Click a title below to read about the session.
Managing the Landscape of Expectations
Challenging Orthotic Cases: Silicone Orthotic Solutions
Interpreting Research Plus Journal Club
Successful Implementation and Utilization of PROMIS (Patient Reported Outcomes Measurement Information System) in Clinical O&P Care
Global Collaboration in Development, Delivery, And Education in Prosthetics And Orthotics
Shared Decision-Making in Pediatric Encounters
Cranial Remolding: When Things Go Wrong
Mental Health Post Amputation
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Managing the Landscape of Expectations
O&P clinicians interact with other people every day, and each day presents the possibility that their expectations or the expectations of others will be challenged. How do practitioners prepare for the inevitable mismatch of expectations versus reality and navigate these encounters or situations professionally? This session features a team of panelists who will represent three different relationships that you may find yourself in: the learner/educator relationship, the practitioner/patient relationship, and the employee/employer relationship.
For each relationship, the panel will discuss examples of how expectations of ourselves and the other person affect our daily work. Since each person brings a unique perspective, expectations will not always match. We will hear about when things have gone well and when they did not and how the panelists navigated those difficult situations.
The goal of the session is to be transparent about the reality of how expectations can influence us each day and prepare for growth from such interactions. Attendees will leave the session with an improved ability to set, manage, and communicate expectations effectively.
Time: Friday, 9:15-10:45 a.m.
Session Leaders/Speakers/Moderators: Kristin Carnahan, CPO, FAAOP, Michigan Medicine; DeAnna Chapman, CPO, FAAOP, The Foundation for Orthotics & Prosthetics
Speakers: JoAnne Kanas, DPT, CPO; Seth O’Brien, CP, FAAOP(D), Artificial Limb Specialists; James Wynne, CPO, FAAOP, Boston Orthotics & Prosthetics; and Sophia Mancini, MS, Yanke Bionics
Challenging Orthotic Cases: Silicone Orthotic Solutions
In this session, a panel from the Shirley Ryan AbilityLab will discuss the use of custom rolled silicone in the fabrication of custom orthoses. They will share how their clinical and technical team work together to create unique orthoses for patients who may not be candidates for traditional style orthoses. Following an explanation of the steps involved in evaluation, modification, and fabrication, they will highlight three patient examples. After the session, attendees will understand the benefits and shortcomings of custom rolled silicone orthoses and how they can implement this style of orthosis in their clinical workflow Terziyski, an O&P technician, specializes in fabrication of custom upper-limb prostheses and custom rolled silicone orthoses. He will review the history of custom rolled silicone focusing on what has worked well, what he has learned, and design implementations to ensure success for your patients.
Pressney will review a patient case where a custom rolled silicone SMO was a solution for a patient who had previously rejected all other custom orthoses. Zisk will review two patient cases where the patients were seeking alternative solutions for foot and ankle weakness compared to traditional orthoses. Zisk and Pressney will discuss their thought process behind their orthotic recommendations, what worked well, what didn’t work well, and what they learned about custom rolled silicone as a unique solution for orthotic patients.
Time: Friday, 11 a.m.-12:30 p.m.
Session Leader: Diana Pressney, CPO, Shirley Ryan AbilityLab
Speakers: Joseph Zisk, CPO, MPO, Shirley Ryan AbilityLab; Svetoslav (Sveto) Terziyski, CPA, Shirley Ryan AbilityLab
Moderator: Diana Pressney, CPO, Shirley Ryan AbilityLab
Q&A Moderator: Joseph Zisk, CPO, MPO, Shirley Ryan AbilityLab
Interpreting Research Plus Journal Club
The Academy’s Journal Club is an interactive format where a recently published peer-reviewed research article related to O&P is reviewed and appraised. Attendees are then invited to discuss the clinical implications of the article together, facilitated by the presenter. During this multifaceted session, a featured article, “Three Good Things: Digital Intervention Among Health Care Workers: A Randomized Controlled Trial,” will be used to explore whether gratitude practice can improve wellbeing in a healthcare workplace setting. (Read it at https://www.annfammed.org/content/annalsfm/21/3/220.full.pdf.)
The session will also discuss the real struggles of burnout and compassion fatigue and how workplace-level interventions and culture can be utilized to tackle mental distress in O&P professionals.
In addition, each year as part of Journal Club a different facet of evidence-based practice is highlighted. This year the topic is critical appraisal—what it is, how to do it, and why it’s valuable to your practice.
At the end of the session, participants will have a greater understanding of how to critically review scientific research and apply it to their practice.
Time: Friday, 2:20-3:50 p.m.
Session Leader/Speaker: Tara Wright, MSOP, CPO/L, FAAOP, Gillette Children’s Specialty Healthcare
Successful Implementation and Utilization of PROMIS (Patient Reported Outcomes Measurement Information System) in Clinical O&P Care
The Hanger Institute for Clinical Research and Education session will provide attendees with an in-depth understanding of how to use patient-reported outcome measures in clinical O&P care.
Castleberry will provide an overview of PROMIS, including how it originated, the patient population it was developed for, and the instruments used to measure success for specific patient populations.
Carroll will follow with an interactive tutorial on the steps to develop a custom PROMIS short form that can be used to capture information most relevant to a clinician’s specific patient populations.
Fylstra will conclude the session by demonstrating how longitudinal outcomes can be utilized on an individual and population basis. She’ll provide examples of how PROMIS measures can be used to strengthen insurance authorization requests and how collecting outcomes can be leveraged to successfully influence payor policies.
The session is designed to empower clinicians to start deploying patient-reported outcome measures in their clinics. Attendees will leave the session knowing which measures are available, how to utilize these measures in clinical practice, and how to develop their own custom measurements.
Time: Friday, 2:20-3:50 p.m.
