see residency programs develop. So from that perspective of the clinical focus, there's evidence, there are pathways that's developing. Nicole Stout: 35:41 We have to start thinking about how do we embed this better into our curriculum. And this was last January in PTJ, the January issue of physical therapy journal. I coauthored a commentary article with Dr Laura Gillcrest, Dr Caringness and Dr Julie silver and Dr Catherine Alfano. We were all putting forward commentary on a recent national Academy of science, engineering and medicine report about longterm survivorship for cancer. And basically that report said rehabilitation should be utilized throughout the continuum of care, cancer care in order to contribute to that are longterm outcomes. And if that not doing so, not including rehabilitation during cancer treatment is almost negligence based on the breadth and depth of the literature that we have. So that was a pretty strong statement in that workshop document. So those are the types of things. Recommendations from the national academies will help us change policies. Nicole Stout: 36:48 And by policies, I mean, you know, it's not just how do we get paid for what we do, but also policies around, standards, policies that our accreditation bodies use to designate cancer centers. In fact we are seeing, I think they were just released today, the commission on cancer, which accredits probably 95%, I think it is, of cancer centers around the country. So they're a big gorilla, their standards for an accredited comprehensive cancer center and include a standard for rehabilitation care services. It used to just be a criteria that you had to have a referral source to rehabilitation. But in 2020, the new standards that will come out from the commission on cancer actually has a rehabilitation care service standard. So it's been elevated. That's going to be critical for us because it will require your cancer committee in your hospital to identify policies and procedures for rehabilitation practices in oncology. Nicole Stout: 37:56 So, you know, this is a place where we've got to start to see uptake in from our rehabilitation directors or administrators in large healthcare systems. The PTA, you know, we were really gonna need to see them start to put forward recommendations. How do we do this to practice? What is the best practice? What are some tools and tool kits that we can rule out. So those things, those policy changes are drivers for us. The education piece, I've spoken to a bit, I think embedding more education into curriculum for the entry level PT. And I think it's critical. You know, we get so bogged down in, well, you know, the capte requirements are, but they are in our curriculum's already too tight and it's a bit of a red herring argument because I see places around the country who have champions for oncology rehab who has put it into the curriculum. Nicole Stout: 38:51 It just takes someone to understand what is the best practice look like for an educational model and how do we implement it. So places like Oakland university in Michigan, Emory in Atlanta is working right now on elective modules. So there are some real novel ways that these are being incorporated into PT curriculum. And the third area that I think of for the future is research. And you know, as I said, wow, we've seen an explosion in research in the last decade. It's phenomenal. A greater volume. A lot of that has focused on intervention. It's been within some very specific populations like breast and prostate. There is a lot of breast and prostate, understandably. But we need to look at going beyond. We really should be thinking about how do we look at populations with regard to our rehab interventions of cohort studies, large population studies, and we've got to start thinking a little bit beyond end points. Nicole Stout: 39:54 Like function, function is important, don't get me wrong, it's the core of what we do. But if we improve function through rehab intervention, does it change the downstream utilization of healthcare services? Does it mitigate costs? Do we see them spend less time in the hospital? Did they have less than, do they adhere to their chemotherapy better? Do they have less severe toxicities? Do they have better overall survival? So they've got to think about some different end points and take a bit of a health services research approach. I think in oncology rehabilitation going forward. That's what I would love to see as the future and really at the core, the change in clinical practice so that we are a proactive consultative risk stratifying, triaging, screening, and proactively assessing profession when it comes to dealing with oncology. Karen Litzy: 40:52 Yeah. And, and you really teed it up for me to ask you this last question here. My question is what advice would you give to your everyday clinician working, whether that be an inpatient or outpatient to allow them to begin to think differently about cancer? Nicole Stout: 41:19 And that's critical because the fact of the matter is we look at places like Johns Hopkins and university of Penn and MD Anderson and those are like the preeminent cancer centers in the country. The truth of the matter is the majority of people get treated for cancer and community hospitals right down the street from where you live and in outpatient, freestanding oncology clinics. So the likelihood that you're going to see them is very high. So it is important for, as I said, the general therapist. It's also important for specialty practice therapists to improve their knowledge base in cancer. So how do you do that? There are some great resources. I'm always going to point to the APTA oncologic Academy for physical therapy. We're now an Academy. We used to be the section, I still call it the section. Nicole Stout: 42:13 But we have an Academy for oncologic physical therapy and there are phenomenal resources there. They do continuing education programs. They provide fact sheets. They often have great evidence base that you can access to understand what are the measurement tools they should be using, what are the questions I should be asking someone. I feel there are also some, you know, continuing education courses focused specifically on the general therapist and I teach one of them. So there's my bias opinion and my disclosure there with great seminars, but I tell people that in the beginning of the course, one of the first things I say is my goal is not to spend two days with you to get you to become an expert in cancer rehab. My goal is to change the way you think about every single patient that you see regardless of the diagnosis, regardless of the setting that you are in. Nicole Stout: 43:05 If they had a history of cancer, what questions do you need to ask? What might you be seeing in your intake that is indicative of side effects of disease treatment, late effects or even metastatic process. The other flip side of that that we haven't talked about and certainly helped me to delve into is that as primary providers, as frontline providers as we are in rehab, right? The direct access. Now, how many of us ask, about screening, cancer screening? How many of us ask questions? How many of us even know what the screening guidelines are for cervical cancer, for breast cancer, for prostate cancer, new screening guidelines for lung cancer. Again, I think that's a great way for physical therapy professionals to brush up in their knowledge base and to start to have these conversations. I'm not going to be the one to order a low dose CT scan for my patient who's at risk for lung cancer, but I might be the person to plant the seed with them and to incite a behavior change if no one else on their medical team has talked to them about it or if they're hesitant about it. Nicole Stout: 44:12 Colorectal cancer screening as well. So all of those, we should take responsibility to have those conversations. And that is 100% of the patients that we see to ask those questions. So I think we need to sort of self-assess and say, how can I do this? Knowing that we had, we have 17 million individuals in the United States right now that we call cancer survivors. We are expecting that number to double, double by 20, 40 just because of the growing population, first of all. And because of the escalating rates of survivors, because we're treating the disease so much better. So there are going to be far more of them with the aging population and far more needs for us to meet. So yeah, therapists should be asking themselves, what are the resources out there? There are a lot of places now hospitals, health systems do cancer rehabilitation programs. Nicole Stout: 45:10 They're doing continuing education courses and they're doing conferences as well. So take a look at some of the, I know Mary free bed, rehabilitation center up in Michigan, Brooks rehabilitation hospital down in Jacksonville, Florida, Marion joy, Northwestern. Many of these rehab hospitals are looking at doing one day, two day symposium open, you know, for folks to attend. So many hospitals as well are doing these cancer rehabilitation one day symposium and NYU is doing one next year, university of Miami. There's also an on pitch this because it's fantastic. And the ICPTO, which is the international conference in oncology, physical therapy, physical therapy oncology. I see PTO, it will be in Copenhagen in may of 2020. That's not a terrible place to go. This is the second that we, the second conference that we've done, the first conference we had over 280 participants from over 25 different countries around, well just physical therapists just in oncology. Nicole Stout: 46:17 It was just amazing. It gave me tingles to be in that room. And so we're hoping to have an even bigger groups. So those are just, you know, again, sort of a snippet of some resources that I can provide. But looking at each of those, I think you can delve deeper into the resources that they have and have them have available within the APTA within the Academy and within some of those other ACRM is another one. The American Congress for rehab medicine has a cancer networking group and that's a beautiful place to go because it is interdisciplinary PT, OT, speech. You have behavioral psychologists, you have interventionalists, you have lifestyle medicine, desire, interest. It's really great. And they have continuous track of cancer rehabilitation content at their conferences. Unfortunately their conferences in early November. So it's coming up quickly, but every