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What would you like to see in an orthopaedic/research course?
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What would you like to see in an orthopaedic/research c... - September 24, 2004 6:09:00 AM
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Bournephysio
Posts: 585
Joined: April 25, 2002
From: Calgary
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Hi Everyone,
The Orthopaedic and Research Divisions of the CPA are considering teaching a combined course. I am trying to get ideas of what PTs would be interested in learning. I think that having both a lecture and laboratory component is important. Having just a lecture component would get dry very quickly.
So what would everyone like to see?
Thanks,
Doug
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Re: What would you like to see in an orthopaedic/resear... - September 24, 2004 7:02:00 AM
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steve
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From: Canada
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Doug,
Fantastic idea! I would be very interested in a course that would assist clinicians in getting involved with research at a clinical level. How to go about designing a research study based on a clinical question, different study designs and their strengths/weaknesses, how to go about data collection and selecting valid outcome measures. I wish I could say that statistical analysis really floats my boat but it would likely be a necassary evil!
Sign me up.....
Steve
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Re: What would you like to see in an orthopaedic/resear... - September 25, 2004 5:00:00 AM
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SJBird55
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From: Michigan
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That all depends on the topic being discussed. If you are talking about an orthopaedic course that is manual in nature or has some motor skills involved, then I would recommend a lab portion. I also think that if there is an opportunity to have the lab portion mixed throughout the lecture portion that is more beneficial then all lecture then all lab. If a lab portion is done, then I also like if the lecturer has additional support staff available and assisting during the lab portion. If special tools are used during the lab portion, it is also nice if there is more than one tool to share between groups.
If you are actually meaning an orthopaedic course that has a strong research component... well, that might be more difficult. I would highly doubt that most therapists are interested in doing or being involved in any research. What could be done though... kind of on the same path as Steve mentions... you could come up with 2 or 3 valid clinical questions that orthopaedic therapists would be interested in. I don't know... for example, what is the discharge functional level for patients that have had a total knee replacement or a total hip replacement in an outpatient setting and is this discharge level appropriate? Can a gold standard discharge level be hypothesized? The therapists could work in groups to come up with the various aspects of a study design and then share with everyone... and the lecture portions could combine the group decisions with some actual recommendations on how to answer that question.
I would actually like a course that spent time discussing the variety of special tests we learn in grad school. I'd like to see time spent on the sensitivity and specificity of each of them. And then, based on the tests that are going to be good assessment tools, a lab portion to be able to specifically practice those particular tests.
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Re: What would you like to see in an orthopaedic/resear... - September 25, 2004 3:57:00 PM
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Jon Newman
Posts: 1706
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From: Amherst, WI
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Doug,
On keeping the lecture from drying out: I've advocated in a thread in the distant past for a course that offered a debate type format. I think it would be anything but dry and could highlight some contentious issues. Some of the debate could be staged to get the ball rolling but later allow for some audience participation. I think you'd have a great course and may inspire some passion in the ranks.
This could be facilitated by sending a list of references on the topics to be debated to the course registrants with their confirmation. This would allow them to come prepared.
Lab could be based on the "winner" of the debates as voted on by the participants. It would be interesting to see if the winner is always the same each presentation (assuming you're traveling). Or you could address the common techniques shared between otherwise disparate approaches.
Maybe I'm being influenced by our own elections coming up. Especially my reference to that staged part of the debate. Nah, I really think it would be an interesting format and induce a needed element to the profession. It would also acknowledge the tenuous nature of our knowledge of what we do.
jon
Then again, maybe I'll do it. I'll put it on my list.
_____________________________
[URL=http://www.sonymusic.com/clips/selection/30/064887/064887_03_03_30.wav]Evidence[/URL]
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Re: What would you like to see in an orthopaedic/resear... - September 27, 2004 7:04:00 AM
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steve
Posts: 470
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From: Canada
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Doug
After reading SJbirds interpretation of what the course could contain, certainly a course that contained sensitivity/specificity of ortho tests, review of validated outcomes and research based pathology and biomechanics would be very interesting. The lab would take care of itself as you could do the assessment techniques...Ie. going through an evidence based assessment of the sacroiliac joint such as the one presented in the ODR.
Steve
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Re: What would you like to see in an orthopaedic/resear... - September 27, 2004 1:56:00 PM
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Bournephysio
Posts: 585
Joined: April 25, 2002
From: Calgary
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Thanks for the responses so far.
“I would actually like a course that spent time discussing the variety of special tests we learn in grad school. I'd like to see time spent on the sensitivity and specificity of each of them. And then, based on the tests that are going to be good assessment tools, a lab portion to be able to specifically practice those particular tests.”
Our current rough outline of the course includes this and how to seek out the evidence with a literature search with an emphasis of evaluating the validity of the studies. This personally sounds like more of a research course than a combined ortho/research course. The lab portion to practice those tests would help cover the ortho part. I think it would be especially good to look at which tests have been validated and which have not. I'd really like to have some basic biomechanics in there but thats my bias.
I really like the idea of a debate. We have been throwing the idea around of a panel discussion. I think it would be great to have a McGill/Hodges debate but having either would significantly increase the cost of the course. The idea of having the winner of the debate teach the lab portion is an interesting one. It could potentially liven the debate if some of the students really want a particular debater to teach the lab portion. I’ll have to think about that.
Steve, the research division is looking at teaching a few courses on their own as well. Your how to do research would probably make a good one. The plan is to have the combined ortho/research course in Victoria.
Doug
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Re: What would you like to see in an orthopaedic/resear... - September 27, 2004 5:37:00 PM
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Jon Newman
Posts: 1706
Joined: April 24, 2004
From: Amherst, WI
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Hi Doug,
You stated: "I think it would be great to have a McGill/Hodges debate but having either would significantly increase the cost of the course."
Just have two smart people defend each view. I'm sure McGill and Hodges wouldn't mind (unless they've patented their basic clinical reasoning) and I'm sure you'd let them show up and speak for themselves if they were concerned about their point of view being properly defended.
Preparing for the debate would certainly be an educational experience for those doing the debating also. Don't you think McGill and Hodges would field phone calls/emails from the debaters so as to clarify their positions?
Let me know if you do it, I'd love to see it.
jon
_____________________________
[URL=http://www.sonymusic.com/clips/selection/30/064887/064887_03_03_30.wav]Evidence[/URL]
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