Idaho Physical Therapist Continuing Education

• Recall the physiology with venous hemodynamics of the leg
• Recite the pathophysiology of venous hemodynamics in CVI
• Describe post-thrombotic syndrome and understand treatment, pathophysiology and clinical stages
• Become familiar with suprafascial CVI
• Compare and contrast the diagnosis and differential diagnosis of CVI
• List 5 methods of prevention for CVI and VLI
• Describe components of complete decongesitive therapy and drug therapy used with CVI and VLI

• Become familiar with soft tissue x-rays
• Compare and contrast cross-section imaging including computed tomography, magnetic resonance imaging and ultrasound
• Differentiate between the use of direct and indirect lymphography
• Describe radiological diagnostics using radioisotopes including lymphoscintigraphy and isotope lymphography
• Describe the respective value of each of the imaging procedures

• Summarize the relationship between glenohumeral internal rotation deficit (GIRD), SLAP tears, posterior impingement, scapula dyskinesis and shoulder micro-instability
• Effectively diagnose SLAP tears, posterior impingement, scapula dyskinesis and shoulder mico-instability using screening and clinical tests.
• Cite common pitching pathomechanics and describe their association with specific elbow injuries.
• Paraphrase the peel back model for SLAP tears
• Relate proper pitching biomechanics with injury prevention strategies for the adolescent overhead athlete

• Define and differentiate the anatomical relationship between the rotator cuff muscles and the glenohumeral joint capsule
• Gain deeper insight into the causes and treatment of scapula dyskinesia
• Describe and perform contemporary scapula mobilization techniques
• Apply innovative soft tissue mobilization techniques to patients with shoulder hypomobility
• Perform soft tissue mobilization techniques for sub deltoid bursitis

• Classify functional anatomy and biomechanics of the shoulder - scapula complex
• Apply current strategies for the evaluation of patients with scapular disorders
• Perform innovative  scapular mobilization techniques for the patient with scapular dyskinesia
• Differentiate the relationship between scapular dyskinesia, soft tissue/muscle tightness, and shoulder pathology
• Integrate a systematic scapular muscle training program / protocol for patients with scapular dyskinesia

• Recall the clinical definition of adhesive capsulitis, based on shoulder range of motion measurements.
• List 5 risk factors for adhesive capsulitis.
• Enumerate the 4 pathophysiological stages of adhesive capsulitis.
• List and define the 3 sub-components of the tissue-response classification system for adhesive capsulitis.
• Provide 2 clinical findings for each of the 3 sub-components of the tissue-response classification system for adhesive capsulitis.
• State 3 treatment guidelines for each of the 3 sub-components of the tissue-response classification system for adhesive capsulitis.
• Summarize the grades of evidence for common physical therapy interventions (i.e. therapeutic exercise, joint mobilizations, modalities and patient education) for adhesive capsulitis

Hour One:

• List three non-musculoskeletal diagnoses that can affect the hip with referred pain.
• Describe two symptoms of axial spondyloarthropathy that may mimic posterior gluteal pain
• Describe sacral insufficiency.
• List three risk factors of statin involved muscle pain.

 Hour Two:

• Describe the key features of soft tissue posterior buttock pain.
• Describe the key features of peripheral nerve related posterior buttock pain.
• List three variable in the proposed CPR for lumbar radiculopathy.
• Describe the referral pattern of thoracolumbar involvement.

 Hour Three:

• List three symptoms of a labral defect of the hip.
• List two variables for the CPR of Osteoarthritis of the hip.
• List four factors documented in the clinical presentation of Gluteal tendinopathy.
• Describe four aspects of the pathomechanics for gluteal tendinopathy

• Recognize pathology associated with common sports injuries
• Outline the mechanism of injury for various hand injuries
• Recognize treatment interventions for upper extremity injuries

• List some of the most common medical errors reported in the US health care system
• List the three major systems that the President of the US in 2000 mentioned in his speech regarding errors in the health care system and discuss ways these tools could help decrease errors in our health care system
• Name a few organizations that collect data from health organizations to help analyze medical errors to help correct on a state level, and a national level
• Discuss the Evidence Based Practice and converse why this is an important concept in preventing medical errors
• Name the industry that is the template for a medical error system that works on each level of the structure, denying individual blame
• List some concepts in quality improvement that AHRQ and other organizations are working on to decrease Medical errors

• Define Medical Error
• Discuss Medical Errors in the Context of Other Types of Error
• Illustrate the Scope of the Medical Error Problem
• List Serious Reportable Medical Events
• Define Key Events in the Field of Patient Safety
• Review the Epidemiology of Medical Error
• Describe the Taxonomy of Medical Error
• Identify commonly misdiagnosed conditions
• Identify populations of special vulnerability
• Review Types of Medical Errors
• Discuss Falls and Teamwork/Communication Errors and how to prevent them