year it's in the fall. Next year it will be in Atlanta. So you know, another great place to look for. How do I start to build my knowledge base in this area? Karen Litzy: 47:30 Yeah, this is great. Thank you so much for all of those resources and we will put as many of those up in the show notes at podcast.healthywealthysmart.com. Quick question on some of those resources. When you were talking about the different screening tools, can you find those screening tools under the APTA's oncologic PT? Nicole Stout: 47:50 So if you're talking about the Academy for oncologic physical therapy, the hotly debated title. Yes, there are. So screening tools for identifying functional morbidity. Yes. So the course that was the evidence database to guide effectiveness, the edge test scores for oncology has published over 25 systematic reviews and have looked at measurement tools with by disease type within different measurement domains. So for example, you can find how do I measure functional mobility in colorectal cancer? How do I measure best measure lymph edema in head, neck cancer? So it's broken down by disease type and then domain of measurement. So that's there. It's an annotated bibliography on their website. So they give you a nice little simple compendium. But for the larger screening population screening guidelines, many of those are American cancer society and the us health prevention preventive task force. Those are, you know, large scale guidelines that are developed and put forward for screening for disease. Karen Litzy: 49:02 Yeah, perfect. Perfect. Well that's great. That is a lot of resources for people. So hopefully any rehab professional listening can, if you have no familiarity with any of this information, would you say where's the first place they should go? Nicole Stout: 49:21 Well, the first place, that's a great question. And I can help you put some seminal articles up there too. I think there are one and the open access articles. Julie silver wrote a fantastic article in 2013, about impairment driven as a rehabilitation. I feel like it's foundational. It's a great starting place for someone to get their head around all of the stuff involved with cancer treatment and the functional morbidity. And then I think the PTs for PTC oncology Academy is a great place. But also if you're an OT or speechie, you can join the Academy of oncology, PT, you can be an affiliate member, you can get access to our journal and our resources. Karen Litzy: 50:06 Oh, that's cool. Good to know. That's very good to know. And you know, I think as from what I've got out of this conversation, because I am not embedded in with the oncological Academy but what I am have come to realize through this conversation is that regardless of your setting, you may in your career encounter a patient that has had cancer or is going through cancer treatment and regardless of whether you're in sports, PT, orthopedics, neurological pediatrics, odds are you're going to treat someone at some point with a cancer diagnosis present or past. And to understand the basics of how that might affect overall systems is incredibly important regardless of whether you work at Sloan Kettering full time within specifically cancer population or you are the physical therapist for the New York Knicks, you know, you may encounter this population. Nicole Stout: 51:32 Yeah, that's really a beautiful summary. Karen, I appreciate the way you articulated that because I like to say oncology is everywhere and that's exactly it. It doesn't matter the setting you're in, it doesn't matter what specialty you practice. It doesn't matter geographically where you live. It does not matter, you know, age, gender, et cetera is, it's there, it is everywhere. Multi-system impact across body systems. So I think that's it. And across the lifespan. So I think it's beautifully summed up with that. You just said that, that's how we think about it. Oncologists everywhere. So every patient that you see there is either the risk of them having a cancer diagnosis in the future. So are you talking about the screening guidelines for the chances they'd had a diagnosis in the past and then asking yourself, is that impacting what I'm seeing here in front of me? There's so much we can spend an hour talking about pediatric oncology right now we're talking about red flags, you know, but look around many of the continuing education consortia around the country, med bridge. You know, many of those have a variety of content or are in process of building content for continuing education always look at the references. CSN is a great place to go to get a ton of oncology resources. Karen Litzy: 53:00 Got it. And that is coming up in February over Valentine's day weekend in Denver, Colorado. So if you're a physical therapist or not, maybe you just want to go and hang out with 13,000 other PTs. You can go to Denver and you look at the oncology track for CSM. Nicole Stout: 53:20 Definitely bring your sweetheart, make a ski weekend, I guess with the ecology content. Yep, definitely. Karen Litzy: 53:32 Excellent. All right, so before we wrap it up, I asked the same question to everyone and that's knowing where you are now in your career, in your life. What advice would you give yourself as a new grad out of PT school? So this is the advice you would give to you. Nicole Stout: 53:48 The advice I would give to me, it's funny. People would say, if you look back, what would you change? And I always say not a damn thing. I guess my advice to myself is what I hold close to my heart and what I convey to others is go for it. Don't be hesitant to take on something new or different because the new and different is what is going to expose you to a pathway you never would have imagined. I never would have imagined coming out of school that I would be doing oncology work. I was worried about in PT school. I didn't know that this career pathway could exist. I didn't know a clinical research pathway was something that I could even pursue. And as the opportunity came up, if I would've been hesitant, if I wouldn't have been interested in taking the risks, so go for it. Don't be afraid to take a risk. And sometimes that means moving to a different city, that might mean taking a pay cut. You know, a lot of times if we chase the things we love, we're not necessarily chasing the money along with it. I think if we chase a big paying salary, sometimes miss things above, so go for it and be open to try and taking those different pathways. Karen Litzy: 55:02 Yeah, great advice. And now where can people find you if they have questions or they want to talk about oncology physical therapy? Nicole Stout: 55:12 Oh, you can find me on Twitter, on social media outlet. I really used to try to engage professionally. So it's @NicoleStoutPT. And you know, you can certainly find me there. My Facebook accounts were private. That's where like family and friends stuff. But definitely access and hit me up on Twitter or LinkedIn yet. Another great place. I post a lot of our research articles there. I'm on LinkedIn, so you can certainly connect with me there. Or just email me and always see how many times you can just cold call or cold email. It's some of the most engaging conversations I'll get on the phone with anyone. I will fly anywhere to talk about kids or rehabilitation and you know, some of the best conversations that started with, Hey, I don't want to bother you, but you have some time to talk and I'm happy, you know, to start a conversation via email. So more than happy to engage. Karen Litzy: 56:09 Perfect. And Nicole, thank you so much for a really great talk and I think that you have given the listeners a lot to think about and also a lot to look up into research and hopefully spark someone out there to, this might be the path I would like to take. So thank you so much. Nicole Stout: 56:24 Well, I thank you for the opportunity. I'm just grateful for everything that you've done to put PT on such a stage and I'm really excited to have been a part of that, so thank you. Karen Litzy: Thank you so much. And everyone out there listening, thanks for listening. Have a great couple of days and stay healthy, wealthy, and smart. Thanks for listening and subscribing to the podcast! 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This special panel presentation features three leaders in the space: Tara Denham, supervisor of vestibular physical therapy, is a leading expert in the field of vestibular therapy and founder of the Vestibular Physical Therapy Center at Rusk. As an American Physical Therapy Association certified vestibular clinician, she lectures extensively to a wide range of audiences. Eva Mihovich has served as a Senior Psychologist at Rusk Rehabilitation, NYU Langone Health Centers for over 20 years, and is a clinical instructor at the NYU School of Medicine. She currently coordinates Psychological Services at the Vestibular Rehabilitation Department at Rusk Rehabilitation. Her Ph.D. is from New York University. Dr. Jennifer Fay is a board-certified clinical specialist in Neurologic Physical Therapy through the American Board of Physical Therapy Specialties and is a clinical instructor in the Department of Physical Medicine and Rehabilitation in the NYU School of Medicine. Artmis Youssefnia is Senior Level II in the vestibular therapy department at Rusk Institute: NYU Langone Health System. She has over 20 years of experience working with patients with pulmonary disease and vestibular dysfunction and does extensive community outreach/education. She also is adjunct professor for Cardiovascular Pulmonary Examination at NYU Physical Therapy school. This is the second of a two-part series. In this episode, the panel covers: whether any patients report out-of-body experiences associated with 3PD, evaluation techniques used in developing treatment plans for patients; dominant treatment approaches; roles played by gait training and gaze stabilization; status of clinical practice guidelines and evidence-based treatments; research gaps where more studies may be necessary; factors that may characterize patients, such as fear of the future or threats to self-image that possibly could detract from the success of rehabilitation kinds of interventions; major components of a cognitive-behavioral approach to treating 3PD; whether plateaus ever occur where further treatment is not associated with additional improvements; and current research and proposed studies on the drawing board aimed at shedding additional light on 3PD.
