Spring 2012 - Physiotherapy Association of British Columbia

Transcription

SPRING 2012
A publication of the Physiotherapy Association of British Columbia
Multiple Sclerosis and the
Geomagnetic Field: Suggestion
of a Unified Theory
by Brett Wade, BScPT, MPT, PhD
The Geomagnetic Field Lines (Figure 1)
I recently completed my dissertation
examining the relationship between the
earth’s geomagnetic field and multiple
sclerosis (MS). You might ask what the
geomagnetic field could have to do with
MS. I will explain how I arrived at this
seemingly strange hypothesis, and my
newfound understanding of how the
mechanisms of disease expression may
influence the treatment of people with MS.
As a practicing physiotherapist for nearly
17 years, I developed an interest in chronic
diseases. Treating people with autoimmune
diseases such as rheumatoid arthritis,
systemic lupus erythematosus and MS,
I became intrigued with the lack of clear
etiologies, the similar demographics, and
specifically the effect of environment.
Autoimmune diseases such as MS have
distinct global geographic prevalence
patterns with the highest prevalence
rates being between 40-60 degrees
north (Carlyle, 1997). Vitamin D has been
shown to be a significant factor in the
development of autoimmune diseases.
Since 90-95% of all serum vitamin D
comes from ultraviolet B exposure, it may
partially explain the latitudinal gradient
with some autoimmune diseases (Beretich
& Beretich, 2009).
Join live-streamed Physio Forum
The geomagnetic field (see Figure 1) from
http://goo.gl/ZK9rk comprises force lines
generated by the rotating molten iron
core of the earth. It is conceptualized as
a three-dimensional entity that surrounds
you anywhere you are on earth, and is
extremely important to the health of
all life on the planet. The field lines of
the geomagnetic field direct ionizing
radiation (protons and electrons) from the
sun towards the poles. The field is not
uniform in strength around the planet;
the horizontal aspect is generally weakest
towards the northern hemispheres. From
a health perspective, a weak horizontal
field is associated with the decreased
ability to attenuate the penetration of
ionizing radiation particles (particularly
cosmic radiation) thus leading to higher
levels of background radiation.
SATURDAY, MAY 5th,
join your colleagues from the comfort
of your home through
our newest technological
advance — LIVE STREAMING
GO TO
www.facebook.com/bcphysio,
check LIKE on the top of the
page, then click the Ustream
Live box under the gardening
picture. See the agenda on the
members home page
www.bcphysio.org/members.
PHYSIOTHERAPY ASSOCIATION OF BRITISH COLUMBIA
Brett Wade
The horizontal aspect of the geomagnetic
field is particularly weak in Canada,
northern USA, much of Europe and
Scandinavia and southern Australia.
continued on page 4
Keeping British Columbians Moving For Life
Directions
bcphysio.org
CEO’s message
PABC Members Set Gold Standards
And PABC is proudly positioned on the
leading edge of the social media wave of
popularity.
Rebecca B. Tunnacliffe, MA
Chief Executive Officer
We really found our stride this past year.
The spring edition of Directions is like
New Years Day; because our AGM is
in April or May, (this year on May 5th),
it is a good time to look back over the
past twelve months. We pause at this
milestone to recognize our leaders (see
volunteers hailed on page 17), to see
changes in Board Directors (see new
Kootenay Director page 11), to review
our audit (see another surplus on page
16), and to itemize our accomplishments
(there were many).
Each year we hit a new height, and
each year I wonder how we can top the
achievements of the last one. And we
always do.
PABC members are active
and attractive, perfect
models and role models.
Last year’s excitement was our new
brand Physiotherapists Keep British
Columbians Moving for Life, with our
new logo and new TV ad to reflect the
brand and to promote our new image.
This year’s excitement is that our brand
took on a life of its own and gained
worldwide stature. PABC leads the world
physio associations for the number of
followers on Facebook. Yes, we have
more LIKES by far than any other subcountry association; we are out-numbered
only by India, Australia and the US. Not
only do followers like our page, but they
also engage at a high level. Both of these
metrics are very important in the social
media world — they are the measure of
an organization’s viability and relevance.
How did PABC’s social media become
so popular? Because you, our PABC
members, are the stars. Each day we
feature a PABC member doing something
active that reinforces our activity of the
month. Everyday we tell a story about how
physiotherapists literally walk the talk.
BC Physios are the most
active health professionals
in Canada
When we formulated the new campaign,
we had an “aha” moment: PABC
members are active and attractive, and
perfect role models of our brand. Our
promotional campaign is about you being
the best choice for preventing injury or for
needing rehab to get back to doing what
patients love to do. So you became our
poster models for active living — in our
calendar, in our on-line monthly Physio4
Tips, in our press release promotion,
and in our social media campaign. In
your practice, you role model active
living, so we brought your practice to our
promotions.
We hold the #1 spot for
Facebook and Twitter stats
worldwide for our size!
In the process of putting you in the
spotlight, I realized that you are the most
active health professionals in Canada.
Furthermore, in posting your daily images
of active living on PABC’s Facebook page,
I realized that you are not only active, you
are also cool. And that image makes us
very popular in social media circles.
This combination of real physios enjoying
physical activity and offering a tip for the
day, and our librarian tri-weekly posts on
new physo literature has proven hugely
successful. We hold the #1 spot for
Facebook and Twitter stats worldwide
for our size! We have found our stride!
Please help us reach 1000 Likes by June;
Like our page at
facebook.com/bcphysio so we maintain
our world domination, and also so you
keep up on our daily message and our
tri-weekly librarian news. Send it to your
patients too since the messaging is for
them. And send me a picture of you
gardening, cycling or golfing for the
coming Brand messaging.
PABC Facebook Kudos
from Members
Nice work with the Facebook page, it’s
been great taking a look through all the
pictures and tips. YC
I think what you all do at PABC is
ABSOLUTELY AWESOME. You really
are making a difference for us all and I
really appreciate it. Thank you. RP
Just thought I’d share with you a little
something I found on Facebook. A
friend of a friend was looking for a
physio decided to put it to the masses
and asked all of her FB friends for
recommendations....a referral to us
came of it. Social media is a pretty
powerful tool for advertising! TG
I like to see the daily postings on the
social media sites because, firstly,
it reminds me that we have to act
as a good example to our patients,
which means being active and healthy
ourselves. It’s nice to see other physios
who also realize the importance of
moving every day, and helps me feel
like more of a part of a bigger physio
community. Also, the photos can
sometimes give me good ideas of
treatment for patients (eg. balance
exercises) or even ideas for activities
that I want to try myself. HC
I do enjoy seeing the Facebook posts
myself; have not yet gone down the
Twitter route….I feel that the posts
don’t really specifically relate to
my practice (paeds) however could
indirectly help my client’s parents (and
possibly some of my older clients) to
remember that physical activity and
other healthy practices do not have to
be a chore…They can be fun! CH
bcphysio.org
We Rank #1
for Social Media Clout
On April 2nd, PABC researched
Facebook stats, and found that out of
all the physiotherapy associations in the
world, there were only three with larger
Facebook followings! That includes
national, regional, and provincial/state
associations.
1. India Physiotherapy Association
– 4,631 likes
2. American Physical Therapy
Association – 2,973 likes
3. Australian Physiotherapy
Association - 2,271 likes
4. PABC – 911 likes
(CPA – 527, and OPA - 421)
Fourth in the world!! First in the world
for a sub-country size association!
Needless to say we’re excited.
On Twitter, we rank even higher —
Third in the world, and again first for a
sub-country size organization!
1. American Physical Therapy Assoc
– 10,400 followers
2. CPA – 1,513 followers
3. PABC – 925 followers
4. Australian Physio. Assoc –
843 followers
PABC Facebook Kudos
from Followers
From an Ontario physio: I really love
the work the PABC does promoting
physiotherapy. Kudos on your website
and Facebook. You set the standards.
From a Director of Dietitians of
Canada: I was just checking out your
Association’s Facebook page. It’s
fantastic — amazing “talking about”
rating! Fireside Chat with RBT
June 12th, 7:30-8:30 pm
Ever wanted to ask PABC’s CEO a
question? Or wanted to discuss her
leadership style or influences? Or
maybe you have a great idea to tell
her? This is your chance to join fellow
members in a warm and cozy fireside
chat, live streamed through the PABC
Facebook page. To RSVP, email
rbt@bcphysio.org by June 1st and
include your question or topic.
Directions
Water Tai Chi – Therapeutic
Benefits of Water
by Mark Mandelstam, BPT, CACFI
Fifteen years ago, as a new graduate,
I took a short ‘Introduction to
Hydrotherapy’ course. Inspired, I
immediately began to treat my suitable
patients in water, and when I observed
the astounding success of this treatment
technique, hydrotherapy quickly became
my passion. Since then, I have attended
numerous hydrotherapy courses,
workshops and conferences in Europe
and North America. Throughout my years
of clinical hydrotherapy experience, I
continue to be impressed by the benefits
of water on a variety of orthopedic and
neurological conditions.
More recently, a personal interest of
mine, martial arts, led me to create a new
hydrotherapy method. I noticed that the
biomechanical fundamentals of martial
arts techniques linked perfectly with
the properties of hydrotherapy, and so I
decided to integrate these two ancient
philosophies. Upon meeting Tai Chi
Chen style Master ChenBo, I was inspired
to develop a new technique, which we
named “Water Tai Chi”, that I have been
successfully implementing in our practice
for the last two years.
Today I am very fortunate to run two
aquatic programs (in Vancouver
www.kitsilanophysio.com and the Fraser
Valley www.cedarvalleyphysio.com)
where we are using a number of different
techniques, including the Halliwick
concept, Ai Chi, Water Tai Chi and Watsu.
Although our case load mostly consists
of orthopedic clients (e.g. weight bearing
problems, severe whiplash injuries, frozen
shoulders, spine and lower extremities,
osteoarthritis and various post
surgical conditions) we also see
neurological patients for gait
and balance training as well as
normalizing muscle tone and
increasing range of motion.
When we are trying to explain
our treatment to doctors (or
other health professionals) we
always start by saying, “This is
not aqua fit; this is individualized
physiotherapy treatment in
water.”
And so this begs the following questions:
• What should we call this treatment?
Should we follow our southern
neighbors and name it “Aquatic
Physical Therapy” or should we stick
to our European roots and call it
“Hydrotherapy”?
• Who is the most appropriate health care
professional to perform the treatment?
Should physiotherapists require
specialized training to treat patients in
water?
• Will our kinesiologist colleagues take
over the whole “Water Field” if we do
not act quickly?
• Where can physiotherapists look
for professional resources, courses,
workshops and seminars?
• How can we increase awareness of
Water Therapy within the health care
community and with the general public?
Recently, the Canadian Physiotherapy
Association has decided to take up our call
to “test the waters” for a Hydrotherapy
subdivision of the Orthopaedic Division,
the immediate goal of which is to answer
the above questions, as well as many
others linked to Water Physiotherapy in
Canada. CPA members who are currently
involved in hydrotherapy or just planning
to “get their feet wet” are invited to form
a group of interest, which will lead into the
aquatic section. I am coordinating this initial
“jumping in”, and welcome your interest, so
email me at markmandelstam@yahoo.ca.
This is a very exciting development in our
profession for me personally, and also, I am
sure, for all physiotherapists who believe in
the unique healing powers of water.
Mark Mandelstam practices “water tai chi”
Directions
bcphysio.org
Multiple Sclerosis...continued from cover page
References
The prevalence of MS in these areas
is high and thus formed the basis
of my hypothesis: “The horizontal
geomagnetic field is inversely related to
MS prevalence”. My research statistics
supported my hypothesis (r = -.607).
