ATHLETIC TRAINING RESIDENCY PROGRAM RESIDENCY HANDBOOK 1
WELCOME The Department of Sports Medicine Relationships would like to welcome you to the St. Luke s University Health Network Family. We are a department dedicated to the advancement of the athletic training profession. Through continued education, advanced certification, and evidence based practice; we strive for a program of excellence and versatility to be a leader in today s ever-changing healthcare environment. It is our goal to build upon your past experiences with the advanced knowledge, techniques and opportunities needed to practice athletic training in a variety of settings. Inside this handbook, you will find information pertaining to every aspect of this residency, it is our hope that this handbook will be your guide as you successfully navigate through the program. We look forward to being a part of your growth and emergence as a skilled, wellrounded healthcare practitioner. 2
TABLE OF CONTENTS OVERVIEW Residency Mission Statement Residency Focus CAATE Six-Core Competencies Program Goals and Outcomes Residency Faculty and Administration POLICIES AND PROCEDURES Admission Criteria Clinical Clearances St. Luke s University Health Network Mission/Policies Graduation Stipend Benefits CLINICAL RESPONSIBILITIES Clinical Outreach Assignment Physician Clinic Assignment EDUCATIONAL RESPONSIBILITIES Didactic Instruction Clinical Learning Experiences Research and Quality Improvement Event Planning Network Educational Programming Athletic Training Residency Assessment Plan Didactic Schedule Learning Modules 3
ST. LUKE S UNIVERSITY HEALTH NETWORK ATHLETIC TRAINING RESIDENCY Mission: The mission of the St. Luke s University Health Network Athletic Training Residency is to enhance competency of the Athletic Trainer in the specialty area of orthopedics while refining their unique skillset to create a multifaceted healthcare professional that fills a significant role in today s evolving healthcare landscape. Residency Specialty Area: Orthopedics CAATE Six Core Competencies: Program outcomes will be accomplished with the six core competencies as governing principles. Module assignments and projects will focus on infusing these competencies throughout the content of the residency. These six competencies include: 1. Patient-centered care 2. Interdisciplinary collaboration 3. Evidence-based practice 4. Quality improvement 5. Use of healthcare informatics 6. Professionalism Program Goals: 1. Advance the Athletic Trainers knowledge and clinical skill to become a highly skilled versatile healthcare professional that delivers patient-centered care through interdisciplinary collaboration. 2. Educate Residents to contribute to the development of the Athletic Training profession through outcomes based research, evidence-based practice, public and medical community education, and the development of leadership skills. 3. Enhance skill of the Athletic Trainer within the specialty area of orthopedics in a variety of musculoskeletal settings. Program Outcomes: Upon completion of this residency the Athletic Trainer will: 1. Recognize the subspecialties of Orthopedic and Primary Care Sports Medicine and demonstrate professionalism within systems based practice that enhances patientcentered care 2. Develop an enhanced understanding of clinical decision making in patient-centered orthopedic care. 3. Appraise various musculoskeletal imaging methods and interpret findings to enhance orthopedic skill in the collaboration with supervising physicians. 4. Apply advanced Athletic Training skill in traditional Athletic Training settings aimed at fostering evidence-based, patient centered care. 5. Prepare Athletic Trainers to become leaders in the development of research planning and implementation. 4