This special panel presentation features three leaders in the space: Tara Denham, supervisor of vestibular physical therapy, is a leading expert in the field of vestibular therapy and founder of the Vestibular Physical Therapy Center at Rusk. As an American Physical Therapy Association certified vestibular clinician, she lectures extensively to a wide range of audiences. Eva Mihovich has served as a Senior Psychologist at Rusk Rehabilitation, NYU Langone Health Centers for over 20 years, and is a clinical instructor at the NYU School of Medicine. She currently coordinates Psychological Services at the Vestibular Rehabilitation Department at Rusk Rehabilitation. Her Ph.D. is from New York University. Dr. Jennifer Fay is a board-certified clinical specialist in Neurologic Physical Therapy through the American Board of Physical Therapy Specialties and is a clinical instructor in the Department of Physical Medicine and Rehabilitation in the NYU School of Medicine. Artmis Youssefnia is Senior Level II in the vestibular therapy department at Rusk Institute: NYU Langone Health System. She has over 20 years of experience working with patients with pulmonary disease and vestibular dysfunction and does extensive community outreach/education. She also is adjunct professor for Cardiovascular Pulmonary Examination at NYU Physical Therapy school. This is the first of a two-part series. In this episode, the panel covers: why terms previously used were abandoned and how the classification 3PD represents an improvement over them; core symptoms of 3PD; kinds of health professionals involved in making an accurate differential diagnosis; specific clinical tests to detect the presence of 3PD; how well patients perform in describing their symptoms in constructive ways that aid in arriving at a correct diagnosis; what is known about the exact etiology of 3PD from the standpoint of any common initial events that might precede its development; whether 3PD can co-exist with other kinds of dizziness problems; if onset of 3PD associated in any way with certain demographic factors; and episodes that can trigger the onset of 3PD, such as a panic attack or generalized anxiety disorders
Dr. Robert Sellin, the current Chair of ABPTS, comes onto HET Podcast to share his perspective from being involved in ABPTS along with discussing board specialty exams. Resources Mentioned: American Board of Physical Therapy Specialties (ABPTS) American Board of Physical Therapy Residency & Fellowship Education (ABPTRFE) APTA House of Delegates (HoD) Education Leadership Partnership American Council of Academic Physical Therapy (ACAPT) Academy of Physical Therapy Education (APTE) Commission on Accreditation in Physical Therapy Education Specialization Academy of Content Experts (SACE) ABPTS Specialty Councils Appropriate use of designations Biography: Dr. Robert Sellin graduated summa cum laude from East Carolina University with a degree in Physical Therapy in 1978. He received a Master's of Science in Physical Therapy with a Specialization in Musculoskeletal Disorders from the University of Southern California in 1985, and a Doctor of Science Degree in Electrophysiologic Physical Therapy from Rocky Mountain University of Health Professions (RMUoHP) in 2001. He has had a diverse career that includes 16 years in the United States Navy, private civilian practice, and teaching in entry level and post entry level physical therapy programs. He has a private practice in Lexington, Kentucky, devoted exclusively to electrophysiologic testing. Throughout his career Dr. Sellin has been very active in both state and national physical therapy associations. He is a past president of the Kentucky Physical Therapy Association and past president of the American Physical Therapy Association's Section (now Academy) on Clinical Electrophysiology and Wound Management. He is the current Chair of the American Board of Physical Therapy Specialists (ABPTS) which coordinates and oversees the specialty certification process in physical therapy in the United States. Contact information: E-Mail: bobsellin54@gmail.com The PT Hustle Website Schedule an Appointment with Kyle Rice HET LITE Tool Anywhere Healthcare (code: HET)
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.
Dr. John Childs (CEO and Co-Founder of Evidence in Motion) delivers the 2016 Ron Peyton Innovation Lecture at Duke University on 9/19/16. His lecture titled "Innovative Educational Methods to Accelerate Development of the Workforce." This is the audio derived from the original presentation. Link to Video Presentation: https://ortho.duke.edu/latest-news/john-d-childs-pt-phd-mba-fapta-gives-ron-peyton-innovation-lecture Evidence in Motion Website: https://www.evidenceinmotion.com/ South College DPT Website: https://www.south.edu/programs/doctor-physical-therapy/ Baylor DPT Website: https://www.baylor.edu/dpt/ The PT Hustle Website: https://www.thepthustle.com/ Schedule an Appointment with Kyle Rice: www.passtheptboards.com HET LITE Tool: www.pteducator.com/het Anywhere Healthcare: https://anywhere.healthcare/ (code: HET) Biography: Dr. Childs is a founder and CEO of Evidence in Motion and partner in Confluent Health, which includes EIM; a network of 70+ physical therapy clinics in Indiana, Kentucky, North Carolina, Oklahoma, and Texas; and Fit for Work, which provides employers consultative services to decrease injuries and workers' compensation costs. A graduate from the U.S. Air Force Academy with a BS in biology (1994), he completed his MPT from US Army-Baylor University (1996), MBA from the University of Arizona (2000), Master of Science in Musculoskeletal Physical Therapy from the University of Pittsburgh (2002), PhD in Rehabilitation Science from the University of Pittsburgh (2003), and DPT from the Evidence in Motion Institute of Health Professions (2010). Dr. Childs is a board-certified Orthopaedic Clinical Specialist from the American Board of Physical Therapy Specialties and a Fellow in the American Academy of Orthopaedic and Manual Physical Therapists. A Professor in the Doctor of Physical Therapy Program at South College and Associate Professor in the US Army-Baylor Doctoral Program in Physical Therapy, Dr. Childs served a 20-year career in the Air Force, having collaborated on more than $10 million in grant funding and published more than 150 papers in leading scientific journals. He currently serves as an Associate Editor for both the Physical Therapy and Journal of Orthopaedic and Sports Physical Therapy journals. Dr. Childs was recently recognized as a “Health Care Hero” in San Antonio and is the youngest ever Fellow of the American Physical Therapy Association, the profession's highest honor recognizing individuals for professional excellence and making a profound impact in advancing the profession.