My next question was, “How could living
in an area of a weak horizontal field lead
to the development of MS?” This question
is complicated and of considerable
conjecture. It is, however, verified that
chronic exposure to high levels of
background radiation has negative health
effects (Riley, 1994). In addition to this,
many exogenous variables such as viruses,
high fat diet, smoking and ultraviolet
radiation are empirically related to MS.
Therefore it seemed important to include
the effect of the horizontal geomagnetic
field with these multiple variables. This
became my foundation for a Unified
Theory for MS Etiology.
One of the effects of exposure to ionizing
radiation is the increased production of
free radicals and inflammatory cytokines
such as TNF-Į . Interestingly, this is the
same effect of exposure to viruses,
smoking and high fat diets. Vitamin D
has the powerful effect of increasing the
production of anti-inflammatory cytokines
such as TGF-ȕ . My Unified Theory of
MS Etiology suggests an imbalance in
homeostasis between inflammatory
and anti-inflammatory cytokines and an
imbalance in free radicals contributes to
the autoimmune process.
How does this contribute to the practice
of a physiotherapist treating a client with
MS? It is important to understand that
treatment recommendations take into
consideration the role of cytokines and
free radicals. One of the most important
free radical scavengers is melatonin
(Reiter, 1993). Therefore, treatment
which increases melatonin production
may be therapeutic. Research by Sandyk
(1997) has demonstrated that the use of
pulsed electromagnetic fields (PEMF)
is particularly beneficial to people with
MS because it may stimulate melatonin
synthesis. Lifestyle recommendations
that are related to avoiding high fat diets
and cigarette smoking are also important
considerations to influence cytokine and
free radical homeostasis.
Beretich, B., & Beretich, T. 2009. Explaining multiple sclerosis prevalence by ultraviolet exposure: a geospatial
analysis. Multiple Sclerosis,15, 891-898.
Carlyle, I. P. 1997. Multiple sclerosis: a geographical hypothesis. Medical Hypotheses, 49(6), 477-486.
Reiter, R. J. 1993. Static and extremely low frequency electromagnetic field exposure: reported effects on the
circadian production of melatonin. Journal of Cellular Biochemistry, 51(4), 394-403.
Riley, P. A. 1994. Free Radicals in Biology: Oxidative Stress and the Effects of Ionizing Radiation. International
Journal of Radiation Biology, 65(1), 27-33.
Sandyk, R. 1997. Therapeutic effects of alternating current pulsed electromagnetic fields in multiple sclerosis.
Journal of Alternative & Complementary Medicine, 3(4), 365-386.
Brett Wade earned his PhD in Health Sciences at the University of Medicine and
Dentistry of New Jersey. He is the Chair of the Therapy Assistant Program at Okanagan
College, and a Fellow of the Institute of Learning and Technology at the Okanagan
Campus.
Letter from the Editor
Winter Directions 2012: Answering Questions from
Members
Q: 3D Gait Analysis, JR Justesen (cover page).
Although it is implied that this is a research project, it isn’t completely
clear whether or not subjects have given consent for their data to remain
permanently housed in the ‘ever-growing database’. A: Data is collected as part of a research study, although I myself am not doing a
specific study. All subjects provide consent.
Q: From Rehab US to MSK Diagnostic US, Jacek Kobza (page 5)
Is ultrasound imaging within the scope of practice for physiotherapists?
A: It is another new innovation for physiotherapy, and an increasing number of
members are now trained in using US imaging techniques. We use US imaging for
therapeutic purposes, but as with all advances in our profession, we bring tools
and techniques into our scope through first bringing them into practice. Regulation
follows practice.
Q: Facial Treatment by Skype, Susan Rankin (page 10)
Should we be concerned about patient confidentiality when using Skype
since conversations are not privacy-protected or encrypted (whereas the
Ministry of Health’s Telehealth and Telemonitoring carefully protect patient
confidentiality)?
A: PABC contacted the College to inquire about physical therapists providing
treatment to patients within BC via Skype. As a physical therapist providing
treatment to a patient College Bylaw 56 Minimal Treatment Standards http://www.
cptbc.org/bylaws.asp#fiftysix) must be met regardless of the treatment setting. There are many practice scenarios where providing patient care via telepractice
(Skype, iChat, FaceTime, videoconference, etc) would not be appropriate as it would
compromise the type of care that the physical therapist could provide, and not allow
the physical therapist to meet the Minimal Treatment Standards. However, there may
be practice scenarios where the physical therapist determines that treatment could
be provided via telepractice without negatively impacting patient care. In most cases
an in-person assessment is required to adequately conduct a physical assessment,
and the physical therapist and patient may then determine that some follow up
treatment could occur via telepractice. Special attention must be paid to issues of
patient confidentiality and protection of privacy. It is important to consider whether
or not you could provide the same physical therapy treatment to your patient via
telepractice as you could provide if the patient attended in person. bcphysio.org
Directions
Internet Access: Implications for Health Care
Providers and Consumers
by Courtney Hilderman, BScPT
In the past decade, the internet has
provided unprecedented access to
information, and new interfaces for
discussion and debate in many fields,
including health care. While practitioners
were once limited to reading published
journals and textbooks, and to attending
courses and conferences in order to
expand and challenge their knowledge
bases, we now have access to online
journals, forums, webinars, blogs, and
various other social media outlets that
facilitate discussion of relevant issues.
Currently, I subscribe to many RSS
feeds through Google Reader, from key
words in databases such as PubMed
(e.g. “Cerebral Palsy”, “Constraint
Induced Manual Therapy”), to medicaland physiotherapy-specific blogs (e.g.
ptthinktank.com, http://nspt4kids.com),
to more “mainstream” health care news
sites (e.g. medicalnewstoday.com). While
on Facebook I follow a variety of relevant
pages (e.g. Restore Physiotherapy, BC
Coalition of People with Disabilities). I
have yet to Twitter-ize… mainly because
I’m trying to limit my own “screen time”
during my day!
In a time when not every health care
practitioner has access to full text
journal articles (thanks PABC for our
database access!), online discussions
provide valuable critical thinking and
clinical reasoning opportunities. For
example, I recently read a blog article
on dry needling and trigger points that
prompted over 200 comments debating
its evidence and efficacy — a response
rate that would be impossible to manage
in a published journal format.
Are we taking advantage of the
discussion opportunities with other
PTs and other health care professionals
that the web provides? What else could
PABC do to facilitate our abilities in
navigating the web?
The web of course can have both positive
and negative consequences for health
care consumers: access to information,
resources, and support communities, but
also increased opportunities to encounter
misleading or questionable information.
On a Facebook support page, I’ve been
brought to tears seeing a young man
with autism reach out asking for help to
practice social interactions and receive
a flood of positive responses, and then
a few minutes later have cringed at yet
another piece perpetuating the “vaccines
cause autism” myth.
I love that people are interested in
educating themselves regarding
their health and have more access to
information with the internet, but this
comes with the risk that they might
turn to “Dr. Google” more quickly
and frequently than to their health
care professionals. Working in Early
Intervention Therapy, I’ve encountered
families that, having found the “latest and
greatest” therapies on the web, spend
thousands of dollars on questionable
interventions prior to, or in conjunction
with, accepted best practices. Depending
on the timing of interactions with such
clients, it can be difficult providing
unbiased professional opinions and
information while respecting their
personal beliefs about health and health
care services.
Let’s start the discussion:
As a profession, how do we help
the public navigate through health
information on the web? Are we
currently encouraging clients/patients
to discuss with us what they have
read and what their sources are? Are
PABC members web savvy enough
to know what information clients
might access? Are we ready to answer
questions about relevant research and
“fad” interventions? How do we reach
health care consumers that have yet to
approach a professional?
Send your thoughts to
courtneyhilderman@gmail.com or join
the on-line discussion on May 14th on the
Members Site microblog at
www.bcphysio.org/members.
Courtney Hilderman practices in Early
Intervention Therapy at the BC Centre
for Ability in Vancouver, and is a Clinical
Instructor for UBC’s Faculty of Medicine.
She enjoys spending her spare time
dancing, running along the seawall,
reading books, attending concerts, and
spinning wool.
PABC membership is important to me because:
•
•
•
•
I want to be part of the force that advances our profession in Canada
it connects me with a network in the national and provincial physiotherapy
communities
it is an important component of being a role model for future and current
physiotherapists
It provides me a channel to disseminate research findings to encourage
evidence-informed practice
o membership in a professional association has been identified as 1 of 5
pillars to enable development of expertise in physical therapy practice
(Jensen et.al, Expertise in Physical Therapy Practice. 2nd Edition. 2007)
o membership in a professional association has been identified as 1 of
5 key recommendations to support the use of evidence in practice
(Groth, Predicting intentions to use research evidence for carpal tunnel
syndrome treatment decisions among certified hand therapists.
J Occup Rehabil. April 2011)
Directions
bcphysio.org
PABC’s New Promotional
Promoting your Practice and the Profession: As Easy as 1-2-3
We launched our Brand Champions
program last month – a 1-2-3 set of tools
so you can promote how you keep British
Columbians moving for life with your
patients, your community and referring
physicians/healthcare colleagues. May
Brand Champions theme is gardening.
We’ve done all the work for you – all you
do is drop in your logo and personalized
note and voila, promoting the profession
and your practice was never so easy or so
interesting!
Below is the outline — all the tools are
in the Brand Wagon ready for you to
click and go at bcphysio.org/members
1. Walk the Talk – how your physical
activity helps you keep British
Columbians gardening for life
Tell patients and colleagues why you
became a physiotherapist, and put a
gardening spin on it:
• People love to hear your passion and
motivation. Create opportunities to
tell your story, which inspires confidence
in those in your sphere. It also helps
brand you as the most informed rehab
professional because you are active in
the same way your patients are active.
“I became a physiotherapist because
physical activity is an important part of my
life. May’s featured activity is gardening,
I [insert your gardening related story
here]. This gives me first hand knowledge
and allows me to better understand and
diagnose mobility issues.” It is a powerful
image for us to be the most physically
active health care professionals in Canada.
• Send patients our microsite for Physio4
tips on gardening at www.movingforlife.ca
2. Use the Physio Tips Tools
4
• Add your practice site logo to the Physio4
Tips Sheet and Poster
• Post in your practice area
• Send to your network of patients,
physicians & healthcare colleagues
• Send the press release (we leave space
for you to talk about your practice and
experience in the month’s activity) to
your local media
3. Use Social Media Messaging
• Post 1 tip per week on your Facebook or
Twitter
• LIKE our Facebook page to get our daily
posts on your news feed www.facebook.
com/bcphysio
• Post stories/photos/videos from your
practice on how you are keeping British
Columbians (your patients) gardening for
life.
• Be a Role Model – share stories/photos/
videos of you in your active lifestyle
When you jump on the Brand Wagon,
you take the easy route to self-promotion
with a powerful message about why you
do what you love both in your practice life
and in your recreational life. Your message
reinforces the PABC province-wide
message, and our united voice broadcasts
a captivating and unique message about
physiotherapy in BC.
Members Using Social Media
PABC’s Promotions Task Force (John Beesley, Helen Ries, Cassandra Basi, Riley Louie,
Scott Okrainetz, Corine Van Doorn, Isabelle Chagnon) is leading by example with their
April Physio4 Tips for injury free lifting pictures on PABC’s Facebook.
