PTC and Redbud Student Resource Hub

Course Description

This project form is part of the Physical Therapy Central and Redbud Physical Therapy resource page designed for physical therapy interns. It is dedicated to be a student learning resource and this portal is the go-to place for information for physical therapy interns.  The PTC/Redbud PT clinical education committee will continue to resource the page and interns will add case reports. 

Course Instructors

• Jake Shockley, PT, DPT, OCS, TPS, FAAOMPT
• Andrew Bratton, PT, DPT, OCS
• Katie Pfortmiller, PT, DPT, OCS
• Kevin Wilcher, PT, DPT, OCS

Course Dates

July 2013 - ongoing

Instructions to Students

If you are about to start a clinical education rotation with Physical Therapy Central or Redbud Physical Therapy, then this is the place to start.  The content on this page will contain the basis information that you will be required to know when you begin your rotation as well as a resource for future learning and clinical development.  Please check out the pre internship content prior to your rotation start date. These modules direct your learning and further build your clinical skills during your clinical rotation. The modules contain articles, videos, and clinical reasoning exercises. Each module correlates with the CPI sections to ensure appropriate student performance and advancement. Each checklist should be completed and signed by your CI prior to moving on. The long-term students will be required to post their case studies. This Physiopedia page is a work in progress and will keep you updated and informed. Welcome to the team!

Print this itinerary (PTC or Redbud) to allow for quick assessment and tracking of upcoming assignments and due dates. Reminder that all necessary forms can also be found on our website.

Pre Internship Content

Please read our intern manual and watch our orientation videos prior to your start date. The manual and videos inform you about who we are as a private practice group and defines what is expected of you during your clinical rotation. The Scan Exam lecture below is the last requirement of the pre internship content. With sound knowledge of the scan exam, one can smoothly screen for pathology to ensure patients are appropriate for the outpatient orthopedic setting.

• PTC Intern Manual
• Redbud PT Intern Manual
• Upper and Lower Quadrant Scan
• Enneagram Personality Test
• Evidence Based Patient Interaction
  • password = OUHSC

Week 1 - Integrating Customer Service, Professionalism, & Communication into the Patient History

• Pre module assignment - Patient History Worksheet (Due by Day 3).
• Doctor and patient communication skills (Optional) 
• The Patient History and Patient Follow Up
• Four Habits Model for Initial Clinical Encounters
• Post module assignment - Four Habits Evaluation Tool 

Week 2 - Clinical Reasoning

• Pre module assignment - Illness Scripts
• Influence of illness scripts on medical decision making Schaik (2005) (Optional)
• Lumbar Treatment Based Classification
  • LBP Classification Fritz, Cleland, Childs (2007)
  • LBP TBC Stanton et al (2011)
  • LBP CPR Rabin et al (2014)
• Subjective Exam Checklist

Week 3 - Screening & Scanning

• Systems Review with Red and Yellow Flags
• Cranial Nerve Exam Checklist

Week 4 - Examination & Evaluation

• Neuromuscular Screen Checklist 
• Upper Quadrant Screen Checklist
• Lower Quadrant Screen Checklist

Week 5 - Diagnosis & Prognosis

• Generating Clinical Hypotheses
• Regional Interdependence Model
• Illness Script List

Week 6 - Interventions

• Week 6 Instructions
• Basic Manual Techniques Checklist
     

Additional References:

• Manual Therapy
• Mobilization

Week 7 - Outcome Assessment

• Functional Outcomes Assessment Checklist

Videos to Watch

• Clinical Prediction Rule - How to make informed clinical decisions
• Treatment Based Classification - How to classify patients with low back pain
• Subacromial Impingement Syndrome - Diagnosis and Treatment
• Management of a patient with Hip Pain - Manual therapy and Exercise by Tim Fearon
• 4 Habit Model - Getting the Most out of the Clinical Encounter

Case Studies

Students that are completing clinical rotations with PTC each submit a case study, they are presented below:

• Selective Functional Movement Assessment. Caitlyn Rex.
• Juvenile Rheumatoid Arthritis. Caroline Hooker, Dec 2014.
• Parkinson's - Falls due to freezing gait. Tim Stevenson, Oct 2013.
• Bilateral Hip Osteoarthritis. Katie Melvin, July 2013.
• Shoulder Impingement. Katie Melvin, February 2013.
• Adolescent Anterior Knee Pain. Omolara Ajayi, October 2012.
• Achilles Tendonopathy. Whitney Neves, March 2012.

Student Palooza

Pre-course Content:

• UQ Screen
• LQ Screen

Course Content (PDFs):

• Clinical Reasoning: Use of SINSS, Subgrouping Based on Impairments, & Test-Re-test
• Subjective Examination: 4 Habits Model
• Case Study: Delivering Pain Neuroscience Education, Manual Therapy, and Exercises
• Case Study: Differentiation of Cervical and Shoulder Pathology: A Case for Regional Interdependence
• Case Study: Lumbar Instability (1 of the 4 Elements of the Lumbar TBC)

Related Content:

• Illness Scripts
• Upper Quarter Screen Checklist
• Lower Quarter Screen Checklist

References

1. Chen, Pauline W. "The Hidden Curriculum of Medical School." The New York Times 2 Feb. 2009: 1+. Web. 12 July 2014
2. Frankel, Richard M., and Terry Stein. "Getting the most out of the clinical encounter: The four habits model." The Permanente Journal 3.3 (1999): 9. Web. <http://xnet.kp.org/permanentejournal/fall99pj/frhabits.htm l >.
3. Fritz, Julie M., Joshua A. Cleland, and John D. Childs. "Subgrouping Patients with low back pain: evolution of a classification approach to physical therapy." JOSPT 37.6 (2007): 290-302. Print.
4. Rabin, Alon, Anat Shashua, Koby Pizem, Ruthy Dickstein, and Gali Dar. "A clinical prediction rule to identify patients with low back pain who are likely to experience short term success following lumbar stabilization exercises: A randomized controlled validation study." JOSPT 44.1 (2014): 6-18. Print.
5. Schaik, Paul van, Darren Flynn, Anna van Wersch, Andrew Douglass, and Paul Cann. "Influence of illness script components and medical practice on medical decision making." Journal of experimental psychology: Applied 11.3 (2005): 187-99. Print.
6. Stanton, Tasha R., Julie M. Fritz, Mark J. Hancock, Jane Latimer, and Christopher G. Maher. "Evulation of a treatment based classification algorithm for low back pain: A cross sectional study." Physical Therapy 91.4 (2011): 1-14. Print.
7. Sueki, Derrick G., Joshua A. Cleland, and Robert S. Wainner. "A regional interdependence model of musculoskeletal dysfunction: research, mechanisms, and clinical implications." Journal of Manual and Manipulative Therapy 21.2 (2013): 90-102. Print.