F. Scott Feil chats with Mike Connors, Mark Milligan, & Dana Tew regarding the upcoming opportunity for the state of Texas to have Direct Access passed along with how PTs in Texas can get involved and contribute to making this a reality. Texas Physical Therapy Association Website: https://www.tpta.org/ TPTA Capital Area District Facebook Page: https://www.facebook.com/CapitalAreaDistrictTPTA/ APTA Direct Access Page on Website: http://www.apta.org/StateIssues/DirectAccess/ APTA Action App on APTA Website: http://www.apta.org/ActionApp/ Texas House Bill 29: https://legiscan.com/TX/bill/HB29/2019 Evidence: 1. Texas Department of State Health Services. (2018) Texas Projections of Supply and Demand for Primary Care Physicians and Psychiatrists, 2017 – 2030. Austin, TX: Texas Health and Human Services https://dshs.texas.gov/chs/hprc/default.shtm 2. Timing of physical therapy consultation on 1-year healthcare utilization and costs in patients seeking care for neck pain: a retrospective cohort ME Horn, JM Fritz BMC health services research 18 (1), 887 https://bmchealthservres.biomedcentral.com/track/pdf/10.1186/s12913-018-3699-0 3. Physical Therapy as the First Point of Care to Treat Low Back Pain: An Instrumental Variables Approach to Estimate Impact on Opioid Prescription, Health Care Utilization, and Costs. Frogner et al Health Serv. Res. 2018 https://www.researchgate.net/publication/325319327_Physical_Therapy_as_the_First_Point_of_Care_to_Treat_Low_Back_Pain_An_Instrumental_Variables_Approach_to_Estimate_Impact_on_Opioid_Prescription_Health_Care_Utilization_and_Costs 4. Denninger TR, et al. The influence of patient choice of first provider on costs and outcomes: analysis from a physical therapy patient registry. J Orthop Sports Phys Ther. 2018;48(2):63–71. http://pt-cpr.com/images/jospt.2018.7423.pdf 5. Rhon, D. I., Snodgrass, S. J., Cleland, J. A., Sissel, C. D., & Cook, C. E. (2018). Predictors of chronic prescription opioid use after orthopedic surgery: derivation of a clinical prediction rule. Perioperative medicine (London, England), 7, 25. doi:10.1186/s13741-018-0105-8 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6249901/ Biographies: Michael Connors, PT, DPT, OCS, PhD received his Master of Physical Therapy degree from University of Medicine and Dentistry of NJ-Rutgers University in May 2003 with honors. Dr. Connors obtained his post professional Doctor of Physical Therapy degree from Temple University in December 2008. He became a board certified specialist in Orthopaedic Physical Therapy by the American Board of Physical Therapy Specialties in June 2011. He completed a PhD degree in Physical Therapy from Texas Woman's University in August 2017. Dr Connors is the current President of the Texas Physical Therapy Association. He also is an assistant professor within the UNT Health Science DPT Program. Email: mjconnorspt@gmail.com Mark Milligan PT, DPT, Cert TPS, OCS, FAAOMPT Mark Milligan is an orthopedic manual therapist that specializes in the evaluation and treatment of musculoskeletal and spinal conditions, both acute and chronic. He is Certified in Therapeutic Pain Science, Applied Prevention and Health Promotion and dry needling, Board Certified in Orthopedics and a Fellow of the American Academy of Orthopedic Manual Therapy. He earned his Doctorate of Physical Therapy at the University of the Colorado School of Medicine in Denver, Colorado. He went on to complete an Orthopedic Physical Therapy Residency and Orthopedic Manual Physical Therapy Fellowship with Evidence in Motion (EIM). He is a full-time clinician and Founder of Revolution Human Health, a non-profit physical therapy network and he also founded a continuing education company specializing in micro-education. He is currently a physical therapist with Encompass Home Health in Austin, Texas. Dr. Milligan serves as adjunct faculty for the Doctor of Physical Therapy Programs at South College and The University of St. Augustine. Dr. Milligan is also primary faculty for Musculoskeletal Courses for EIM. Mark has presented and spoken at numerous state and national conferences and has been published in peer reviewed journals. He is an active member of the TPTA, APTA, and AAOMPT and is current the Capital Area District Chair for the Texas Physical Therapy Association and has great interest in public health and governmental affairs. Revolution Human Health is a non-profit physical therapy network in Austin, TX that transforms the healing experience by offering access to treatment, education, and movement based therapy for all. Continuing education division specializes in customized, micro-education for physical therapists across the country. Customizable options of courses include manual therapy, spinal and extremity manipulation, dry needling, clinical reasoning, and preventative care and population health. Please contact us about customizing a course for you and your team! Email: markmilligandpt@gmail.com Dana Tew PT, DPT, OCS, FAAOMPT CEO/ Program Director of OPTIM Physical Therapy and OPTIM Fellowship Program. Dana specializes in orthopaedic physical therapy. His experience includes clinical management of patients with both acute and chronic orthopedic injuries in the outpatient environment. His practice is focused on integration of manual therapy and exercise into a holistic, evidence-based and biopsychosocial approach to physical therapy treatment. He is the residency manager of Harris Health System’s Orthopedic Physical Therapy Residency Program. He was honored by the Texas Physical Therapy Association Southeastern District, as clinical instructor of the year in 2013. He is also a guest lecturer at Texas Woman’s University and has presented at multiple conferences. Dana earned his APTA Board Certification in Orthopedic Physical Therapy and is also a Fellow, in the American Academy of Orthopedic and Manual Physical Therapists. He has served locally for the Southeastern District, as a delegate for the TPTA, and nationally on the American Board of Physical Therapy Residency and Fellowship Education credentialing council for the APTA. Email: danatew@gmail.com
F. Scott Feil chats with Mike Connors, Mark Milligan, & Dana Tew regarding the upcoming opportunity for the state of Texas to have Direct Access passed along with how PTs in Texas can get involved and contribute to making this a reality. Texas Physical Therapy Association Website: https://www.tpta.org/ TPTA Capital Area District Facebook Page: https://www.facebook.com/CapitalAreaDistrictTPTA/ APTA Direct Access Page on Website: http://www.apta.org/StateIssues/DirectAccess/ APTA Action App on APTA Website: http://www.apta.org/ActionApp/ Texas House Bill 29: https://legiscan.com/TX/bill/HB29/2019 Evidence: 1. Texas Department of State Health Services. (2018) Texas Projections of Supply and Demand for Primary Care Physicians and Psychiatrists, 2017 – 2030. Austin, TX: Texas Health and Human Services https://dshs.texas.gov/chs/hprc/default.shtm 2. Timing of physical therapy consultation on 1-year healthcare utilization and costs in patients seeking care for neck pain: a retrospective cohort ME Horn, JM Fritz BMC health services research 18 (1), 887 https://bmchealthservres.biomedcentral.com/track/pdf/10.1186/s12913-018-3699-0 3. Physical Therapy as the First Point of Care to Treat Low Back Pain: An Instrumental Variables Approach to Estimate Impact on Opioid Prescription, Health Care Utilization, and Costs. Frogner et al Health Serv. Res. 2018 https://www.researchgate.net/publication/325319327_Physical_Therapy_as_the_First_Point_of_Care_to_Treat_Low_Back_Pain_An_Instrumental_Variables_Approach_to_Estimate_Impact_on_Opioid_Prescription_Health_Care_Utilization_and_Costs 4. Denninger TR, et al. The influence of patient choice of first provider on costs and outcomes: analysis from a physical therapy patient registry. J Orthop Sports Phys Ther. 2018;48(2):63–71. http://pt-cpr.com/images/jospt.2018.7423.pdf 5. Rhon, D. I., Snodgrass, S. J., Cleland, J. A., Sissel, C. D., & Cook, C. E. (2018). Predictors of chronic prescription opioid use after orthopedic surgery: derivation of a