Isabelle Chagnon (R) illustrates 2 of
PABC’s 4 tips: When lifting, plan your
move; wear proper footwear
John Beesley (R) safely lifts
(with Remmert Hinlopen) a
bookshelf in the PABC tee
Riley Louie (R) demonstrates
Cassandra Basi
to an injured worker how to lift
teaches student
how to safely lift the without injuring the back
Canuck’s Stanley Cup
Helen Ries
demonstrates
injury-free lifting
in the bush
bcphysio.org
Directions
Campaign, Featuring YOU
Members Champion the PABC Brand
Kirby Epp’s Valhalla Clinic
billboard in Castlegar
displays PABC brand logo
Board of Directors turn their backs
to model the new PABC logo tees
Fraser Valley Director Remmert
Hinlopen presented to them
Dale Charles Clinic owner
Michael Yates (floor) etched the
PABC brand logo from floor to
ceiling on his new clinic window
Remmert Hinlopen
presents President Scott
Brolin with a new PABC tee
Newton Physio screensaver:
Cassandra Basi uses PABC’s
logo for the clinic screensaver
Seeing You in Profile: Six Clicks to a Better You
by Jesse Royer, MLIS, PABC Member Services Manager
Whether you phone me because you are
thinking about building a new client base
or about increasing your professional
visibility, one of the most common calls I
get from members is regarding the
Find-a-Physio directory listings.
I get calls from members who searched
for their own name in the directory and
weren’t able to ‘find themselves’ in
the directory, or who are looking for a
colleague’s contact information. I get
calls from doctors seeking a physio for a
patient, and calls from patients just out
of the hospital looking to continue their
rehab, as well as calls from patients who
want a physio to keep them moving.
Depending on the parameters of the
request, I’ll come up with a few results
from our database via the online Find-aPhysio search.
However, I can find search results ONLY
for members who have listed themselves.
I may not necessarily be seeing every
physio in the region or practice area — the
only profiles that I’m able to see are those
that have been completed.
4.Click Edit
5.Click Public Profile
6.Make the updates, click Save, and you’re
done!
So I would ask you: are you listed in the
Find-a-Physio directory? If not, here’s how
in six clicks. And don’t worry if ‘techie
computer wizard’ isn’t a phrase you’d use
to describe yourself. The process isn’t
hard, and we have trained professionals
standing by and ready to help if necessary.
With help from PABC Promotions Task
Force’s Isabelle Chagnon (Chilliwack
Home Health), we’ve put together an
easy process that will take you from being
‘unfindable’ to being a proudly listed
PABC member.
Content Tips (may add clicks): Think of the
Reader
• Keep the description about yourself
short and to the point;
• Include your physical activities,
building upon the PABC brand of
members leading by example in
Moving for Life;
• Include a profile picture of you doing
something active in order to promote
the PABC brand that BC physios are
the most active health professionals in
Canada and therefore best suited to
Keep British Columbians Moving for
Life.
Updating your public profile in six clicks:
1.Open web browser
2.Click the address bar, type in bcphysio.
org/user, and hit enter
3.Enter your username (email address) and
password (CPA number), and click login
As always, if any part of the process seems
insurmountable, drop me (Professional
Profile Filler-Outer) a line and I’ll help you
out: info@bcphysio.org
Directions
bcphysio.org
PABC Webinars a Hit...But Why a 50%
Attendance Rate & What’s an Association to Do?
Motivations for Attendance and Non-attendance: Survey Results
by the Knowledge Team: Deb Monkman, Alison Hoens, Jesse Royer
PABC’s Knowledge Team offered its first
webinar to members in 2010. Since that
illustrious start, we have held 24 free,
one-hour, evening webinars, with almost
400 attendees (plus many more who have
watched the recordings afterwards), on
how to enhance your evidence-informed
practice through finding and critically
appraising the research literature. As
you’ve no doubt seen from the quotes
scattered throughout various issues of
Directions, members love receiving free
continuing education in the evenings
from the comfort of their homes. In
addition, our data from pre- and postwebinar evaluations show that members
consistently find value in this method
of learning and improve their evidenceinformed practice skills as a result.
So What’s Going On?
We were understandably curious when
we noticed that consistently only 50%
of those who registered for a webinar
actually attended. Of course, life
happens and we understand there are
last minute complications, but 50% is
much higher than the usual 10-15% for
no-shows. It means that we are unable
to cancel webinars with low numbers
in a timely fashion or ensure adequate
allocation of resources (staff and
volunteer time). We wanted to get to the
bottom of this mystery, so we did what
we always do — we asked you, the 218
members who had registered for PABC
webinars since we began offering them,
and 100 of you answered our call.
What You Said
The survey shed light on what motivated
attendance as well as non-attendance,
and members’ thoughts about charging
for webinars. Here is a summary of the
top survey responses.
What motivated you to attend a webinar?
(1) I planned my evening
around it
(2) I was reminded by the
reminder emails
(3) Interest in the topic
What circumstances prevented you from
attending a webinar?
(1) A last minute commitment
came up
(2) I decided to watch the
recording
(3) Technical glitches
Would you have been more likely to
attend a webinar if you had paid a small
amount to register?
(1) 77% said no
(2) 14% said maybe
(3) 5% didn’t know
(4) 4% said yes
How much would you be willing to pay for
a webinar?
(1) 38% say they would not pay
(2) 18% would pay up to $5
(3) 14% would pay $16-20
What do you think PABC could do to
ensure more members attend webinars?
(1) Charge for no-shows/
cancellation fee/fine
(2) Continue with the reminders
(3) Hold webinars at different
times
(4) Charge for the webinar
(5) Provide a cancellation
option
Our Decision Based on Your
Response
It’s heartening to receive your feedback
and creative suggestions! As a first step,
we have decided to make it clearer in our
communications that we require 24 hours
notice for cancellation. Understandably,
the unexpected can happen, but we’re
hoping that sending a quick email to
cancel ahead of time will drop the 4050% no-show rate to a more acceptable
level. Recordings of past webinars can
be found on the PABC members site,
so ultimately, you won’t miss out if you
need to cancel, though the experience of
attending a webinar is more rich if you are
involved throughout the entire process.
We’ll be evaluating this approach before
pursuing other options.
We’d like to thank everyone who
participated in the webinar survey and
invite you to continue to let us know how
we can serve you.
Notable Quotes on Webinars
•
“I think they are great for busy
people, people who live in rural areas
and can't get to the city for other
educational sessions.
•
“Webinars are a VERY useful tool.
•
“I love the webinars and would hate
to see them disappear. Charging a
small fee is reasonable. It is still less
expensive than paying for gas and
parking if travelling to a venue to see
a speaker in person.”
•
“The webinars I've attended have
been truly awesome and even more
so because they've been free. Thanks
so much!”
•
Great webinar last night. So great to
have these educational opportunities
— without an additional cost.
•
This is a great tool! It enhanced my
skills in reading articles.
•
I’m happy to have caught up with my
lit search strategies.
•
Wow, I didn’t know technology for
webinars was so advanced. That was
awesome. Thanks for making us all
feel so welcome.
•
It’s nice to have a hands-on session
where one can try the search and
learn as you’re there to assist when
needed.
bcphysio.org
Directions
Library and Information Technology Directions
Are you a “Mobile Physio”? Mobile Apps for
Physiotherapists
by Deb Monkman, MLS, BSc, PABC Clinical Librarian
You can now access the Literature
from a Mobile Device (but the Search
Functionality May Not Be the Same)
Did you know that you can access
PABC’s EBSCO databases — Medline,
CINAHL and PsycINFO — using iPhone
and Android? The search functionality
seems to be the same as the non-mobile
version, which is great news. To set up
your mobile access, you will need to visit
the EBSCO databases and follow the
instructions to have a link sent to your
phone. For details, go to Knowledge
Centre & Library > Library Databases &
Journals > Databases.
PubMed Mobile is also available for all
mobile devices via the web. However,
search functionality is very limited
compared to the non-mobile version.
For example, searches do not map to
subject headings (something that’s very
important for getting great results from
your searches), and the only limits (i.e.
filters) are for free full-text and reviews.
Hopefully, enhancements are on the way!
If your preference is to search PABC’s
OVID databases — Medline, EBMR and
the Cochrane Library — OVID works
with iPad but not yet with other mobile
devices.
A Primer on the Mobile
World for Physios
If you’re thinking about using a mobile
device in your physiotherapy practice,
here are a few tips I picked up from a
free course offered by my professional
association, the Medical Library
Association, on the use of mobile devices
in healthcare.
• Thinking about buying a new
phone? iPhone is the tool of choice
for those in healthcare because of a
superior app store, integration with
iOS devices, namely the iPad, and
lack of fragmentation (where apps
don’t work with certain versions of an
operating system). It also has built-in
security features and the ability to
use VPN, plus Citrix and VMWare for
virtualization. Other phone options
are Android and Blackberry. Our
preliminary survey of PABC members
shows that most physios are using
iPhones.
•
How many people use cell phone
apps? While 82% of adults use cell
phones, only 35% have apps and only
24% use apps. However, the trend is
definitely growing in health care.
•
How are mobile devices being used
in health care? iPads are particularly
popular in hospitals and clinics, with
many buying iPads in bulk. They are
used to find medical information
online, access the electronic health
record, view radiology images,
monitor patients’ vitals and
conditions, and provide patient
education. We will report on how
PABC members use mobile devices
next time, so be sure to add your
voice to the survey in the Knowledge
Centre & Library.
•
What are some of the issues?
There is a growing need for critical
literacy and evaluation of apps.
While consumers are increasingly
getting health information from apps,
claims made online, sponsorship and
marketing are largely unregulated.
Should health professionals be the
providers of quality information?
Review apps for patients and
consumers? Develop their own apps?
Food for thought.
We’re hoping that PABC’s new Treasure
Trove of mobile apps for physios may be
just the ticket for helping our members
become more familiar with what’s out
there, and to access the best of the
best. Visit the Knowledge Centre &
Library > Mobile Apps Treasure Trove or
contact librarian@bcphysio.org for more
information.
A Treasure Trove of
Mobile Physio Apps
PABC now has a treasure trove of mobile
apps for physiotherapists. Browse the
trove to find apps your colleagues are
using and add apps that you use in your
practice. It’s on the PABC members
site under Knowledge Centre & Library
> Mobile Apps Treasure Trove. While
you’re there, please fill out the quick quiz
and give us your opinion.
New Virtual Meetings
PABC is reaching out to members
throughout the province through the
wonders of technology. We had our
first group meeting with 25 PABC
Ambassadors where they could see
Chiara and Rebecca by webinar,
and could hear each other through
teleconference. It was a getting-toknow you for this important group of
leaders who connect public practice
physios to PABC. The meeting was
recorded for those not able to attend.
One Ambassador said “I’m so sorry
I missed the webinar but I’ve just
finished watching it and still feel
connected.” We’ll have an encore
Ambassador virtual meeting in June.
New Clinic
Dan Sivertson has opened Pure Form
Physiotherapy on the Langley Bypass.
His focus is on health and wellness, as
well as on therapeutic areas he knows
best from his own sport interests of skiing,
hiking, competitive running, and triathlon.
Dan spends his spare time playing with
his two young kids at the park.
Directions
bcphysio.org
The Ideal Loop: When Practice
Leads to Research that Informs
Practice
by Maureen Ashe, PhD, BScPT
Maureen Ashe in a lab at the Centre
for Hip Health and Mobility where she
studies older adults’ mobility as it relates
to everyday activities such as crossing the
street.
Looking back when I began my
physiotherapy career almost 25 years
ago, I never envisioned the opportunities
that awaited me. I started practice in
a hospital in order to best appreciate
the many areas of physiotherapy, and
later moved to private practice. This
was an important part of my growth and
understanding of our profession, and
also provided a foundation for my current
research program.
I currently work as an assistant professor
in the UBC Department of Family
Practice, and as an investigator at the
Centre for Hip Health and Mobility in
Vancouver. My work as a physiotherapist
taught me the importance of teamwork
and frequent and clear communication.
I apply this knowledge and experience to
my research endeavours as I collaborate
with colleagues across many disciplines
with a shared interest in understanding
ways to reduce the risk for mobility
disability and the subsequent reduction
in lifespace associated with aging.
