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string(1401) "Oncology of the Pelvic Floor Level 1 - Remote Course - December 3-4, 2022
Pacific Time: Day 1 7:00am-4:00pm/ Day 2 7:00am-4:00pm
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.
Audience:
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.
Prerequisites:
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Supplies:
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.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 4.75 hours
1) Terminology of Cancer (65 min)
2) Treatment of Cancer (61 min)
3) Lymphatic Anatomy and Physiology (41 min)
4) Red Flags and Outcome Measures (18 min)
5) Stressors of Cancer (40 min)
6) Cancer Connections (68 min)
|
=============================
Day One
=============================
6:30 am PST - Zoom opens 30 mins before course for registration and setup
7:00 am PST - Course begins / Welcome and questions
7:30 - Short term side effects of cancer treatment
8:45 - Break
9:00 - Specific side effects of cancer treatment
10:30 - Lab - Balance
11:15 - Lunch
12:00 - Lab - Fascia and abdominal techniques
1:00 - Mini- Break
1:05 - Lab - Working with fragile skin
1:50 - Break
2:00 - Lab - Working with the rib cage
3:15 - Final Questions
3:30 - Wrap up and adjourn
|
=============================
Day Two
=============================
6:30 am PST - Zoom opens 30 mins before course for registration and setup
7:00 am PST - Course begins / Lab video demo
7:15 - Lymphedema
8:15 - Lab - Lymphedema
9:15 - Break
9:30 - Medium to long term sequalae of cancer
11:00 - Lunch
11:45 - Nutrition for cancer
12:45 - Meditation and mindfulness
1:45 - Break
2:00 - Yoga for cancer
3:45 - Wrap up lecture and final summary lecture
4:00 - Adjourn
|
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 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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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.
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Oncology of the Pelvic Floor Level 1: General Oncology Principles and Treatment
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Oncology of the Pelvic Floor Level 1: General Oncology Principles and Treatment
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Course Title
Oncology of the Pelvic Floor Level 2A: Male pelvic and Colorectal Cancers
Course Description
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The rehabilitation professional is an integral part of the interdisciplinary oncology team. A colorectal or male pelvic cancer diagnosis has multiple systems that are affected by cancer treatment. The rehabilitation professional that works with the pelvic oncology patient needs to competently navigate treatment techniques for all of these systems, as well as be confident in treating a patient in a personal area. This two-day course will address specific cancer types including prostate cancer, penile cancer, and testicular cancer. Additional cancer types covered include colorectal cancer and anal cancer.
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Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $695 ($725 within one month of the course)
Experience Level: Beginner
Contact Hours: 24.0 |
We have had to postpone many of our in-person Pelvic Floor Level 1 courses due to the COVID-19 Pandemic. In response, we are now sponsoring Pelvic Floor Level 1 as a Satellite Lab Course (our new format). Check it out!
This continuing education course is comprised of 9 hours of prerecorded lectures followed by two-days of in-person learning, and was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.
This course instructs in the use of biofeedback equipment. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking.
10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
Audience:
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.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (Print two copies)
2. Bladder Diary Assignment Instructions
3. Patient History Form
4. Biofeedback Video - Please download and listen to the presentation
Required Readings
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding text book are not required to purchase an additional one.
Please Contact Us with any questions about the use of this text as a required reading in this course.
Recorded video lectures to be viewed in-full prior to the Day One of the course (Total video lecture time 9 hours)
- Pelvic Floor Anatomy & Function (45 minutes)
- Pelvic Floor Evaluation and Examination (1 hour 30 min)
- Managing Movement (1 hour)
- Awareness of Trauma in Pelvic Rehab (1 hour)
- Urinary Incontinence (1 hour 30 min)
- Introduction to Pelvic Pain (1 hour)
- General Treatment of Pelvic Pain (1 hour)
- Electrical Muscle Stimulation (1 hour 15 min)
|
Day One:
7:30 Registration
8:00 Introduction, goals, objectives, questions
8:30 Pelvic Floor (PF) Anatomy and Evaluation
9:15 Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
10:15 Break
10:30 Pelvic Floor Evaluation (Continued)
11:00 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
12:00 Lunch
1:00 Urinary Incontinence Examination & Interventions Part II
1:45 Lab 3: Bladder Diary Activity
2:30 Break
2:45 Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
3:30 Electrical Stimulation (ES), sEMG Biofeedback Lecture
4:00 Lab 5: sEMG Biofeedback & Electrical Stimulation Applications
5:00 Questions
5:15 Adjourn
|
Day Two:
7:30 Questions, Post-test Day 2
7:45 Pelvic Organ Prolapse
8:45 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
9:45 Break
10:00 Specific Diagnoses in Female Pelvic Pain
11:15 Managing Movement Part II: Pressures & Load Transfer
12:00 Lunch
1:00 Managing Movement Part II: Pressures & Load Transfer
1:45 Final Lab Preparation
2:00 Lab 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
3:15 Break
3:30 Case Studies
4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
4:15 Adjourn
|
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor
2. List the pelvic floor muscle functions
3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions
7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
8. List two diagnoses that would benefit from applications of electrotherapy
9. Describe the applications of SEMG biofeedback for the pelvic floor
10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Heather S. Rader, PT, DPT, PRPC, BCB-PMD
Dr. Heather Rader the owner of The OB PT Clinic, a practice devoted to the treatment of pregnancy-related pain and dysfunction, incontinence, pelvic organ prolapse, and complex pelvic pain located in Eustis, FL. A physical therapist since 1994, she graduated from the University of Miami with a Master’s degree in Physical Therapy and she completed her Doctorate in Physical Therapy from the University of St. Augustine in 2011. She was board certified in the use of Biofeedback for Pelvic Muscle Disorders in 2006. She was awarded the Pelvic Rehabilitation Practitioner Certification in 2014 and served as a subject matter expert and question writer for the PRPC examination. She is on faculty with the Herman & Wallace Pelvic Rehabilitation Institute, teaching Pelvic Rehabilitation around the country several times a year, teaching courses in the Pelvic Floor Series and Pregnancy Series.
Her mission as an educator is to assist in the national expansion of qualified pelvic floor therapists and promote awareness of pelvic floor dysfunction to medical professionals and the community at large. She runs a social media site on Facebook called “Team Pelvic Floor”, which posts articles and facts about pelvic floor rehab while promoting a team approach to treating pelvic dysfunction. She is a practice consultant and mentors therapists wishing to incorporate pelvic rehabilitation into their practice.
Office: 352-585-9135
Email: This email address is being protected from spambots. You need JavaScript enabled to view it.
Web: www.theobptclinic.com
Facebook: www.facebook.com/TeamPelvicFloor
Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS
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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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string(1550) "Pelvic Floor Level 1 - Rochester, NY - April 24-26, 2020 (Rescheduled)
Update 3/25/2020: As a precaution against the spread of COVID-19, this course has been postponed. Once we have a new date confirmed, we will update our website and make the event available for registration. We appreciate your understanding during this difficult time. Please practice good hygiene, and be safe!
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $695 ($725 within one month of the course)
Experience Level: Beginner
Contact Hours: 24.0 |
We have had to postpone many of our in-person Pelvic Floor Level 1 courses due to the COVID-19 Pandemic. In response, we are now sponsoring Pelvic Floor Level 1 as a Satellite Lab Course (our new format). Check it out!
This continuing education course is comprised of 9 hours of prerecorded lectures followed by two-days of in-person learning, and was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.
This course instructs in the use of biofeedback equipment. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking.
10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
Audience:
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.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (Print two copies)
2. Bladder Diary Assignment Instructions
3. Patient History Form
4. Biofeedback Video - Please download and listen to the presentation
Required Readings
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding text book are not required to purchase an additional one.
Please Contact Us with any questions about the use of this text as a required reading in this course.
Recorded video lectures to be viewed in-full prior to the Day One of the course (Total video lecture time 9 hours)
- Pelvic Floor Anatomy & Function (45 minutes)
- Pelvic Floor Evaluation and Examination (1 hour 30 min)
- Managing Movement (1 hour)
- Awareness of Trauma in Pelvic Rehab (1 hour)
- Urinary Incontinence (1 hour 30 min)
- Introduction to Pelvic Pain (1 hour)
- General Treatment of Pelvic Pain (1 hour)
- Electrical Muscle Stimulation (1 hour 15 min)
|
Day One:
7:30 Registration
8:00 Introduction, goals, objectives, questions
8:30 Pelvic Floor (PF) Anatomy and Evaluation
9:15 Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
10:15 Break
10:30 Pelvic Floor Evaluation (Continued)
11:00 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
12:00 Lunch
1:00 Urinary Incontinence Examination & Interventions Part II
1:45 Lab 3: Bladder Diary Activity
2:30 Break
2:45 Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
3:30 Electrical Stimulation (ES), sEMG Biofeedback Lecture
4:00 Lab 5: sEMG Biofeedback & Electrical Stimulation Applications
5:00 Questions
5:15 Adjourn
|
Day Two:
7:30 Questions, Post-test Day 2
7:45 Pelvic Organ Prolapse
8:45 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
9:45 Break
10:00 Specific Diagnoses in Female Pelvic Pain
11:15 Managing Movement Part II: Pressures & Load Transfer
12:00 Lunch
1:00 Managing Movement Part II: Pressures & Load Transfer
1:45 Final Lab Preparation
2:00 Lab 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
3:15 Break
3:30 Case Studies
4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
4:15 Adjourn
|
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor
2. List the pelvic floor muscle functions
3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions
7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
8. List two diagnoses that would benefit from applications of electrotherapy
9. Describe the applications of SEMG biofeedback for the pelvic floor
10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Dustienne Miller, MSPT, WCS, CYT
Dustienne Miller is the creator of the two-day course Yoga for Pelvic Pain and an instructor for PF1. Born out of an interest in creating yoga home programs for her patients, she developed a pelvic health yoga videos series called Your Pace Yoga in 201. She is a contributing author in two books about the integration of pelvic health and yoga, Yoga Mama: The Practitioner’s Guide to Prenatal Yoga (Shambhala Publications, 2016) and Healing in Urology (World Scientific). Prior conference and workshop engagements include APTA's CSM, International Pelvic Pain Society, Woman on Fire, Wound Ostomy and Continence Society, and the American Academy of Physical Medicine and Rehabilitation Annual Assembly.
She started her clinical practice, Flourish Physical Therapy, in Santa Rosa CA, and moved to downtown Boston. She is a board-certified women's health clinical specialist recognized by the American Board of Physical Therapy Specialties. Dustienne weaves yoga postures and breathing into her clinical practice, having received her yoga teacher certification through the Kripalu Center for Yoga and Health.
Dustienne's love of movement is apparent not only in her physical therapy and yoga practice but also in her career as a professional dancer. She danced professionally in New York City for several years, most notably with the national tour of Fosse. She bridged her dance and physical therapy backgrounds working for Physioarts, who contracted her to work backstage at various Broadway shows and for Radio City Christmas Spectacular. She is currently an assistant professor of jazz dance for the musical theatre department at Boston Conservatory at Berklee.
Dustienne passionately believes in the integration of physical therapy and yoga in a holistic model of care, helping individuals navigate through pelvic pain and incontinence to live a healthy and pain-free life. Find her on SM @yourpaceyoga and on her website, www.yourpaceyoga.com, where you will find her blog, guided meditations, videos, and additional resources.
Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS
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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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string(1812) "Pelvic Floor Level 1 - Satellite Lab Course - Concordia - January 8-9 2022
Central Time - Day 1: 10:00am - 6:30pm / Day 2: 10:00am - 6:45pm
(NOTE: This is a Private event for Concordia students)
Description
Schedule
Objectives
Self-Hosted Course Info
Instructors
Discounts
Price: $645
Experience Level: Beginner
Contact Hours: 23.75 hours |
This is a satellite offering of our course, Pelvic Floor Level 1. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and practice labs with one another. This is the self-hosted option for the satellite course.
What does self-hosted mean? The self-hosted option is for those who live in very remote/inaccessible regions, who are practicing stricter social distancing, and are comfortable with self-lead, independent learning. Participants will need to sign up in groups of two or more in order to participate in labs. All participants must be therapists who are registered for this course who can give knowledgeable feedback to their partner during lab (no patients other unlicensed people).
Looking for more help and hands-on guidance during labs from vetted teaching assistants who are guiding participants meeting in groups of 10-16? Click here for a list of satellite locations where participants will be gathering at hosted locations with teaching assistants to assist the learning.
This continuing education course is comprised of 10 hours of prerecorded lectures followed by 14 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
This course was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic, we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs.
Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in the lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.
Audience:
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.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day, one can estimate by counting seconds while voiding.
1. Bladder Diary (We will complete this as a group activity on the first day of the course)
2. Bladder Diary Assignment Instructions
3. Patient History Form
4. Biofeedback Video - Please download and listen to the presentation
Required Readings
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding textbook are not required to purchase an additional one.
Please Contact Us with any questions about the use of this text as a required reading in this course.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes)
2) Pelvic Floor Evaluation and Examination (1 hour 30 min)
3) Managing Movement (1 hour)
4) Urinary Incontinence (1 hour 30 min)
5) Introduction to Pelvic Pain (1 hour 10 min)
6) General Treatment of Pelvic Pain (1 hour)
7) Awareness of Trauma (1 hour)
8) Pelvic Organ Prolapse (1 hour 10 min)
9) Introduction to Biofeedback and Electrical Stimulation (46 min)
10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
|
=============================
Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup
6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation
7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
8:45 - Break
9:00 - Pelvic Floor Evaluation (Continued)
9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
10:30 - Lunch
11:30 - Urinary Incontinence Examination & Interventions Part II
1:00 - Break
1:15 - Lab 3: Bladder Diary Activity
2:00 - Questions
2:30 - Adjourn
|
=============================
Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup
6:30 am PST - Course begins / Questions from Day 1
6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
7:30 - Break
7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation
9:00 - Specific Diagnoses in Female Pelvic Pain
10:30 - Lunch
11:00 - Managing Movement Part II: Pressures & Load Transfer
12:45 - Final Lab Preparation Presentation
1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
2:00 - Break
2:15 - Case Studies
2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up
3:00 - Adjourn
|
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor
2. List the pelvic floor muscle functions
3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions
7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
8. List two diagnoses that would benefit from applications of electrotherapy
9. Describe the applications of SEMG biofeedback for the pelvic floor
10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
This is a "self-hosted" option for attending a satellite lab course. Registrants who would like to pursue this option must:
- Locate another therapist or small group of therapists who would like to register together as a unit. Individual registrations without a qualified and registered partner are not permitted.
- Find a suitable location from which the pair/group can all view the zoom lectures together.
- Practice hands-on lab techniques on the other therapists in their pair/group without a lab assistant or instructor physically present at their self-hosted location. The instructor will provide remote direction via zoom.
- Students are required to attend a hosted satellite course option and are not permitted to register for self-hosted events.
Those who wish to take this course, but cannot meet the above requirements should register for a satellite location or in-person version of this course
What to have on hand for self-hosted labs
Your partner! You will need at least one person to work with during labs. This person must be a licensed professional who is also registered for the course.
The printable portion of your manual from Teachable if you choose to print. * You are not required to print your full manual, please check for any sections specifically asking you to print prior to the event.
Your Mask- Please wear a mask while participating in this course to keep your colleagues safe.
A computer with a Wifi connection that your group will be using to view the course.
The following supplies:
Non Latex, Non-Powder Vinyl Gloves MEDIUM (box of 100)
Hand Sanitizer (8 fl. Oz.)
Lube for labs
Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS
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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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string(64) "Pelvic Floor Level 1 - Satellite Lab Course - February 5-6, 2022"
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string(1013) "Pelvic Floor Level 1 - Satellite Lab Course - February 5-6, 2022
Pacific Time - Day 1: 8:00am - 4:30pm / Day 2: 8:00am - 4:45pm
Description
Schedule
Objectives
Instructors
Price: $645
Experience Level: Beginner
Contact Hours: 23.75 hours |
This is a satellite offering of our course, Pelvic Floor Level 1. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the on-site lab assistants at the satellite course location.
This continuing education course is comprised of prerecorded lectures followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
This course was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. Satellite lab courses are often limited to very small groups of around ten, meaning seats are scarce. It is highly recommended you sign up as soon as you are able so you do not miss out on a seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos (all prerecorded lectures must be completed before attending the first day of class) and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if you choose the self hosted option.) After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.
Audience:
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.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (We will complete this as a group activity on the first day of the course)
2. Bladder Diary Assignment Instructions
3. Patient History Form
4. Biofeedback Video - Please download and listen to the presentation
Prerequisites
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding textbook are not required to purchase an additional one.
