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Oncology of the Pelvic Floor Level 1 - Remote Course - December 3-4, 2022
8:00am-5:00pm Pacific Time

Urogynecologic Topics for the Pelvic Rehab Therapist
  • Description

  • Objectives

  • Schedule

  • Remote Course Info

  • Instructors

  • Discounts

Price: $550.00
Experience Level: Beginner
Format: Remote Course
Contact Hours: 17.5 hours

There are over 15 million cancer survivors in the United States. As advancements in care and early diagnosis improves this is expected to increase to over 20 million survivors in the next 10 years. The continuum of care for patients with cancer ideally begins at diagnosis. The rehabilitation professional is an integral part of the oncology team that will work with the patient throughout treatment and into survivorship. In this remote continuing education course, participants will learn topics that will prepare them to be part if the interdisciplinary oncology team. Topics will include the basics of cancer: terminology, staging, medical treatment, and the sequelae of these medical treatments. Coursework includes prerecorded content, as well as video demonstrations of lab techniques, followed by live remote meetings via Zoom, which is free to download here.

The course will address issues that are commonly seen in a patient who has been diagnosed with cancer such as cardiotoxicity, peripheral neuropathy, and radiation fibrosis.  Some holistic medicine topics, including yoga and mindfulness, will be discussed in order to fully prepare the participant to be able to competently work with cancer survivors.

Basics of the lymphatic system will be covered, as well as when to refer the patient to a lymphatic specialist for further treatment. Certified Lympathic Therpaists may skip this course and move on to the level Oncolgoy Level 2A and Level 2B courses. Red flags and warning symptoms will be discussed so the participant feels comfortable with knowing when to refer the patient back to their medical provider for further assessment.

This course is the first in a series. The two follow-on courses will address in-depth pelvic cancers. This introductory course is aimed to get the participant comfortable with working with oncology patients and as part of an interdisciplinary oncology team.


This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.




This course will include a live lab demonstration which can be followed along during the meeting. If participants are able, a live model will allow participants to practice the lab techniques on a human body. If this is not possible, participants may smiply observe. Please have a roll of Kinesotape available for the lab demos. 


Following the completion of this course, the participant will be able to:

1. Describe components of the Commission on Cancer’s guidelines for rehabilitation programs.
2. Correctly articulate common terminology used in oncology medical care such as biopsy, margins, tumor markers, metastatic, in-situ, benign, and remission among others.
3. Describe oncological staging systems used medicine.
4. Describe medical treatment options for cancer patients.
5. Describe common sequelae patients can suffer from due to medical treatment for cancer.
6. Demonstrate manual techniques for fibrotic and adhered tissues in a safe and gentle manner.
7. Appraise symptoms and recognize red flags for cancer patients, and be aware of when to immediately refer the patient back to medical provider.
8. Analyze a case study and develop plan of care for rehabilitation including treatment techniques and home program recommendations.
9. Develop appropriate exercise progressions for patients suffering from sequelae of cancer treatment such as cardiotoxicity, and peripheral neuropathy.

Recorded video lectures to be viewed in-full prior to the start of the course:

  1. Introduction 
  2. Language of Cancer 
  3. Treatment of Cancer 
  4. Lymphatic anatomy and physiology 
  5. Outcome measures
  6. Stressors of cancer
  7. Cancer connections

Total video lecture time: (4 hours 30 min)



 Hourly schedule of live Zoom meetings:

Day One: 

15 mins before the course Log on, Zoom basics, roll call
0:00 Welcome and questions
0:30 Short term side effects of cancer treatment
1:45 Break
2:00 Specific side effects of cancer treatment
3:30 Lab 4- Balance lab
4:15 lunch
Afternoon labs- if possible, a body to practice on is ideal, grab a family member
5:00 Lab 1
6:00 Mini- Break
6:05 Lab 2
6:50 Break
7:00 Lab 4
8:15 Final Questions
8:30 Wrap up and adjourn

Day Two:

0:00 Lab video demo:
0:15 Lymphedema
1:15 Lymphedema lab
2:15 Break
2:30 Medium to long term sequalae of cancer
4:00 Lunch
4:45 Nutrition for cancer
5:45 Meditation and mindfulness
6:45 Break
7:00 Yoga for cancer
8:45 Wrap up lecture and final summary lecture
9:00 Adjourn

Notice this schedule starts each day at 0:00. The course does not start at mid-night! This schedule is meant to show the duration of each component of the course, not the actual start-time of each lecture. The actual start time of this a given day's Zoom meeting of this course will appear in the title of the remote course page on our website, as well as in the Teachable sections of the course in which you are registered.