clinical prediction rule. Perioperative medicine (London, England), 7, 25. doi:10.1186/s13741-018-0105-8 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6249901/ The PT Hustle Website: https://www.thepthustle.com/ Schedule an Appointment with Kyle Rice: www.passtheptboards.com HET LITE Tool: www.pteducator.com/het Anywhere Healthcare: https://anywhere.healthcare/ (code: HET) Biographies: Michael Connors, PT, DPT, OCS, PhD received his Master of Physical Therapy degree from University of Medicine and Dentistry of NJ-Rutgers University in May 2003 with honors. Dr. Connors obtained his post professional Doctor of Physical Therapy degree from Temple University in December 2008. He became a board certified specialist in Orthopaedic Physical Therapy by the American Board of Physical Therapy Specialties in June 2011. He completed a PhD degree in Physical Therapy from Texas Woman's University in August 2017. Dr Connors is the current President of the Texas Physical Therapy Association. He also is an assistant professor within the UNT Health Science DPT Program. Email: mjconnorspt@gmail.com Mark Milligan PT, DPT, Cert TPS, OCS, FAAOMPT Mark Milligan is an orthopedic manual therapist that specializes in the evaluation and treatment of musculoskeletal and spinal conditions, both acute and chronic. He is Certified in Therapeutic Pain Science, Applied Prevention and Health Promotion and dry needling, Board Certified in Orthopedics and a Fellow of the American Academy of Orthopedic Manual Therapy. He earned his Doctorate of Physical Therapy at the University of the Colorado School of Medicine in Denver, Colorado. He went on to complete an Orthopedic Physical Therapy Residency and Orthopedic Manual Physical Therapy Fellowship with Evidence in Motion (EIM). He is a full-time clinician and Founder of Revolution Human Health, a non-profit physical therapy network and he also founded a continuing education company specializing in micro-education. He is currently a physical therapist with Encompass Home Health in Austin, Texas. Dr. Milligan serves as adjunct faculty for the Doctor of Physical Therapy Programs at South College and The University of St. Augustine. Dr. Milligan is also primary faculty for Musculoskeletal Courses for EIM. Mark has presented and spoken at numerous state and national conferences and has been published in peer reviewed journals. He is an active member of the TPTA, APTA, and AAOMPT and is current the Capital Area District Chair for the Texas Physical Therapy Association and has great interest in public health and governmental affairs. Revolution Human Health is a non-profit physical therapy network in Austin, TX that transforms the healing experience by offering access to treatment, education, and movement based therapy for all. Continuing education division specializes in customized, micro-education for physical therapists across the country. Customizable options of courses include manual therapy, spinal and extremity manipulation, dry needling, clinical reasoning, and preventative care and population health. Please contact us about customizing a course for you and your team! Email: markmilligandpt@gmail.com Dana Tew PT, DPT, OCS, FAAOMPT CEO/ Program Director of OPTIM Physical Therapy and OPTIM Fellowship Program. Dana specializes in orthopaedic physical therapy. His experience includes clinical management of patients with both acute and chronic orthopedic injuries in the outpatient environment. His practice is focused on integration of manual therapy and exercise into a holistic, evidence-based and biopsychosocial approach to physical therapy treatment. He is the residency manager of Harris Health System's Orthopedic Physical Therapy Residency Program. He was honored by the Texas Physical Therapy Association Southeastern District, as clinical instructor of the year in 2013. He is also a guest lecturer at Texas Woman's University and has presented at multiple conferences. Dana earned his APTA Board Certification in Orthopedic Physical Therapy and is also a Fellow, in the American Academy of Orthopedic and Manual Physical Therapists. He has served locally for the Southeastern District, as a delegate for the TPTA, and nationally on the American Board of Physical Therapy Residency and Fellowship Education credentialing council for the APTA. Email: danatew@gmail.com
Mike Connors and Ricardo Fernandez come onto HET Podcast to discuss their experiences and perspectives serving overseas as physical therapy clinicians and educators. Mike & Ricardo provide tremendous and helpful insight and this is a must listen to anyone interested in pursing international service opportunities. Ricardo's Email Address: fernandez23@usa.net Ricardo's Twitter Page: https://twitter.com/fernandez23_ Mike's Email Address: mjconnorspt@gmail.com Mike's Twitter Page: https://twitter.com/mconnorspt Health Volunteers Overseas Website: https://hvousa.org/ourwork/programs/physical-therapy/ Stand: The Haiti Project Website: http://www.standhaitiproject.org/ APTA's List of Pro Bono International Opportunities & Organizations: http://www.apta.org/ProBono/International/ U.S. Department of State Travel Advisories: https://travel.state.gov/content/travel/en/traveladvisories/traveladvisories.html/ U.S. Department of Travel Information: https://www.state.gov/travel/ Ricardo Fernandez's 1st episode on the Healthcare Education Transformation Podcast talking about being an Item Writer for the NPTE/OCS Exams and being on a PT State Disciplinary Board: https://itunes.apple.com/us/podcast/ricardo-fernandez-npte-ocs-question-creator-disciplinary/id1244609366?i=1000392329303&mt=2 Mike Connor's interview with Karen Litzy on the Healthy, Wealthy & Smart Podcast discussing advocacy, preventative care & burnout: https://itunes.apple.com/us/podcast/235-dr-mike-connors-advocacy-preventative-care-burnout/id532717264?i=1000377046452&mt=2 The PT Hustle Website: https://www.thepthustle.com/ Schedule an Appointment with Kyle Rice: www.passtheptboards.com HET LITE Tool: www.pteducator.com/het Anywhere Healthcare: https://anywhere.healthcare/ (code: HET) Biographies: Michael Connors, PT, DPT, OCS, PhD received his Master of Physical Therapy degree from University of Medicine and Dentistry of NJ-Rutgers University in May 2003 with honors. Dr. Connors obtained his post professional Doctor of Physical Therapy degree from Temple University in December 2008. He became a board certified specialist in Orthopaedic Physical Therapy by the American Board of Physical Therapy Specialties in June 2011. He completed a PhD degree in Physical Therapy from Texas Woman's University in August 2017. Dr Connors is the current President of the Texas Physical Therapy Association. He also is an assistant professor within the UNT Health Science DPT Program. Ricardo Fernandez has been working as a physical therapist for the past 28 years. He quickly rose in the healthcare profession and has worked in a variety of settings including acute care, out-patient clinics, private practice clinics and in education. He has also been an adjunct instructor at Governors State University, Morton College, Northwestern University and Oakton Community College. He has served as a clinical instructor for 87 students during their clinical affiliations throughout his career. Ricardo has been involved with protecting the public and has written physical therapist licensure exam questions and orthopedic specialty exam questions for physical therapists sitting for board certification in orthopedics. He was re-appointed to serve on the Illinois Physical Therapy Licensing and Disciplinary Board in 2012 and served as the chairperson until 2016. Ricardo has generously donated his time to community based organizations and has presented over 150 physical therapy/health related lectures to various groups. Additionally, he has presented over 150 professional presentations across the country to physical therapists and other health care professionals for continued education. He is a licensed physical therapist and certified strength and conditioning specialist and he is currently enjoying clinical practice.