Please Contact Us with any questions about the use of this text as a required reading in this course.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes)
2) Pelvic Floor Evaluation and Examination (1 hour 30 min)
3) Managing Movement (1 hour)
4) Urinary Incontinence (1 hour 30 min)
5) Introduction to Pelvic Pain (1 hour 10 min)
6) General Treatment of Pelvic Pain (1 hour)
7) Awareness of Trauma (1 hour)
8) Pelvic Organ Prolapse (1 hour 10 min)
9) Introduction to Biofeedback and Electrical Stimulation (46 min)
10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
|
=============================
Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup
6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation
7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
8:45 - Break
9:00 - Pelvic Floor Evaluation (Continued)
9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
10:30 - Lunch
11:30 - Urinary Incontinence Examination & Interventions Part II
1:00 - Break
1:15 - Lab 3: Bladder Diary Activity
2:00 - Questions
2:30 - Adjourn
|
=============================
Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup
6:30 am PST - Course begins / Questions from Day 1
6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
7:30 - Break
7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation
9:00 - Specific Diagnoses in Female Pelvic Pain
10:30 - Lunch
11:00 - Managing Movement Part II: Pressures & Load Transfer
12:45 - Final Lab Preparation Presentation
1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
2:00 - Break
2:15 - Case Studies
2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up
3:00 - Adjourn
|
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor
2. List the pelvic floor muscle functions
3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions
7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
8. List two diagnoses that would benefit from applications of electrotherapy
9. Describe the applications of SEMG biofeedback for the pelvic floor
10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Kimberly Glow PT, DPT
Kimberly M. Glow, PT, DPT is a Boston-based physical therapist with a focus on both pelvic floor dysfunction and orthopedics. Kim graduated with her doctorate in physcial therapy from MGHIHP after completing her undergraduate work in Classics at UNH. She believes in the healing power of movement, and the power of the biopsychosocial connection. She has a passion for seamlessly treating pelvic floor dysfunction and orthopedic dysfunction as inter-related components. As an auspicious educator, Kim has been involved with many community-based education programs, including lectures and demonstrations to local yoga studios during instructor trainings, postpartum support groups, and support groups for those afflicted with neurological disease. In 2017, Kim was invited to guest lecture on the topic of “Physical Therapy’s Role in Treatment of Vulvovaginal Dermatological Conditions” during the American Urogynecologic Society’s annual conference, and has also lectured to medical residents at Tufts Medical Center.
Kimberly has a special passion for treating athletes with pelvic floor dysfunction, and returning them to the sport or movement style they most love. Her practice includes treatment of bowel, bladder, sexual, breast, and abdominal dysfunction for both men and women, as well as all breadths of orthopedic dysfunction. She has a passion for lifelong learning, and education. Currently, Kimberly practices out of Massachusetts General Hospital.
Kim enjoys her spare time with her husband and puppy, camping, and reading. Kim currently practices out of Rhode Island.
Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS
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.
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string(1094) "Pelvic Floor Level 1 - Satellite Lab Course - January 8-9, 2022
Pacific Time - Day 1: 8:00am - 4:30pm / Day 2: 8:00am - 4:45pm
Description
Schedule
Objectives
Instructors
Price: $645
Experience Level: Beginner
Contact Hours: 23.75 hours |
This is a satellite offering of our course, Pelvic Floor Level 1. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the on-site lab assistants at the satellite course location.
This continuing education course is comprised of prerecorded lectures followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
This course was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. Satellite lab courses are often limited to very small groups of around ten, meaning seats are scarce. It is highly recommended you sign up as soon as you are able so you do not miss out on a seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos (all prerecorded lectures must be completed before attending the first day of class) and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if you choose the self hosted option.) After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.
Audience:
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.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (We will complete this as a group activity on the first day of the course)
2. Bladder Diary Assignment Instructions
3. Patient History Form
4. Biofeedback Video - Please download and listen to the presentation
Prerequisites
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding textbook are not required to purchase an additional one.
Please Contact Us with any questions about the use of this text as a required reading in this course.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes)
2) Pelvic Floor Evaluation and Examination (1 hour 30 min)
3) Managing Movement (1 hour)
4) Urinary Incontinence (1 hour 30 min)
5) Introduction to Pelvic Pain (1 hour 10 min)
6) General Treatment of Pelvic Pain (1 hour)
7) Awareness of Trauma (1 hour)
8) Pelvic Organ Prolapse (1 hour 10 min)
9) Introduction to Biofeedback and Electrical Stimulation (46 min)
10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
|
=============================
Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup
6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation
7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
8:45 - Break
9:00 - Pelvic Floor Evaluation (Continued)
9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
10:30 - Lunch
11:30 - Urinary Incontinence Examination & Interventions Part II
1:00 - Break
1:15 - Lab 3: Bladder Diary Activity
2:00 - Questions
2:30 - Adjourn
|
=============================
Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup
6:30 am PST - Course begins / Questions from Day 1
6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
7:30 - Break
7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation
9:00 - Specific Diagnoses in Female Pelvic Pain
10:30 - Lunch
11:00 - Managing Movement Part II: Pressures & Load Transfer
12:45 - Final Lab Preparation Presentation
1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
2:00 - Break
2:15 - Case Studies
2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up
3:00 - Adjourn
|
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor
2. List the pelvic floor muscle functions
3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions
7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
8. List two diagnoses that would benefit from applications of electrotherapy
9. Describe the applications of SEMG biofeedback for the pelvic floor
10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS
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.
Darla Cathcart, PT, DPT, WCS, CLT
Darla graduated from Louisiana State University (Shreveport, LA) with her physical therapy degree, performed residency training in Women’s Health PT at Duke University, and is currently pursuing a PhD at University of Arkansas Medical Sciences. Her dissertation research focus was is on using non-invasive brain stimulation to augment behavioral interventions for women with lifelong vaginismus, and her ongoing line of research includes a variety of pelvic and perinatal health topics.
Darla’s certifications and training include: Women’s Health Certified Specialist (WCS, board certification through the American Board of Physical Therapy Specialties). Certificate of Achievement in Pelvic Physical Therapy (CAPP-Pelvic). Certified Lymphedema Therapist (CLT).
Darla began her women’s health physical therapy career in her first job while working with pregnant women with musculoskeletal problems in a private outpatient therapy clinic in Shreveport, LA (with a focus on spine rehab). While there, she developed and hosted an exercise class for pregnant women. She would go on to develop a mom and baby postpartum exercise class while in her Duke residency in Durham, NC. She went on to develop the pelvic, pregnancy, and post-breast cancer/lymphedema PT program at Christus-Schumpert Health system in Shreveport, LA. During this time, she participated in educating women in the labor and birth preparatory classes hosted by the hospital; she also taught the women’s health course for physical therapy students at LSU-Shreveport. Darla went on to serve as a full-time faculty member in the physical therapy program at University of Central Arkansas in Conway, AR, where she taught women’s health topics, documentation, therapeutic exercise, professional development, and human physiology. She now owns a private PT practice that is dedicated to pelvic (bowel, bladder, and pelvic pain) and pregnancy/postpartum conditions in Conway, AR.
Darla has several peer-reviewed and non-peer-reviewed scientific publications. Amongst some of these, she co-authored “Clinical Summary: Urinary Incontinence” for PTNow.org in April 2015. She authored the chapter titled “The Female Hip and Pelvis” in Orthopedic Management of the Hip and Pelvis (S Cheatham, M Kolber, Elsevier, 2015). She chaired the committee for and participated heavily in the development of the Certificate of Achievement in Pregnancy/Postpartum (CAPP-OB) course series for the Section on Women’s Health of the American Physical Therapy Association. Darla has spoken and instructed many courses in local, national, and international settings on a variety of pelvic, pregnancy/postpartum, and other women’s health physical therapy topics. Darla has served as the Director of Education (2011-2014) and as Vice President (2015-2016) for the Section on Women’s Health, American Physical Therapy Association. She also served a technical expert panel member on Treatments for Fecal Incontinence, Agency for Healthcare Research and Quality in 2014-2015. She also volunteered as a Women’s Health Certified Specialist Exam Standardization Task Force member in May 2013. Darla received several awards from the Section on Women’s Health: CAPP-OB Instructor of the Year (2017); Course Site Hostess of the Year (2018); and Volunteer of the Year (2015). She also received Clinical Instructor of the Year while serving as a clinical instructor a pelvic health physical therapy student from Elon University in 2011.
On a personal note, Darla has twin boys who were born in 2008. She is a life-long runner and exerciser who loves dark chocolate, craft beer, and her Basset hound (George) and Basset-Dachshund mix (Peanut).
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string(77) "Pelvic Floor Level 1 - Satellite Lab Course - Self-Hosted - February 5-6 2022"
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string(1524) "Pelvic Floor Level 1 - Satellite Lab Course - Self-Hosted - February 5-6 2022
Pacific Time - Day 1: 8:00am - 4:30pm / Day 2: 8:00am - 4:45pm
Description
Schedule
Objectives
Self-Hosted Course Info
Instructors
Discounts
Price: $645
Experience Level: Beginner
Contact Hours: 23.75 hours |
This is a satellite offering of our course, Pelvic Floor Level 1. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and practice labs with one another. This is the self-hosted option for the satellite course.
What does self-hosted mean? The self-hosted option is for those who live in very remote/inaccessible regions, who are practicing stricter social distancing, and are comfortable with self-lead, independent learning. Participants will need to sign up in groups of two or more in order to participate in labs. All participants must be therapists who are registered for this course who can give knowledgeable feedback to their partner during lab (no patients other unlicensed people).
Looking for more help and hands-on guidance during labs from vetted teaching assistants who are guiding participants meeting in groups of 10-16? Click here for a list of satellite locations where participants will be gathering at hosted locations with teaching assistants to assist the learning.
This continuing education course is comprised of 10 hours of prerecorded lectures followed by 14 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
This course was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic, we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs.
Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in the lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.
Audience:
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.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day, one can estimate by counting seconds while voiding.
1. Bladder Diary (We will complete this as a group activity on the first day of the course)
2. Bladder Diary Assignment Instructions
3. Patient History Form
4. Biofeedback Video - Please download and listen to the presentation
Required Readings
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding textbook are not required to purchase an additional one.
Please Contact Us with any questions about the use of this text as a required reading in this course.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes)
2) Pelvic Floor Evaluation and Examination (1 hour 30 min)
3) Managing Movement (1 hour)
4) Urinary Incontinence (1 hour 30 min)
5) Introduction to Pelvic Pain (1 hour 10 min)
6) General Treatment of Pelvic Pain (1 hour)
7) Awareness of Trauma (1 hour)
8) Pelvic Organ Prolapse (1 hour 10 min)
9) Introduction to Biofeedback and Electrical Stimulation (46 min)
10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
|
=============================
Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup
6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation
7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
8:45 - Break
9:00 - Pelvic Floor Evaluation (Continued)
9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
10:30 - Lunch
11:30 - Urinary Incontinence Examination & Interventions Part II
1:00 - Break
1:15 - Lab 3: Bladder Diary Activity
2:00 - Questions
2:30 - Adjourn
|
=============================
Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup
6:30 am PST - Course begins / Questions from Day 1
6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
7:30 - Break
7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation
9:00 - Specific Diagnoses in Female Pelvic Pain
10:30 - Lunch
11:00 - Managing Movement Part II: Pressures & Load Transfer
12:45 - Final Lab Preparation Presentation
1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
2:00 - Break
2:15 - Case Studies
2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up
3:00 - Adjourn
|
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor
2. List the pelvic floor muscle functions
3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions
7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
8. List two diagnoses that would benefit from applications of electrotherapy
9. Describe the applications of SEMG biofeedback for the pelvic floor
10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
This is a "self-hosted" option for attending a satellite lab course. Registrants who would like to pursue this option must:
- Locate another therapist or small group of therapists who would like to register together as a unit. Individual registrations without a qualified and registered partner are not permitted.
- Find a suitable location from which the pair/group can all view the zoom lectures together.
- Practice hands-on lab techniques on the other therapists in their pair/group without a lab assistant or instructor physically present at their self-hosted location. The instructor will provide remote direction via zoom.
- Students are required to attend a hosted satellite course option and are not permitted to register for self-hosted events.
Those who wish to take this course, but cannot meet the above requirements should register for a satellite location or in-person version of this course
What to have on hand for self-hosted labs
Your partner! You will need at least one person to work with during labs. This person must be a licensed professional who is also registered for the course.
The printable portion of your manual from Teachable if you choose to print. * You are not required to print your full manual, please check for any sections specifically asking you to print prior to the event.
Your Mask- Please wear a mask while participating in this course to keep your colleagues safe.
A computer with a Wifi connection that your group will be using to view the course.
The following supplies:
Non Latex, Non-Powder Vinyl Gloves MEDIUM (box of 100)
Hand Sanitizer (8 fl. Oz.)
Lube for labs
Kimberly M. Glow, PT, DPT is a Boston-based physical therapist with a focus on both pelvic floor dysfunction and orthopedics. Kim graduated with her doctorate in physcial therapy from MGHIHP after completing her undergraduate work in Classics at UNH. She believes in the healing power of movement, and the power of the biopsychosocial connection. She has a passion for seamlessly treating pelvic floor dysfunction and orthopedic dysfunction as inter-related components. As an auspicious educator, Kim has been involved with many community-based education programs, including lectures and demonstrations to local yoga studios during instructor trainings, postpartum support groups, and support groups for those afflicted with neurological disease. In 2017, Kim was invited to guest lecture on the topic of “Physical Therapy’s Role in Treatment of Vulvovaginal Dermatological Conditions” during the American Urogynecologic Society’s annual conference, and has also lectured to medical residents at Tufts Medical Center.
Kimberly has a special passion for treating athletes with pelvic floor dysfunction, and returning them to the sport or movement style they most love. Her practice includes treatment of bowel, bladder, sexual, breast, and abdominal dysfunction for both men and women, as well as all breadths of orthopedic dysfunction. She has a passion for lifelong learning, and education. Currently, Kimberly practices out of Massachusetts General Hospital.
Kim enjoys her spare time with her husband and puppy, camping, and reading. Kim currently practices out of Rhode Island.
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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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string(1523) "Pelvic Floor Level 1 - Satellite Lab Course - Self-Hosted - January 8-9 2022
Pacific Time - Day 1: 8:00am - 4:30pm / Day 2: 8:00am - 4:45pm
Description
Schedule
Objectives
Self-Hosted Course Info
Instructors
Discounts
Price: $645
Experience Level: Beginner
Contact Hours: 23.75 hours |
This is a satellite offering of our course, Pelvic Floor Level 1. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and practice labs with one another. This is the self-hosted option for the satellite course.
What does self-hosted mean? The self-hosted option is for those who live in very remote/inaccessible regions, who are practicing stricter social distancing, and are comfortable with self-lead, independent learning. Participants will need to sign up in groups of two or more in order to participate in labs. All participants must be therapists who are registered for this course who can give knowledgeable feedback to their partner during lab (no patients other unlicensed people).
Looking for more help and hands-on guidance during labs from vetted teaching assistants who are guiding participants meeting in groups of 10-16? Click here for a list of satellite locations where participants will be gathering at hosted locations with teaching assistants to assist the learning.
This continuing education course is comprised of 10 hours of prerecorded lectures followed by 14 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
This course was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic, we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs.
Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in the lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.
Audience:
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.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day, one can estimate by counting seconds while voiding.
1. Bladder Diary (We will complete this as a group activity on the first day of the course)
2. Bladder Diary Assignment Instructions
3. Patient History Form
4. Biofeedback Video - Please download and listen to the presentation
Required Readings
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding textbook are not required to purchase an additional one.