6. Develop research collaboration projects through vehicles such as journal clubs, grand rounds, and other methods of evidence-based practice integration. 7. Show organizational and communication competency in the production and presentation of Sports Medicine symposia and community education programs. 8. Distinguish the components of healthcare administration and strategies that utilize problem solving and healthcare informatics for quality improvement. RESIDENCY CONTACTS Program Director: Jim Reidy MS, LAT, ATC, CSCS St. Luke s University Health Network 77 S. Commerce Way Bethlehem, PA 18017 Office: 484-526-7636 Cell: 484-225-0974 James.reidy@sluhn.org Medical Director: Dr. Nick Avallone St. Luke s University Health Network 755 Memorial Parkway Phillipsburg, NJ 08865 908-859-8884 Nicholas.avallone@sluhn.org Faculty: Brian Gloyeske MS, LAT, ATC St. Luke s University Health Network Moravian College Brian.Gloyeske@sluhn.org Cell: 937-638-2626 Ashley Winkelspecht MS, LAT, ATC, CKTP, ROT St. Luke s University Health Network Lehigh Valley Charter High School For The Arts Ashley.Winkelspecht@sluhn.org Cell: 856-207-0809 John Hauth EdD, LAT, ATC Senior Director, Sports Medicine Relations Center For Sports Medicine 1441 Schoenersville Rd. Bethlehem, PA 18018 484-526-7609 John.hauth@sluhn.org Clinical Competency Committee: The Clinical Competency Committee (CCC) is responsible for appraising data collected quarterly from the Residency assessment plan and determining if Residents are on the appropriate path to attain the Residency Program Outcomes. Feedback and action plans for 5
each Resident will be shared with them quarterly. The Clinical Competency Committee members are: Jim Reidy Brian Gloyeske Ashley Winkelspecht POLICIES AND PROCEDURES Admission Criteria: BOC Certification Master's degree in Athletic Training or Bachelor s degree with clinical experience PA and NJ Athletic Training Licensure Clinical Clearances: Residents will be St. Luke s University Health Network employees and must adhere to the requirements of employment through the Network. Please refer to Human Resources under MyNet. SLUHN Mission: The mission of St. Luke s University Health Network is to provide compassionate, excellent quality and cost-effective health care to residents of the communities we serve regardless of their ability to pay. The mission will be accomplished by: Making the patient our highest priority Promoting health and continuously improving care provided to heal the sick and injured Coordinating and integrating services into a seamless system of care Improving the level of service provided throughout the network Ensuring all health care services are relevant to the needs of the community Striving to maximize the satisfaction of our employees, patients, medical staff, volunteers Training allied health professionals, nursing and medical students, and residents in a variety of specialties and to attract them to practice within the Network s service area PRIDE CARING RESPECT ACCOUNTABILITY PCRAFT We take pride in our accomplishments and in our organization. We show consideration for others and their feelings. We treat others as we want to be treated. We recognize the value, diversity and importance of each other, those we serve and the organization. We are responsible to make decisions and solve problems in a timely and effective manner. 6
FLEXIBILITY TEAMWORK We adapt to the changing needs and expectations of those we serve. We work together to improve quality. SLUHN policies The Residency program will adhere to the policies and standards set forth in the Employee handbook accessible by all residents on MyNet. FINANCIAL OVERVIEW Salary Expense Resident $30,500 Benefits (25%) $6,875 Subtotal $37,375 Non-Salary Expense Continuing Education $750.00 Residents should plan to incur fees such as: NATA membership ( ~$200), Pennsylvania & New Jersey Athletic Training Licensure (~$325), Clothing (~$250), and travel costs to and from clinical and didactic responsibilities. This is an estimate of annual fees associated with the SLUHN AT Residency CLINICAL RESPONSIBILITIES Outreach Clinical Assignment Residents will have a primary clinical assignment where they will provide Athletic Training services in close collaboration with a clinical preceptor. Clinical preceptors will be experts in the field of Athletic Training and have demonstrated advanced skill in clinical education. The clinical assignment will provide an opportunity for Residents to implement concepts learned in the didactic portion