Dr. Estelle Gallo is a Clinical Specialist at the Rusk Rehabilitation NYU Langone Ambulatory Care Center. She is a certified clinical specialist in Neurology from the American Board of Physical Therapy Specialties who specializes in adult neurological rehabilitation. She serves as a faculty member of the accredited physical therapy neurology residency program and holds a faculty position as a Research Assistant Professor in the Physical Medicine and Rehabilitation Department at NYU School of Medicine. She has received internal funding for her research. Dr. Gallo has published her work in several peer-reviewed journals as well as presented at both national and international conferences. Currently, she is conducting a feasibility and safety study on high level mobility training in patients with non-progressive acquired central neurological injuries. She also serves as a member of the Locomotor Training Clinical Practice Guidelines Knowledge Translation Task Force for the Academy of Neurologic Physical Therapy. She received her doctorate degree from New York University. In this interview, Dr. Gallo discusses: the ability to run a short distance in the rehabilitation of patients with acquired brain injury; existing evidence to make recommendations about the examination and intervention for high level mobility and to facilitate a return to running; examination techniques and outcome measures that are used; objective criteria used to guide initiation of high-level mobility training; recent developments in clinical practice guidelines on outcome measures for the neurologic population; upcoming recommendations about locomotor training, research being done in the physical therapy department to test the feasibility and safety of high-level mobility training; and some key rehabilitation research topics in physical therapy and some emerging areas.
F. Scott Feil talks with Mike Reinold and Lenny Macrina to talk about key clinical considerations for working with the baseball athlete, helpful resources for the clinician treating baseball players, solutions to improve baseball and sports education in DPT programs and more. Mike Reinold Website: https://mikereinold.com/ Mike Reinold's Facebook Page: https://www.facebook.com/mikereinold.pt Mike Reinold's Twitter Page: https://twitter.com/mikereinold Mike Reinold's Instagram Page: https://www.instagram.com/mikereinold/ The Ask Mike Reinold Show: https://itunes.apple.com/us/podcast/the-ask-mike-reinold-show/id1082207851?mt=2 Champion Physical Therapy & Performance Website: https://championptandperformance.com/ Champion's Twitter Page: https://twitter.com/championptp Lenny Macrina Website: http://lennymacrina.com/ Lenny's Facebook Page: https://www.facebook.com/LennyMacrinaPT/?ref=br_rs Lenny's Twitter Page: https://twitter.com/LenMacPT Lenny's Instagram Page: https://www.instagram.com/lenmacpt/ American Sports Medicine Institute Website: http://www.asmi.org/ The PT Hustle Website: https://www.thepthustle.com/ Schedule an Appointment with Kyle Rice: www.passtheptboards.com HET LITE Tool: www.pteducator.com/het Biographies: Mike Reinold, is considered a world-renowned leader in the field of sports medicine, rehabilitation, fitness, and sports performance. As a physical therapist and certified strength and conditioning specialist, Mike uses his background in sport biomechanics, movement quality, muscles imbalances, and manual therapy to specialize in all aspects of human performance. He has worked extensively with a variety of professional athletes with emphasis on the care of throwing injuries in baseball players. Mike received his B.S. in physical therapy from Northeastern University and his Doctorate in physical therapy from the Massachusetts General Hospital Institute of Health Professions, both in Boston, MA. He is board certified clinical specialist in sports physical therapy by the American Board of Physical Therapy Specialties. He also graduated from the postprofessional sports physical therapy fellowship program of the American Sports Medicine Institute, in Birmingham, AL, under the direction of Kevin E. Wilk, PT, DPT, James R. Andrews, MD, and Glenn S. Fleisig, PhD. Mike is currently the co-founder and president of Champion Physical Therapy and Performance, a physical therapy and performance training facility just outside Boston in Waltham, MA. He also hosts his own podcast “The Ask Mike Reinold Show” in which he and his team at Champion PT and Performance recently published their 100th episode so congrats guys for that accomplishment in which they gave some great tips for the newer PT/fitness professional. Lenny Macrina has been a practicing physical therapy since 2003 and currently serves as the Co-founder and Director of PT at Champion Physical Therapy and Performance in Waltham, MA. Prior to returning to MA to work alongside Mike Reinold, he had worked with renowned orthopaedic surgeon James Andrews, MD and prominent physical therapist Kevin Wilk. Through these interactions, he has grown to be well-respected in the field of orthopaedic and sports medicine rehabilitation. His interests include research and rehabilitation of the shoulder, elbow and knee joints. He has successfully treated many orthopaedic and sports medicine related injuries that are both post-operative and non-operative in nature, in recreational athletes to the high-level professional athletes. Lenny is a board certified sports physical therapist by the APTA and a certified strength and conditioning specialist by the National Strength and Conditioning Association. In 2010, he was nominated by his peers to be included in the prestigious American Sports Medicine Fellowship Society which includes top fellowship-trained orthopaedic surgeons and physical therapists. Along with maintaining a full clinic schedule, he has co-authored various current concept papers, book chapters, research papers and a home study course for the APTA's Orthopaedic section. He is a peer reviewer for the esteemed JOSPT and has reviewed rehabilitation textbooks and research papers for that journal.