The common thread in my research is
the reduction of sedentary behavior
(that is, sitting time), increase in physical
activity and facilitation of community
participation. I work mostly with older
adults, and currently my three main
research projects are: a follow-up
clinic for older adults after hip fracture;
investigating the role of the built
environment on older adults’ outdoor
activity; and looking at ways to reduce
sitting time and increase physical activity
in older adults from Assisted Living. In
each of these programs, physiotherapy
10
plays an important part of my research.
For example, the follow-up clinic is a
randomized controlled trial to test the
effectiveness of identifying, screening
and managing bone health and fallsrisk factors for older adults after a hip
fracture. We recruit older adults within
one year after a fall-related hip fracture
and offer a specialized clinic with a
geriatrician, as well as management by a
physiotherapist, occupational therapist
and other health professionals as needed.
This study has highlighted an important
role of physiotherapists in the recruitment
phase and management of risk factors for
low-trauma fractures in older adults.
The second main research focus
investigates key elements of the built
and social environment that influence
an older adult’s decision to venture
outside. The built environment, or how
the community is organised, access to
sidewalks, the presence of benches etc. is
emerging as an important contributor to
community participation by older adults.
Our preliminary work already completed
in this area, is a pilot study looking at
older adults walking speed as it relates to
crossing the street. We are interested in
practical issues such as what happens to
falls risk factors when older adults need
to multi-task in scenarios such as carrying
groceries and crossing the street. These
are real world problems that older adults
face and physiotherapists problem solve
solutions for on a daily basis.
The third key focus area is looking at
health promotion for older adults from
Assisted Living. Evidence highlights
that older adults who are more active
remain longer in the Assisted Living
setting and therefore do not transition
to nursing home. Therefore, we aim to
develop evidence around what works
well at an individual and population level
for reducing sitting time and encourage
physical activity in older adults in this
setting. Physiotherapists play a key role
in identifying current activity levels,
addressing any mobility limitations that
may preclude activity and can provide
guidance to reduce sitting time and
increase activity.
In summary, my research is grounded
in practice-based questions, and my
physiotherapy education, experience
and collaborations create research
opportunities and possible solutions to
evaluate.
Members’ Kudos
PABC is spearheading some
impressive work. Congrats! GY
Thank you for all your informative
emails, I cannot say enough of how
great I find the PABC team! KG
You guys are doing an awesome
job in promoting our profession
and taking care of everything
behind the scenes, we really really
appreciate it! MW
Thanks for a very digestible way
of receiving the board minutes
(the Key Points email from PABC
Directors). SR
I just read the Winter Directions
and I found it to be fantastic. I
think it is the best Directions yet. Really. Such well informed, thought
provoking articles. I loved the one
on Growing your Practice, and, the
articles on IT ideas for physios are
so current and helpful - can’t wait
to get some of those physio apps
on my new smart phone, and
what a great idea using Skype for
treatment. SR
bcphysio.org
Directions
The Tendinopathy Toolkit:
Bringing BC Physiotherapists the Evidence to
Inform the Clinical Management of Achilles
Tendinopathy
by the Tendinopathy Task force (Michael Yates, Diana Hughes, Allison Ezzat, JR Justesen, Dr.
Joseph Anthony and Dr. Alex Scott, with Knowledge Broker Alison Hoens).
PABC members recently received an
email alerting them to the availability
of the drafts of the TENDINOPATHY
TOOLKIT. Many of you have taken the
time to provide feedback on the content
and format of these tools. Thank you for
sharing your feedback. It has been very
helpful in revising the tools to better
meet your needs. Some of you have
asked for some background on how this
project started and the process that
we undertook to develop the toolkit.
The following is a summary of that
background.
This project was initiated as a result of the
‘call for proposals’ for new PT Knowledge
Broker projects. PABC member Michael
Yates from Penticton requested the
development of resources to guide
clinical decision-making for management
of tendinopathy. In consultation with
the PT Knowledge Broker Steering
Committee this project was selected
from the list of those proposed. The
first step was to assemble a team of
researchers, educators and clinicians with
expertise and passion for this topic. Every
person who was approached graciously
accepted the invitation to participate
(likely because they didn’t realize how
much work was ahead of them!).
The next step was to agree on the
scope and format of the project. The
team defined the scope as a toolkit of
resources that would provide a synthesis
of the evidence on management of acute
and chronic Achilles Tendinopathy. Each
team member took on a specific area
of the literature to review: appropriate
outcome measures for this population,
manual therapy, exercise, low level laser
therapy, ultrasound, extracorporeal
shock wave therapy, iontophoresis
using dexamethasone, taping, orthotics,
night splints and braces, heel raise
inserts and needling techniques. Over
a period of approximately one year we
acquired, evaluated and synthesized
the literature into a table that provided
‘take home messages’ and clinical
implications. The details of each of
the articles reviewed were assembled
into an appendix so that, if desired,
clinicians could find out the specific
methods and outcomes described in
each study. In consultation with other
clinicians it was also determined that
other supporting resources needed to
be provided: (1) an algorithm guiding
when to include selected interventions,
(2) guidance on how to calculate the
dose for low level laser therapy and (3)
the specific prescription parameters for
eccentric exercise programs for Achilles
Tendinopathy. We sent these out for your
feedback and are currently revising them
to better meet your needs. We also plan
to host a webinar (which will be recorded
for those who cannot attend on the
evening of the webinar) to demonstrate
how to use these resources and to answer
any further questions. Keep watching
your email for announcements about this
webinar.
The team will be submitting an abstract
of this work for presentation at the
upcoming 2nd International Scientific
Tendinopathy Symposium which will be
held in Vancouver on September 27-29 th
2012 (see www.ists2012.com for details
about the Symposium).
After the work on the Achilles
Tendinopathy component is complete,
the team (believe it or not) wishes
to undertake the same process for
management of tendinopathy of the
lateral epicondyle — what a keen group!
This is a very exciting project and, based
on the feedback that we have received,
is a welcome addition to help members
with this challenging area of practice. It
is important to note that the resources
in the Tendinopathy Toolkit are meant
to inform but not direct your clinical
decision making. Recall that evidenceinformed practice requires the integration
of (1) best evidence from the literature
(2) clinician experience and (3) patient
preference. All three components are
required – accordingly, evidence alone
should not dictate practice but rather
be combined with your experience and
the patient’s preferences. Our hope was
to provide you with a summary of the
evidence that you could then integrate
with your experience and your patients’
wishes.
Please feel free to contact me at alison.
hoens@ubc.ca if you have any questions
or comments about the Tendinopathy
Toolkit.
PABC’s Kootenay Director
The Kootenays region elected
a new Director. PABC thanks
outgoing Director Kirby Epp
who has led the region for seven
years and who has reached the
term limit. We welcome Craig
Sully to the Board. Craig co-owns
Kootenay Health Services, was
on CPA’s Ortho Div executive for
three years (Editor ODR), and has
four children under eight years old.
11
Directions
bcphysio.org
Public Practice Directions
Out-Patient and Community Rehabilitation Review
by Chiara Singh, BScPT, Public Practice Advisory Committee Chair
The template then went back to the
working group in order to rank the
services using the Multi-criteria Decision
Analysis Method (MCDA) and then
determine the priorities for the core OP
services that will be provided across the
province.
Chiara (r) and RBT in Ambassador webinar
In trying to keep up with all things public
practice, PABC recently became aware
of a review that is being carried out by
the Ministry of Health that will have an
effect on out-patient (OP) and community
physiotherapy services. PABC has been
working behind the scenes on your behalf
(with UBC-PT) to get more information
and offer input into the review process
in order to make sure that evidencebased physiotherapy practice is wellrepresented in the review.
The review looks at OP and community
rehabilitation services in 58 service
bundles and aims to develop an
evidence template for each bundle.
Some examples of the bundles are pain
management, vestibular management,
therapeutic exercise-amputation, hand
therapy and lymphedema management.
After these bundles were identified,
they were divided between the 5 health
authorities (VCH, FHA, IHA, NHA and
VIHA). Each bundle was assigned a
template sponsor, a key contact/expert
and a feedback group. In a very short
timeframe, these groups were expected
to complete the template which includes
the following headings:
• Target population
• Detailed description of the
service
• Benefits resulting from the
provision of this service
• References
12
Simply put, MCDA has 4 steps and uses
stakeholders to:
1. Define the criteria that are important
for judging a service. Examples
include costs, the strength of
evidence, and accessibility.
2. Assign weights to each criterion.
One method is to give each person
a set of points, say 100, and then
he/she assigns them based on his/
her own judgement of the criteria’s
importance. The data will be
summarised to create a weighting
grid which will be used in Step 4.
3. Weigh each service option against
another service option using the
criteria defined in Step 1.
4. Combine the information from Steps
2 and 3 to rank order all services
evaluated by this process.
Here is a summary of the process as
described by Heather Boersma, MPT,
Therapy Manager, who has liaised with
PABC on this matter:
“The out-patient and Community
Rehabilitation Review came as a
request by the Health Operations
Committee for guidance around core OP
rehabilitation services. The working group
comprises representatives from all BC
Health Authorities including a variety of
practice areas.
The Multi-criteria Decision Analysis
Method (MCDA) was recommended by
a physiatrist as a potential tool to guide
the process. MCDA is an approach to
the development of recommendations
regarding resource allocation. The MCDA
process uses a variety of criteria (such as
alignment to strategic goals of the health
care system, client satisfaction, quality of
life, clinical effectiveness) to determine the
relative value of a service. There are 12
criteria in total against which each service
will be rated, using a 3-point scale of low,
medium or high impact.
The information gathered through
this process will be used to make
recommendations on provincial
rehabilitation priorities; it will provide
high-level decision makers enough
information to compare a variety of
rehabilitation services. The goal is to
ensure that the right services are offered
to the most appropriate populations and it
is not about cutting services.
The MCDA process required the
working group to identify the services,
develop and define the criteria, perform
information gathering to complete the
service templates and finally undertake
the validation of the service templates. We
are currently in the validation phase of the
project.
If you have any questions please contact
Julie Chace, Team Lead in the Hospitals
and Provincial Services Branch of the
Health Authorities Division. She can be
reached at Julie.Chace@gov.bc.ca.
To date, PABC has brought forward
concerns about the too short timeframes
for this process, which had no designated
time and support to assist with literature
searching. PABC also raised pointed
concerns about the lack of consistency in
the process among the teams. And lastly,
PABC identified physiotherapists with
expertise in each of the service bundles to
be a part of the working groups.
PABC will continue to advocate on behalf
of public practice members during this
process, and at time of print was awaiting
an update report from MoH.
bcphysio.org
Directions
Mentorship: Moving the Profession Forward
by Allison Ezzat, BScPT, MClSc, MSc (candidate)
Allison Ezzat
The very first patient I saw as a brand
new fully registered physiotherapist
was a lady with shoulder pain. I vividly
recall everything about her visit. I
remember thinking excitedly that I would
always remember this lady as my first
‘real’ patient. I also remember hoping
sheepishly that she had no idea that she
was my first real patient! Amazingly, I
got through that first assessment, had
a successful treatment, and she even
re-booked. Wow! I was a full-fledged
physiotherapist!
When I reflect on my early experiences,
those first few years of practice were a
whirlwind of learning. I am so grateful to
the therapists who have been mentors
to me throughout my career. They
willingly shared their immense knowledge
and expertise, while stimulating and
challenging me, and providing me with
insightful guidance on treatment plans
and career direction. I know I wouldn’t be
where I am today without their influence.