Please Contact Us with any questions about the use of this text as a required reading in this course.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes)
2) Pelvic Floor Evaluation and Examination (1 hour 30 min)
3) Managing Movement (1 hour)
4) Urinary Incontinence (1 hour 30 min)
5) Introduction to Pelvic Pain (1 hour 10 min)
6) General Treatment of Pelvic Pain (1 hour)
7) Awareness of Trauma (1 hour)
8) Pelvic Organ Prolapse (1 hour 10 min)
9) Introduction to Biofeedback and Electrical Stimulation (46 min)
10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
|
=============================
Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup
6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation
7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
8:45 - Break
9:00 - Pelvic Floor Evaluation (Continued)
9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
10:30 - Lunch
11:30 - Urinary Incontinence Examination & Interventions Part II
1:00 - Break
1:15 - Lab 3: Bladder Diary Activity
2:00 - Questions
2:30 - Adjourn
|
=============================
Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup
6:30 am PST - Course begins / Questions from Day 1
6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
7:30 - Break
7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation
9:00 - Specific Diagnoses in Female Pelvic Pain
10:30 - Lunch
11:00 - Managing Movement Part II: Pressures & Load Transfer
12:45 - Final Lab Preparation Presentation
1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
2:00 - Break
2:15 - Case Studies
2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up
3:00 - Adjourn
|
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor
2. List the pelvic floor muscle functions
3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions
7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
8. List two diagnoses that would benefit from applications of electrotherapy
9. Describe the applications of SEMG biofeedback for the pelvic floor
10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
This is a "self-hosted" option for attending a satellite lab course. Registrants who would like to pursue this option must:
- Locate another therapist or small group of therapists who would like to register together as a unit. Individual registrations without a qualified and registered partner are not permitted.
- Find a suitable location from which the pair/group can all view the zoom lectures together.
- Practice hands-on lab techniques on the other therapists in their pair/group without a lab assistant or instructor physically present at their self-hosted location. The instructor will provide remote direction via zoom.
- Students are required to attend a hosted satellite course option and are not permitted to register for self-hosted events.
Those who wish to take this course, but cannot meet the above requirements should register for a satellite location or in-person version of this course
What to have on hand for self-hosted labs
Your partner! You will need at least one person to work with during labs. This person must be a licensed professional who is also registered for the course.
The printable portion of your manual from Teachable if you choose to print. * You are not required to print your full manual, please check for any sections specifically asking you to print prior to the event.
Your Mask- Please wear a mask while participating in this course to keep your colleagues safe.
A computer with a Wifi connection that your group will be using to view the course.
The following supplies:
Non Latex, Non-Powder Vinyl Gloves MEDIUM (box of 100)
Hand Sanitizer (8 fl. Oz.)
Lube for labs
Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS
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.
Darla Cathcart, PT, DPT, WCS, CLT
Darla graduated from Louisiana State University (Shreveport, LA) with her physical therapy degree, performed residency training in Women’s Health PT at Duke University, and is currently pursuing a PhD at University of Arkansas Medical Sciences. Her dissertation research focus was is on using non-invasive brain stimulation to augment behavioral interventions for women with lifelong vaginismus, and her ongoing line of research includes a variety of pelvic and perinatal health topics.
Darla’s certifications and training include: Women’s Health Certified Specialist (WCS, board certification through the American Board of Physical Therapy Specialties). Certificate of Achievement in Pelvic Physical Therapy (CAPP-Pelvic). Certified Lymphedema Therapist (CLT).
Darla began her women’s health physical therapy career in her first job while working with pregnant women with musculoskeletal problems in a private outpatient therapy clinic in Shreveport, LA (with a focus on spine rehab). While there, she developed and hosted an exercise class for pregnant women. She would go on to develop a mom and baby postpartum exercise class while in her Duke residency in Durham, NC. She went on to develop the pelvic, pregnancy, and post-breast cancer/lymphedema PT program at Christus-Schumpert Health system in Shreveport, LA. During this time, she participated in educating women in the labor and birth preparatory classes hosted by the hospital; she also taught the women’s health course for physical therapy students at LSU-Shreveport. Darla went on to serve as a full-time faculty member in the physical therapy program at University of Central Arkansas in Conway, AR, where she taught women’s health topics, documentation, therapeutic exercise, professional development, and human physiology. She now owns a private PT practice that is dedicated to pelvic (bowel, bladder, and pelvic pain) and pregnancy/postpartum conditions in Conway, AR.
Darla has several peer-reviewed and non-peer-reviewed scientific publications. Amongst some of these, she co-authored “Clinical Summary: Urinary Incontinence” for PTNow.org in April 2015. She authored the chapter titled “The Female Hip and Pelvis” in Orthopedic Management of the Hip and Pelvis (S Cheatham, M Kolber, Elsevier, 2015). She chaired the committee for and participated heavily in the development of the Certificate of Achievement in Pregnancy/Postpartum (CAPP-OB) course series for the Section on Women’s Health of the American Physical Therapy Association. Darla has spoken and instructed many courses in local, national, and international settings on a variety of pelvic, pregnancy/postpartum, and other women’s health physical therapy topics. Darla has served as the Director of Education (2011-2014) and as Vice President (2015-2016) for the Section on Women’s Health, American Physical Therapy Association. She also served a technical expert panel member on Treatments for Fecal Incontinence, Agency for Healthcare Research and Quality in 2014-2015. She also volunteered as a Women’s Health Certified Specialist Exam Standardization Task Force member in May 2013. Darla received several awards from the Section on Women’s Health: CAPP-OB Instructor of the Year (2017); Course Site Hostess of the Year (2018); and Volunteer of the Year (2015). She also received Clinical Instructor of the Year while serving as a clinical instructor a pelvic health physical therapy student from Elon University in 2011.
On a personal note, Darla has twin boys who were born in 2008. She is a life-long runner and exerciser who loves dark chocolate, craft beer, and her Basset hound (George) and Basset-Dachshund mix (Peanut).
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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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string(1666) "Pelvic Floor Level 1 - Washington, DC - June 5-7, 2020 (Rescheduled)
Update 4/17/2020: As a precaution against the spread of COVID-19, this course has been postponed. We appreciate your understanding during this difficult time. Please practice good hygiene, and be safe!
We have a new date for this course: October 23-25 2020.
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $695 ($725 within one month of the course)
Experience Level: Beginner
Contact Hours: 24.0 |
We have had to postpone many of our in-person Pelvic Floor Level 1 courses due to the COVID-19 Pandemic. In response, we are now sponsoring Pelvic Floor Level 1 as a Satellite Lab Course (our new format). Check it out!
This continuing education course is comprised of 9 hours of prerecorded lectures followed by two-days of in-person learning, and was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.
This course instructs in the use of biofeedback equipment. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking.
10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
Audience:
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.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (Print two copies)
2. Bladder Diary Assignment Instructions
3. Patient History Form
4. Biofeedback Video - Please download and listen to the presentation
Required Readings
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding text book are not required to purchase an additional one.
Please Contact Us with any questions about the use of this text as a required reading in this course.
Recorded video lectures to be viewed in-full prior to the Day One of the course (Total video lecture time 9 hours)
- Pelvic Floor Anatomy & Function (45 minutes)
- Pelvic Floor Evaluation and Examination (1 hour 30 min)
- Managing Movement (1 hour)
- Awareness of Trauma in Pelvic Rehab (1 hour)
- Urinary Incontinence (1 hour 30 min)
- Introduction to Pelvic Pain (1 hour)
- General Treatment of Pelvic Pain (1 hour)
- Electrical Muscle Stimulation (1 hour 15 min)
|
Day One:
7:30 Registration
8:00 Introduction, goals, objectives, questions
8:30 Pelvic Floor (PF) Anatomy and Evaluation
9:15 Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
10:15 Break
10:30 Pelvic Floor Evaluation (Continued)
11:00 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
12:00 Lunch
1:00 Urinary Incontinence Examination & Interventions Part II
1:45 Lab 3: Bladder Diary Activity
2:30 Break
2:45 Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
3:30 Electrical Stimulation (ES), sEMG Biofeedback Lecture
4:00 Lab 5: sEMG Biofeedback & Electrical Stimulation Applications
5:00 Questions
5:15 Adjourn
|
Day Two:
7:30 Questions, Post-test Day 2
7:45 Pelvic Organ Prolapse
8:45 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
9:45 Break
10:00 Specific Diagnoses in Female Pelvic Pain
11:15 Managing Movement Part II: Pressures & Load Transfer
12:00 Lunch
1:00 Managing Movement Part II: Pressures & Load Transfer
1:45 Final Lab Preparation
2:00 Lab 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
3:15 Break
3:30 Case Studies
4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
4:15 Adjourn
|
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor
2. List the pelvic floor muscle functions
3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions
7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
8. List two diagnoses that would benefit from applications of electrotherapy
9. Describe the applications of SEMG biofeedback for the pelvic floor
10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Directions from Recommended Lodging to Course Location
Dustienne Miller, MSPT, WCS, CYT
Dustienne Miller is the creator of the two-day course Yoga for Pelvic Pain and an instructor for PF1. Born out of an interest in creating yoga home programs for her patients, she developed a pelvic health yoga videos series called Your Pace Yoga in 201. She is a contributing author in two books about the integration of pelvic health and yoga, Yoga Mama: The Practitioner’s Guide to Prenatal Yoga (Shambhala Publications, 2016) and Healing in Urology (World Scientific). Prior conference and workshop engagements include APTA's CSM, International Pelvic Pain Society, Woman on Fire, Wound Ostomy and Continence Society, and the American Academy of Physical Medicine and Rehabilitation Annual Assembly.
She started her clinical practice, Flourish Physical Therapy, in Santa Rosa CA, and moved to downtown Boston. She is a board-certified women's health clinical specialist recognized by the American Board of Physical Therapy Specialties. Dustienne weaves yoga postures and breathing into her clinical practice, having received her yoga teacher certification through the Kripalu Center for Yoga and Health.
Dustienne's love of movement is apparent not only in her physical therapy and yoga practice but also in her career as a professional dancer. She danced professionally in New York City for several years, most notably with the national tour of Fosse. She bridged her dance and physical therapy backgrounds working for Physioarts, who contracted her to work backstage at various Broadway shows and for Radio City Christmas Spectacular. She is currently an assistant professor of jazz dance for the musical theatre department at Boston Conservatory at Berklee.
Dustienne passionately believes in the integration of physical therapy and yoga in a holistic model of care, helping individuals navigate through pelvic pain and incontinence to live a healthy and pain-free life. Find her on SM @yourpaceyoga and on her website, www.yourpaceyoga.com, where you will find her blog, guided meditations, videos, and additional resources.
Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS
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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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string(1102) "Pelvic Floor Level 1 Part 1 - Remote Course - July 11-12, 2020 9:00am - 2:00pm Pacific Time
Description
Schedule
Objectives
Location/Lodging
Instructors
Price: $250
Experience Level: Beginner
Contact Hours: 8.75 |
This remote continuing education course provides live instruction in foundational content in pelvic floor rehabilitation physical therapy. This course consists of the same content contained in the pre-recorded lectures of Pelvic Floor Level 1. Participants who join us for this remote course will have a chance to experience these lectures live with an HW faculty member, who will answer questions in real time.
Participants may choose to take this course and then sign up for the full-length Pelvic Floor Level 1 course, which includes labs, and is offered in both In-Person and Satellite formats. Participants who sign up for the full Pelvic Floor Level 1 course will receive the pre-recorded lectures of the content contained in this course, which they may use to review. It is therefore NOT required that one take Pelvic Floor Level 1 Part 1 prior to taking the full-length Pelvic Floor Level 1 course. However, this is the perfect option for a therapist who has yet to find a Pelvic Floor Level 1 in their region, and who wants to begin their pelvic rehab training while practicing strict social distancing, or the therapist who is curious to learn more about pelvic rehab but is not yet ready to attend a course inclusive of labs.
Included in the remote course is a thorough overview of pelvic anatomy, concepts and techniques in trunk and pelvic evaluation and examination including the observation and retraining of movement patterns. Lectures will cover specific conditions including urinary incontinence and pelvic pain. Concepts related to trauma-informed care will also be included in this comprehensive introduction. Participants are encouraged to come with questions about starting their journey becoming pelvic rehab practitioners for the instructor.
Audience:
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.
Please Note: Those who were registered for a Pelvic Floor 1 course which was postponed due to Covid-19, and whose course has not been rescheduled yet, are invited to attend this remote Pelvic Floor 1 Part 1 course at no additional fee. Please contact us to verify eligibility and register if you would like to take advantage of this offer.
Required Readings
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
3. IUGA/ICS report on female pelvic floor terminology
4. Many participants find it helpful to review the anatomy of the pelvis and perineum
5. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding text book are not required to purchase an additional one.
Please Contact Us with any questions about the use of this text as a required reading in this course.
Special Considerations:
This course will be offered as a live, interactive remote course on Zoom, taught by an instructor who will teach introductory didactic lectures and answer questions.
The times listed are for the morning offerings of PF1.1 All times are Pacific Time.
|
Day One:
9:00 Log on, Zoom basics, introductions, goals, objectives
9:30 Pelvic Floor Anatomy & Function
10:15 Pelvic Floor Evaluation and Examination
11:45 Break
12:00 Managing Movement
1:00 Awareness of Trauma in Pelvic Rehab
2:00 Adjourn
|
Day Two:
9:00 Questions from Day 1
9:15 Urinary Incontinence
10:45 Break
11:00 Introduction to Pelvic Pain
12:00 General Treatment of Pelvic Pain
1:00 Questionns
1:15 Adjourn
|
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor
2. List the pelvic floor muscle functions
3. Describe pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
4. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
5. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
6. Begin to develop evidence-based treatment plans and progressive clinical goals for pelvic floor dysfunctions
7. Recognize key components of trauma-based care
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 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.
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string(1128) "Pelvic Floor Level 1 Part 1 - Remote Course - September 12-13, 2020 (SOLD OUT)
9:00am - 2:00pm Pacific Time
Description
Schedule
Objectives
Location/Lodging
Instructors
Price: $250
Experience Level: Beginner
Contact Hours: 8.75 |
This remote continuing education course provides live instruction in foundational content in pelvic floor rehabilitation physical therapy. This course consists of the same content contained in the pre-recorded lectures of Pelvic Floor Level 1. Participants who join us for this remote course will have a chance to experience these lectures live with an HW faculty member, who will answer questions in real time.
Participants may choose to take this course and then sign up for the full-length Pelvic Floor Level 1 course, which includes labs, and is offered in both In-Person and Satellite formats. Participants who sign up for the full Pelvic Floor Level 1 course will receive the pre-recorded lectures of the content contained in this course, which they may use to review. It is therefore NOT required that one take Pelvic Floor Level 1 Part 1 prior to taking the full-length Pelvic Floor Level 1 course. However, this is the perfect option for a therapist who has yet to find a Pelvic Floor Level 1 in their region, and who wants to begin their pelvic rehab training while practicing strict social distancing, or the therapist who is curious to learn more about pelvic rehab but is not yet ready to attend a course inclusive of labs.
Included in the remote course is a thorough overview of pelvic anatomy, concepts and techniques in trunk and pelvic evaluation and examination including the observation and retraining of movement patterns. Lectures will cover specific conditions including urinary incontinence and pelvic pain. Concepts related to trauma-informed care will also be included in this comprehensive introduction. Participants are encouraged to come with questions about starting their journey becoming pelvic rehab practitioners for the instructor.
Audience:
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.
Please Note: Those who were registered for a Pelvic Floor 1 course which was postponed due to Covid-19, and whose course has not been rescheduled yet, are invited to attend this remote Pelvic Floor 1 Part 1 course at no additional fee. Please contact us to verify eligibility and register if you would like to take advantage of this offer.
Required Readings
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
3. IUGA/ICS report on female pelvic floor terminology
4. Many participants find it helpful to review the anatomy of the pelvis and perineum
5. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding text book are not required to purchase an additional one.
Please Contact Us with any questions about the use of this text as a required reading in this course.
Special Considerations:
This course will be offered as a live, interactive remote course on Zoom, taught by an instructor who will teach introductory didactic lectures and answer questions.
The times listed are for the morning offerings of PF1.1 All times are Pacific Time.
|
Day One:
9:00 Log on, Zoom basics, introductions, goals, objectives
9:30 Pelvic Floor Anatomy & Function
10:15 Pelvic Floor Evaluation and Examination
11:45 Break
12:00 Managing Movement
1:00 Awareness of Trauma in Pelvic Rehab
2:00 Adjourn
|
Day Two:
9:00 Questions from Day 1
9:15 Urinary Incontinence
10:45 Break
11:00 Introduction to Pelvic Pain
12:00 General Treatment of Pelvic Pain
1:00 Questionns
1:15 Adjourn
|
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor
2. List the pelvic floor muscle functions
3. Describe pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
4. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
5. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
6. Begin to develop evidence-based treatment plans and progressive clinical goals for pelvic floor dysfunctions
7. Recognize key components of trauma-based care
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 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.
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string(1869) "Pelvic Floor Level 1 Satellite Lab Course - Chicago, IL - February 5-6, 2022 (SOLD OUT)
Central Time - Day 1: 10:00am - 6:30pm / Day 2: 10:00am - 6:45pm
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $645
Experience Level: Beginner
Contact Hours: 23.75 hours |
This is a satellite offering of our course, Pelvic Floor Level 1. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the on-site lab assistants at the satellite course location.