Session Leader: Bretta L. Fylstra, PhD, Hanger Institute
Speakers: Shane R. Wurdeman, PhD, CP; Todd Castleberry, PhD; Kathleen Carroll, MS, MSPO, CPO, FAAOP; Hanger Institute
Q&A Moderator: Todd Castleberry, PhD, Hanger Institute
Moderator: Kathleen Carroll, MS, MSPO, CPO, FAAOP, Hanger Institute
Global Collaboration in Development, Delivery, And Education in Prosthetics And Orthotics
This interactive session will introduce the audience to three focus areas of international collaboration in O&P: education, research, and clinical. Through case examples from ongoing international relationships between people in the US. and Ghana, Tanzania, Ukraine, and Mexico, presenters will share their perspectives on challenges, benefits, and lessons learned. Batzdorff will share insights and experiences from his collaborations with prosthetists in Ukraine. Shirley and Hetherington, USISPO research committee members, will share lessons learned from their research collaboration in Tanzania. Deshpande, a USISPO board member, will describe collaborations developing and conducting student service-learning trips in a variety of countries. Ann Yamane, USISPO chair, will share about her longstanding collaboration with Brother Tarcisius Prosthetics and Orthotics Training College in Nsawam, Ghana. The audience will also hear from international colleagues who will share their experiences collaborating with US-based clinicians and educators.
The second part of the session will actively engage the audience in small group discussions to consider real-world cases of burgeoning international collaborations and brainstorm challenges, solutions, and future directions. Cases will include discussion of challenges and strategies to grow a new international collaboration with an O&P education program in Mexico, establish a new student service-learning trip, and reflect on the controversial practice of donating used US componentry to organizations in low and middle-income countries. Attendees will also learn about opportunities to get involved in ongoing impactful international collaborations.
Time: Friday, 5:35-7:05 p.m.
Session Leader/Moderator: Cody L. McDonald, PhD, MPH, CPO, University of Washington
Speakers: Alex Hetherington, Hanger Clinics; Aarti Deshpande, CPO, FAAOP, MS-HCA, UCSF; Corin Shirley, USISPO; Ann Yamane, CO, MEd, University of Washington; Jon Batzdorff, CPO, FAAOP, Prosthetika
Q&A Moderator: Renato Delos Reyes
Shared Decision-Making in Pediatric Encounters
This organized session will address opportunities and challenges in providing care to pediatric patients at various ages and developmental stages. Working with patients who have differing levels of ability to participate in their own care and within different family systems often presents unique challenges. Clinicians can adopt strategies and approaches to these encounters that improve the quality of decisions and care provided.
The focus will be on a framework for centering care on the needs of the patient and family and practical suggestions for shared decision-making. The panelists include clinicians, a psychologist, and parents with extensive experience navigating encounters with patients who have conditions requiring O&P care. Time has been reserved for attendees to participation and Q&A. Topics will include: Decisional conflicts that occur when the patient, caretakers, and providers disagree on treatment; a family-centered care model; shared decision-making strategies; the unique challenges of adolescent patients; interprofessional decision-making; and the perspectives of parents and a child requiring orthotic intervention.
Time: Saturday, 8-9:30 a.m.
Session Leader/Moderator/ Q&A Moderator: John T. Brinkmann, CPO, Northwestern University Prosthetics-Orthotics Center
Speakers: Brigid C. Driscoll, PT, DPT, CO, Ann & Robert H. Lurie Children’s Hospital; Heather Richard, PsyD, Nationwide Children’s Hospital; Monica Minetola, MS, CPO, Hanger Clinic; Tyler Deleo, Hanger Institute; Susie Doyle
Cranial Remolding: When Things Go Wrong
This session is presented by the Academy’s Craniofacial Society. Despite the numerous clinical practice guidelines for cranial remolding orthoses, there is a dearth of literature and continuing education when it comes to the everyday troubleshooting of clinical care. The session’s panel of experts in the craniofacial field will discuss cases that presented a complication and highlight the troubleshooting process.
They will also review the most common issues that require troubleshooting, and how to determine the cause. The speakers will also share the training that is given by their employers so that attendees can avoid as many problematic situations as possible.
Ultimately, it is not a question of if things can go wrong but when, so the session will expose attendees to complications and mistakes for better preparation. The presentation will include two multi-suture craniosynostosis cases, a review of a patient with a comorbidity of hydrocephalus, and another patient who experienced a pronounced skin reaction during treatment. After attending the session, attendees should feel confident addressing the complications that will inevitably emerge while treating cranial remolding patients.
Saturday, 9:45-11:15 a.m.
Session Leader: Jessica Corso, CO/L, FAAOP, Children’s Healthcare of Atlanta
Speakers: Lisa Abernethy, MSPO, CPO/L, Baylor College of Medicine; Steven Slawinski, CO/L, FAAOP, Boston O&P; and Melissa Cordial-Stout, BOCO Mary Free Bed Rehabilitation Hospital
This session was created to allow a space for O&P professionals to discuss the realities of the healthcare system they operate in. The panel will delve into policy and advocation on the national level for mental health services within the amputee population. The panel will also discuss one-on-one clinician interactions with patients and caretakers. The goals of the session are to talk about the problem of mental health within the field, how we can improve our awareness and better communicate with the patient and healthcare team, and demonstrate resources for clinicians to help their patients navigate this life-altering event.
Time: Saturday, 1-2:30 p.m.
Session Leader/Moderator/Q&A Moderator: Katie Johnson, MS CPO/L, RJ Rosenberg Ortho Lab
Speakers: John T. Brinkmann, CPO, Northwestern University Prosthetics-Orthotics Center; Dr. Veronika Hanko, MD, Northwestern University, Feinberg School of Medicine; Ashlie White, MA, Amputee Coalition