of the Residency and continue to develop their Athletic Training philosophies toward optimizing patient outcomes. Physician Clinical Assignment The Athletic Training Resident will be exposed to specialty trained orthopedic surgeons and non-physician specialists in clinical and surgical settings over the course of this one-year Residency. Residents will work underneath the Medical Director a minimum of 2-days per week in the office. As they become an integral part of the staff functioning as an Athletic Trainer inside the Physician s office they will be immersed in the ideal environment to develop clinical evaluation and diagnosis reasoning and skill. Didactic Instruction EDUCATIONAL RESPONSIBILITIES 7
Didactic and Clinical experiences will occur within the structure of 7 modules. These modules include: 1. Evidence Based Practice and Quality Improvement 2. Clinical Evaluation and Diagnosis of Concussion 3. Clinical Cardiology - Diagnosis and Management 4. Clinical Evaluation and Diagnosis of General Medical Conditions 5. Orthopedic Evaluation and Diagnosis 6. Biomechanical Analysis of the Upper and lower Extremity 7. Evidence Based Therapeutic Interventions Clinical Learning Experiences Residents will rotate through targeted clinical rotations with experts in the content area that support the didactic portion of the program. Experts from within and outside St. Luke s University Health Network will be utilized to enhance the diagnostic skillset of the resident. Research and Quality Improvement Residents will review the concepts of research and statistics; analyze literature and implement evidence based clinical decision making into patient care. Residents will understand the research process and will work closely with the St. Luke s Research Institute to develop a research project. A project proposal will be submitted to the St. Luke s University Health Network Residency Research Symposium at the end of the residency year. Residents will develop a quality improvement project focused patient oriented outcomes. Network Educational Programming A primary component of St. Luke s University Health Network s mission is to educate employees to be the best clinicians within their respective field. The Network offers numerous educational opportunities within many different disciplines. Residents are required to attend: Orthopedic Surgery Grand Rounds Physical Therapy Grand Rounds Sports Medicine BOC Continuing Education Opportunities Monthly Journal Club *Other educational opportunities are frequently available through SLUHN and Residents should do their best to attend. SLUHN Research Curriculum Series St. Luke s Residents and Fellows Research Symposium ACGME AOA Symposium St. Luke s Wilderness Medicine Conference Community and Outreach Event Planning Residents will play a lead role in the administration and planning of events at their clinical assignments and other initiatives of St. Luke s Sports Medicine. These projects will help develop leadership qualities and prepare Residents to become leaders in the field of Athletic 8
Training. Community Health is a core concept of St. Luke s University Health Network and Residents will work along with their clinical preceptors to implement educational programming for our community partners. Hours Policy Residents will be kept to a weekly hour average of 40-55 hours. This falls beneath the duty standards from the ACGME. Residents will never exceed the 80 hour threshold set by the ACGME. Residents will log and submit bi-weekly hours to the program director. The hours document will be specific to tasks that the resident has completed during the bi-weekly recording period, i.e. clinical hours, scholarship, didactics, educational experiences, etc... Graduation Upon completion of the Program, Residents will be assigned a satisfactory or unsatisfactory designation in order to receive their Certificate of Residency Completion from the program. Residents will be required to meet the goals of the Athletic Training Milestones while satisfactorily meeting thresholds of the comprehensive assessment plan presented below (Also see Appendix A): ATHLETIC TRAINING RESIDENCY