Physiotherapy is an evolving profession
in Canada with ongoing changes to
the scope of practice, meaning that all
physiotherapists, not only new graduates,
must continually update their knowledge
and skills. While many specialized postgraduate courses exist, mentorship
is thought to be a powerful tool to
advance both clinical reasoning and
practical skills.1,2 So when I embarked
on my Clinical Masters a few years ago,
I decided to investigate the role that
mentorship plays in developing the
physiotherapy profession in Canada
through a research study.3
Using qualitative methods, I interviewed
14 physiotherapists practicing in British
Columbia, all with extensive mentorship
experience. I asked them to reflect
on their experiences of receiving and
providing mentorship and to describe
the impact mentorship has had on their
careers. These interviews were later
transcribed and analyzed with the help of
a data management software program.
The results revealed what an amazing
and inspiring foundation of mentors we
have in British Columbia. Mentors were
passionate, motivated, and energized
about learning, patient care, and moving
the profession forward. They described
mentoring as a “partnership of how to
learn and listen” and that successful
mentoring required that both mentor
and mentee invest in the relationship.
The true meaning of mentorship as they
experienced it consisted of four core
themes: building passion, keeping fresh,
making us stronger, and promoting
deeper learning. All mentors expressed
the importance of mentorship, both
as a mentee and mentor, in their own
professional and personal growth. They
saw it as an essential component in
developing both hands-on skills and
self-reflection, raising the overall quality,
expertise, and image of the profession,
and giving back to the physiotherapy
community.
Mentorship demands engagement from
both partners to be successful, and
this research illustrates it can benefit
mentees, mentors, and the profession
as a whole. As PABC members, it is our
energy that drives the profession in
British Columbia. If we all participated
in mentoring activities, it would only
serve to make us stronger and no doubt
result in better patient care. Regardless
of where you are in your career, consider
challenging yourself to find a place for
mentoring in your own practice and we
will all reap the benefits. By reaching out
to that new graduate physiotherapist or
reconnecting with a previous mentor you
can experience the multitude of benefits
mentorship can offer.
References
1)
Solomon P, Ohman A, Miller P. Follow up
study of career choice and professional
socialization of physiotherapists. Physiother
Can. 2004;56(2):102-10.
2)
Takeuchi R, O’Brien MM, Ormond KB,
et al. “Moving Forward”: success fro ma
physiotherapist point of view. Physiother Can.
2008;60(1)19-29.
Ezzat AM, Maly MR. Building passion develops
meaningful mentoring relationships among
Canadian physiotherapists. Physiother Can.
2012;64(1):77-85.
3)
Allison Ezzat is currently completing
her Masters of Rehabilitation Science at
UBC and the Arthritis Research Centre of
Canada investigating knee osteoarthritis
risk factors and prevention strategies. She
also practices clinically at Aquatic Centre
Physiotherapy in West Vancouver.
Public Practice
Excellence
PABC congratulates our many
members who won Awards at
Vancouver Coastal’s Step-up day on
March 20 th. Presented by Nancy Cho
for excellence were:
Di Cook (mentor), Catherine McAuley
(collaborative practice), Rebecca Shook
(research), Lauren Thast (outstanding
new grad), Kathy Petts (role model).
Physio is 67 Years Old!
Jesse Royer, our Member Services
Manager with a Master of Library and
Information Science, did some research
and found our physio association was
born on February 7, 1945.
Thereafter, private practice became
a growing trend that led to the BC
Physiotherapists in Private Practice that
was incorporated November 21, 1984.
The two organizations amalgamated
June 3, 1996, to form the Physiotherapy
Association of BC, “PABC”.
13
Directions
bcphysio.org
Private Practice Directions
PABC Meets the BC Minister of Labour
by Perry Strauss, BHScPT, MHA, Business Affairs Committee Chair
British Columbians. We described the
impact of early intervention for injured
workers on improved recovery and
function. An injured worker who is quickly
put in control of his or her recovery is
more likely to return to work earlier, and
the potential for prolonged disability and
subsequent negative comorbid health
effects is reduced. As a physician, the
Minister was quick to recognize the benefit
of early intervention.
Meeting with the Minister of Labour
L-R: Rebecca Tunnacliffe, Minister
MacDiarmid, Perry Strauss
PABC has a vision when it comes to the
rehabilitation of injured workers. Treat
the worker like an injured athlete — treat
them early. Early intervention is proven to
shorten the length of disability. This vision
also extends to return to work. We know
that health care workers are the people
that injured workers trust the most to be
communicating with the employer. We see
physiotherapists as the best providers for
assessing restrictions and capabilities and
communicating these to employers of BC.
PABC is set on making this vision for
reducing needless disability a reality. This
has to include injured workers getting
direct access to their physiotherapists.
To that end, Rebecca Tunnacliffe and I
sought the opportunity to meet with the
Minister of Labour, the Honourable Dr.
Margaret MacDiarmid, responsible for the
Workers Compensation Act. The Minister
was very responsive to our request and we
were offered an appointment within just a
few weeks, on March 16th in the Premier’s
office. The Minister had read our brief,
which is available on our Members Only
website.
The meeting was our opportunity to
express our vision and to describe the
impacts of reducing needless disability,
with a positive net financial benefit to
14
The second impact is the benefit to
employers, both small and large. Large
employers in BC have long worked to
develop accommodated work options.
These proactive moves are only effective
when the employer has access to the
safe capabilities of the worker. With
early intervention, a physiotherapist
has the competencies to report on the
possible restrictions and capabilities for
large employers to accommodate. Small
employers are not always ready with
programs and well-practiced procedures
for workers returning from injury. The
expertise of a physiotherapist can help
the employer and worker recognize job
demands that fit the capabilities and
encourage a progressive recovery. The
cost of needless disability to employers,
both small and large, is significant and
relates not only to WorkSafe BC premiums,
but also to the cost of hiring and training
to replace the worker.
The third impact is the benefit to the
medical profession and associated costs.
Physiotherapists see approximately 25,000
injured workers per year. The vast majority
of these claims require a physician visit
to start the claims process. This initial
physician visit plus subsequent visit(s) are
often administrative when considering
the nature of many work-related injuries
can be treated appropriately with
physiotherapy. The injured worker ends
up there anyways! Given the provincial
shortage of physicians and vocalization
of many physicians that they prefer to
reduce the ‘paperwork’, direct access to
physiotherapy and Qualified Practitioner
status is recommended.
These impacts were the basis for the
proposal to drive towards a new model
where physiotherapists have Qualified
Practitioner status and are contracted to
provide the relevant functional information
necessary to facilitate early return to
work. The model would also need to look
at the gap between first visit and claim
acceptance. Currently, WorkSafe BC will
not pay for treatment until the claim has
been accepted. This can take 2-3 weeks.
The model would need to address this
gap by identifying potential funding. The
potential risk associated with the cost
of paying claims that ultimately are not
accepted is low given the low percentage
of claims that are declined, and when
considered in the context of the potential
savings of early intervention for the
employers of BC.
The Minister recognized the case and
expressed interest in facilitating a better
solution for employers and injured workers
of BC. She explained that it is rare for the
Ministry of Labour to enforce legislation
change upon WorkSafe BC but that she
will take this case into consideration for
future action. Rebecca and I were pleased
with the response from the Minister and
are hopeful to engage with WorkSafe BC
to make the vision for reducing needless
disability in BC a reality.
PABC’s WorkSafeBC Liaison
to Speak
Jamie MacGregor (Okanagan Hand
Therapy) has been asked to be a
keynote speaker at WorkSafeBC’s
annual conference on June 8th. This
is in recognition of his leadership in
WSBC’s physiotherapy shoulder pilot
with Fraser Health, and his insights
on the profession’s behalf in treating
injured workers. Details at www.
healthprofessionalconference.com
bcphysio.org
ICBC Update
by Marj Belot , BScPT, MSc, CAFCI,
RCMPT, PABC’s ICBC Liaison
Once again I have to report that ICBC
has been very focused on internal
reorganization, so there has not been any
substantial progress regarding
E-forms, ICBC adjuster education
regarding physiotherapists’ credentials
and scope of practice, or fees since the last
issue of Directions.
Linda Calbick has now moved from
acting to permanent Manager of Injury
and Technical Services, and will continue
to Liaise with the PABC office and me
regarding day-to-day problem solving.
Linda has been very active in promoting
regular communication and timely
resolution of problems as they arise.
We have been working on a member
information sheet on working with ICBC
that includes questions commonly asked
by members and ICBC clients, such as
clarification of the policy around 20 visits.
Physiotherapy finally has a presence on
the ICBC public website ICBC.com. We
have Linda to thank, and are continuing
to lobby at the VP level for an increase in
visibility especially compared to the other
provider group on the same page. For the
moment, it is on the right hand side of the
page under “related links” which leads
to our “Find a Physio” directory. We’ve
been told the ICBC.com web pages will be
revised, and are hopeful that we will have a
larger presence when all is said and done,
although we’ve been told in preliminary
discussions that we don’t have the same
presence on the site because we do not
have a contract with ICBC. If you would like
to comment on this please contact ICBC’s
Sheryl Kozyniak at (604) 647-6043.
Jesse Royer (PABC Member Services)
recently moved archived information
regarding ICBC to the new PABC website.
If you have comments or questions
regarding any of the information on the
site, or other ICBC related questions or
comments please contact Jesse at PABC or
me at belotphysiotherapy@gmail.com.
Marj has been clinical associate at West
4th Physiotherapy Clinic since spring 2008,
and is a registered instructor with the
Orthopaedic Division of CPA
Directions
What Happens when a
Web Designer becomes a
Physiotherapist?
SimpleSet Pro – Advanced Exercise Prescription Software
by Travis Brunn, MPT
Prior to becoming a physiotherapist here in the beautiful Okanagan, I had a first
career as a professional web designer. During the past two years, I have worked
with a talented team of physiotherapists developing a new online tool for exercise
prescription — SimpleSet Pro. SimpleSet Pro was
launched in January 2012, and we are pleased
that the response so far has been overwhelmingly
positive. I would like to give you a brief
introduction to our software, and share with you
our vision of how SimpleSet Pro can help you in
your practice.
From the outset, our goal with SimpleSet Pro has
been to develop a system that makes creating
high-quality exercise programs easy. We have a
practical view of how exercise software should
work: It has to be simple enough that anyone
can use it without having to devote a lot of time to learning it, and it has to be fast.
Using SimpleSet Pro, you can design fully customized, professional-looking exercise
programs in less time than it would take you to write them out by hand.
In addition to simplifying the process of exercise program design, we are striving for
effective ways to extend the clinician-client interaction beyond the clinic – adding
value for the client and improving client outcomes. Because SimpleSet Pro exercise
programs can be delivered by email, changes and updates are easy to make, and
are received by clients instantly. SimpleSet Pro facilitates communication, and gives
clinicians advanced tools for tracking client progress.
Under the hood, SimpleSet Pro pushes the limits of what is possible with modern
internet technology to create a seamless and enjoyable user experience. It is our
philosophy that information technology tools for physiotherapists should be cuttingedge, not only to improve the delivery of physical therapy, but also to advance the
profession. We are committed to ongoing development of SimpleSet Pro in service of
these goals.
SimpleSet Pro is currently in the testing phase of development. I would like to invite
you to visit our website www.simpleset.net to learn more about us, and to sign up for a
free account to try our software. Your feedback is very important to us, to help create
the best exercise prescription software available.
If you have any questions, please feel free to contact me by email: trav@simpleset.ca.
Travis Brunn is a recent graduate from the University of Saskatchewan. After
graduating, he spent a year in Stockholm, where he began developing SimpleSet Pro.
Travis now lives in Penticton, where he practices at ProPhysio Clinic. He and his wife just
had their first baby, a boy named Felix.