This continuing education course is comprised of prerecorded lectures followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
This course was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. Satellite lab courses are often limited to very small groups of around ten, meaning seats are scarce. It is highly recommended you sign up as soon as you are able so you do not miss out on a seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos (all prerecorded lectures must be completed before attending the first day of class) and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if you choose the self hosted option.) After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.
Audience:
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.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (We will complete this as a group activity on the first day of the course)
2. Bladder Diary Assignment Instructions
3. Patient History Form
4. Biofeedback Video - Please download and listen to the presentation
Prerequisites
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding textbook are not required to purchase an additional one.
Please Contact Us with any questions about the use of this text as a required reading in this course.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes)
2) Pelvic Floor Evaluation and Examination (1 hour 30 min)
3) Managing Movement (1 hour)
4) Urinary Incontinence (1 hour 30 min)
5) Introduction to Pelvic Pain (1 hour 10 min)
6) General Treatment of Pelvic Pain (1 hour)
7) Awareness of Trauma (1 hour)
8) Pelvic Organ Prolapse (1 hour 10 min)
9) Introduction to Biofeedback and Electrical Stimulation (46 min)
10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
|
=============================
Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup
6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation
7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
8:45 - Break
9:00 - Pelvic Floor Evaluation (Continued)
9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
10:30 - Lunch
11:30 - Urinary Incontinence Examination & Interventions Part II
1:00 - Break
1:15 - Lab 3: Bladder Diary Activity
2:00 - Questions
2:30 - Adjourn
|
=============================
Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup
6:30 am PST - Course begins / Questions from Day 1
6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
7:30 - Break
7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation
9:00 - Specific Diagnoses in Female Pelvic Pain
10:30 - Lunch
11:00 - Managing Movement Part II: Pressures & Load Transfer
12:45 - Final Lab Preparation Presentation
1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
2:00 - Break
2:15 - Case Studies
2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up
3:00 - Adjourn
|
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor
2. List the pelvic floor muscle functions
3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions
7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
8. List two diagnoses that would benefit from applications of electrotherapy
9. Describe the applications of SEMG biofeedback for the pelvic floor
10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS
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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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string(1930) "Pelvic Floor Level 1 Satellite Lab Course - Cranford, NJ - January 8-9, 2022 (SOLD OUT)
Eastern Time - Day 1: 11:00am - 7:30pm / Day 2: 11:00am - 7:45pm
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $645
Experience Level: Beginner
Contact Hours: 23.75 hours |
This is a satellite offering of our course, Pelvic Floor Level 1. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the on-site lab assistants at the satellite course location.
This continuing education course is comprised of prerecorded lectures followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
This course was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. Satellite lab courses are often limited to very small groups of around ten, meaning seats are scarce. It is highly recommended you sign up as soon as you are able so you do not miss out on a seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos (all prerecorded lectures must be completed before attending the first day of class) and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if you choose the self hosted option.) After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.
Audience:
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.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (We will complete this as a group activity on the first day of the course)
2. Bladder Diary Assignment Instructions
3. Patient History Form
4. Biofeedback Video - Please download and listen to the presentation
Prerequisites
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding textbook are not required to purchase an additional one.
Please Contact Us with any questions about the use of this text as a required reading in this course.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes)
2) Pelvic Floor Evaluation and Examination (1 hour 30 min)
3) Managing Movement (1 hour)
4) Urinary Incontinence (1 hour 30 min)
5) Introduction to Pelvic Pain (1 hour 10 min)
6) General Treatment of Pelvic Pain (1 hour)
7) Awareness of Trauma (1 hour)
8) Pelvic Organ Prolapse (1 hour 10 min)
9) Introduction to Biofeedback and Electrical Stimulation (46 min)
10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
|
=============================
Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup
6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation
7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
8:45 - Break
9:00 - Pelvic Floor Evaluation (Continued)
9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
10:30 - Lunch
11:30 - Urinary Incontinence Examination & Interventions Part II
1:00 - Break
1:15 - Lab 3: Bladder Diary Activity
2:00 - Questions
2:30 - Adjourn
|
=============================
Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup
6:30 am PST - Course begins / Questions from Day 1
6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
7:30 - Break
7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation
9:00 - Specific Diagnoses in Female Pelvic Pain
10:30 - Lunch
11:00 - Managing Movement Part II: Pressures & Load Transfer
12:45 - Final Lab Preparation Presentation
1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
2:00 - Break
2:15 - Case Studies
2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up
3:00 - Adjourn
|
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor
2. List the pelvic floor muscle functions
3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions
7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
8. List two diagnoses that would benefit from applications of electrotherapy
9. Describe the applications of SEMG biofeedback for the pelvic floor
10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Directions from Recommended Lodging to Course Location
Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS
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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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string(1905) "Pelvic Floor Level 1 Satellite Lab Course - Guntersville, AL - February 5-6, 2022 (SOLD OUT)
Central Time - Day 1: 10:00am - 6:30pm / Day 2: 10:00am - 6:45pm
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $645
Experience Level: Beginner
Contact Hours: 23.75 hours |
This is a satellite offering of our course, Pelvic Floor Level 1. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the on-site lab assistants at the satellite course location.
This continuing education course is comprised of prerecorded lectures followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
This course was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. Satellite lab courses are often limited to very small groups of around ten, meaning seats are scarce. It is highly recommended you sign up as soon as you are able so you do not miss out on a seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos (all prerecorded lectures must be completed before attending the first day of class) and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if you choose the self hosted option.) After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.
Audience:
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.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (We will complete this as a group activity on the first day of the course)
2. Bladder Diary Assignment Instructions
3. Patient History Form
4. Biofeedback Video - Please download and listen to the presentation
Prerequisites
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding textbook are not required to purchase an additional one.
Please Contact Us with any questions about the use of this text as a required reading in this course.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes)
2) Pelvic Floor Evaluation and Examination (1 hour 30 min)
3) Managing Movement (1 hour)
4) Urinary Incontinence (1 hour 30 min)
5) Introduction to Pelvic Pain (1 hour 10 min)
6) General Treatment of Pelvic Pain (1 hour)
7) Awareness of Trauma (1 hour)
8) Pelvic Organ Prolapse (1 hour 10 min)
9) Introduction to Biofeedback and Electrical Stimulation (46 min)
10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
|
=============================
Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup
6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation
7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
8:45 - Break
9:00 - Pelvic Floor Evaluation (Continued)
9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
10:30 - Lunch
11:30 - Urinary Incontinence Examination & Interventions Part II
1:00 - Break
1:15 - Lab 3: Bladder Diary Activity
2:00 - Questions
2:30 - Adjourn
|
=============================
Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup
6:30 am PST - Course begins / Questions from Day 1
6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
7:30 - Break
7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation
9:00 - Specific Diagnoses in Female Pelvic Pain
10:30 - Lunch
11:00 - Managing Movement Part II: Pressures & Load Transfer
12:45 - Final Lab Preparation Presentation
1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
2:00 - Break
2:15 - Case Studies
2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up
3:00 - Adjourn
|
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor
2. List the pelvic floor muscle functions
3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions
7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
8. List two diagnoses that would benefit from applications of electrotherapy
9. Describe the applications of SEMG biofeedback for the pelvic floor
10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Directions from Recommended Lodging to Course Location
Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS
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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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string(1914) "Pelvic Floor Level 1 Satellite Lab Course - Howell, MI - January 8-9, 2022 (SOLD OUT)
Eastern Time - Day 1: 11:00am - 7:30pm / Day 2: 11:00am - 7:45pm
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $645
Experience Level: Beginner
Contact Hours: 23.75 hours |
This is a satellite offering of our course, Pelvic Floor Level 1. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the on-site lab assistants at the satellite course location.
This continuing education course is comprised of prerecorded lectures followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
This course was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. Satellite lab courses are often limited to very small groups of around ten, meaning seats are scarce. It is highly recommended you sign up as soon as you are able so you do not miss out on a seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos (all prerecorded lectures must be completed before attending the first day of class) and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if you choose the self hosted option.) After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.
Audience:
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.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (We will complete this as a group activity on the first day of the course)
2. Bladder Diary Assignment Instructions
3. Patient History Form
4. Biofeedback Video - Please download and listen to the presentation
Prerequisites
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding textbook are not required to purchase an additional one.
Please Contact Us with any questions about the use of this text as a required reading in this course.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes)
2) Pelvic Floor Evaluation and Examination (1 hour 30 min)
3) Managing Movement (1 hour)
4) Urinary Incontinence (1 hour 30 min)
5) Introduction to Pelvic Pain (1 hour 10 min)
6) General Treatment of Pelvic Pain (1 hour)
7) Awareness of Trauma (1 hour)
8) Pelvic Organ Prolapse (1 hour 10 min)
9) Introduction to Biofeedback and Electrical Stimulation (46 min)
10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
|
=============================
Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup
6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation
7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
8:45 - Break
9:00 - Pelvic Floor Evaluation (Continued)
9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
10:30 - Lunch
11:30 - Urinary Incontinence Examination & Interventions Part II
1:00 - Break
1:15 - Lab 3: Bladder Diary Activity
2:00 - Questions
2:30 - Adjourn
|
=============================
Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup
6:30 am PST - Course begins / Questions from Day 1
6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
7:30 - Break
7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation
9:00 - Specific Diagnoses in Female Pelvic Pain
10:30 - Lunch
11:00 - Managing Movement Part II: Pressures & Load Transfer
12:45 - Final Lab Preparation Presentation
1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
2:00 - Break
2:15 - Case Studies
2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up
3:00 - Adjourn
|
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor
2. List the pelvic floor muscle functions
3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions
7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
8. List two diagnoses that would benefit from applications of electrotherapy
9. Describe the applications of SEMG biofeedback for the pelvic floor
10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Directions from Recommended Lodging to Course Location
Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS
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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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string(1866) "Pelvic Floor Level 1 Satellite Lab Course - Leavenworth, KS - February 5-6, 2022 (SOLD OUT)
Central Time - Day 1: 10:00am - 6:30pm / Day 2: 10:00am - 6:45pm
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $645
Experience Level: Beginner
Contact Hours: 23.75 hours |
This is a satellite offering of our course, Pelvic Floor Level 1. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the on-site lab assistants at the satellite course location.
This continuing education course is comprised of prerecorded lectures followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
This course was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. Satellite lab courses are often limited to very small groups of around ten, meaning seats are scarce. It is highly recommended you sign up as soon as you are able so you do not miss out on a seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos (all prerecorded lectures must be completed before attending the first day of class) and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if you choose the self hosted option.) After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.
Audience:
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.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (We will complete this as a group activity on the first day of the course)
2. Bladder Diary Assignment Instructions
3. Patient History Form
4. Biofeedback Video - Please download and listen to the presentation
Prerequisites
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding textbook are not required to purchase an additional one.
Please Contact Us with any questions about the use of this text as a required reading in this course.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes)
2) Pelvic Floor Evaluation and Examination (1 hour 30 min)
3) Managing Movement (1 hour)
4) Urinary Incontinence (1 hour 30 min)
5) Introduction to Pelvic Pain (1 hour 10 min)
6) General Treatment of Pelvic Pain (1 hour)
7) Awareness of Trauma (1 hour)
8) Pelvic Organ Prolapse (1 hour 10 min)
9) Introduction to Biofeedback and Electrical Stimulation (46 min)
10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
|
=============================
Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup
6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation
7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
8:45 - Break
9:00 - Pelvic Floor Evaluation (Continued)
9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
10:30 - Lunch
11:30 - Urinary Incontinence Examination & Interventions Part II
1:00 - Break
1:15 - Lab 3: Bladder Diary Activity
2:00 - Questions
2:30 - Adjourn
|
=============================
Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup
6:30 am PST - Course begins / Questions from Day 1
6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
7:30 - Break
7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation
9:00 - Specific Diagnoses in Female Pelvic Pain
10:30 - Lunch
11:00 - Managing Movement Part II: Pressures & Load Transfer
12:45 - Final Lab Preparation Presentation
1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
2:00 - Break
2:15 - Case Studies
2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up
3:00 - Adjourn
|
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor
2. List the pelvic floor muscle functions
3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions
7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
8. List two diagnoses that would benefit from applications of electrotherapy
9. Describe the applications of SEMG biofeedback for the pelvic floor
10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Directions from Recommended Lodging to Course Location
Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS
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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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string(1842) "Pelvic Floor Level 1 Satellite Lab Course - Los Angeles, CA - February 5-6, 2022 (SOLD OUT)
Pacific Time - Day 1: 8:00am - 4:30pm / Day 2: 8:00am - 4:45pm
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $645
Experience Level: Beginner
Contact Hours: 23.75 hours |
This is a satellite offering of our course, Pelvic Floor Level 1. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the on-site lab assistants at the satellite course location.
This continuing education course is comprised of prerecorded lectures followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
This course was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. Satellite lab courses are often limited to very small groups of around ten, meaning seats are scarce. It is highly recommended you sign up as soon as you are able so you do not miss out on a seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos (all prerecorded lectures must be completed before attending the first day of class) and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if you choose the self hosted option.) After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.
Audience:
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.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (We will complete this as a group activity on the first day of the course)
2. Bladder Diary Assignment Instructions
3. Patient History Form
4. Biofeedback Video - Please download and listen to the presentation
Prerequisites
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding textbook are not required to purchase an additional one.
Please Contact Us with any questions about the use of this text as a required reading in this course.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes)
2) Pelvic Floor Evaluation and Examination (1 hour 30 min)
3) Managing Movement (1 hour)
4) Urinary Incontinence (1 hour 30 min)
5) Introduction to Pelvic Pain (1 hour 10 min)
6) General Treatment of Pelvic Pain (1 hour)
7) Awareness of Trauma (1 hour)
8) Pelvic Organ Prolapse (1 hour 10 min)
9) Introduction to Biofeedback and Electrical Stimulation (46 min)
10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
|
=============================
Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup
6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation
7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
8:45 - Break
9:00 - Pelvic Floor Evaluation (Continued)
9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
10:30 - Lunch
11:30 - Urinary Incontinence Examination & Interventions Part II
1:00 - Break
1:15 - Lab 3: Bladder Diary Activity
2:00 - Questions
2:30 - Adjourn
|
=============================
Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup
6:30 am PST - Course begins / Questions from Day 1
6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
7:30 - Break
7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation
9:00 - Specific Diagnoses in Female Pelvic Pain
10:30 - Lunch
11:00 - Managing Movement Part II: Pressures & Load Transfer
12:45 - Final Lab Preparation Presentation
1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
2:00 - Break
2:15 - Case Studies
2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up
3:00 - Adjourn
|
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor
2. List the pelvic floor muscle functions
3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions
7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
8. List two diagnoses that would benefit from applications of electrotherapy
9. Describe the applications of SEMG biofeedback for the pelvic floor
10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Directions from Recommended Lodging to Course Location
Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS
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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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string(1905) "Pelvic Floor Level 1 Satellite Lab Course - New Bern, NC - January 8-9, 2022 (SOLD OUT)
Eastern Time - Day 1: 11:00am - 7:30pm / Day 2: 11:00am - 7:45pm
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $645
Experience Level: Beginner
Contact Hours: 23.75 hours |
This is a satellite offering of our course, Pelvic Floor Level 1. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the on-site lab assistants at the satellite course location.
This continuing education course is comprised of prerecorded lectures followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
This course was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. Satellite lab courses are often limited to very small groups of around ten, meaning seats are scarce. It is highly recommended you sign up as soon as you are able so you do not miss out on a seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos (all prerecorded lectures must be completed before attending the first day of class) and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if you choose the self hosted option.) After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.
Audience:
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.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (We will complete this as a group activity on the first day of the course)
2. Bladder Diary Assignment Instructions
3. Patient History Form
4. Biofeedback Video - Please download and listen to the presentation
Prerequisites
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding textbook are not required to purchase an additional one.