ASSESSMENT PLAN The following comprehensive assessment components will be used to assess Resident progression towards achieving program outcomes: 1. Research Component 1.1. Research Project 1.2. Complete SLUHN IRB Process 1.3. Complete to agreed stage of development 1.4. Case Study 2. Complete and present one case study 3. Completion of 100% of all assigned hours 3.1. Outreach Clinical Assignment 3.2. Physician Clinical Assignment 3.3. Didactic/Scholarly Responsibilities 3.4. Module Learning Experiences 4. Completion of 100% of module assignments 4.1. Module foundational knowledge worksheet 4.2. Module foundational knowledge Pre-test 4.3. Peer literature assessments 4.4. Specific module projects (if applicable) 4.5. Module post-assessment 9
4.6. Resident assessment of the module 4.7. Module completion goal assessment 5. Residency Competency exams 5.1. 90% on Competency exam 6. Scholarly Activities 6.1. Attend 90% of grand rounds 6.1.1. Complete all Grand rounds implementation projects 6.2. Professional Development Units 6.3. Journal Club 6.3.1. Organize St. Luke s Sports Medicine Journal Club 6.3.2. Faculty Assessment 6.3.3. Submit Journal Club summary document 7. Evidence-Based Clinical Decision Assessments 7.1. Patient encounter or Simulated patient 7.1.1. Present to content expert, preceptor, or residency faculty 8. Sports Medicine Presentations 8.1. Community presentations 8.1.1. Lesson plan/organizational document 8.1.2. Audience evaluation 8.1.3. Faculty evaluation 8.2. Staff Presentations 8.2.1. Preseason Sports Medicine Symposium 8.2.1.1. Lesson plan/organizational document 8.2.1.2. Staff evaluation 8.2.1.3. Faculty evaluation 8.2.2. Sports Medicine EBP Spring Meeting Presentation 8.2.2.1. Lesson plan/organizational document 8.2.2.2. Staff evaluation 8.2.2.3. Faculty evaluation 8.2.3. Teaching presentations to sports medicine students 8.2.3.1. Lesson plan/organizational document 8.2.3.2. Student evaluation 8.2.3.3. Faculty evaluation 9. Quality Improvement Project 9.1. Integrate quality improvement project into practice, collect and analyze data, appraise 10. Assessments and Evaluations 10.1. Monthly Evaluation and Diagnostic Accuracy Assessments 10.1.1. Imaging interpretation accuracy 10
10.1.2. Diagnosis accuracy 10.2. Quarterly Evaluation of Resident at site 10.3. Quarterly Self evaluation 10.4. Quarterly 360 degree evaluation 10.5. Quarterly Milestone evaluation by Clinical Competency Committee 11. Healthcare Informatics 11.1. IDX training 11.2. Allscripts training 11
11.3. EPIC training 11.4. Documentation audit 2017-18 Athletic Training Residency Schedule Module Week Date (M F) Module Week Date (M-F) SLUHN Resident Orientation 0 6/26-6/27 Quarterly Evaluation 28 1/8-1/12 1 7/3-7/8 Strategic Planning 29 1/15-1/19 EBP & QI 2 7/10-7/15 (Week 28) Gen Med 30 1/22-1/26 (Module 1) (Module 4) 3 7/17-7/22 31 1/29-2/2 4 7/24-7/28 32 2/5-2/9 Orthopedics (Spine) SLUHN Sports Medicine 5 7/31-8/4 (Module 5) 33 2/12-2/16 Symposium Dedicated Clinical Time 6 8/7-8/11 34 2/19-2/23 Sterile Procedures 7 8/14-8/18 35 2/26-3/2 8 8/21-8/25 36 3/5-3/9 Concussion 9 8/28-9/1 37 3/12-3/16 (Module 2) 10 9/4-9/8 38 3/19-3/23 11 9/11-9/15 Orthopedics (LE) 39 3/26-3/30 Cardiology 12 9/18-9/22 (Module 5) 40 4/2-4/6 (Module 3) 13 9/25-9/29 Quarterly Evaluation 41 4/9-4/13 Quarterly Evaluation (Week 40) 14 10/2-10/6 (Week 14) 42 4/16-4/20 15 10/9-10/13 43 4/23-4/27 16 10/16-10/20 44 4/30-5/4 Orthopedics (UE) (Module 5) EBP Therapeutic Interventions - UE (Module 7) 17 10/23-10/27 EBP Therapeutic 18 10/30-11/3 Interventions 45 5/7-5/11 (Module 7) 19 11/6-11/10 Biomechanical Analysis 46 5/14-5/18 20 11/13-11/17 Biomechanical Analysis 47 5/21-5/25 21 11/20-11/24 Open 48 5/28-6/1 22 11/27-12/1 49 6/4-6/8 Dedicated Project Time 23 12/4-12/8 50 6/11-6/15 24 12/11-12/15 End of year review 51 6/18-6/22 25 12/18-12/22 New Resident Transition 52 6/25-6/29 Dedicated Project Time 26 12/25-12/29 1 7/2-7/6 Transition Gen Med (Module 4) 27 1/1-1/5 2 7/9-7/13 12
