Contemporary Models and Practical Tools in Clinical Reasoning and Clinical Decision Making

Brief outline (Detailed outline)

Outline different models in contemporary clinical reasoning with practical examples using case histories.

Aims:

• Underpin physical therapy reasoning.
• Facilitate the ability to defend interventions to colleagues and third party payers.
• Aid clinicians in making physiotherapy a more objective (multi) treatment modality.
• Stimulate the continuous application of the 5 steps in evidence based practice (EBP) in physiotherapy.

Objectives 

• Facilitate clinicians in making explicit the clinical decision processes that normally take place implicitly and instinctively.
• Stimulate the continuous application of the 5 steps in EBP in physiotherapy management of patients.
• Clearly outline how disablement and International Classification of Functioning, Disability and Health (ICF) terminology can be integrated into patient management in a way that enhances practice.

Organiser

Erik Thoomes (Netherlands)

Erik Thoomes graduated as a physiotherapist in The Netherlands in 1984, specialized in sports physiotherapy in 1991 and graduated as a manual therapist in 1992.  He works as a clinician in his own private practice in his home town as well as in a major sports rehabilitation centre where he works with elite athletes.

He teaches manual therapy at the SOMT educational centre for musculoskeletal therapies in Amersfoort, the major educational program in manual therapy in The Netherlands. He also teaches theory and practical skills at the physiotherapy school of AVANS in Breda, with a special interest in evidence based pratice, clinical reasoning and motor control dysfunction. Erik has presented on Clinical Reasoning at national and international conferences and has recently started his PhD with an emphasis on local motor control dysfunctions in cervical radiculopathy.

After organizing the national manual therapy congresses in The Netherlands for many years, he was the congress committee chairman of the 2008 IFOMT congress in Rotterdam and is now on the IFOMT Executive Committee.

Speakers

Lenerdene Levesque (Canada)

Lenerdene Levesque graduated from Queen’s University, Canada in 1979 with a BScPT and completed her Diploma of Advanced Manual and Manipulative Physiotherapy in 1992.  In 2008 she graduated with a Masters of Clinical Science in Manipulative Therapy from the University of Western Ontario.  She is an Instructor and Chief Examiner for the Orthopaedic Division of the Canadian Physiotherapy Association.  She currently holds a visiting appointment as an Associate Professor in the School of Physical Therapy at the University of Western Ontario and is an active member of the University of Western Ontario Whiplash Research Group.  She is a Teaching Assistant for the Research Methods and Knowledge Translation Course for the Masters of Clinical Science in Manipulative Therapy at the University of Western Ontario and is currently involved in the development of an online course – Introduction to Clinical Research to Support Evidence Based Practice in Manual Therapy with the University of Toronto for the Orthopaedic Division of CPA.  She is a clinician and co-owner of a private practice in Ottawa – Physiofirst Orthopaedic and Sports Centre.  She has presented nationally and internationally on Evidence Based Practice and Clinical Reasoning.  In 2009 she received the CPA Mentorship Award.  Over the past year she participated as a remote facilitator via video teleconferencing for an 8 week Clinical Reasoning Course for second year University of Toronto Physical Therapy students.  She currently holds the position of Curriculum Chair of the Education Committee of the Orthopaedic Division of CPA. 

Bill Vicenzino (Australia)

Professor Bill Vicenzino is the Chair in Sports Physiotherapy at the University of Queensland, Australia where he is Head of Division of Physiotherapy, director of the Musculoskeletal Pain and Injury (MPI) Research Unit and coordinator of the Master of Sports Physiotherapy program. His research activity focuses on the pressing need for an evidence base for current and evolving approaches to rehabilitation and management of MPI. In a physical activity context, MPI interferes with quality of life and impacts significantly on our community, such that an improved knowledge of the management of such conditions will greatly improve our citizens’ health and wellbeing. His research activity takes a 3 pronged approach, involving studies of: (i) effects, mechanisms of action, and clinical efficacy of physical treatments; (ii) the underlying nature of MPI states; and (iii) risk factor identification and preventative strategies in injury. His research to date includes study of manipulation – especially MWM, exercise, foot orthoses and tape in such MPI states as lateral epicondylalgia, patellofemoral pain syndrome, ankle sprain and neck pain. Bill has over 105 peer reviewed journal publications, a book scheduled for release in November 2010 (Mobilisation with Movement: The art, science and evidence),15 book chapters, and serves as an associate editor of the Journal of Orthopaedic and Sports Physical Therapy, British Journal of Sports Medicine, Journal of Manual and Manipulative Therapy and sits on the editorial review board for Manual Therapy. He has presented over 170 invited conference and workshop presentations.

Karim Khan (Canada)

Professor Karim Khan, MD, PhD is an Australian-trained sports physician based at the University of British Columbia (UBC) in Vancouver, Canada. He has a long history of working with physiotherapists in clinical practice and in applied clinical research.
Karim is a veteran of 4 IFOMT and WCPT meetings and he is well known for producing the classic physiotherapy text – Clinical Sports Medicine which is currently in its 3rd edition. Karim is the Editor of the British Journal of Sports Medicine which includes 21 physiotherapists on the editorial board and has published important physiotherapy papers. BJSM aims to stimulate innovation, education, and knowledge translation to influence clinical practice.

Karim practices what he preaches – he accumulates 60 minutes of physical activity daily. Because a week without physical activity has the same personal health costs as smoking a packet of cigarettes, Karim bike commutes, jogs (slowly) or just walks to make up the daily total dose of 60 minutes.

View all satellite programme education sessions

Programme subject to change.