15
Directions
bcphysio.org
Auditor’s Report for 2011
To PABC Members
This condensed financial report has been extracted from the audited financial statement for the year
ending December 31, 2011 as reported by our auditors Morrow and Company Certified General
Accountants. A complete copy of the audited financial statement is available to PABC members
through the PABC Office.
Physiotherapy Association of British Columbia (a branch of CPA)
YEAR END FINANCIAL STATEMENTS
AS AT DECEMBER 31, 2011
STATEMENT OF FINANCIAL POSITION AS AT DECEMBER 31, 2011
2011
ASSETS
Cash
2010
$ 55,971
Temporary investments
$
Prepaid expenses
Inter funds receivable
CAPITAL ASSETS
$
2010
34,495
Provincial fees
$494,301
$484,298
Website
4,539
659
44,160
27,363
Interest
8,137
4,865
5,581
6,466
251,267
292,036
1,123,874
2,097
1,207, 496
2,996
1,125,971
$
Newsletter
15,204
14,710
Professional Development
46,741
44,826
Other non-dues revenue
12,907
12,500
CPA Whistler Congress
5,000
-
586,829
561,858
20,363
11,778
1,210,493
EXPENSES
LIABILITIES
Accounts payable and accrued liabilities
$53,582
$ 70,320
Inter funds payable
251,267
292,036
Bad Debts
Deferred revenue
280,899
256,859
585,748
619,215
FUND BALANCES
Unrestricted
Invested in capital assets
Internally restricted
$
Annual general meeting
101
3,394
Board operations
27,589
22,785
Committees
22,718
22,277
Communications
97,011
106,132
Computer system
5,565
5,159
Congress and conferences
4,814
7,682
3,001
1,426
286,859
296,246
2,097
2,996
251,267
292,036
District allotments
591,278
Donations and awards
496
774
Government relations
1,071
1,499
540,223
1,125,971
$
1,210,493
Full financial statements for 2011 are
posted on the PABC Members Only Site
at www.bcphysio.org
Knowledge Broker
14,019
-
Newsletter publications
26,736
23,998
Office
27,074
24,478
President's and officers' expense
8,3223
7,682
Professional development
38,386
22,700
Professional fees
48,515
47,441
212,014
197,627
Staff development
1,349
2,234
Staff expenses
3,246
2,963
Strategic development
1,500
1,500
Student support
3,344
4,062
Salaries and benefits
EXCESS (DEFICIENCY) OF REVENUE OVER
16
2011
REVENUE
847,137
766,895
Accounts receivable
STATEMENT OF OPERATIONS FOR THE YEAR ENDED DECEMBER 31, 2011
553,216
517,561
$33,613
$ 43,329
bcphysio.org
Directions
PABC Volunteers:
Our Grateful Recognition for your Work in the Past Year (May 2011-2012)
Members give of their time and expertise to make PABC one of the most active of all Associations. From the Board President and
Directors to committee and task force members, PABC’s volunteers make time in their demanding schedules to provide leadership
to the profession. Among our committed member volunteers, we include our evening lecture series and webinar instructors.
These members receive no remuneration, only the satisfaction of being part of the fabric of this thriving organization. Please join us
in recognizing the hundreds of volunteers who make PABC an accomplished organization.
INSTRUCTORS (Evening Lecture,
TASK FORCES
Webinar and Journal Club series)
New Grad Retention: Tasha Carmichael
(chair), Sarah Stroh, Colin Beattie,
Jonathan Coelho, Karen Bhartu, Michelle
Soh.
Deb Treloar, Rick Celebrini, Diane Lee,
Meena Sran, Michael Hunt, Kristin
Campbell, Joseph Anthony, Teresa LiuAmbrose, Alex Scott, Laura Patrick, Mark
Borslein, Carol Kennedy.
COMMITTEES
Board: Scott Brolin (President), Kirby
Epp, Irene Goodis, Lois Lochhead,
Remmert Hinlopen, Val Neifer, Tanja
Yardley, Jason Coolen, Aart van Gorkum,
Michelle Soh, Susan Moriarty, Dr Bill
Mackie, plus Jonathan Coelho and Sarah
Stroh (retired)
Public Practice Advisory: Chiara Singh
(chair), Susanne Watson, Anne Rankin,
Tara Pollock, Tasha Carmichael, Stacey
Rigby, Jill Longhurst, Irene Goodis, plus
Nicole Coffey (retired).
Business Advisory: Perry Strauss (chair),
Scotty McVicar, Marj Belot (ICBC Liaison),
Jamie MacGregor (WCB Liaison), Jason
Coolen (Board Liaision), Salveen Jagpal,
Patrick Jadan, Kerry Maxwell, Tony Gui,
Peter Francis, plus Patrick Mayne (retired).
Fee Negotiations: Marc Rizzardo, Perry
Strauss
Professional Development Advisory:
Andrea Reid (chair), Jordan Monks,
Jennifer Keefer, Cindy Ashton, Waymen
Wong, Anne Linton, Cameron Bennett,
Patrick Jadan, Erin Meggait. Louise
Didyk, plus Judith Mathieu and Bev
O’Sullivan (retired).
Finance: Remmert Hinlopen (chair),
Rebecca Meeks, Kirby Epp, Allison
Downie, Morgan Tam (CA)
Librarian Advisory: Andrea Reid, Ross
McKinnon, Sylvia Giles, Marta Kemecsey,
Dave Pechter, Sherrill Rutherford, Kristen
Playford
Promotions: Cassandra Basi, Corine Van
Doorn, Helen Ries, Isabelle Chagnon,
John Beesley, Riley Louie, Scott
Okrainetz
Safe Patient Handling: Tanya Kessling
(chair), Kathryn Snider, Cathy Hazzard,
Tara Pollock, Joanne Moorhen, Susanne
Watson, Sarah Rowe, Peter Goyert,
Barbara Purdy, Stacey Rigby, Gabrielle
Yoneda
Ambassadors: Andrea Chan, Agatha Ng,
Angela Ozero, Anita Olson, Anne Voute,
Bryce Kelly, Cameron Prentice, Cheryl
Thompson, Chiara Singh, Courtenay
Hilderman, Dan Mueller, Dora Foote,
Elizabeth Ballard, Erna Beunder, Gail
Booker, Hayley Carter, Holly McRae
Jones, Isabelle Chagnon, Jackie Collins,
Jackie Eves, Janet Lundie, Karla Gallagher,
Kathryn Snider, Kim McLeod, Liz Frey,
Margaret Chafe, Michelle Jacobs,
Monique Ledoyen, Moya Stokes, Osita
Hibbert, Patricia Takeuchi, Rebecca
Shook, Ruth Mueller, Sandra Squire,
Shannon Stofer-See, Shawndelle Pocha,
Tara Pollock, Val Ward.
Directions Columnists: Scott Brolin, Perry
Strauss, Chiara Singh, Timberly George,
Scotty McVicar, Marj Belot, Andrea
Reid, Sue Murphy, Jayne Garland, Jamie
MacGregor, Marj Belot, Patricia Otukol.
Knowledge Broker Projects: Carol
Kennedy, Marj Belot, Antonio Zenone, Bill
Lyons, Guido Wisotzki, John Howick, Beth
Hornblower, Diana Hughes, Michael Yates,
JR Justesen, Allison Ezzat, Catherine
McAuley, Marie Westby, Dave Troughton,
Maureen Duggan, Melissa Idle, Rubyanne
Meda, Stan Metcalfe, Judit Spence,
Heather Branscombe, Andrea Neufeld,
and physio researchers Dr. Darlene Reid,
Dr. Alex Scott, Dr. Joseph Anthony,
Dr. Linda Li, Dr. Pat Camp
Privately Sponsored Courses/Events
Details at www.bcphysio.org - Courses and Events
May
 Pediatric Vestibular Rehabilitation Assessment and Treatment, Abbotsford,BC
 Soft Tissue Release Training Workshop, Langley, BC
June
 McKenzie Method Part A - The Lumbar Spine, Burnaby, BC
 Basics of Traditional Acupuncture & Oriental Medicine (BTAOM), Vancouver
 UBC Rehab 2012 Job Fair, Vancouver
 Soft Tissue Release Training Workshop , Victoria, BC
 Hippotherapy - An Introduction, Langley, BC
 Assessing Performance & Preventing Injuries, Kelowna, BC
September
 Mov't Systems Syndromes of the Lumbar Spine and Hip (Sahrmann), Vancouver
November
 Jing Luo Energetics for Pain (JLEP), Vancouver
 CBIA Basic Bobath Course, Vancouver
17
Directions
bcphysio.org
School Corner
Expanding our
Reach to Northern
BC: The Sequel
Robin Roots, UBC MSc
graduate, returns to us in a
new role
by S. Jayne Garland, PhD PT, Professor
and Head, Department of Physical
Therapy
We are thrilled to welcome Robin Roots
back to the Department as Clinical
Coordinator, Northern and Rural Cohort.
Robin worked as a physical therapist
in rural British Columbia for 12 years
before returning to academia. She
recognized that there was a need for
research regarding rural rehabilitation
and that uncovering evidence behind
this unique practice would help address
the challenges of rural recruitment
and retention and the scarcity of
resources in those communities. A
better understanding of Occupational
and Physical Therapy practice in rural
areas, providing information needed
to inform an educational framework for
rural practice, was the goal of her thesis
study. She conducted interviews with
OTs and PTs working in rural and remote
communities in British Columbia which
illustrated the influence of rurality on
the practice of OTs and PTs. One of the
issues participants identified was the
need for support to increase recruitment
and retention such as the inclusion of
rural placements during entry-level
training programs, increasing access to
continuing professional development,
formal mentoring programs and
professional networks. These are exactly
the types of activities we hope to put in
place with the funding of the Northern
and Rural Cohort. Her research asserts
the importance of curricular content
in professional training programs
that addresses the rural context and
continuing professional development
support for rehabilitation professionals in
rural areas.
Robin’s knowledge and passion for
improving rural practice make her an
18
ideal asset for this new position and we
look forward to her contributions as we
embark on our new partnership with
UNBC in the Northern and Rural Cohort.
Anyone interested in learning more
about the Department or becoming a
clinical educator can access a variety of
resources in our website at
www.pt.med.ubc.ca.
UBC Clinical
Education
by Sue Murphy, BHSc(PT), MEd
Associate Head, Clinical Education
It has been a busy few months since the
last newsletter. In early February the UBC
MPT Clinical Education Team (Carolyn,
Ingrid and I) hosted a very successful
Clinical Education Symposium. According
to participants, our joint objectives
of generating input from the clinical
community and providing information on
some of our recent initiatives were very
successfully met. Unfortunately no invitees
from private practice were able to join us,
and one of our goals for this next year will
be to reach and serve the private practice
community more effectively.
We also heard that communication with
preceptors and preceptor recognition
are key areas, and we will be developing
initiatives to address these. The
proceedings from the symposium
are posted on our website; we would
welcome your feedback and comments.
As you may have seen in the latest
CPTBC newsletter, the University of
Alberta will be sending out a national
survey to examine factors influencing why
you do (or don’t!) supervise students. I
would like to request/beg/plead (!) that
you participate in this survey, as it is a
very important study that will inform
the development of the new Canadian
evaluation tool.
UBC will also be participating in a study
from the University of Toronto that will
explore in more depth the perspectives
of clinical educators on the new Canadian
evaluation tool. If you have supervised
one or more students in the last 3 years,
have an interest in student evaluation,
and are available for a 2-hour in-person
meeting at UBC at 4.30 pm on June 11th,
please contact us.
Last but definitely not least, as you will
see from Dr Garland’s column, we are
very excited to have Robin Roots join the
Clinical Education team on May 1st. A very
warm welcome, Robin!