Clinical Sequence: Dr. Avallone: Module Specific Clinical Assignment: Outreach Clinical Assignment: Didactic/Scholarly Activities: 2-3 sessions per week (8-12 hours) 2-4 hours per week 24-40 hours per week 5 hours per week Example of a Typical Resident Week TIME SUN MON TUE WED THU FRI SAT 0700 Grand 0730 0800 Rounds 0830 Dr. Dr. 0900 Scholarly Avallone Avallone 0930 Didactic Activities Physician Physician 1000 Module (i.e. Journal CLE: Clinical Clinical Club) Assignment Assignment 1030 1100 1130 1200 1230 1300 1330 1400 1430 1500 1530 1600 1630 1700 1730 1800 1830 1900 1930 2000 Clinical Outreach Clinical Outreach Clinical Outreach Clinical Outreach (Dr. Sinoway Neuroophthalmology) Musculoskeletal Diagnostic Imaging Clinical Outreach Clinical Outreach 13
Athletic Training Residency Module Outcomes 14
MODULE 1: EVIDENCE BASED PRACTICE AND QUALITY IMPROVEMENT CONTENT EXPERTS & EXPERT CLINICIANS: Jill Stoltzfus, PhD. St. Luke s University Health Network Director, Research Institute DESCRIPTION: SLUHN AT Residents will work closely with the St. Luke s Research Institute which was created to "nourish the academic environment required by our accrediting body that certifies our graduate medical education programs." Residents will review the concepts of research and statistics. Residents will analyze literature and implement evidence based clinical decision making into patient care. Residents will understand the research process and develop a research project. Residents will submit a proposal to the St. Luke s University Health Network Residency Research Symposium at the end of the residency year. OUTCOMES: 1. Understand key research and statistical terms and concepts that are commonly found in medical studies 2. Analyze normal, skewed, and bimodal data distributions 3. Examine ways to describe different types of data distributions (e.g., mean and standard deviations) 4. Understand the two main categories of research (observational and interventional) 5. Apply different types of research designs using clinical examples 6. Review and apply the 4-main steps of hypothesis testing 7. Understand and identify type 1 and type 2 errors 8. Understand the meaning of statistical significance and its relationship to clinical significance and other concepts 9. Understand and apply confidence intervals using current literature 10. Examine the differences between Patient Oriented Evidence and Clinical Oriented Evidence. 11. Apply Patient Oriented Evidence to your practice 12. Examine common statistical tests and techniques in medical research 13. Apply the key steps to create a high-quality, clinically relevant research study 14. Evaluate the differences of research studies vs. quality improvement projects 15. Develop and submit a research project proposal for SLUHN IRB review 16. Develop a quality improvement project using the Plan, Do, Study, Act model 17. Analyze the interrelationship of the CAATE 6 Core Competencies and ACGME s 6 Core Competencies and apply skills to enhance these principles in the Athletic Trainer 18. Develop leadership skill in healthcare through self assessment and effective goal setting 19. Apply documentation skill through electronic medical records systems MODULE 2: CLINICAL EVALUATION AND DIAGNOSIS OF CONCUSSION 15
CONTENT EXPERTS & EXPERT CLINICIANS: Brett Keller, DO, 755 Memorial Pkwy, Suite 201, Phillipsburg, NJ 08865 Bryan Brown, MRI Technician, 185 Roseberry St., Phillipsburg, NJ 08865 Kristin Topping, PT, DPT, 1417 Eighth Ave. Bethlehem, PA 18018 Stephen Sinoway, O.D, Hunterdon Family Eye Care 1465 Rt 31 S, Annandale, NJ 08801 DESCRIPTION: Residents will implement baseline testing measures and learn to understand the intricacies and limitations of these tests in a multidisciplinary approach to concussion evaluation and management. Extensive clinical practice will focus on refining concussion recognition, evaluation, and management techniques and the incorporation of advanced practices. Correlation between physical exam findings and interpretation of brain imaging techniques will be examined. Residents will learn to integrate evolving rehabilitation techniques of postconcussion syndrome through hands on experiences with Sports Concussion Trained Physicians, Neuro Ophthalmologists, Physical Therapists and Occupational Therapists. By examining current research trends the resident will learn to implement evidence-based practice into all facets of concussion care to improve patient outcomes. OUTCOMES: 1. Recognize the prevalence of concussion in sports and recent trends in participation. 