Please Contact Us with any questions about the use of this text as a required reading in this course.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes)
2) Pelvic Floor Evaluation and Examination (1 hour 30 min)
3) Managing Movement (1 hour)
4) Urinary Incontinence (1 hour 30 min)
5) Introduction to Pelvic Pain (1 hour 10 min)
6) General Treatment of Pelvic Pain (1 hour)
7) Awareness of Trauma (1 hour)
8) Pelvic Organ Prolapse (1 hour 10 min)
9) Introduction to Biofeedback and Electrical Stimulation (46 min)
10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
|
=============================
Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup
6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation
7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
8:45 - Break
9:00 - Pelvic Floor Evaluation (Continued)
9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
10:30 - Lunch
11:30 - Urinary Incontinence Examination & Interventions Part II
1:00 - Break
1:15 - Lab 3: Bladder Diary Activity
2:00 - Questions
2:30 - Adjourn
|
=============================
Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup
6:30 am PST - Course begins / Questions from Day 1
6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
7:30 - Break
7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation
9:00 - Specific Diagnoses in Female Pelvic Pain
10:30 - Lunch
11:00 - Managing Movement Part II: Pressures & Load Transfer
12:45 - Final Lab Preparation Presentation
1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
2:00 - Break
2:15 - Case Studies
2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up
3:00 - Adjourn
|
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor
2. List the pelvic floor muscle functions
3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions
7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
8. List two diagnoses that would benefit from applications of electrotherapy
9. Describe the applications of SEMG biofeedback for the pelvic floor
10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Directions from Recommended Lodging to Course Location
Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS
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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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string(1887) "Pelvic Floor Level 1 Satellite Lab Course - Newport News, VA - February 5-6, 2022 (SOLD OUT)
Eastern Time - Day 1: 11:00am - 7:30pm / Day 2: 11:00am - 7:45pm
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $645
Experience Level: Beginner
Contact Hours: 23.75 hours |
This is a satellite offering of our course, Pelvic Floor Level 1. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the on-site lab assistants at the satellite course location.
This continuing education course is comprised of prerecorded lectures followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
This course was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. Satellite lab courses are often limited to very small groups of around ten, meaning seats are scarce. It is highly recommended you sign up as soon as you are able so you do not miss out on a seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos (all prerecorded lectures must be completed before attending the first day of class) and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if you choose the self hosted option.) After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.
Audience:
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.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (We will complete this as a group activity on the first day of the course)
2. Bladder Diary Assignment Instructions
3. Patient History Form
4. Biofeedback Video - Please download and listen to the presentation
Prerequisites
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding textbook are not required to purchase an additional one.
Please Contact Us with any questions about the use of this text as a required reading in this course.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes)
2) Pelvic Floor Evaluation and Examination (1 hour 30 min)
3) Managing Movement (1 hour)
4) Urinary Incontinence (1 hour 30 min)
5) Introduction to Pelvic Pain (1 hour 10 min)
6) General Treatment of Pelvic Pain (1 hour)
7) Awareness of Trauma (1 hour)
8) Pelvic Organ Prolapse (1 hour 10 min)
9) Introduction to Biofeedback and Electrical Stimulation (46 min)
10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
|
=============================
Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup
6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation
7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
8:45 - Break
9:00 - Pelvic Floor Evaluation (Continued)
9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
10:30 - Lunch
11:30 - Urinary Incontinence Examination & Interventions Part II
1:00 - Break
1:15 - Lab 3: Bladder Diary Activity
2:00 - Questions
2:30 - Adjourn
|
=============================
Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup
6:30 am PST - Course begins / Questions from Day 1
6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
7:30 - Break
7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation
9:00 - Specific Diagnoses in Female Pelvic Pain
10:30 - Lunch
11:00 - Managing Movement Part II: Pressures & Load Transfer
12:45 - Final Lab Preparation Presentation
1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
2:00 - Break
2:15 - Case Studies
2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up
3:00 - Adjourn
|
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor
2. List the pelvic floor muscle functions
3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions
7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
8. List two diagnoses that would benefit from applications of electrotherapy
9. Describe the applications of SEMG biofeedback for the pelvic floor
10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Directions from Recommended Lodging to Course Location
Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS
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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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string(81) "Pelvic Floor Level 1 Satellite Lab Course - Oklahoma City, OK - January 8-9, 2022"
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string(1854) "Pelvic Floor Level 1 Satellite Lab Course - Oklahoma City, OK - January 8-9, 2022 (SOLD OUT)
Central Time - Day 1: 10:00am - 6:30pm / Day 2: 10:00am - 6:45pm
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $645
Experience Level: Beginner
Contact Hours: 23.75 hours |
This is a satellite offering of our course, Pelvic Floor Level 1. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the on-site lab assistants at the satellite course location.
This continuing education course is comprised of prerecorded lectures followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
This course was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. Satellite lab courses are often limited to very small groups of around ten, meaning seats are scarce. It is highly recommended you sign up as soon as you are able so you do not miss out on a seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos (all prerecorded lectures must be completed before attending the first day of class) and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if you choose the self hosted option.) After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.
Audience:
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.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (We will complete this as a group activity on the first day of the course)
2. Bladder Diary Assignment Instructions
3. Patient History Form
4. Biofeedback Video - Please download and listen to the presentation
Prerequisites
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding textbook are not required to purchase an additional one.
Please Contact Us with any questions about the use of this text as a required reading in this course.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes)
2) Pelvic Floor Evaluation and Examination (1 hour 30 min)
3) Managing Movement (1 hour)
4) Urinary Incontinence (1 hour 30 min)
5) Introduction to Pelvic Pain (1 hour 10 min)
6) General Treatment of Pelvic Pain (1 hour)
7) Awareness of Trauma (1 hour)
8) Pelvic Organ Prolapse (1 hour 10 min)
9) Introduction to Biofeedback and Electrical Stimulation (46 min)
10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
|
=============================
Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup
6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation
7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
8:45 - Break
9:00 - Pelvic Floor Evaluation (Continued)
9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
10:30 - Lunch
11:30 - Urinary Incontinence Examination & Interventions Part II
1:00 - Break
1:15 - Lab 3: Bladder Diary Activity
2:00 - Questions
2:30 - Adjourn
|
=============================
Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup
6:30 am PST - Course begins / Questions from Day 1
6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
7:30 - Break
7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation
9:00 - Specific Diagnoses in Female Pelvic Pain
10:30 - Lunch
11:00 - Managing Movement Part II: Pressures & Load Transfer
12:45 - Final Lab Preparation Presentation
1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
2:00 - Break
2:15 - Case Studies
2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up
3:00 - Adjourn
|
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor
2. List the pelvic floor muscle functions
3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions
7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
8. List two diagnoses that would benefit from applications of electrotherapy
9. Describe the applications of SEMG biofeedback for the pelvic floor
10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Directions from Recommended Lodging to Course Location
Darla graduated from Louisiana State University (Shreveport, LA) with her physical therapy degree, performed residency training in Women’s Health PT at Duke University, and is currently pursuing a PhD at University of Arkansas Medical Sciences. Her dissertation research focus was is on using non-invasive brain stimulation to augment behavioral interventions for women with lifelong vaginismus, and her ongoing line of research includes a variety of pelvic and perinatal health topics.
Darla’s certifications and training include: Women’s Health Certified Specialist (WCS, board certification through the American Board of Physical Therapy Specialties). Certificate of Achievement in Pelvic Physical Therapy (CAPP-Pelvic). Certified Lymphedema Therapist (CLT).
Darla began her women’s health physical therapy career in her first job while working with pregnant women with musculoskeletal problems in a private outpatient therapy clinic in Shreveport, LA (with a focus on spine rehab). While there, she developed and hosted an exercise class for pregnant women. She would go on to develop a mom and baby postpartum exercise class while in her Duke residency in Durham, NC. She went on to develop the pelvic, pregnancy, and post-breast cancer/lymphedema PT program at Christus-Schumpert Health system in Shreveport, LA. During this time, she participated in educating women in the labor and birth preparatory classes hosted by the hospital; she also taught the women’s health course for physical therapy students at LSU-Shreveport. Darla went on to serve as a full-time faculty member in the physical therapy program at University of Central Arkansas in Conway, AR, where she taught women’s health topics, documentation, therapeutic exercise, professional development, and human physiology. She now owns a private PT practice that is dedicated to pelvic (bowel, bladder, and pelvic pain) and pregnancy/postpartum conditions in Conway, AR.
Darla has several peer-reviewed and non-peer-reviewed scientific publications. Amongst some of these, she co-authored “Clinical Summary: Urinary Incontinence” for PTNow.org in April 2015. She authored the chapter titled “The Female Hip and Pelvis” in Orthopedic Management of the Hip and Pelvis (S Cheatham, M Kolber, Elsevier, 2015). She chaired the committee for and participated heavily in the development of the Certificate of Achievement in Pregnancy/Postpartum (CAPP-OB) course series for the Section on Women’s Health of the American Physical Therapy Association. Darla has spoken and instructed many courses in local, national, and international settings on a variety of pelvic, pregnancy/postpartum, and other women’s health physical therapy topics. Darla has served as the Director of Education (2011-2014) and as Vice President (2015-2016) for the Section on Women’s Health, American Physical Therapy Association. She also served a technical expert panel member on Treatments for Fecal Incontinence, Agency for Healthcare Research and Quality in 2014-2015. She also volunteered as a Women’s Health Certified Specialist Exam Standardization Task Force member in May 2013. Darla received several awards from the Section on Women’s Health: CAPP-OB Instructor of the Year (2017); Course Site Hostess of the Year (2018); and Volunteer of the Year (2015). She also received Clinical Instructor of the Year while serving as a clinical instructor a pelvic health physical therapy student from Elon University in 2011.
On a personal note, Darla has twin boys who were born in 2008. She is a life-long runner and exerciser who loves dark chocolate, craft beer, and her Basset hound (George) and Basset-Dachshund mix (Peanut).
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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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Eastern Time - Day 1: 11:00am - 7:30pm / Day 2: 11:00am - 7:45pm
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $645
Experience Level: Beginner
Contact Hours: 23.75 hours |
This is a satellite offering of our course, Pelvic Floor Level 1. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the on-site lab assistants at the satellite course location.
This continuing education course is comprised of prerecorded lectures followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
This course was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. Satellite lab courses are often limited to very small groups of around ten, meaning seats are scarce. It is highly recommended you sign up as soon as you are able so you do not miss out on a seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos (all prerecorded lectures must be completed before attending the first day of class) and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if you choose the self hosted option.) After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.
Audience:
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.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (We will complete this as a group activity on the first day of the course)
2. Bladder Diary Assignment Instructions
3. Patient History Form
4. Biofeedback Video - Please download and listen to the presentation
Prerequisites
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding textbook are not required to purchase an additional one.
Please Contact Us with any questions about the use of this text as a required reading in this course.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes)
2) Pelvic Floor Evaluation and Examination (1 hour 30 min)
3) Managing Movement (1 hour)
4) Urinary Incontinence (1 hour 30 min)
5) Introduction to Pelvic Pain (1 hour 10 min)
6) General Treatment of Pelvic Pain (1 hour)
7) Awareness of Trauma (1 hour)
8) Pelvic Organ Prolapse (1 hour 10 min)
9) Introduction to Biofeedback and Electrical Stimulation (46 min)
10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
|
=============================
Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup
6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation
7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
8:45 - Break
9:00 - Pelvic Floor Evaluation (Continued)
9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
10:30 - Lunch
11:30 - Urinary Incontinence Examination & Interventions Part II
1:00 - Break
1:15 - Lab 3: Bladder Diary Activity
2:00 - Questions
2:30 - Adjourn
|
=============================
Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup
6:30 am PST - Course begins / Questions from Day 1
6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
7:30 - Break
7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation
9:00 - Specific Diagnoses in Female Pelvic Pain
10:30 - Lunch
11:00 - Managing Movement Part II: Pressures & Load Transfer
12:45 - Final Lab Preparation Presentation
1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
2:00 - Break
2:15 - Case Studies
2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up
3:00 - Adjourn
|
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor
2. List the pelvic floor muscle functions
3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions
7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
8. List two diagnoses that would benefit from applications of electrotherapy
9. Describe the applications of SEMG biofeedback for the pelvic floor
10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS
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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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Eastern Time - Day 1: 11:00am - 7:30pm / Day 2: 11:00am - 7:45pm
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $645
Experience Level: Beginner
Contact Hours: 23.75 hours |
This is a satellite offering of our course, Pelvic Floor Level 1. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the on-site lab assistants at the satellite course location.
This continuing education course is comprised of prerecorded lectures followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
This course was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. Satellite lab courses are often limited to very small groups of around ten, meaning seats are scarce. It is highly recommended you sign up as soon as you are able so you do not miss out on a seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos (all prerecorded lectures must be completed before attending the first day of class) and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if you choose the self hosted option.) After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.
Audience:
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.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (We will complete this as a group activity on the first day of the course)
2. Bladder Diary Assignment Instructions
3. Patient History Form
4. Biofeedback Video - Please download and listen to the presentation
Prerequisites
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding textbook are not required to purchase an additional one.
Please Contact Us with any questions about the use of this text as a required reading in this course.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes)
2) Pelvic Floor Evaluation and Examination (1 hour 30 min)
3) Managing Movement (1 hour)
4) Urinary Incontinence (1 hour 30 min)
5) Introduction to Pelvic Pain (1 hour 10 min)
6) General Treatment of Pelvic Pain (1 hour)
7) Awareness of Trauma (1 hour)
8) Pelvic Organ Prolapse (1 hour 10 min)
9) Introduction to Biofeedback and Electrical Stimulation (46 min)
10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
|
=============================
Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup
6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation
7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
8:45 - Break
9:00 - Pelvic Floor Evaluation (Continued)
9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
10:30 - Lunch
11:30 - Urinary Incontinence Examination & Interventions Part II
1:00 - Break
1:15 - Lab 3: Bladder Diary Activity
2:00 - Questions
2:30 - Adjourn
|
=============================
Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup
6:30 am PST - Course begins / Questions from Day 1
6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
7:30 - Break
7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation
9:00 - Specific Diagnoses in Female Pelvic Pain
10:30 - Lunch
11:00 - Managing Movement Part II: Pressures & Load Transfer
12:45 - Final Lab Preparation Presentation
1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
2:00 - Break
2:15 - Case Studies
2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up
3:00 - Adjourn
|
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor
2. List the pelvic floor muscle functions
3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions
7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
8. List two diagnoses that would benefit from applications of electrotherapy
9. Describe the applications of SEMG biofeedback for the pelvic floor
10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Directions from Recommended Lodging to Course Location
Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS
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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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string(1842) "Pelvic Floor Level 1 Satellite Lab Course - Queens, NY - January 8-9, 2022
Eastern Time - Day 1: 11:00am - 7:30pm / Day 2: 11:00am - 7:45pm
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $645
Experience Level: Beginner
Contact Hours: 23.75 hours |
This is a satellite offering of our course, Pelvic Floor Level 1. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the on-site lab assistants at the satellite course location.
This continuing education course is comprised of prerecorded lectures followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
This course was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. Satellite lab courses are often limited to very small groups of around ten, meaning seats are scarce. It is highly recommended you sign up as soon as you are able so you do not miss out on a seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos (all prerecorded lectures must be completed before attending the first day of class) and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if you choose the self hosted option.) After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.
Audience:
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.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (We will complete this as a group activity on the first day of the course)
2. Bladder Diary Assignment Instructions
3. Patient History Form
4. Biofeedback Video - Please download and listen to the presentation
Prerequisites
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding textbook are not required to purchase an additional one.
Please Contact Us with any questions about the use of this text as a required reading in this course.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes)
2) Pelvic Floor Evaluation and Examination (1 hour 30 min)
3) Managing Movement (1 hour)
4) Urinary Incontinence (1 hour 30 min)
5) Introduction to Pelvic Pain (1 hour 10 min)
6) General Treatment of Pelvic Pain (1 hour)
7) Awareness of Trauma (1 hour)
8) Pelvic Organ Prolapse (1 hour 10 min)
9) Introduction to Biofeedback and Electrical Stimulation (46 min)
10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
|
=============================
Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup
6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation
7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
8:45 - Break
9:00 - Pelvic Floor Evaluation (Continued)
9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
10:30 - Lunch
11:30 - Urinary Incontinence Examination & Interventions Part II
1:00 - Break
1:15 - Lab 3: Bladder Diary Activity
2:00 - Questions
2:30 - Adjourn
|
=============================
Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup
6:30 am PST - Course begins / Questions from Day 1
6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
7:30 - Break
7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation
9:00 - Specific Diagnoses in Female Pelvic Pain
10:30 - Lunch
11:00 - Managing Movement Part II: Pressures & Load Transfer
12:45 - Final Lab Preparation Presentation
1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
2:00 - Break
2:15 - Case Studies
2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up
3:00 - Adjourn
|
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor
2. List the pelvic floor muscle functions
3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions
7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
8. List two diagnoses that would benefit from applications of electrotherapy
9. Describe the applications of SEMG biofeedback for the pelvic floor
10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Directions from Recommended Lodging to Course Location
Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS
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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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Eastern Time - Day 1: 11:00am - 7:30pm / Day 2: 11:00am - 7:45pm
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $645
Experience Level: Beginner
Contact Hours: 23.75 hours |
This is a satellite offering of our course, Pelvic Floor Level 1. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the on-site lab assistants at the satellite course location.