Will Work for Food
by Patricia Otukol, MPT2 Student
Columnist
With only a few months until we MPT2s
write our national exams, one topic
pervades our minds: EMPLOYMENT. That
is why our most recent PABC Pizza and
Practice lecture was most enticing. Joe
Melo, a 2011 UBC Graduate, came to talk
to us about his experiences as a new grad,
give tips and advice on job hunting, and
discuss what we as prospective PTs can
look forward to. Here’s a quick taste of
what I learned from this session.
1. Keep your options open: While many
of us have begun to fantasize about
our dream jobs, this may not be
realistic for a new grad. One of the
biggest challenges we may face is to
get a proverbial “foot in the door”,
so if you can sneak your foot in
somewhere, try and squeeze your leg
and thigh in too.
2. The number one resource for a new
grad is Placement: Joe shared his
experience finding a job with us,
and noted that his performance on
placement was a major contributing
factor to his future employment.
So, every PT student should be
considering their clinical supervisors
as future employers and colleagues.
For clinical supervisors, this might
also be an opportunity to give
feedback to students – Is this
someone that you would employ after
their graduation?
3. Being a new grad is not a
disadvantage: Many of us have the
mind-set that since we are new grads,
we are less attractive candidates for
bcphysio.org
jobs. However; we’ve been reassured
this isn’t always the case. With our
new degrees may come fewer biases
and minds more open to change and
mentoring.
We are eager to finish our courses and
begin putting all that we have learned into
practice. But if you’re reading this article
and thinking, “I am a potential employer,
and there is a lot more that UBC MPT
student should know about employment,”
it’s your lucky day. UBC Rehab’s annual
job fair is going to be held on June 16,
2012. This is a great opportunity to reach
out to fresh-faced graduate students and
for students to meet future employers.
For details, contact Hannah Tan at
rehabjobfair@gmail.com. Hope to see you
there!
At Last We are New
Grads, but Now
What?
by Sarah Hrabi, MPT
Twenty-six months of courses behind us,
we start our professional careers. When
the last day of placement arrived it felt like
there should be cause for celebration. But
many of us felt that, despite the relief of
knowing we had passed the requirements
of the UBC MPT program, an entire new
set of stressors had appeared. Excitement
mixed with apprehension.
We asked what was going to be
required of us in society now that we
had knowledge and a diploma. We
had the support of faculty members,
administration, and countless instructors
in all avenues of life. But no one sat us
down, looked us in the eyes and said, “Yes
you are done school, so breathe a little bit
— but know that some of the hardest times
are yet to come.”
Our focus on studies suddenly turned to
a focus on job interviews, student loan
payments, loan requests, moving to a
new community or even a new province,
starting work, cultivating new relationships
and re-discovering old ones, and all the
concerns of starting a new professional life.
It sometimes felt like just trying to keep our
heads above water.
Directions
In the first days, weeks and months
in practice, we asked ourselves how
much to say, how much NOT to say in
communications with other staff members,
colleagues and patients. New to us were
the co-worker differences of opinions, and
our feeling of having to prove ourselves
to everyone about everything. As MPTs,
we ask ourselves and are asked by others
“what is evidence-based? What is the
theory behind our decisions?”
And new considerations emerged, like
how to keep our bodies safe, and how to
take care of ourselves in this setting, and
practice in the best possible way.
As weeks turn to months, these doubts
come and go in waves. Patients are
getting healthier, we are learning a lot
of new tools and are jazzed about being
physios. Then one day a client gets off the
table and goes into spasm, limping out of
the clinic, and the awesome feeling ebbs
away to be replaced again by doubt.
Does any of this sound familiar from
your early days in practice? Not all new
physiotherapists in Canada have the
struggles I have described, but all new
physiotherapists gain confidence from
honing new skills into eventual expertise.
Regardless of the difficulties, becoming
an experienced physiotherapist is not
about the destination but the journey.
And that may be the best part about this
profession.
Sarah is currently practicing on
Vancouver Island, covering a maternity
leave for owner Tanya Kessling (see
the Baby Physios column, this page) at
Rehabilitation in Motion.
Little Physios
Corinna Ng gave birth to her first child,
Marcus, on November 20 th at 7 lbs 8oz.
Brent Stevenson welcomed his 3rd
child, Hailey Kate on September 22nd at
7 lbs 8oz. Hailey joins her two brothers,
all born within 37 months!
Kathy Rooke is a new Mom, birthing
Emme Violet on October 5th at 7 lbs
5 oz. Says Kathy, “It’s been a lot of
fun putting all my pediatric physio
knowledge into daily practice....along
with all the other parenting stuff that I
don’t have a clue about!! “
Nadine Nembhard and Dave
Terlicher are proud new parents of Ava
Joy, born March 3rd at 7 lbs 10 oz and
welcomed by sister Mya.
Tanya Kessling and Jason Kowalchuk
had their first child on March 31st. Cairo
Johannes came into the world at 6 lbs 11 oz.
Clair Hochfeld had her first daughter
Rowan Esselaar on May 26, 2011 at
7 lbs 2 oz, so a bit late in telling PABC.
But Clair says, “in hindsight, this allows
me to report that Rowan has physio
genes: she was rolling supine to prone
and vice versa by 12 weeks, crawling
and pulling to stand by 7 months, and
walking at 10 months!”
Travis Brunn is a first time Dad,
welcoming Felix into the world on June
7th, weighing 7 lbs 10 oz. See what else
Travis has been up to on page 15.
Sylvie Côté has her first child, Justin,
on October 24th weighing 7 lbs 6 oz.
PABC Pizza & Practice ( a semi-annual event for MPT students) last
month featured these five new and experienced physios speaking on
topics chosen by the students.
Michael White
L-R: Mon Jef Peeters, Behnad
Honarbaknsh, Joe Melo, Wil Seto
19
Directions
bcphysio.org
Cool Tools for Physios, Summer 2012
In Memoriam
Fran Cluett
(1923-2012)
In 1953, Fran came with her young
family to the west coast where she
began her career at Holy Family
Hospital and was instrumental in
starting its PT Dept. After a varied
career in physiotherapy, she retired
following a decade as the Manager
of Rehab Services for the original
Vancouver Health Department. The
BC physiotherapy community has
lost a pioneer in the profession.
Hendrik (Henk) Jonker
(1958- 2012)
Henk came to Canada from the
Netherlands in 1982, settling in
Kelowna as owner of Rutland Physical
Therapy. He advanced physiotherapy
in BC in many areas, and was one
of the first to bring acupuncture,
pilates, real-time ultrasound, and
osteopathy into practice. Henk’s
career highlights include teaching
physiotherapy in China for the World
Health Organization, and winning
the award for the best qualitative
thesis in osteopathy. Henk enjoyed a
very eclectic and fulfilling, if far too
short, career in his pursuit of helping
others. Says his clinic partner Shari
Brown: “I feel very privileged to have
shared 20 years with him and proud
that we created a clinic that was
always on the leading edge.”
Jackie Whittaker,
now a PhD
Jackie Whittaker is now Dr. Whittaker.
After four years and nine months
of part-time study, on April 16th
she defended her PhD thesis at
the University of Southampton,
UK (Faculty of Health Sciences).
The title of the thesis is Ultrasound
Imaging of the Abdominal Muscles
and Bladder: Implications for the
Clinical Assessment of Individuals with
Lumbopelvic Pain .
20
A blazing intro to Social Media
Are you unsure about social media for your practice? If you’ve been wondering
What is it? Is it worth it? Where do I start? then this is a half-hour well spent.
PABC has done the homework on what you should know, and has a 3-part series of
30-minute sessions.
Join the webinars and Jesse will flash through the basics. If you have specific
questions, send them in and we’ll be sure to cover them: info@bcphysio.org.
Each Wednesday night session runs from 8:00-8:30 pm, followed by Q&A.
•
June 20 - How to Out-Google your Friends
– Learn the ins & outs of googling, some new time-saving tricks,
shortening URLs, and more
•
July 18 - Facebook and LinkedIn
– Learn to leverage these flagships of social media for your practice
•
August 15 - Navigating the ever-evolving Social Media Platforms
– foursquare, Pinterest, Google+
Register at bcphysio.org/event_list
Webinar Journal Club: Manual Therapy, with or without Modalities,
for Neck Pain, May 15, 7:30pm. The last of our Evidence-Informed Practice series
with Alison Hoens and special guest Carol Kennedy will teach you to critically
appraise a systematic review. Register at bcphysio.org/event_list.
Looking for more information to assist your evidence-informed practice? You’ll
also find past webinars, tutorials and web resources on the training pages in the
Knowledge Centre & Library on the members site.
Sock it to me
We ran a “whose feet are these” email contest in which the feet were modelling our
new PABC sport socks. Anna Ogden was the model, and also the designer; PABC
ran the same photo on its Facebook page a few days earlier. The winners of a pair
of the treasured socks were: Michelle Gibson, Farron Fedechko, Matt Wright Smith,
Jill Longhurst, Cindy Ashton, Katie McPherson, & Melissa Idle. We also got two
funny responses:
“Hmmmm. Someone with a huge osteophyte on the dorsum of their foot, or maybe
a ganglion. And they are obviously cool, because they have a pair of Adidas retro
slides in the back ground that are both cool AND comfy.” AR
“Bit of a cyst or ganglion on top the left>right foot, might be related to some
mid-foot degeneration. Bit of arch loss and a bit of big toe valgus starting so not a
teenage pair of feet. Adidas flip flops and shoes in background so good chance of
a soccer history.” JJR
Anna’s response: My lump is a bony ossification (so not
ganglion or cyst, but yes left is bigger than right) at the base
of my metatarsal bone and medial cuneiform. I have had it
my whole life (thanks Dad).My soccer playing husband (those
Adidas sandals belong to him, very perceptive) is worried our
future kids might get my generic foot bump and adversely
affect their soccer ball kicking ability! I have no arch — also
genetic (thanks Mom).
bcphysio.org
Directions
Most Active Clinic
Teams in BC
What Members are Doing
Laura Patrick, Kids Physio, won the Best Community
Impact Award at the Small Business BC Successful
You Awards. After many months and multiple rounds of
intense competition and judging in a very competitive
field of her peers, Laura was presented the award by
Trevor Linden in front of hundreds of entrepreneurs
from around BC. Kids Physio Group was awarded the
top spot for “Best Community Impact”. And she gave
us a shout-out, “PABC has been such a support!”
Also, Laura is a nominee for the YWCA Women of
Distinction Award 2012.
Laura Patrick and Trevor
Linden
Neil Pearson was honoured with the Excellence in
Interprofessional Pain Education award from the Canadian Pain Society. This national
recognition is based on the demonstration of innovation, scholarship, relevance to
pain education, and contribution and impact of the work to the field. Neil is the first
physiotherapist to receive this prestigious award, and says he is honoured to promote
the amazing work of physios within this influential national health care body.
Dale Charles and the Sports Clinic
competed in a new relay race in Penticton
— the Elevator. It is a sea (Penticton) to
ski (Apex) race in which Mike Yates/Gary
Weare paddled, Neil Pearson cycled, Phil
Burman did the run/snowshoe (the 7k
snowshoe run is a 2500 foot vertical climb),
Grant Gichard did the mountain bike,
Denise Mend was the nordic skier, and
Shandia Cordingley raced the downhill ski
portion. Jason Gordon was the Therapy BC Consultant for many years, and just moved
to be the Provincial Advocate for the BC Association of Child Development and
Intervention. It is beneficial for the profession to have physios in these leadership
roles.
Erin Macri, UBC Master’s Candidate and trainee at the Centre for Hip Health and
Mobility, has been awarded the 2012 Endeavour Research Fellowship from the
Australian Government. Erin will study for four months at the University of Queensland
with Drs. Bill Vicenzino and Kay Cossley.