We talked to former guests Todd Watson & Jessica Graning from Western Carolina University about a study they were doing. They were guests of the show when they were launching the study which looks at transversus abdominus strength in dancers. We talked about the results and where their research is going next. We also talked to some of our teammates on the Aureus medical staffing team. They work to find PT's jobs across the country in all settings. We answered some FAQ's that they get often from students looking to try #TravelPT. Todd's Bio: Education Postdoctoral Research Fellowship, Johns Hopkins University (2002) Doctor of Physical Therapy, Clinical Residency/Fellowship, University of St. Augustine (2000) Bachelor of Science and Master of Physical Therapy, Idaho State University (1989 & 1991) Experience Dr. Watson joined the Department of Physical Therapy in fall 2002 as assistant professor in orthopedic physical therapy. Dr. Watson has continued to practice orthopedic and sports medicine physical therapy while teaching and conducting his research agenda. He received his certification in manual therapy from the University of St. Augustine in 1999. He became a Diplomat of the American Board of Physical Therapy Specialties and was Board Certified as a Clinical Specialist in Orthopedic Physical Therapy (OCS) in 1999, and re-credentialed in 2009. He also became a Fellow of the American Academy of Orthopedic Manual Physical Therapists (FAAOMPT) in 1999, and again re-credentialed in 2009. Dr. Watson participates in the Western Carolina University (WCU), Doctor of Physical Therapy student run pro-bono clinic (MAP-PT), and takes students to Central America (Honduras) each year on a two-week medical mission international travel course. Primary Teaching Responsibilities Dr. Watson is the principal instructor for Musculoskeletal Physical Therapy I & II (PT 951 & 952), co-instructor with Dr. Ashley Hyatt for Physical Therapy Science II (PT 812) and co-directs a doctoral project with Dr. Jessica Graning (PT 899). Areas of Research Interest Together with Dr. Jessica Graning, he has completed a recent study demonstrating improved measures of dance, balance and muscle performance following an intensive 9-week core stability program. They are currently conducting a study examining incidence and prevalence rates of injuries affecting competitive collegiate dancers. He also has a line of research examining the nature and impact of injury prevention programs designed to train individuals to activate their transversus abdominis during upright loaded functional tasks (with Dr. Sue McPherson). Recent Publications Watson T, Graning J, McPherson S, Carter E, Edwards J, Melcher I, Burgess T. Dance, balance, and core muscle performance measures are improved following a nine-week core stabilization training program among competitive collegiate dancers. Int J Sports Phys Ther. Under Review. McPherson S, Watson T, Pate L. Establishing immediate reliability of ultrasound imaging measurements of transversus abdominis in asymptomatic adults performing upright loaded functional tasks in clinical context without delayed recorded measurement. J Ultrasound Med. 2016;35:1681-1691. doi:10.7863/ultra.15.09065. McPherson S, Watson T. Training of transversus abdominis activation in supine with ultrasound biofeedback translated to increased transversus abdominis activation during upright loaded functional tasks. Phys Med Rehab. 2014;6(7):612-623. doi: 10.1016/j.pmrj.2013.11.014. Watson T, McPherson S. Getting off the mat: lumbar stabilization training in standing using ultrasound imaging. J Yoga Phys Ther. 2013;3:147. doi:10.4172/2157-7595.1000147. McPherson S, Watson T. Reproducibility of ultrasound measurement of transversus abdominis during loaded, functional tasks in asymptomatic young adults. Phys Med Rehab. 2012;4(6):402-412; quiz 412. doi: 10.1016/j.pmrj.2012.02.014. Watson T, McPherson S,
Concussion Corner is your trusted resource for interdisciplinary conversations related to all things concussion-related in healthcare, advocacy, and sport. *This podcast is for entertainment purposes only and should not be confused for medical advice. Please reach out to your medical team or call 911 if this is an emergency*Dr. Jason Hugentobler PT, DPT, SCS is a physical therapist on the ortho/sports team at Cincinnati Children’s Hospital Medical Center. He received his Master’s Degree of Physical Therapy from The College of Mount Saint Joseph and his Doctorate of Physical Therapy from the University of Tennessee. Jason completed the sports residency program here at CCHMC from 2010-2011 and received his Sport Certified Specialist from the American Board of Physical Therapy Specialties. Jason has served on Evidence-Based Practice Teams, lectured regionally and nationally on a multitude of topics including the overhead athlete and concussion. Jason also serves as an adjunct professor at Mount Saint Joseph University teaching the concussion special topics class.Twitter: https://twitter.com/JAH_SportsPT
Concussion Corner is your trusted resource for interdisciplinary conversations related to all things concussion-related in healthcare, advocacy, and sport. *This podcast is for entertainment purposes only and should not be confused for medical advice. Please reach out to your medical team or call 911 if this is an emergency*Dr. Jason Hugentobler PT, DPT, SCS is a physical therapist on the ortho/sports team at Cincinnati Children’s Hospital Medical Center. He received his Master’s Degree of Physical Therapy from The College of Mount Saint Joseph and his Doctorate of Physical Therapy from the University of Tennessee. Jason completed the sports residency program here at CCHMC from 2010-2011 and received his Sport Certified Specialist from the American Board of Physical Therapy Specialties. Jason has served on Evidence-Based Practice Teams, lectured regionally and nationally on a multitude of topics including the overhead athlete and concussion. Jason also serves as an adjunct professor at Mount Saint Joseph University teaching the concussion special topics class.Twitter: https://twitter.com/JAH_SportsPT
Larry Benz comes onto the show today to discuss the topic of professional development outside of DPT education/clinical practice. Larry discusses his definition of professional development, advice to the clinician looking to progress their own development, recommendations for development for aspiring educators, real world barriers to professional development, burnout and how to get out of it, how to help others out of burnout, and much more! Biography: Dr. Larry Benz, DPT, OCS, MBA, MAPP is the President/CEO of Confluent Health which includes the following companies: Evidence In Motion, Texas Physical Therapy Specialists, ProRehab-Louisville, Fit For Work, Breakthrough Physical Therapy, PT Central, The International Spine Institute, and the NeuroRecovery Training Institute. He is nationally recognized for his expertise in private practice physical therapy and occupational medicine. Dr. Benz's current interests include conducting research and integrating empathy, compassion, and positive psychology interventions within physical therapy. With over 150 invited presentations to PT programs, national conferences, and MBA programs throughout the country, Dr. Benz has been on APTA's Advisory Panel on Practice and The Board of the American Board of Physical Therapy Specialties and is currently a Trustee with the Foundation for Physical Therapy, Physical Therapist Business Alliance (PTBA), and University of Louisville. He is the recipient of numerous business and physical therapy awards including the Kentucky Physical Therapy's Outstanding Physical Therapists award and Ernst & Young's Entrepreneur of the year for his region. He is the co-developer of physicaltherapist.com, and blog.evidenceinmotion.com, a blog devoted to the principles of EBP in physical therapy. His Foundation is the co-developer of Jacmel Rehabilitation in Haiti which can be found at PThelpforHaiti.org. Larry Benz's CV: https://my.evidenceinmotion.com/SIS_DocumentRepository/1019_0_20160705082601_=_Laurence%20N%20%20Benz%20CV%2007June2016.pdf Larry's Twitter Page: https://twitter.com/PhysicalTherapy Larry's Instagram Page: https://www.instagram.com/physicaltherapist/ Confluent Health Website: www.goconfluent.com/ Evidence In Motion Website: http://www.evidenceinmotion.com/ Evidence in Motion Podcast: https://itunes.apple.com/us/podcast/podcast-evidence-in-motion/id1133977524?mt=2 PhysicalTherapist.com : https://www.physicaltherapist.com/
Dr. Kristine Josef is a Neurologic Clinical Specialist with experience working in various areas including adult inpatient rehabilitation and acute care. While working in acute care, she was involved in the Early Mobility project in the intensive care unit that resulted in patient decreased length of stay, decreased hospital costs, and increased incidence of patient discharge home vs post-acute facilities. She has given multiple presentations on the topic of delirium. Recently, she co-authored a poster that was presented at the 2017 Combined Sections Meeting in San Antonio, TX that was titled “Delirium in patients with cerebrovascular accident: increasing treatment team awareness.” Her doctorate in physical therapy is from the University of Medicine & Dentistry of New Jersey, which now is Rutgers University. She is a board certified neurologic clinical specialist through the American Board of Physical Therapy Specialties. In this interview, she discusses: distinguishing delirium from encephalopathy; tools for accurate delirium screening and diagnosis in critically ill patients; the role physical therapy plays in dealing with the problem of patients with delirium from the standpoint of diagnosis and treatment; if anything can be done pre-surgically to prevent the occurrence of delirium; aging and co-morbidities in relation to delirium; the role of family members in changing the course of delirium in a patient; and the advantages and disadvantages of using physical restraints to manage behavioral symptoms of hospitalized patients.