• Summarize the following types of medical errors:
  1. medication errors
  2. handoff errors
  3. diagnostic errors
  4. healthcare acquired infections
  5. device associated infections
• List factors that increase the risk of the above medical errors
• Describe strategies to prevent the above medical errors

• Recommend taking Medical Errors 202a and 202b prior to taking this course
• Summarize surgical errors and identify factors that increase the risk of surgical error as well as strategies to prevent them
• Discuss proper reporting of medical errors
• Enumerate the elements that comprise root cause analysis
• Describe strategies patients, providers, systems can use to reduce the risk of medical errors and improve patient health and safety
• Describe what to do when things go wrong

• Define and distinguish between primary care, secondary care, tertiary care, direct access, medical screening, screening for referral and signed prescription.
• Recall 5 reasons to conduct a medical screening.
• Outline 5 components for effective communication during the patient interview to obtain accurate and comprehensive baseline information.
• Define and explain the relevance of yellow flags, red flags and flag clusters as part of the medical screening process
• Define and describe the five components of the patient-centered interview and state the impact this has on patient satisfaction and outcome
• Define and provide the clinical relevance of sensitivity, specificity, odds ratios, and likelihood ratios as they pertain to the value of diagnostic/clinical tests

Hour 1

• Recall 3 general symptoms signs/symptoms of inflammatory joint conditions.
• Recite 3 general symptoms signs/symptoms of osteoarthritis
• Cite 4 serious pathologies or disorders that should be screened for in a patient presenting with lower back pain.
• Explain the clinical prediction rule for a vertebral fracture and identify the specific red flags necessary for high specificity in ruling in a vertebral fracture.
• Enumerate 3 red flags associated with a spinal infection that can detected during the medical screening process which may warrant subsequent referral.
• List 3 red flags associated with a spinal tumor that can detected during the medical screening process which may warrant subsequent referral.

Hour 2

• Explain the purpose of the Wells scoring system/ clinical prediction rule for screening a patient with lower leg pain.
• Recall 5 red flags associated with pericarditis during medical screening of a patient with thoracic pain.
• Outline red flags associated with pyelonephritis during medical screening of a patient presenting with thoracic pain.
• Summarize the components of the clinical prediction rule for ruling in cervical myelopathy.
• Recite 3 common clinical findings associated with osteonecrosis of the femoral head during the medical screening examination.
• List 3 red flag findings for a patient suspected of having compartment syndrome of the lower leg
• Explain the Pittsburgh Knee Rules as they relate to the necessity for follow-up imaging tests to rule out a knee fracture.
• Paraphrase the Ottawa Ankle Rules for warranting imaging tests to rule out an ankle fracture.

Hour 1

• Paraphrase the central purpose for the review of systems (ROS) approach to medical screening.
• Recall 8 ROS health components (key signs or symptoms) that can serve as a preliminary tool to determine the need for additional screening.
• Cite the 3 most common causes for unexplained weight loss in the older patient which may justify the need for further screening.
• List 8 signs / symptoms (cardiopulmonary system checklist) that should be assessed during a cardiopulmonary system screen.
• Enumerate 5 red flags for a myocardial infarction or unstable angina during a cardiopulmonary screen that would warrant immediate referral
• Recall 8 associated red flags (signs / symptoms) that may warrant referral in a patient that presents with edema of the hands, feet or abdomen
• Recite 4 prodromal red flags associated with a transient ischemic attack, and subsequently would warrant an immediate referral.
• Recall 1 important finding that can aid in the differentiation between claudication and psuedoclaudication, and subsequently impact the need for immediate referral.

Hour 2

• Outline 6 red flags associated with lung cancer, and subsequently may warrant an immediate referral.
• Identify 8 signs / symptoms (gastrointestinal system checklist) that should be assessed during a gastrointestinal system screen.
• Provide 7 red flags clinical findings) of NSAID induced complications which may justify an outside referral.
• Recount 8 signs / symptoms (endocrine system checklist) that should be assessed during an endocrine system screen.
• List 3 regional/anatomical locations where pulmonary -related disorders can refer pain to
• List 3 regional/anatomical locations where gastrointestinal -related disorders can refer pain to
• Recall 3 signs and/or symptoms of colorectal cancer
• List 2 regional/anatomical locations where urogenital -related disorders can refer pain to

• List components of burnout, causes of burnout, and personal and professional outcomes associated with burnout in healthcare employees.
• Summarize the Jobs-Demands Resource Model and its relevance to the challenges of burnout in healthcare employees.
• Describe the intrinsic personal factors aimed at reducing symptoms of burnout and enhancing personal well-being and work and life satisfaction.
• Recognize the extrinsic work factors aimed at reducing symptoms of burnout and promoting occupational justice in the healthcare work environment.
• Explain the relationship between the development of burnout in healthcare employees, external work factors, and leadership.