2. Identify key components in athletic and academic concussion management policy. 3. Implement methods of concussion prevention into a sports medicine setting. 4. Describe the function of areas of the brain and how they correlate with injury. 5. Organize educational programs for coaches, players, parents and the community. 6. Apply baseline testing programs that incorporate neuropsychological, cognitive, physical, vestibular, and ocular assessments. 7. Develop an understanding for standard imaging tests utilized in concussion management. 8. Develop concussion evaluation that utilizes a multifaceted approach and incorporates evidence-based assessment and testing. 9. Identify key modifiers that affect predisposition, evaluation, and recovery. 10. Describe current research including information on biomarkers, genetic markers, autonomic markers, and other evolving topics. 11. Develop rehabilitation skills that include vestibular, oculomotor, sub-symptom threshold exercise, and neuropsychological interventions. 12. Evaluate the need for pharmacological intervention. 13. Develop criteria to guide the referral process to other medical professionals. MODULE 3: CLINICAL CARDIOLOGY DIAGNOSIS AND MANAGEMENT 16
CONTENT EXPERTS & EXPERT CLINICIANS: Darren M. Traub, DO, St. Luke s Cardiology Associates, 1469 Eighth Avenue, Bethlehem, PA Sudip Nanda, MD, St. Luke s Cardiology Associates, 1469 Eighth Avenue, Bethlehem, PA Jamshid Shirani, MD, St. Luke s Cardiology Associates, 1469 Eighth Avenue, Bethlehem, PA DESCRIPTION: SLUHN AT Residents will work directly with the Cardiology program to provide optimal care for patients with cardiac conditions. Residents will participate in Cardiology clinics which will allow the Resident first-hand experience with common cardiac evaluation techniques and diagnostic tools. This experience will deepen their knowledge in identification of underlying conditions that commonly cause sudden cardiac death, preventing sudden cardiac death, and promoting cardiovascular safety in the physically active population. OUTCOMES: 1. Distinguish between normal and abnormal heart sounds. 2. Identify common abnormal heart sounds. 3. Describe the Cardiology referral process and describe differences in key cardiac experts (i.e., Cardiologist, Electrophysiologist, etc. ). 4. Identify current cardiovascular screening techniques and their role of early detection. 5. Describe disqualifying conditions in the active population. 6. Recognize commonly used medications for cardiac issues and how they affect the physically active population 7. Apply advanced concepts to emergency planning to ensure the highest quality of care in emergency situations. 8. Differentiate cardiovascular conditions that cause symptoms such as chest pain, palpitation, shortness of breath, fainting, and deterioration in performance. 9. Identify conditions that require cardiology clearance and their implication on participation. 10. Recognize the key components of pre-participation physicals that help prevent sudden cardiac death MODULE 4: EVALUATION AND MANAGEMENT OF GENERAL MEDICAL 17
CONDITIONS CONTENT EXPERTS & EXPERT CLINICIANS: Maheep Vikram, MD, St. Luke s Primary Care Sports Medicine, 1441 Schoenersville Rd. Celestine Nnaeto, MD, St. Luke s Primary Care Sports Medicine, 1441 Schoenersville Rd. Brett Keller, DO, St. Luke s Primary Care Sports Medicine, St. Luke s Warren Hospital DESCRIPTION Residents will spend time with primary care sports medicine physicians and fellows where they will develop skills to perform a comprehensive clinical examination of a patient with a common illness or condition that includes appropriate clinical reasoning in the selection of assessment procedures and interpretation of findings in order to formulate a differential diagnosis. Based on the evaluation and patient goals, and with direct physician involvement, implement an appropriate treatment strategy including but not limited to: home care instruction, appropriate medications, and activity level involvement. OUTCOMES 1. Develop an understanding of the patient intake and registration systems. 