Drs. Susan Harris and Kristin Campbell were part of a panel of internationally
known experts involved in the development of a prospective surveillance model
for rehabilitation for women with breast cancer. The model, that may reduce the
incidence and severity of breast cancer treatment-related physical impairments,
was developed over the past year with the support of the American Cancer Society
and input from national healthcare professional organizations and advocacy groups.
Panel members included breast cancer experts from the fields of physical therapy,
exercise physiology, nursing, surgery, radiation oncology, plastic surgery and physical medicine and rehabilitation. The model and evidence to support it are published
as a special supplement to the May journal Cancer.
Dr. Campbell is hosting another BC Cancer Rehab Interest Network webinar
on Wednesday, May 9th 7-8:15 pm. The topic is arthralgia and bone health in cancer
survivors. Registration information at http://clinicalexercisephysiology.sites.olt.ubc.ca
Dale Charles Clinic Elevator Team:
Back row, L-R: Grant Gichard, Neil Pearson,
Mike Yates, Front row, L-R: Phil Burman,
Shandia Cordingley, Denise Mend
(not shown, Gary Weare)
Greg Redman, Wave Physiotherapy
in Kelowna, gets out with his team for
many events each year. The team did the
Kelowna Ski 2 Sea race in Kelowna (alpine
ski, xc-ski, mountain bike, road bike, run
and kayak), they do the Penticton Gran
Fondo, and Greg says they “found the
sport of trail running so the team are all
signed up for the 50K Sun Mountain race
in Washington.”
New Clinics
Nick Lo opened the Physio Room a few months ago, at 3418 Main St. Vancouver,
www.vancouverphysioroom.com. It is a sports injury clinic but also offers bike fitting,
functional screening, IMS, and acupuncture. The fully-equipped gym includes the
Shuttle MVP Pro, Game Ready Ice, and Triton DTS Decompression. Working with
Nick are 3 physios (Deanna Bicego and Bryan Cervantes are both from Nick’s 2006
grad class, and Jessie Wong is a 2011 UBC grad) and 3 RMTs.
Elizabeth Ng and Mike Wong are filling a unique niche; they started a private
practice mobile clinic; myPhysio2go started in February as a part-time endeavour.
It provides mobile physiotherapy services in Burnaby and Coquitlam for those
who wish to be treated in the comfort of their home/office due to time constraints,
mobility issues, etc, and/or those who want one-to-one undivided attention. The pair
are equipped with modern treatment modalities and exercise equipment that you
would find in a clinic environment.
Team Wave at the Kelowna Ski 2 Sea in
April, with co-owers Greg Redman (in
shorts) and Martha Sirdevan (far right),
with their clinic team of physios (Danielle
Rodgers 4th from left) and about-to-bephysios, as well as their RMT and friends.
21
Directions
bcphysio.org
“scored the highest
in all categories”
– BC’s Directions in Physiotherapy : Winter 2011
Clinically proven to grow your practice.
Our innovative EMR + Management Software gives you all the tools you
need to quickly and easily maximize the profitability of your practice.
145
No Long-Term Contract
No Up-Front Costs
Book your demo today: 877.510.7473 www.practiceperfectemr.com | Previously intouch practice management software.
Pilates For Health Professionals
These courses form the link between evolving research in stability training and
traditional Pilates work. They are structured to give you a toolkit that will enable you
to deal effectively with early stage rehabilitation progressing to more dynamic and
specific training.
The many variations of the traditional Pilates repertoire will be broken into key
components and you will learn to quickly and effectively select pathology specific
exercises. Building upon these foundations you will then be able to develop a logical
sequence in movement selection.
This program is designed by physiotherapists for the health care professional.
Places are limited, so early booking is advised.
Level 1: July 7/8 - $475+HST
Pilates for Pregnancy and Postpartum (pre. exp. required): June 3 - $175+HST
Bodycontrol Pilates full Mat Certification Course:
3 intensive blocks of 4 days - Sept/Oct/ Nov
Venue: North Vancouver
Presenters:
Susie Higgins, non-practising reg. Physiotherapist, Bodycontrol Pilates Instructor
Margaret Bowden , non-practising registered Nurse, Polestar Pilates Instructor
For further information on full mat certification and to register for any of the courses,
contact Susie Higgins: ph: 604 970 1057 or email: evolvedpilates@shaw.ca
22
Excellent Opportunity
for Physiotherapist - Victoria
-
Grow to be a world class practitioner
working with our unique
multidisciplinary collaborative team of
practitioners.
Your patient base will include a high
percentage of recreational, professional
and competitive athletes. You will enjoy
great benefits including an annual
continuing education credit and a
competitive billing split. You will also
have access to advanced technologies
such as Shockwave Therapy,
Prolotherapy and PRP.
Synergy Health Management is looking
for a full-time physiotherapist to join our
dynamic team. New grads welcome.
Learn more about our clinic and team at
synergyhealthmanagement.com.
Interested applicants can send questions
and/or resumes to
sandylwilson@shaw.ca
bcphysio.org
Directions
ExpectMore
We’re Looking For You!!
Sometimes you have to make a bold move, leaving the everyday to join an organization that’s really different.
If you’re looking for outstanding career opportunities and enjoying an outstanding quality of life, you owe it to yourself
to choose Northern Health in beautiful Northern British Columbia.
We are currently recruiting Physiotherapists to the following communities:
.LWLPDW3ULQFH5XSHUW4XHHQ&KDUORWWH&LW\+DLGD*ZDLL4XHVQHO'DZVRQ&UHHN
We have Chief Physiotherapist and Staff Physiotherapist positions as full time, part time or casual opportunities. We
are recruiting experienced and recently graduated professionals.
Physiotherapists in NH work in the following settings:
Home & Community Care
Adults and elderly
Work in clients’ home and residential complex care facilities
Work with a variety of diagnoses/disorders such as neurological, orthopedic and musculoskeletal
Collaborate with multidisciplinary teams across the continuum care
3DWLHQWFHQWHUHGFDUHLVWKHFRUQHUVWRQHRIVHUYLFHGHOLYHU\
Acute
$GXOWVHOGHUO\DQGSHGLDWULFVLQVRPHORFDWLRQV
Essential member of the multidisciplinary rehabilitation team
Work with a variety of diagnoses/disorders such as neurological, orthopedic and musculoskeletal
Pediatrics
&KLOGUHQSUHVFKRRODQG\RXQJHUDQGWKHLUIDPLOLHVXQGHUWKH(DUO\,QWHUYHQWLRQ3URJUDPIRUSHGLDWULFV
7RÀQGRXWKRZ\RXFDQExpectMore and to apply on-line, check out our website at careers.northernhealth.ca
At Northern Health you can expect:
%HDXWLIXOVXUURXQGLQJVZLWKXQOLPLWHGRXWGRRUDGYHQWXUHKLNLQJRFHDQDQGULYHUÀVKLQJND\DNLQJVNLLQJELNLQJ
golf, wildlife habitat, camping and more!
*UHDWZRUNOLIHEDODQFHZLWKDIIRUGDEOHKRXVLQJDQGYLUWXDOO\QRFRPPXWH
Continuing education with tuition reimbursement of $750 per year
Eligibility for BC provincial loan forgiveness
Where else would you want to be working!
We invite you to join our team as we build healthier communities and develop a
network of outstanding health care professionals.
Make a difference in the lives of others, and in your own.
Join Northern Health!
Northern Health Recruitment
Telephone: 250-565-2937
Toll-Free: 1-877-905-1155
careers.northernhealth.ca
the northern way of caring
23
Directions
Directions in Physiotherapy
Directions is published four times a year:
Winter, Spring, Summer and Autumn.
Articles on members’ clinical practice are
welcome. The editor retains the right to
determine content. Unless specifically
indicated, statements do not reflect the
views or policies of PABC. Services or
goods advertised are not endorsed by
PABC.
Published by:
PABC, 402-1755 West Broadway
Vancouver, BC V6J 4S5
P: (604) 736-5130, E: info@bcphysio.org
Website: www.bcphysio.org
Production: Heather MacNeil
For Advertising rates, please contact
Stephanie at: steph@bcphysio.org.
Knowledge Team Webinar Recordings
Missed the live webinar? Watch these
free almost-live at bcphysio.org/
members, Knowledge Centre, Training
– Webinars:
The 2012 Evdence-Informed series has:
• Journal Clubs:
- Foot Orthoses in the Management of Patellofemoral Pain Syndrome
- US & soft tissue shoulder pathology
• Lit searching:
- Anatomy of a Literature Search
Parts 1 & 2
- Finding Full-Text Articles
- Beginner’s intro to the eLibrary
Board of Directors 2011-2012
Scott Brolin: President
Tanja Yardley: Vice President, Vancouver
Island Director
Jason Coolen: Greater Vancouver/
Sunshine Coast Director, Private Practice
Liaison
Irene Goodis: Okanagan Director, Public
Practice Liaison
Remmert Hinlopen: Fraser Valley
Director, Finance Chair
Craig Sully: Kootenay Director
Aart van Gorkum: Greater Vancouver/
Sunshine Coast Director
Lois Lochhead: Central Interior/NE
Director
Valerie Neifer: Northwest Director
Susan Moriarty: MPT1 Student Director
Michelle Soh: MPT2 Student Director
Bill Mackie, MD: External Director
Rebecca B. Tunnacliffe: PABC CEO
24
bcphysio.org
PABC Professional Development 2012
Evening Lecture/Podcast Series
Coming this Fall – What’s “up” in the Upper Extremity?
Join us as local leaders Dr. Tom Goetz, Travis Wolsey and Ron Mattison discuss the
management of hand, wrist, elbow and shoulder injuries in athletes
Weekend Courses
* NOTE THE NEW DATE (UBC Anatomy Lab under renovation until July)
Rediscovering Anatomy: Exploring musculoskeletal form and function
with cadaver prosections
July 21/22: with Sean Campbell MSc, Majid Alimohammadi Ph.D,
and regional experts
Using a guided, hands on exploration of cadaver prosections, this course intends
to build on the structural and functional anatomical knowledge of practicing
and aspiring physiotherapists. The goal of the course is to solidify and expand
the foundational anatomical knowledge of participants, to facilitate the clinical
integration of course material, and to expose clinicians to the knowledge and
experience of regional clinical experts. The course will emphasize the link between
structure, function and clinical reasoning.
Mobilization of the Nervous System – Sold Out
December 1/2: with Sam Steinfeld and Laurie Urban
A comprehensive course on the diagnosis and management of physical dysfunction
of the nervous system. With plenty of practical work and the latest neurobiology,
clinicians will be able to rapidly merge the material into all existing manual therapy
frameworks.
To register for courses or lecture/podcast series, follow these three easy steps:
1. www.bcphysio.org and click Courses/Events on the top right
2. read the descriptions; scroll down to “To Register …. Click Here”
3. click “sign up” on the course or lecture you’re interested in
For more information, call PABC at 604-736-5130, ext. 2 or email Andrea Reid at
education@bcphysio.org.
Thank you to our sponsors.
Did you Know?
The President of PABC is a volunteer.
The President and each of the Directors give freely of their time to lead the
profession. They prioritize the work of PABC over other demands on their free
time. The President spends a few hundred hours each year to provide direction
and vision for the profession.
Scott Brolin has served as PABC’s President since 2009; his second term expires at
the spring 2013 AGM. Scott was a Board Director for a term prior to stepping into
the President role. His full-time job is the Program Director for Rehabilitation/Allied Health for Fraser
Health. He is married and has two young children.
PABC is fortunate to have Scott, as well as the 12 Directors, focus their efforts and
volunteer their time to direct this vibrant organization.

Spring 2012 - Physiotherapy Association of British Columbia

Transcription

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