• List and define the components of the SINSS classification used for an upper quarter evaluation
• Recall two neurophysiological effects of upper quarter joint mobilizations
• Cite two indications for performing grade 1-2 joint mobilizations to the upper quarter
• Identify two conditions that would warrant performing grad 3-4 joint mobilizations to the upper quarter
• Enumerate 5 contraindications for performing joint mobilizations to the upper quarter State two specific diagnostic or impairment-based indications for performing a cervical distraction mobilization.
• Summarize the purpose for performing a posterior mobilization to the glenohumeral joint
• Paraphrase the clinical prediction rule used to determine the effectiveness of cervico-thoracic mobilizations for patient’s presenting with subacromial impingement.

• List and define the components of the SINSS classification used for a lower quarter evaluation
• Recall two neurophysiological effects of joint mobilizations as applied to the lower quarter
• Cite two indications for performing grade 1-2 joint mobilizations for the lower quarter
• Identify two conditions that would warrant performing grad 3-4 joint mobilizations for the lower quarter
• Enumerate 5 contraindications for performing joint mobilizations as applied to the lower quarter
• State two specific diagnostic or impairment-based indications for performing a lateral to caudal hip joint mobilization.
• Explain the purpose for performing a posterior to anterior proximal tibiofibular glide
• Provide two common indications for performing a medial patella mobilization technique

• Locate major divisions and structures of the CNS
• Name functions of CNS structures, and their integration with other structures
• Identify effects of CNS dysfunction on upper extremity function, behavior and occupational performance

• Describe different modes of genetic transmission
• Discuss the incidence, etiology, and clinical manifestations of specific genetic disorders
• Outline and describe the medical and surgical management of children with genetic disorders
• Articulate the role of the therapy assistant in the management of children with genetic disorders
• Identify appropriate therapy interventions used with children with genetic disorders
• Recognize the importance of functional training throughout the life span of a child with a genetic disorder

• Describethe etiology and clinical manifestations of stroke
• Identify common complications seen in patients who have sustained CVAs
• Explain the role of the therapy assistant in the treatment of patients with stroke
• Describe appropriate treatment interventions for patients who have experienced strokes
• Recognize the importance of functional training for patients who have had strokes

• Identify causes and mechanisms of TBI
• List secondary complications associated with TBI
• Explain specific treatment interventions to facilitate functional movement
• Discuss strategies that will improve cognitive deficits

• Describe PD and list 3 motor and nonmotor deficits associated with PD
• Describe the epidemiology of PD and state whether or not the prevalence of PD will increase
• List 3 neuropathologic hallmark signs of PD
• List 3 lifestyle factors that have been associated with risk for PD
• Describe how genetics and pathophysiology Play a major role in PD

• List the 2 most common psychiatric comorbidities in Parkinson's Disease
• Outline and describe 4 types of depressive disorders seen in Parkinson's Disease
• List 4 risk factors for depression and 4 risk factors for anxiety
• Outline and describe 5 nonpharmacologic therapy interventions for the treatment of Parkinson's Disease

• List and examine 5 features that distinguish Parkinson tremor from essential tremor
• Describe the hallmark sign that distinguishes Parkinson tremor from other types of tremor
• State the purpose of a datscan
• List and describe 2 treatment interventions for Parkinson and essential tremor
• Define and differentiate 3 other common types of tremor in the elderly

• Explain classification of nerve injuries of the UE
• Describe 3 motor and 3 sensory symptoms of PNI of the UE
• Describe 3 diagnostic criteria for PNI of the UE
• List 5 differential diagnosis for PNI of the UE
• List 5 rehab goals for PNI of the UE
• Briefly outline conservative treatment involved with different types of PNI of the UE

• Describe and list local and systemic treatments for breast cancer
• Discuss physical and psychosocial implications of breast cancer treatment
• Outline and describe the process of evaluation for individuals with breast cancer
• Create appropriate rehabilitative goals for individuals with breast cancer
• Design an appropriate rehabilitative session for breast cancer patients

• Outline 5 hypotheses related to the pathophysiology of cancer related fatigue
• List 5 tools available for screening cancer related fatigue and describe the simplest scale available
• List 10 factors that contribute to cancer related fatigue
• Describe the patient history, physical examination, and diagnostic workup process for a patient with cancer related fatigue
• List 5 nonpharmacologic interventions for the treatment of cancer related fatigue
• List and describe 2 psychostimulants used in the treatment of cancer related fatigue