This continuing education course is comprised of prerecorded lectures followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
This course was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. Satellite lab courses are often limited to very small groups of around ten, meaning seats are scarce. It is highly recommended you sign up as soon as you are able so you do not miss out on a seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos (all prerecorded lectures must be completed before attending the first day of class) and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if you choose the self hosted option.) After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.
Audience:
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.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (We will complete this as a group activity on the first day of the course)
2. Bladder Diary Assignment Instructions
3. Patient History Form
4. Biofeedback Video - Please download and listen to the presentation
Prerequisites
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding textbook are not required to purchase an additional one.
Please Contact Us with any questions about the use of this text as a required reading in this course.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes)
2) Pelvic Floor Evaluation and Examination (1 hour 30 min)
3) Managing Movement (1 hour)
4) Urinary Incontinence (1 hour 30 min)
5) Introduction to Pelvic Pain (1 hour 10 min)
6) General Treatment of Pelvic Pain (1 hour)
7) Awareness of Trauma (1 hour)
8) Pelvic Organ Prolapse (1 hour 10 min)
9) Introduction to Biofeedback and Electrical Stimulation (46 min)
10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
|
=============================
Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup
6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation
7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
8:45 - Break
9:00 - Pelvic Floor Evaluation (Continued)
9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
10:30 - Lunch
11:30 - Urinary Incontinence Examination & Interventions Part II
1:00 - Break
1:15 - Lab 3: Bladder Diary Activity
2:00 - Questions
2:30 - Adjourn
|
=============================
Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup
6:30 am PST - Course begins / Questions from Day 1
6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
7:30 - Break
7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation
9:00 - Specific Diagnoses in Female Pelvic Pain
10:30 - Lunch
11:00 - Managing Movement Part II: Pressures & Load Transfer
12:45 - Final Lab Preparation Presentation
1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
2:00 - Break
2:15 - Case Studies
2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up
3:00 - Adjourn
|
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor
2. List the pelvic floor muscle functions
3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions
7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
8. List two diagnoses that would benefit from applications of electrotherapy
9. Describe the applications of SEMG biofeedback for the pelvic floor
10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Directions from Recommended Lodging to Course Location
Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS
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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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string(1865) "Pelvic Floor Level 1 Satellite Lab Course - Salt Lake City, UT - January 8-9, 2022 (SOLD OUT)
Mountain Time - Day 1: 9:00am - 5:30pm / Day 2: 9:00am - 5:45pm
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $645
Experience Level: Beginner
Contact Hours: 23.75 hours |
This is a satellite offering of our course, Pelvic Floor Level 1. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the on-site lab assistants at the satellite course location.
This continuing education course is comprised of prerecorded lectures followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
This course was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. Satellite lab courses are often limited to very small groups of around ten, meaning seats are scarce. It is highly recommended you sign up as soon as you are able so you do not miss out on a seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos (all prerecorded lectures must be completed before attending the first day of class) and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if you choose the self hosted option.) After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.
Audience:
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.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (We will complete this as a group activity on the first day of the course)
2. Bladder Diary Assignment Instructions
3. Patient History Form
4. Biofeedback Video - Please download and listen to the presentation
Prerequisites
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding textbook are not required to purchase an additional one.
Please Contact Us with any questions about the use of this text as a required reading in this course.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes)
2) Pelvic Floor Evaluation and Examination (1 hour 30 min)
3) Managing Movement (1 hour)
4) Urinary Incontinence (1 hour 30 min)
5) Introduction to Pelvic Pain (1 hour 10 min)
6) General Treatment of Pelvic Pain (1 hour)
7) Awareness of Trauma (1 hour)
8) Pelvic Organ Prolapse (1 hour 10 min)
9) Introduction to Biofeedback and Electrical Stimulation (46 min)
10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
|
=============================
Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup
6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation
7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
8:45 - Break
9:00 - Pelvic Floor Evaluation (Continued)
9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
10:30 - Lunch
11:30 - Urinary Incontinence Examination & Interventions Part II
1:00 - Break
1:15 - Lab 3: Bladder Diary Activity
2:00 - Questions
2:30 - Adjourn
|
=============================
Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup
6:30 am PST - Course begins / Questions from Day 1
6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
7:30 - Break
7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation
9:00 - Specific Diagnoses in Female Pelvic Pain
10:30 - Lunch
11:00 - Managing Movement Part II: Pressures & Load Transfer
12:45 - Final Lab Preparation Presentation
1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
2:00 - Break
2:15 - Case Studies
2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up
3:00 - Adjourn
|
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor
2. List the pelvic floor muscle functions
3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions
7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
8. List two diagnoses that would benefit from applications of electrotherapy
9. Describe the applications of SEMG biofeedback for the pelvic floor
10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Directions from Recommended Lodging to Course Location
Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS
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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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string(1834) "Pelvic Floor Level 1 Satellite Lab Course - San Diego, CA - February 5-6, 2022 (SOLD OUT)
Pacific Time - Day 1: 8:00am - 4:30pm / Day 2: 8:00am - 4:45pm
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $645
Experience Level: Beginner
Contact Hours: 23.75 hours |
This is a satellite offering of our course, Pelvic Floor Level 1. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the on-site lab assistants at the satellite course location.
This continuing education course is comprised of prerecorded lectures followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
This course was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. Satellite lab courses are often limited to very small groups of around ten, meaning seats are scarce. It is highly recommended you sign up as soon as you are able so you do not miss out on a seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos (all prerecorded lectures must be completed before attending the first day of class) and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if you choose the self hosted option.) After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.
Audience:
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.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (We will complete this as a group activity on the first day of the course)
2. Bladder Diary Assignment Instructions
3. Patient History Form
4. Biofeedback Video - Please download and listen to the presentation
Prerequisites
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding textbook are not required to purchase an additional one.
Please Contact Us with any questions about the use of this text as a required reading in this course.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes)
2) Pelvic Floor Evaluation and Examination (1 hour 30 min)
3) Managing Movement (1 hour)
4) Urinary Incontinence (1 hour 30 min)
5) Introduction to Pelvic Pain (1 hour 10 min)
6) General Treatment of Pelvic Pain (1 hour)
7) Awareness of Trauma (1 hour)
8) Pelvic Organ Prolapse (1 hour 10 min)
9) Introduction to Biofeedback and Electrical Stimulation (46 min)
10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
|
=============================
Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup
6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation
7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
8:45 - Break
9:00 - Pelvic Floor Evaluation (Continued)
9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
10:30 - Lunch
11:30 - Urinary Incontinence Examination & Interventions Part II
1:00 - Break
1:15 - Lab 3: Bladder Diary Activity
2:00 - Questions
2:30 - Adjourn
|
=============================
Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup
6:30 am PST - Course begins / Questions from Day 1
6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
7:30 - Break
7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation
9:00 - Specific Diagnoses in Female Pelvic Pain
10:30 - Lunch
11:00 - Managing Movement Part II: Pressures & Load Transfer
12:45 - Final Lab Preparation Presentation
1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
2:00 - Break
2:15 - Case Studies
2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up
3:00 - Adjourn
|
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor
2. List the pelvic floor muscle functions
3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions
7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
8. List two diagnoses that would benefit from applications of electrotherapy
9. Describe the applications of SEMG biofeedback for the pelvic floor
10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Directions from Recommended Lodging to Course Location
Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS
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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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string(1823) "Pelvic Floor Level 1 Satellite Lab Course - Zion, IL - January 8-9, 2022 (SOLD OUT)
Central Time - Day 1: 10:00am - 6:30pm / Day 2: 10:00am - 6:45pm
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $645
Experience Level: Beginner
Contact Hours: 23.75 hours |
This is a satellite offering of our course, Pelvic Floor Level 1. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the on-site lab assistants at the satellite course location.
This continuing education course is comprised of prerecorded lectures followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
This course was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. Satellite lab courses are often limited to very small groups of around ten, meaning seats are scarce. It is highly recommended you sign up as soon as you are able so you do not miss out on a seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos (all prerecorded lectures must be completed before attending the first day of class) and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if you choose the self hosted option.) After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.
Audience:
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.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (We will complete this as a group activity on the first day of the course)
2. Bladder Diary Assignment Instructions
3. Patient History Form
4. Biofeedback Video - Please download and listen to the presentation
Prerequisites
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Required Readings
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding textbook are not required to purchase an additional one.
Please Contact Us with any questions about the use of this text as a required reading in this course.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes)
2) Pelvic Floor Evaluation and Examination (1 hour 30 min)
3) Managing Movement (1 hour)
4) Urinary Incontinence (1 hour 30 min)
5) Introduction to Pelvic Pain (1 hour 10 min)
6) General Treatment of Pelvic Pain (1 hour)
7) Awareness of Trauma (1 hour)
8) Pelvic Organ Prolapse (1 hour 10 min)
9) Introduction to Biofeedback and Electrical Stimulation (46 min)
10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
|
=============================
Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup
6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation
7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
8:45 - Break
9:00 - Pelvic Floor Evaluation (Continued)
9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
10:30 - Lunch
11:30 - Urinary Incontinence Examination & Interventions Part II
1:00 - Break
1:15 - Lab 3: Bladder Diary Activity
2:00 - Questions
2:30 - Adjourn
|
=============================
Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup
6:30 am PST - Course begins / Questions from Day 1
6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
7:30 - Break
7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation
9:00 - Specific Diagnoses in Female Pelvic Pain
10:30 - Lunch
11:00 - Managing Movement Part II: Pressures & Load Transfer
12:45 - Final Lab Preparation Presentation
1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
2:00 - Break
2:15 - Case Studies
2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up
3:00 - Adjourn
|
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor
2. List the pelvic floor muscle functions
3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions
7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
8. List two diagnoses that would benefit from applications of electrotherapy
9. Describe the applications of SEMG biofeedback for the pelvic floor
10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Directions from Recommended Lodging to Course Location
Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS
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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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string(1230) "Pelvic Floor Level 2A - Boston, MA - September 19-20, 2020 (Rescheduled)
Description
Schedule
Objectives
Location Lodging
Instructor
Discounts
Price: $695 ($725 within one month of the course)
Experience Level: Intermediate
Contact Hours: 22.5 |
This continuing education course is a three-day (8 hours of online content, followed by a 2-day in-person course) intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect quality of life so dramatically. In the US, adult estimates of fecal incontinence is over 8%, and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.
Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessment (via the anorectal canal) for these conditions.
Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included on Day 2 of this continuing education course. As either condition can contribute to chronic pelvic pain, this course provides significant lab time so that participants will have the opportunity to practice any new skills. Day 3 of the course introduces the participant to pelvic rehabilitation of the male patient with an emphasis on topics of male pelvic anatomy, urinary incontinence, prostatectomy, and male pelvic pain. The content in this course prepares the therapist to work with male pelvic conditions by reinforcing what is common to the care of both men and women, as well as teaching that which is unique for the male patient. Current medical evaluation (with tests such as defecography, manometry), medical management (for anorectal pain and for colorectal conditions), and evidence-informed clinical interventions will be instructed.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Rectal pelvic floor muscle examinations will be taught in labs. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.
Audience:
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.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
Required Readings:
1. The National Digestive Diseases Information Clearinghouse Handout on Fecal Incontinence
2. The National Institute of Diabetes and Digestive and Kidney Diseases Article on Constipation
3. The International Pelvic Pain Society Article on Pudendal Nerve Entrapment (PNE)
4. The European Urology Association'sGuidelines on Chronic Pelvic Pain
5. Principles of Biofeedback from Professor Tim Watson's website electrotherapy.org
6. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding textbook are not required to purchase an additional one.
Additional Helpful Resources:
1. Male Pelvic Pain - go to malepelvicfloor.com
2. Many participants also find it helpful to review the anatomy of the pelvis and perineum
References
Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation
Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517
|
Recorded Lecture: Watch Before the In-Person Component of the Course
1. Colorectal Anatomy & Physiology (75 Min)
2. Medical Testing & Rehab Examination (45 Min.)
3. Fecal Incontinence (60 Min.)
4. Constipation (60 Min.)
5. Anatomy: Pelvic Floor, Penis, Scrotum & Contents (60 Min.)
6. Pudendal Nerve Dysfunction (45 Min.)
7. Topics in Inclusive Care (60 Min.)
8. Colorectal Conditions (45 Min.)
|
Day One:
7:30 Registration
8:00 Introduction, Goals, Objectives
8:30 Colorectal Anatomy and Physiology Review, Anorectal Examination
9:15 LAB 1: Anorectal Evaluation: Sidelying Anorectal Examination & Muscle Mapping
10:15 Break
10:30 Fecal Incontinence, Case Study
11:15 Constipation, Case Study
12:00 Lunch
1:00 Pelvic Pain: Prostatitis, Scrotal Pain
2:00 Coccyx Dysfunction
3:00 Break
3:15 LAB 2: External Palpation & Intervention Posterior Pelvis
4:15 Prostatectomy Part I
5:15 Questions
5:30 Adjourn
|
Day Two:
7:45 Questions from Day 1, Post-test Day 1
8:00 Prostatectomy Part II
8:45 Pudendal
9:45 Break
10:00 LAB 3: Internal Interventions for Coccyx, Pudendal and Pelvic Pain
11:15 LAB 4: Inclusive Language
12:00 Lunch
12:45 Colorectal Conditions
2:00 Break
2:15 LAB 5: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
3:30 Questions
4:00 Adjourn
|
Upon completion of this continuing education seminar, participants will be able to:
1. Describe anatomy of the colorectal region.
2. Explain physiology of the gastrointestinal system including pathophysiology pertaining to bowel dysfunction.
3. Perform examination and evaluation of pelvic floor function related to anorectal structures.
4. Recognize types of fecal incontinence and develop plans of care for intervention including behavioral training and education.
5. Recognize and treat constipation, name the signs, symptoms, and interventions for hemorrhoids, fissures, fistulas, and other common colorectal conditions.
6. Identify specific pelvic floor muscles and key bony landmarks within the anorectal canal.
7. Perform external and internal rectal myofascial treatment techniques such as Thiele’s massage and trigger point release.
8. Perform patient education and behavioral training for constipation, fecal incontinence and pelvic pain syndromes.
9. Describe and teach three SEMG downtraining (relaxation) strategies for the overactive pelvic floor.
10. Describe and demonstrate coccyx evaluation and treatment using internal and external coccyx mobilizations.
11. Describe male urogenital and pelvic floor anatomy, identify signs and symptoms of prostatodynia
12. List key medical diagnostic procedures for colorectal conditions.
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Heather S. Rader, PT, DPT, PRPC, BCB-PMD
Dr. Heather Rader the owner of The OB PT Clinic, a practice devoted to the treatment of pregnancy-related pain and dysfunction, incontinence, pelvic organ prolapse, and complex pelvic pain located in Eustis, FL. A physical therapist since 1994, she graduated from the University of Miami with a Master’s degree in Physical Therapy and she completed her Doctorate in Physical Therapy from the University of St. Augustine in 2011. She was board certified in the use of Biofeedback for Pelvic Muscle Disorders in 2006. She was awarded the Pelvic Rehabilitation Practitioner Certification in 2014 and served as a subject matter expert and question writer for the PRPC examination. She is on faculty with the Herman & Wallace Pelvic Rehabilitation Institute, teaching Pelvic Rehabilitation around the country several times a year, teaching courses in the Pelvic Floor Series and Pregnancy Series.
Her mission as an educator is to assist in the national expansion of qualified pelvic floor therapists and promote awareness of pelvic floor dysfunction to medical professionals and the community at large. She runs a social media site on Facebook called “Team Pelvic Floor”, which posts articles and facts about pelvic floor rehab while promoting a team approach to treating pelvic dysfunction. She is a practice consultant and mentors therapists wishing to incorporate pelvic rehabilitation into their practice.
Office: 352-585-9135
Email: This email address is being protected from spambots. You need JavaScript enabled to view it.
