Novices develop clinical competence and evolve into expert practitioners by making decisions that involve the complementary processes of systematic analysis and intuition. This 2-day course was developed with the overall objective of strengthening skills for all therapists seeking to advance their neurologic physical therapist practice. Participants will utilize current frameworks for clinical decision making to assist them in analyzing neurologic patient cases in the areas of balance and falls, brain injury, Guillain-Barre syndrome, Parkinson’s disease, spinal cord injury, stroke, and vestibular dysfunction. Participants will apply current evidence and clinical guidelines in making patient management decisions particularly in the areas of evaluation, prognosis, and intervention. Given both the breadth and the depth of the course, participation may assist the physical therapist interested in sitting for the Neurologic Clinical Specialist exam.
Licensed physical therapists.
After this course you will be able to:
- Complete a self-evaluation of preparedness for advanced neurologic physical therapist practice and describe strategies for individual professional growth;
- Systematically apply clinical decision-making frameworks to neurologic physical therapist practice including examination, screening for referral, evaluation, diagnosis, prognosis, and intervention (including treatment progression);
- Develop focused clinical questions for seeking evidence to support clinical decisions;
- Accurately apply current evidence and clinical practice guidelines, in combination with patient values, to optimize prognostic and intervention decisions in a variety of neurologic patient populations.
- Discuss “take-home messages” for elevating practice that can be implemented in the clinical environment.
|8 a.m.||Course Objectives ans Pillars of Evidence|
|8:15 a.m.||Developing Expertise|
|9:15 a.m.||Framework Overview: Exploring Models|
|10:30 a.m.||Framework Overview (Cont.)|
|12 p.m.||Lunch (On Your Own)|
|1 p.m.||Bringing It Together for Practice: Application to a Patient Case - Complex, Multi-System Balance Dysfunction|
|2:45 p.m.||Case Application (Cont.)|
|4:30 p.m.||Questions and Discussion|
|8 a.m.||Concurrent Case Process and Outcome Expectations|
|8:15 a.m.||Concurrent Case Session #1: CVA, Vestibular, SCI|
|10:30 a.m.||Concurrent Case Session #2: BI, Vestibular, GBS|
|12 p.m.||Lunch (On Your Own)|
|1 p.m.||Concurrent Case Session #3: CVA, PD|
|2:45 p.m.||Pulling It all Together and the Importance of Reflection|
|4:15 p.m.||Take-Home Messages|
|4:30 p.m.||Questions and Discussion|
Jennifer H. Kahn, PT, DPT, NCS
Dr. Kahn is an Instructor in the Department of Physical Therapy and Human Movement Sciences, Feinberg School of Medicine, Northwestern University, with an emphasis on teaching in the neurologic physical therapy course sequences. She has over 10 years of clinical experience working with patients with neurological dysfunction at the Rehabilitation Institute of Chicago, where she continues to see patients. She received her Neurological Clinical Specialist in 2007 and is now active in the Specialization Academy of Content Experts as a Clinical Context Expert.
Julie Hershberg PT, DPT, NCS
Dr. Hershberg is an adjunct physical therapy instructor at the University of Southern California, where she coordinates the neuroanatomy laboratory instruction and mentors clinicians in the neurologic residency program. She is the founder of re+active physical therapy and wellness in Los Angeles, a clinic focused on serving adults with neurologic diagnoses. She completed the neurologic residency program at USC and Rancho Los Amigos National Rehabilitation Center in 2003 and became a board certified neurologic clinical specialist in 2005. She was a site team leader for the NIH-sponsored Locomotor Experience Applied Post Stroke (LEAPS) clinical research trial.
Lois D. Hedman, DSc, PT, MS
Dr. Hedman is an Associate Professor in the Department of Physical Therapy and Human Movement Sciences, Feinberg School of Medicine, Northwestern University in Chicago, IL. She was instrumental in developing a motor control framework that is the basis for clinical management of patients with neurological dysfunction. She coordinates the neurological curriculum at Northwestern. In 2008 she received the Distinguished Educator in Physical Therapy Award from the Education Section of APTA.
Course Developers: Lee Dibble, PT, PhD, ATC; Nancy Fell, PT, PhD, NCS; Kathleen M. Gill-Body, PT, DPT, MS, NCS; Lois Hedman, PT, MS; Julie Hershberg, PT, DPT, NCS; Karen McCulloch, PT, PhD, NCS; Shari McDowell, PT; Andy Packel, PT, NCS; Kristin Parlman, PT, DPT, NCS; Patricia L Scheets, PT, DPT, MHS, NCS; Mike Studer, PT, MHS, NCS; Candy Tefertiller, DPT, ATP, NCS; Cindy Zablotny PT, DPT, MS, NCS.
Below are five articles and one web-based tutorial which your course coordinators would like you to complete PRIOR to the course. The Phys Ther and JNPT articles are available in full text, free of charge, at journals.lww.com/jnpt and ptjournal.apta.org.
- Schenkman M, Deutsch JE, Gill-Body KM. An integrated framework for decision making in neurologic physical therapist practice. Phys Ther. 2006;86:1681-1702.
- Jensen GM, Gwyer J, Shepard KF, Hack LM. Expert practice in physical Therapy. Phys Ther. 2000;80:28-43.
- Wainwright SF, Shepard KF, Harman LB, Stephens J. Novice and Experienced Physical Therapist Clinicians: A Comparison of How Reflection is Used to Inform the Clinical Decision-Making Process. Phys Ther. 2010; 90: 75-88.
- Fell DW. Progressing therapeutic intervention in patients with neuromuscular disorders: A framework to assist clinical decision making. JNPT. 2004;28(1):35-46.
- Sullivan KJ, Hershberg J, Howard R, Fisher BE. Neurologic differential diagnosis for physical therapy. JNPT. 2004:28(4):162-8.
- PICO tutorial “Using Evidence Based Medicine” at: www.hsl.unc.edu/services/tutorials/EBM/welcome.htm
Registration Fee >30 days
- PT Member of the Neurology Section $350
- APTA PT Non-section Member $400
- Non-APTA Member $475
Registration Fee <30 days
- PT Member of the Neurology Section $425
- APTA PT Non-section Member $475
- Non-APTA Member $550
Fees cover continental breakfast and break snacks, as well as a link to course materials for download. Please note the course materials will not be printed for registrants.
Registration is on a space available basis only. Cancellations received on or before 30 days prior to the event will be refunded in full. A 20% handling fee will be charged for cancellations received between 30 and 7 days prior to the course. No refunds will be given for no-shows or cancellations less than 7 days prior to the course. Onsite registrations will be accepted on a space available basis ONLY. The Neurology Section and Des Moines University reserve the right to cancel this course without penalty up to two weeks prior to the event. In the event of cancellation by The Neurology Section or host facility due to unforeseen circumstances, participants will be refunded their registration fee. We encourage participants to purchase trip insurance
1.5 CEU’s (15 contact hours). A post-course survey will be sent electronically to all registrants within 1 week after the course. The survey will assess course logistics, satisfaction, and knowledge gained relative to the course objectives . A participant must complete the survey to obtain a mailed CEU certificate, which will be sent within 30 days after the survey closes. An additional survey will be sent electronically to all registrants within 6 months of the course assessing application of course material. This information will help the Section meet educational standards and strategic objectives.
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