2. Perform common patient intake procedures including patient history, vital sign assessment and description of injury or illness. 3. Develop an understanding of criteria used to diagnose common illnesses. 4. Develop an understanding of commonly implemented diagnostic procedures used in a primary care setting. 5. Differentiate among the common cold, flu, and sinusitis by describing signs, symptoms and treatment options. 6. Assist the Physician with physical screening for pre-employment or pre-participation activities. 7. Recognize and differentiate severity of illness and when it is appropriate to refer to advanced care facilities. 8. Determine when referral or physician intervention is required (Severe acne, impetigo, fungal infections, herpes infections, dermatitis, MRSA, Molluscum, etc) 9. Identify common skin ailments and recommend appropriate treatment and return to play requirements. 10. Classify common skin conditions according to cause (fungal, bacterial, viral, etc ). 11. Identify potentially cancerous legions in athletes through the ABCD skin characteristics of melanoma. 12. Recognize when it is/is not appropriate to prescribe narcotic pain relieving medication. 13. Utilize electronic health records to secure 3 rd party reimbursement and to comply with statues that regulate privacy of medical records. MODULE 5: ORTHOPEDIC EVALUATION AND DIAGNOSIS 18
CONTENT EXPERTS & EXPERT CLINICIANS: Maheep Vikram, MD, St. Luke s Primary Care Sports Medicine, 1441 Schoenersville Rd. Celestine Nnaeto, MD, St. Luke s Primary Care Sports Medicine, 1441 Schoenersville Rd. Brett Keller, DO, St. Luke s Primary Care Sports Medicine, St. Luke s Warren Hospital Nicholas Avallone, MD, St. Luke s Orthopedics, St. Luke s Warren Hospital See Expert Clinicians for full list. DESCRIPTION The Athletic Training Resident will be exposed to specialty trained orthopedic surgeons and non-physician specialists in clinical and surgical settings over the course of this one-year Residency. Residents will be working underneath the Medical Director at least 2-days per week in the office. Residents will become an integral part of the staff as they function as an Athletic Trainer inside the Physician s office (see Physician Clinical Assignment for more details). Additionally, Residents will complete clinical learning experiences (CLE) 1-day per week with Physicians or other health care providers. CLE rotations will run parallel with didactic schedule. OUTCOMES 1. Identify and define commonly used orthopedic terminology when communicating with members of the clinical team. 2. Demonstrate an understanding of normal and pathological anatomy, common surgical procedures, and sterile techniques. 3. Interpret and explain diagnostic imagining techniques for the musculoskeletal system under the direction of a physician. 4. Identify and describe characteristics of orthopedic conditions that warrant emergent/urgent physician referral. 5. Differentiate between the history, clinical presentation and management of various chronic and acute musculoskeletal conditions. 6. Describe the typical clinical presentation and expected outcome of selected pathologies taking into consideration unique patient populations. 7. Describe expected postoperative course and outcome for various surgeries, include patient modifiers that may alter outcomes. 8. Evaluate the reliability and validity of selected musculoskeletal examination strategies, including patient history, special tests, and diagnostic imaging 9. Educate patients on the risks and benefits of procedures, and surgical techniques. 10. Demonstrate an understanding of central and peripheral neuroanatomy. 11. Conduct a neurological assessment and identify dysfunction. 12. Describe the common mechanisms and activities that may result in pathologies of the upper and lower extremity. 13. Demonstrate an understanding of current best practice guidelines of emergency management. 14. Utilize electronic health records to secure 3 rd party reimbursement and to comply with statues that regulate privacy of medical records. MODULE 6: BIOMECHANICAL ANALYSIS OF THE UPPER AND LOWER 19