Web: www.theobptclinic.com
Facebook: www.facebook.com/TeamPelvicFloor
Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS
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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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Pelvic Floor Function, Dysfunction and Treatment (Level 2B)
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Start Date/Time and Time Zone:
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Location
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Address:
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Course Title
Pelvic Floor Function, Dysfunction and Treatment (Level 2B)
Course Description
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Location
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string(1224) "Pelvic Floor Level 2B - Manchester, NH - August 22-23, 2020
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $695 ($725 within one month of the course)
Experience Level: Intermediate
Contact Hours: 22.5 |
This three day (8 hours of online content, plus 2-days of in-person learning) intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including downtraining of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for thorough understanding of current medical evaluation and management of each condition.
Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have two instructors and several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such rectocele, cystocele, or uterine prolapse.
Common conditions associated with female pelvic pain are included throughout the three days of education. Such diagnoses may include vulvar pain, vestibulitis, interstitial cystitis or bladder pain syndrome, episiotomy, dyspareunia, lichen sclerosis, lichen simplex, or lichen planus. Both abdominal and pelvic muscle tenderness is higher in patients who have chronic pelvic pain, and increased pelvic muscle tender points have been noted to correlate with higher rates of depression, dyspareunia (pain with sexual function), and bowel dysfunction. (Montenegro et al., 2009; Montenegro et al., 2010) Assessment and treatment of pelvic and abdominal wall tender points is instructed along with abdominopelvic nerve dysfunction and relaxation training- all are strategies that the clinician can employ immediately following completion of this continuing education course. The important and sensitive topic of sexual abuse and trauma as it relates to pelvic dysfunction and to care of the patient is discussed.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
Audience:
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.
Assignments:
In order to derive the most benefit from this course, we ask our participants to be sure to internalize the material and to review any areas of knowledge that are recommended as foundational and prerequisite skills:
Prerequisite Skills Review
Required Readings
1. Stress Urinary Incontinence and Pelvic Load Transfer by Diane Lee and Linda-Joy Lee
2. Read the articles from the National Vulvodynia Association website on vulvodynia and its diagnosis
3. Painful Bladder Syndrome/Interstitial Cystitis by Jane M. Meijlink
4. Review the anatomy of the pelvis and perineum
5. The Standardization of Terminology of Pelvic Floor Muscle Function and Dysfunction Report from the Pelvic Floor Clinical Assessment Group of the ICS
6. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding textbook are not required to purchase an additional one.
References
De Souza Montenegro, M. L. L., Mateus-Vasconcelos, E. C. L., Silva, J. C. R. E, Nogueira, A. A., Dos Reis, F. J. C.,& Poli Neto, O. B. (2010). Importance of pelvic muscle tenderness evaluation in women with chronic pelvic pain. Pain Medicine, 11(2), 224-228.
Montenegro, M. L. L. S., Gomide, L. B., Mateus-Vasconcelos, E. L., Rosa-e-Silva, J. C., Candido-dos-Reis, F. J.,
Nogueira, A. A., & Poli-Neto, O. B. (2009). Abdominal myofascial pain syndrome must be considered in the differential diagnosis of chronic pelvic pain. European Journal of Obstetrics & Gynecology and Reproductive Biology, 147(1), 21-24.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 8 hours
1) Pelvic Floor Concepts, Anatomy, & Specific Palpation (35 min)
2) Prolapse (44 min)
3) Medical and Multidisciplinary Management of Pelvic Pain (59 min)
4) Specific Conditions: Vulvar Pain, Dyspareunia, Vaginismus (78 min)
5) Specific Conditions: Interstitial Cystitis/Painful Bladder Syndrome, Endo, PCOS, UTI (92 min)
6) Relaxation Training: Yoga Using Props (3 min)
7) Relaxation Training: Yoga (7 min)
8) Neuromuscular Relaxation Training (52 min)
9) Abdominal Neuromyofascial Techniques (62 min)
10) Breathing and Pressure Management (51 min)
|
=============================
Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup
6:30 am PST - Course begins / Objectives, introductions, overview
7:00 - Pelvic rehabilitation concepts, anatomy and specific palpation
7:30 - Prolapse anatomy, evaluation and treatment (Part 2)
8:30 - Break
8:45 - Lab 1: Specific layer palpation and prolapse
9:45 - Examination skills pelvic pain
10:45 - Lunch
11:45 - Lab 2: Examination techniques for pelvic pain
12:45 - Trauma-Informed Care
1:45 - Break
2:00 - Lab 3: Thermistor activity & restorative practices
2:45 - Mini prolapse & pain case discussions
3:15 - Summary & questions, post-test
3:30 - Adjourn
|
=============================
Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup
6:30 am PST - Course begins / Questions from Day 1
7:00 - Pelvic pain manual skills
8:00 - Lab 4: Pelvic pain manual skills
9:15 - Break
9:30 - Abdominal neuromyofascial techniques lab prep
9:45 - Lab 5B: Abdominal neuromyofascial techniques
11:00 - Lunch
11:45 - Breathing & pressure management lab prep
12:00 - Lab 5A: Breathing and pressure management
12:45 - Case studies, treatment progressions, resources
1:30 - Questions, summary, and wrap-up
2:00 - Adjourn
|
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy and pathophysiology of the female reproductive and urologic systems with reference to vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/painful bladder syndrome.
2. Identify specific pelvic floor muscle anatomy with external and internal vaginal examinations.
3. Perform internal vaginal myofascial and soft tissue treatment techniques to the pelvic floor and pelvic wall muscles.
4. Describe and teach three neuromuscular relaxation training techniques for the pelvic floor.
5. Perform a neuromuscular relaxation training technique.
6. Perform external perineal examinations appropriate for female pelvic dysfunctions including vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/bladder pain syndrome.
7. Perform patient-related education and behavioral instructions appropriate for urogynecologic conditions.
8. Demonstrate muscle assessment tests for the pelvic floor to identify anterior and posterior vaginal wall relaxation (pelvic organ prolapse.)
9. Describe and demonstrate abdominal wall evaluation and treatment interventions of manual therapy, and specific therapeutic exercise for transversus abdominis, diastasis recti, nerve dysfunction, and myofascial pain.
10. Develop treatment plans for pelvic pain syndromes and prolapse.
11. Be able to implement aspects of trauma-informed care in practice.
12. Treat specific conditions including PCOS, endometriosis, yeast infections, post-urinary tract infections, vulvar pain, dyspareunia, pelvic organ prolapse, interstitial cystitis.
Directions from Recommended Lodging to Course Location: Click here if map is not shown below.
Susannah Haarmann, PT, CLT, WCS
Susannah Haarmann, PT, CLT, WCS graduated from the University of Georgia with a Bachelor of Science degree in Psychology in 2003. In 2007 she attended North Georgia College and State University obtaining a masters degree in Physical Therapy. Before focusing her attention on the practice of women’s health, Susannah became a well-rounded therapist working in various settings from acute care to outpatient manual therapy. She completed a residency in women’s health at Duke University in 2012 and currently treats the women’s health, lymphedema and orthopedic populations at Mission Hospital in Asheville, North Carolina. Susannah’s passion for improving quality of life in cancer thrivers shows in her dedication to oncology rehabilitation program development at Mission Hospital and sharing her knowledge with other therapists via the course ‘Rehabilitation for the Breast Cancer Patient.’ Outside of being a dedicated therapist, Susannah enjoys traveling, the arts and is an outdoors woman.
Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS
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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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string(1016) "Pelvic Floor Level 2B - Satellite Lab Course - April 24-25, 2021
Pacific Time - Day 1: 8:00am - 5:30pm / Day 2: 8:00am - 3:30pm
Description
Schedule
Objectives
Instructors
Price: $645
Experience Level: Intermediate
Contact Hours: 22.5 |
This is a satellite offering of our course Pelvic Floor Level 2B. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.
This intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.
Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to the trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such as rectocele, cystocele, or uterine prolapse.
Common conditions associated with female pelvic pain are included throughout the three days of education. Such diagnoses may include vulvar pain, vestibulitis, interstitial cystitis or bladder pain syndrome, episiotomy, dyspareunia, lichen sclerosis, lichen simplex, or lichen planus. Both abdominal and pelvic muscle tenderness is higher in patients who have chronic pelvic pain, and increased pelvic muscle tender points have been noted to correlate with higher rates of depression, dyspareunia (pain with sexual function), and bowel dysfunction. (Montenegro et al., 2009; Montenegro et al., 2010) Assessment and treatment of pelvic and abdominal wall tender points are instructed along with abdominopelvic nerve dysfunction and relaxation training- all are strategies that the clinician can employ immediately following completion of this continuing education course. The important and sensitive topic of sexual abuse and trauma as it relates to pelvic dysfunction and the care of the patient is discussed.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. Satellite lab courses are often limited to very small groups of around ten, meaning seats are scarce. It is highly recommended you sign up as soon as you are able so you do not miss out on a seat. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic, we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in the lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Audience:
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.
Assignments:
In order to derive the most benefit from this course, we ask our participants to be sure to internalize the material and to review any areas of knowledge that are recommended as foundational and prerequisite skills:
Prerequisite Skills Review
Required Readings
1. Stress Urinary Incontinence and Pelvic Load Transfer by Diane Lee and Linda-Joy Lee
2. Read the articles from the National Vulvodynia Association website on vulvodynia and its diagnosis
3. Painful Bladder Syndrome/Interstitial Cystitis by Jane M. Meijlink
4. Review the anatomy of the pelvis and perineum
5. The Standardization of Terminology of Pelvic Floor Muscle Function and Dysfunction Report from the Pelvic Floor Clinical Assessment Group of the ICS
6. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding text book are not required to purchase an additional one.
are not required to purchase an additional one. Please
Contact Us with any questions about the use of this text as required reading in this course.
References
De Souza Montenegro, M. L. L., Mateus-Vasconcelos, E. C. L., Silva, J. C. R. E, Nogueira, A. A., Dos Reis, F. J. C.,& Poli Neto, O. B. (2010). Importance of pelvic muscle tenderness evaluation in women with chronic pelvic pain. Pain Medicine, 11(2), 224-228.
Montenegro, M. L. L. S., Gomide, L. B., Mateus-Vasconcelos, E. L., Rosa-e-Silva, J. C., Candido-dos-Reis, F. J.,
Nogueira, A. A., & Poli-Neto, O. B. (2009). Abdominal myofascial pain syndrome must be considered in the differential diagnosis of chronic pelvic pain. European Journal of Obstetrics & Gynecology and Reproductive Biology, 147(1), 21-24.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 8 hours
1) Pelvic Floor Concepts, Anatomy, & Specific Palpation (35 min)
2) Prolapse (44 min)
3) Medical and Multidisciplinary Management of Pelvic Pain (59 min)
4) Specific Conditions: Vulvar Pain, Dyspareunia, Vaginismus (78 min)
5) Specific Conditions: Interstitial Cystitis/Painful Bladder Syndrome, Endo, PCOS, UTI (92 min)
6) Relaxation Training: Yoga Using Props (3 min)
7) Relaxation Training: Yoga (7 min)
8) Neuromuscular Relaxation Training (52 min)
9) Abdominal Neuromyofascial Techniques (62 min)
10) Breathing and Pressure Management (51 min)
|
=============================
Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup
6:30 am PST - Course begins / Objectives, introductions, overview
7:00 - Pelvic rehabilitation concepts, anatomy and specific palpation
7:30 - Prolapse anatomy, evaluation and treatment (Part 2)
8:30 - Break
8:45 - Lab 1: Specific layer palpation and prolapse
9:45 - Examination skills pelvic pain
10:45 - Lunch
11:45 - Lab 2: Examination techniques for pelvic pain
12:45 - Trauma-Informed Care
1:45 - Break
2:00 - Lab 3: Thermistor activity & restorative practices
2:45 - Mini prolapse & pain case discussions
3:15 - Summary & questions, post-test
3:30 - Adjourn
|
=============================
Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup
6:30 am PST - Course begins / Questions from Day 1
7:00 - Pelvic pain manual skills
8:00 - Lab 4: Pelvic pain manual skills
9:15 - Break
9:30 - Abdominal neuromyofascial techniques lab prep
9:45 - Lab 5B: Abdominal neuromyofascial techniques
11:00 - Lunch
11:45 - Breathing & pressure management lab prep
12:00 - Lab 5A: Breathing and pressure management
12:45 - Case studies, treatment progressions, resources
1:30 - Questions, summary, and wrap-up
2:00 - Adjourn
|
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy and pathophysiology of the female reproductive and urologic systems with reference to vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/painful bladder syndrome.
2. Identify specific pelvic floor muscle anatomy with external and internal vaginal examinations.
3. Perform internal vaginal myofascial and soft tissue treatment techniques to the pelvic floor and pelvic wall muscles.
4. Describe and teach three neuromuscular relaxation training techniques for the pelvic floor.
5. Perform a neuromuscular relaxation training technique.
6. Perform external perineal examinations appropriate for female pelvic dysfunctions including vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/bladder pain syndrome.
7. Perform patient-related education and behavioral instructions appropriate for urogynecologic conditions.
8. Demonstrate muscle assessment tests for the pelvic floor to identify anterior and posterior vaginal wall relaxation (pelvic organ prolapse.)
9. Describe and demonstrate abdominal wall evaluation and treatment interventions of manual therapy, and specific therapeutic exercise for transversus abdominis, diastasis recti, nerve dysfunction, and myofascial pain.
10. Develop treatment plans for pelvic pain syndromes and prolapse.
11. Be able to implement aspects of trauma-informed care in practice.
12. Treat specific conditions including PCOS, endometriosis, yeast infections, post-urinary tract infections, vulvar pain, dyspareunia, pelvic organ prolapse, interstitial cystitis.
Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS
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.
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string(834) "Pelvic Floor Level 2B - Satellite Lab Course - January 9-10, 2021
January 9th: 7:30am-4pm / January 10th: 7:30am-4:15pm
*Times are listed in Pacific Time
Description
Schedule
Objectives
Instructors
Price: $645
Experience Level: Intermediate
Contact Hours: 22.5 |
This is a satellite offering of our course Pelvic Floor Level 2B. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.
This intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.
Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to the trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such as rectocele, cystocele, or uterine prolapse.
Common conditions associated with female pelvic pain are included throughout the three days of education. Such diagnoses may include vulvar pain, vestibulitis, interstitial cystitis or bladder pain syndrome, episiotomy, dyspareunia, lichen sclerosis, lichen simplex, or lichen planus. Both abdominal and pelvic muscle tenderness is higher in patients who have chronic pelvic pain, and increased pelvic muscle tender points have been noted to correlate with higher rates of depression, dyspareunia (pain with sexual function), and bowel dysfunction. (Montenegro et al., 2009; Montenegro et al., 2010) Assessment and treatment of pelvic and abdominal wall tender points are instructed along with abdominopelvic nerve dysfunction and relaxation training- all are strategies that the clinician can employ immediately following completion of this continuing education course. The important and sensitive topic of sexual abuse and trauma as it relates to pelvic dysfunction and the care of the patient is discussed.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. Satellite lab courses are often limited to very small groups of around ten, meaning seats are scarce. It is highly recommended you sign up as soon as you are able so you do not miss out on a seat. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic, we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in the lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Audience:
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.
Assignments:
In order to derive the most benefit from this course, we ask our participants to be sure to internalize the material and to review any areas of knowledge that are recommended as foundational and prerequisite skills:
Prerequisite Skills Review
Required Readings
1. Stress Urinary Incontinence and Pelvic Load Transfer by Diane Lee and Linda-Joy Lee
2. Read the articles from the National Vulvodynia Association website on vulvodynia and its diagnosis
3. Painful Bladder Syndrome/Interstitial Cystitis by Jane M. Meijlink
4. Review the anatomy of the pelvis and perineum
5. The Standardization of Terminology of Pelvic Floor Muscle Function and Dysfunction Report from the Pelvic Floor Clinical Assessment Group of the ICS
6. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding text book are not required to purchase an additional one.
are not required to purchase an additional one. Please
Contact Us with any questions about the use of this text as required reading in this course.
References
De Souza Montenegro, M. L. L., Mateus-Vasconcelos, E. C. L., Silva, J. C. R. E, Nogueira, A. A., Dos Reis, F. J. C.,& Poli Neto, O. B. (2010). Importance of pelvic muscle tenderness evaluation in women with chronic pelvic pain. Pain Medicine, 11(2), 224-228.