Dr. John Childs is a founder and CEO of Evidence in Motion and partner in Confluent Health, which includes EIM; a network of 70+ physical therapy clinics in Indiana, Kentucky, North Carolina, Oklahoma, and Texas; and Fit for Work, which provides employers consultative services to decrease injuries and workers’ compensation costs. A graduate from the U.S. Air Force Academy with a BS in biology (1994), he completed his MPT from US Army-Baylor University (1996), MBA from the University of Arizona (2000), Master of Science in Musculoskeletal Physical Therapy from the University of Pittsburgh (2002), PhD in Rehabilitation Science from the University of Pittsburgh (2003), and DPT from the Evidence in Motion Institute of Health Professions (2010). Dr. Childs is a board-certified Orthopaedic Clinical Specialist from the American Board of Physical Therapy Specialties and a Fellow in the American Academy of Orthopaedic and Manual Physical Therapists. A Professor in the Doctor of Physical Therapy Program at South College and Associate Professor in the US Army-Baylor Doctoral Program in Physical Therapy, Dr. Childs served a 20-year career in the Air Force, having collaborated on more than $10 million in grant funding and published more than 150 papers in leading scientific journals. He currently serves as an Associate Editor for both the Physical Therapy and Journal of Orthopaedic and Sports Physical Therapy journals. Dr. Childs was recently recognized as a “Health Care Hero” in San Antonio and is the youngest ever Fellow of the American Physical Therapy Association, the profession’s highest honor recognizing individuals for professional excellence and making a profound impact in advancing the profession. Topics Covered Include: The shortcomings in medical education that compelled John to challenge the status quo His proposed alternative and rationale Data for blended learning models Differences between child education and adult education Vetting competent clinical instructors Addressing political opposition from other professions How John’s military background influenced his teaching methodology
On episode 10 we open up my Winter Season of Owning Her Health and boy my guest does not disappointment us with #HERstory. This episode is sponsored by Paul Gough's Business Growth School. Learn More HERE Dr Julie's story will inspire and also redefine success for you! My friend and integrative colleague, Dr Julie Granger doesn’t just treat athletes – she is one. The one time All-ACC Honor Roll Recipient was a member of the Division 1 Women’s Varsity Swimming and Diving Program at Duke University but sustained a career-ending shoulder injury and her subsequent year in physical therapy at Duke ultimately solidified Julie’s career path. In 2012, Julie received her board certification Sports Physical Therapy from the American Board of Physical Therapy Specialties and has been focused on the young female athlete in womens health. In 2016 she redefined pediatric physical therapy with the launch of Performance Rehabilitation & Integrative Sports Medicine ( PRISM) but emerged from the flames as a Maiden Goddess kicking Cancer's Butt with a lot of learning and growing into her health and wealth along the way. What's Next... Now with a new bill of health and the upcoming launch of her ebook for Young Female Athletes, Julie is refocused on building her Prism "StronGirls" , her private practice for youth athletes out of her home and a whole new artistic perspective on holistic health and success in this world. Visit Julie on her Blog at https://youthsportspt.com/ Sign up for first dibs on her E book and a session at Prism Wellness Center ( Performance Rehabilitation and Integrative Sports Medicine http://www.prismwellnesscenter.com/ On Social Media at https://www.instagram.com/prismwellnesscenter/ Facebook https://www.facebook.com/prismwellnesscenter/ and Her Female Athlete Course for the Integrative Women's Health Institute HERE
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!
Welcome, everyone. Today’s guest is Dr. Joe Tatta, one of the leaders in the discussion around autoimmune, pain management and weight loss. Joe Tatta, PT, DPT, CCN is a doctor of physical therapy and certified clinical nutritionist. He is board certified in orthopedics from the American Board of Physical Therapy Specialties and a certified hand therapist. He studied nutrition at the Clinical Nutrition Certification Board and functional medicine at the Institute for Functional Medicine. He has built several top physical therapy clinics in the New York area, and he has just finished his Summit on Pain. His greatest success stems from the growth of his practice and the thousands of clients healed annually. He also actively lectures and mentors health and professionals on all subjects pertaining to injury prevention, nutrition and functional medicine. Visit Joe at: http://www.joetatta.comThis is Dr. Tony Rump, founder of Lost Creek Chiropractic and Chiro Team Training. The goal of Chiro Team Training is to present a relevant training system that a Chiropractic Office – or any medical office – can implement without hassles with a tremendous amount of benefit to the profitability of the office. I’m also a John Maxwell certified coach, speaker and trainer and have partnered with many entrepreneurs, companies, individuals, and office teams to create wind on their backs as they journey toward greater and greater successes. Visit me at: http://www.docrump.com
Welcome, everyone. Today’s guest is Dr. Joe Tatta, one of the leaders in the discussion around autoimmune, pain management and weight loss. Joe Tatta, PT, DPT, CCN is a doctor of physical therapy and certified clinical nutritionist. He is board certified in orthopedics from the American Board of Physical Therapy Specialties and a certified hand therapist. He studied nutrition at the Clinical Nutrition Certification Board and functional medicine at the Institute for Functional Medicine. He has built several top physical therapy clinics in the New York area, and he has just finished his Summit on Pain. His greatest success stems from the growth of his practice and the thousands of clients healed annually. He also actively lectures and mentors health and professionals on all subjects pertaining to injury prevention, nutrition and functional medicine. Visit Joe at: http://www.joetatta.comThis is Dr. Tony Rump, founder of Lost Creek Chiropractic and Chiro Team Training. The goal of Chiro Team Training is to present a relevant training system that a Chiropractic Office – or any medical office – can implement without hassles with a tremendous amount of benefit to the profitability of the office. I’m also a John Maxwell certified coach, speaker and trainer and have partnered with many entrepreneurs, companies, individuals, and office teams to create wind on their backs as they journey toward greater and greater successes. Visit me at: http://www.docrump.com
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