Attending a remote course is easy and safe, and you can do it entirely from the security and comfort of your own home or clinic without having to find a lab partner.


Important thing to note:

- Our policy for applying for continuing education credit for remote courses differs from that of our in-person and satellite lab courses. Read the specific language of the policy here. Depending on the state in which you practice, you may need to submit your own application to your state board or approving body should you wish that it be approved for continuing education credit in your state.

- To attend a remote Herman & Wallace course, registrants will need Zoom video conferencing software. This is a requirement. One can create an account and download the software to their computer at https://zoom.us/

- We use the Pacific Time Zone for all of our remote course start and end times (this is not the case for in-person and satellite lab locations). Please make a note of this and set your calendar accordingly.

- A Zoom account is free to create. Before the meeting, we recommend having a practice Zoom session with a friend or colleague so you can test your microphone, video, and internet connection. You can participate in any remote course from the comfort of your home, but will need a stable internet connection in order to participate. We recommend downloading the software and practicing a call with a friend or colleague prior to your course with us. Zoom also offers video tutorials on their website at https://support.zoom.us/hc/en-us/articles/206618765-Zoom-Video-Tutorials.

- Still have questions about Remote Courses? Check out our Frequently Asked Questions on Remote Courses

Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS

Nicole Dugan

Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS graduated from Temple University’s MPT and DPT program in 1997 and 2003, respectively. At the onset of her career, she obtained clinical specialty and is now a board certified Women’s Health Clinical Specialist through the APTA and Certified Lymphedema Therapist through Lymphedema Association of North America. She spent 18 years working at Penn Medicine / Good Shepherd Penn Partners developing and mentoring in both the Pelvic Floor and Lymphedema rehabilitation program. While there, she oversaw the development and accreditation from the APTA for Women’s Health Residency Program. Nicole’s clinical specialties have allowed her opportunity to participate in multiple NIH funded multi-center research studies and publications. In 2015 Nicole joined Jefferson Health System in Philadelphia to focus on developing the Pelvic Rehabilitation program. With a focus on functional manual therapy, her clinical practice focuses on treating all genders for pelvic dysfunction, pregnancy/ postpartum/ bowel/ bladder and sexual dysfunction.

Nicole is dedicated to the multidisciplinary approach to managing patients with pelvic dysfunction. She is adjunct faculty at many academic programs including multiple Doctor of Physical Therapy programs, Jefferson Medical College, and Nursing school. She has been an invited speaker at international conferences on lymphedema management and pelvic rehabilitation. She provides pelvic rehabilitation services in Jamaica, WI through Medicine In Action medical mission. She is the co-founder of the Philadelphia Regional Pelvic PT Alliance which is a multidisciplinary organization focused on providing education and networking opportunities for Pelvic Therapists. When Niki is not working she enjoys travel, golf, and spending time with her husband and daughter.



Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.

Multi-Course Discount

This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.

Group Discount

This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.

Student Discount

This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.


To get this discount when checking out online, use the code Student2021. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

First-Time Registrant Discount

This $50.00 discount is available to any therapist who has never before taken a Herman & Wallace course (no previous registrations) and can be used towards the registrant's first Herman & Wallace course (not applicable to Pelvic Floor Level 1/2A/2B or Capstone).

To apply this discount, please use the code FirstTimer2020 during check out. (H&W will check records to verify past attendance.)

Referral Credit/Discount

Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:

1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.

A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".

Guest Blogger Credit/Discount

Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course eligible for a "guest blogger discount".