Montenegro, M. L. L. S., Gomide, L. B., Mateus-Vasconcelos, E. L., Rosa-e-Silva, J. C., Candido-dos-Reis, F. J.,
Nogueira, A. A., & Poli-Neto, O. B. (2009). Abdominal myofascial pain syndrome must be considered in the differential diagnosis of chronic pelvic pain. European Journal of Obstetrics & Gynecology and Reproductive Biology, 147(1), 21-24.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 8 hours
1) Pelvic Floor Concepts, Anatomy, & Specific Palpation (35 min)
2) Prolapse (44 min)
3) Medical and Multidisciplinary Management of Pelvic Pain (59 min)
4) Specific Conditions: Vulvar Pain, Dyspareunia, Vaginismus (78 min)
5) Specific Conditions: Interstitial Cystitis/Painful Bladder Syndrome, Endo, PCOS, UTI (92 min)
6) Relaxation Training: Yoga Using Props (3 min)
7) Relaxation Training: Yoga (7 min)
8) Neuromuscular Relaxation Training (52 min)
9) Abdominal Neuromyofascial Techniques (62 min)
10) Breathing and Pressure Management (51 min)
|
=============================
Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup
6:30 am PST - Course begins / Objectives, introductions, overview
7:00 - Pelvic rehabilitation concepts, anatomy and specific palpation
7:30 - Prolapse anatomy, evaluation and treatment (Part 2)
8:30 - Break
8:45 - Lab 1: Specific layer palpation and prolapse
9:45 - Examination skills pelvic pain
10:45 - Lunch
11:45 - Lab 2: Examination techniques for pelvic pain
12:45 - Trauma-Informed Care
1:45 - Break
2:00 - Lab 3: Thermistor activity & restorative practices
2:45 - Mini prolapse & pain case discussions
3:15 - Summary & questions, post-test
3:30 - Adjourn
|
=============================
Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup
6:30 am PST - Course begins / Questions from Day 1
7:00 - Pelvic pain manual skills
8:00 - Lab 4: Pelvic pain manual skills
9:15 - Break
9:30 - Abdominal neuromyofascial techniques lab prep
9:45 - Lab 5B: Abdominal neuromyofascial techniques
11:00 - Lunch
11:45 - Breathing & pressure management lab prep
12:00 - Lab 5A: Breathing and pressure management
12:45 - Case studies, treatment progressions, resources
1:30 - Questions, summary, and wrap-up
2:00 - Adjourn
|
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy and pathophysiology of the female reproductive and urologic systems with reference to vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/painful bladder syndrome.
2. Identify specific pelvic floor muscle anatomy with external and internal vaginal examinations.
3. Perform internal vaginal myofascial and soft tissue treatment techniques to the pelvic floor and pelvic wall muscles.
4. Describe and teach three neuromuscular relaxation training techniques for the pelvic floor.
5. Perform a neuromuscular relaxation training technique.
6. Perform external perineal examinations appropriate for female pelvic dysfunctions including vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/bladder pain syndrome.
7. Perform patient-related education and behavioral instructions appropriate for urogynecologic conditions.
8. Demonstrate muscle assessment tests for the pelvic floor to identify anterior and posterior vaginal wall relaxation (pelvic organ prolapse.)
9. Describe and demonstrate abdominal wall evaluation and treatment interventions of manual therapy, and specific therapeutic exercise for transversus abdominis, diastasis recti, nerve dysfunction, and myofascial pain.
10. Develop treatment plans for pelvic pain syndromes and prolapse.
11. Be able to implement aspects of trauma-informed care in practice.
12. Treat specific conditions including PCOS, endometriosis, yeast infections, post-urinary tract infections, vulvar pain, dyspareunia, pelvic organ prolapse, interstitial cystitis.
Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS
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.
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string(63) "Pelvic Floor Level 2B - Satellite Lab Course - June 25-26, 2022"
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string(1161) "Pelvic Floor Level 2B - Satellite Lab Course - June 25-26, 2022
Pacific Time - Day 1: 8:00am - 5:30pm / Day 2: 8:00am - 3:30pm
Description
Schedule
Objectives
Instructors
Discounts
Price: $645
Experience Level: Intermediate
Contact Hours: 22.5 |
This is a satellite offering of our course Pelvic Floor Level 2B. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.
This intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.
Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to the trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such as rectocele, cystocele, or uterine prolapse.
Common conditions associated with female pelvic pain are included throughout the three days of education. Such diagnoses may include vulvar pain, vestibulitis, interstitial cystitis or bladder pain syndrome, episiotomy, dyspareunia, lichen sclerosis, lichen simplex, or lichen planus. Both abdominal and pelvic muscle tenderness is higher in patients who have chronic pelvic pain, and increased pelvic muscle tender points have been noted to correlate with higher rates of depression, dyspareunia (pain with sexual function), and bowel dysfunction. (Montenegro et al., 2009; Montenegro et al., 2010) Assessment and treatment of pelvic and abdominal wall tender points are instructed along with abdominopelvic nerve dysfunction and relaxation training- all are strategies that the clinician can employ immediately following completion of this continuing education course. The important and sensitive topic of sexual abuse and trauma as it relates to pelvic dysfunction and the care of the patient is discussed.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. Satellite lab courses are often limited to very small groups of around ten, meaning seats are scarce. It is highly recommended you sign up as soon as you are able so you do not miss out on a seat. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic, we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in the lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Audience:
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.
Assignments:
In order to derive the most benefit from this course, we ask our participants to be sure to internalize the material and to review any areas of knowledge that are recommended as foundational and prerequisite skills:
Prerequisite Skills Review
Required Readings
1. Stress Urinary Incontinence and Pelvic Load Transfer by Diane Lee and Linda-Joy Lee
2. Read the articles from the National Vulvodynia Association website on vulvodynia and its diagnosis
3. Painful Bladder Syndrome/Interstitial Cystitis by Jane M. Meijlink
4. Review the anatomy of the pelvis and perineum
5. The Standardization of Terminology of Pelvic Floor Muscle Function and Dysfunction Report from the Pelvic Floor Clinical Assessment Group of the ICS
6. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding text book are not required to purchase an additional one.
are not required to purchase an additional one. Please
Contact Us with any questions about the use of this text as required reading in this course.
References
De Souza Montenegro, M. L. L., Mateus-Vasconcelos, E. C. L., Silva, J. C. R. E, Nogueira, A. A., Dos Reis, F. J. C.,& Poli Neto, O. B. (2010). Importance of pelvic muscle tenderness evaluation in women with chronic pelvic pain. Pain Medicine, 11(2), 224-228.
Montenegro, M. L. L. S., Gomide, L. B., Mateus-Vasconcelos, E. L., Rosa-e-Silva, J. C., Candido-dos-Reis, F. J.,
Nogueira, A. A., & Poli-Neto, O. B. (2009). Abdominal myofascial pain syndrome must be considered in the differential diagnosis of chronic pelvic pain. European Journal of Obstetrics & Gynecology and Reproductive Biology, 147(1), 21-24.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 8 hours
1) Pelvic Floor Concepts, Anatomy, & Specific Palpation (35 min)
2) Prolapse (44 min)
3) Medical and Multidisciplinary Management of Pelvic Pain (59 min)
4) Specific Conditions: Vulvar Pain, Dyspareunia, Vaginismus (78 min)
5) Specific Conditions: Interstitial Cystitis/Painful Bladder Syndrome, Endo, PCOS, UTI (92 min)
6) Relaxation Training: Yoga Using Props (3 min)
7) Relaxation Training: Yoga (7 min)
8) Neuromuscular Relaxation Training (52 min)
9) Abdominal Neuromyofascial Techniques (62 min)
10) Breathing and Pressure Management (51 min)
|
=============================
Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup
6:30 am PST - Course begins / Objectives, introductions, overview
7:00 - Pelvic rehabilitation concepts, anatomy and specific palpation
7:30 - Prolapse anatomy, evaluation and treatment (Part 2)
8:30 - Break
8:45 - Lab 1: Specific layer palpation and prolapse
9:45 - Examination skills pelvic pain
10:45 - Lunch
11:45 - Lab 2: Examination techniques for pelvic pain
12:45 - Trauma-Informed Care
1:45 - Break
2:00 - Lab 3: Thermistor activity & restorative practices
2:45 - Mini prolapse & pain case discussions
3:15 - Summary & questions, post-test
3:30 - Adjourn
|
=============================
Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup
6:30 am PST - Course begins / Questions from Day 1
7:00 - Pelvic pain manual skills
8:00 - Lab 4: Pelvic pain manual skills
9:15 - Break
9:30 - Abdominal neuromyofascial techniques lab prep
9:45 - Lab 5B: Abdominal neuromyofascial techniques
11:00 - Lunch
11:45 - Breathing & pressure management lab prep
12:00 - Lab 5A: Breathing and pressure management
12:45 - Case studies, treatment progressions, resources
1:30 - Questions, summary, and wrap-up
2:00 - Adjourn
|
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy and pathophysiology of the female reproductive and urologic systems with reference to vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/painful bladder syndrome.
2. Identify specific pelvic floor muscle anatomy with external and internal vaginal examinations.
3. Perform internal vaginal myofascial and soft tissue treatment techniques to the pelvic floor and pelvic wall muscles.
4. Describe and teach three neuromuscular relaxation training techniques for the pelvic floor.
5. Perform a neuromuscular relaxation training technique.
6. Perform external perineal examinations appropriate for female pelvic dysfunctions including vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/bladder pain syndrome.
7. Perform patient-related education and behavioral instructions appropriate for urogynecologic conditions.
8. Demonstrate muscle assessment tests for the pelvic floor to identify anterior and posterior vaginal wall relaxation (pelvic organ prolapse.)
9. Describe and demonstrate abdominal wall evaluation and treatment interventions of manual therapy, and specific therapeutic exercise for transversus abdominis, diastasis recti, nerve dysfunction, and myofascial pain.
10. Develop treatment plans for pelvic pain syndromes and prolapse.
11. Be able to implement aspects of trauma-informed care in practice.
12. Treat specific conditions including PCOS, endometriosis, yeast infections, post-urinary tract infections, vulvar pain, dyspareunia, pelvic organ prolapse, interstitial cystitis.
Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS
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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
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string(64) "Pelvic Floor Level 2B - Satellite Lab Course - October 1-2, 2022"
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string(1162) "Pelvic Floor Level 2B - Satellite Lab Course - October 1-2, 2022
Pacific Time - Day 1: 6:30am - 4:00pm / Day 2: 6:30am - 2:00pm
Description
Schedule
Objectives
Instructors
Discounts
Price: $645
Experience Level: Intermediate
Contact Hours: 22.5 |
This is a satellite offering of our course Pelvic Floor Level 2B. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.
This intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.
Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to the trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such as rectocele, cystocele, or uterine prolapse.
Common conditions associated with female pelvic pain are included throughout the three days of education. Such diagnoses may include vulvar pain, vestibulitis, interstitial cystitis or bladder pain syndrome, episiotomy, dyspareunia, lichen sclerosis, lichen simplex, or lichen planus. Both abdominal and pelvic muscle tenderness is higher in patients who have chronic pelvic pain, and increased pelvic muscle tender points have been noted to correlate with higher rates of depression, dyspareunia (pain with sexual function), and bowel dysfunction. (Montenegro et al., 2009; Montenegro et al., 2010) Assessment and treatment of pelvic and abdominal wall tender points are instructed along with abdominopelvic nerve dysfunction and relaxation training- all are strategies that the clinician can employ immediately following completion of this continuing education course. The important and sensitive topic of sexual abuse and trauma as it relates to pelvic dysfunction and the care of the patient is discussed.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. Satellite lab courses are often limited to very small groups of around ten, meaning seats are scarce. It is highly recommended you sign up as soon as you are able so you do not miss out on a seat. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic, we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in the lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Audience:
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.
Assignments:
In order to derive the most benefit from this course, we ask our participants to be sure to internalize the material and to review any areas of knowledge that are recommended as foundational and prerequisite skills:
Prerequisite Skills Review
Required Readings
1. Stress Urinary Incontinence and Pelvic Load Transfer by Diane Lee and Linda-Joy Lee
2. Read the articles from the National Vulvodynia Association website on vulvodynia and its diagnosis
3. Painful Bladder Syndrome/Interstitial Cystitis by Jane M. Meijlink
4. Review the anatomy of the pelvis and perineum
5. The Standardization of Terminology of Pelvic Floor Muscle Function and Dysfunction Report from the Pelvic Floor Clinical Assessment Group of the ICS
6. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding text book are not required to purchase an additional one.
are not required to purchase an additional one. Please
Contact Us with any questions about the use of this text as required reading in this course.
References
De Souza Montenegro, M. L. L., Mateus-Vasconcelos, E. C. L., Silva, J. C. R. E, Nogueira, A. A., Dos Reis, F. J. C.,& Poli Neto, O. B. (2010). Importance of pelvic muscle tenderness evaluation in women with chronic pelvic pain. Pain Medicine, 11(2), 224-228.
Montenegro, M. L. L. S., Gomide, L. B., Mateus-Vasconcelos, E. L., Rosa-e-Silva, J. C., Candido-dos-Reis, F. J.,
Nogueira, A. A., & Poli-Neto, O. B. (2009). Abdominal myofascial pain syndrome must be considered in the differential diagnosis of chronic pelvic pain. European Journal of Obstetrics & Gynecology and Reproductive Biology, 147(1), 21-24.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
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Before Day One
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These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 8 hours
1) Pelvic Floor Concepts, Anatomy, & Specific Palpation (35 min)
2) Prolapse (44 min)
3) Medical and Multidisciplinary Management of Pelvic Pain (59 min)
4) Specific Conditions: Vulvar Pain, Dyspareunia, Vaginismus (78 min)
5) Specific Conditions: Interstitial Cystitis/Painful Bladder Syndrome, Endo, PCOS, UTI (92 min)
6) Relaxation Training: Yoga Using Props (3 min)
7) Relaxation Training: Yoga (7 min)
8) Neuromuscular Relaxation Training (52 min)
9) Abdominal Neuromyofascial Techniques (62 min)
10) Breathing and Pressure Management (51 min)
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Day One
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6:00 am PST - Zoom opens 30 mins before course for registration and setup
6:30 am PST - Course begins / Objectives, introductions, overview
7:00 - Pelvic rehabilitation concepts, anatomy and specific palpation
7:30 - Prolapse anatomy, evaluation and treatment (Part 2)
8:30 - Break
8:45 - Lab 1: Specific layer palpation and prolapse
9:45 - Examination skills pelvic pain
10:45 - Lunch
11:45 - Lab 2: Examination techniques for pelvic pain
12:45 - Trauma-Informed Care
1:45 - Break
2:00 - Lab 3: Thermistor activity & restorative practices
2:45 - Mini prolapse & pain case discussions
3:15 - Summary & questions, post-test
3:30 - Adjourn
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Day Two
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6:00 am PST - Zoom opens 30 mins before course for registration and setup
6:30 am PST - Course begins / Questions from Day 1
7:00 - Pelvic pain manual skills
8:00 - Lab 4: Pelvic pain manual skills
9:15 - Break
9:30 - Abdominal neuromyofascial techniques lab prep
9:45 - Lab 5B: Abdominal neuromyofascial techniques
11:00 - Lunch
11:45 - Breathing & pressure management lab prep
12:00 - Lab 5A: Breathing and pressure management
12:45 - Case studies, treatment progressions, resources
1:30 - Questions, summary, and wrap-up
2:00 - Adjourn
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Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy and pathophysiology of the female reproductive and urologic systems with reference to vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/painful bladder syndrome.
2. Identify specific pelvic floor muscle anatomy with external and internal vaginal examinations.
3. Perform internal vaginal myofascial and soft tissue treatment techniques to the pelvic floor and pelvic wall muscles.
4. Describe and teach three neuromuscular relaxation training techniques for the pelvic floor.
5. Perform a neuromuscular relaxation training technique.
6. Perform external perineal examinations appropriate for female pelvic dysfunctions including vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/bladder pain syndrome.
7. Perform patient-related education and behavioral instructions appropriate for urogynecologic conditions.
8. Demonstrate muscle assessment tests for the pelvic floor to identify anterior and posterior vaginal wall relaxation (pelvic organ prolapse.)
9. Describe and demonstrate abdominal wall evaluation and treatment interventions of manual therapy, and specific therapeutic exercise for transversus abdominis, diastasis recti, nerve dysfunction, and myofascial pain.
10. Develop treatment plans for pelvic pain syndromes and prolapse.
11. Be able to implement aspects of trauma-informed care in practice.
12. Treat specific conditions including PCOS, endometriosis, yeast infections, post-urinary tract infections, vulvar pain, dyspareunia, pelvic organ prolapse, interstitial cystitis.
Nicole L. Dugan, PT, DPT, MSOD, CLT-LANA, WCS
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