EXTREMITIES CONTENT EXPERTS & EXPERT CLINICIANS: Howie Knudson PT, MSPT, St. Luke s Physical Therapy Matt Johnson PT, DPT, OCS, SCS, St. Luke s Physical Therapy DESCRIPTION Residents will learn to incorporate qualitative and quantitative biomechanical analysis into evaluation strategies. OUTCOMES 1. Demonstrate an understanding of kinetic concepts including: inertia, force, torque, and impulse 2. Identify the major factors involved in the angular kinematics of human movement 3. Define Newton s laws of physics and their role in human movement 4. Identify the steps involved in finding the center of gravity 5. Identify tools for measuring body angles during movement. 6. Describe the differences between angular distance velocity, and acceleration. 7. Describe the differences between work and power. 8. Perform a gait analysis and identify dysfunctions using slow motion capture video. 9. Perform a throwing analysis and identify dysfunctions using slow motion capture video. 10. Analyze force on skeletal joints for various static and dynamic human activities. 11. Identify biomechanical factors that predispose to injury. 12. Apply concepts of movement analysis to enhance evaluation and diagnosis skill and guide the rehabilitation process. MODULE 7: EVIDENCE BASED THERAPEUTIC INTERVENTION 20
CONTENT EXPERTS & EXPERT CLINICIANS: Tim Miller, PT, DPT, SCS, CSCS, 1174 Illick s Mill Road, Bethlehem, PA 18017 Matthew Johnson, PT, DPT, St. Luke s Physical Therapy James Scifers, PT, DPT, Moravian College Jennifer Ostrowski, PhD., ATC, Moravian College DESCRIPTION: Focused therapeutic interventions will be discussed during this module; an emphasis will be placed on integration of the best available evidence, and individualization of therapy when selecting interventions. Residents will collaborate with other health care professionals to develop a plan of care for a patient; he/she will collect and analyze clinical outcomes measures, including global and specific patient reported outcome assessments. Residents will develop and implement evidence based, patient centered intervention programs to ensure quality care. OUTCOMES: 1. Define services provided by rehabilitation specialists, and the strategic role of the Athletic Trainer in the coordination of services that optimize patient outcomes. 2. Appraise traditional rehabilitation program design methodology and integrate evidencebased strategies to enhance the success of a rehabilitation program. 3. Apply relevant clinical and/or patient outcomes that guide development of rehabilitation goals. 4. Design individualized rehabilitation protocols that address identified deficits in function. 5. Describe the phases of tissue healing and formulate patient goals relevant to their current phase. 6. Demonstrate effective communication strategies with patients and other health care professionals. 7. Appraise techniques and apply corrective procedures in advisement of a rehab program. 8. Fabricate foot orthoses that improve structure and function. 9. Analyze therapeutic interventions through research appraisal. 10. Appraise and apply selected manual therapy interventions. 11. Understand the role of the core musculature and its relationship to chronic pain and dysfunction. 12. Analyze gait characteristics and develop interventions that correct dysfunction. 13. Evaluate and apply wound management strategies following surgery. 14. Understand and utilize current disablement models in implementing care. 15. Understand cognitive appraisal models and how thoughts, emotions and/or behaviors can alter patient outcomes. 16. Implement psychosocial strategies to assist your patient in developing positive thoughts, emotions and behaviors that will lead to positive rehabilitation outcomes. 21
ACKNOWLEDGEMENT By signing on the line below you agree to the terms and conditions of the Residency and that you have reviewed and agreed to abide by all St. Luke s University Health Network policies and procedures. Signature: Print: Date: / / 22