Advanced and efficient levels of clinical reasoning are vital to a clinician's ability to manage the complex, integrated patient presentations. This course forms the foundation for and/or builds on, and reinforces, concepts and materials presented in the advanced NAIOMT 705, 715 and 725 courses. It uses case-based presentations to enhance the physical therapist’s ability to efficiently, safely and accurately formulate “trilingual” diagnoses to recognize pain phenotypes, neuromusculoskeletal impairments and potential co-existing pathoanatomical diagnoses. This process facilitates the development of a comprehensive and contemporary manual therapy-based management plan.
Participants will be exposed to the advanced science of clinical reasoning and develop the ability to discuss the "fast and slow” decision making, achieving a superior understanding of the optimal conditions for each approach. This will stream-line the assessment of the total person, and facilitate optimal management and outcomes.
The course includes pre- and/or post- course assignments.
Teaching methods/learning experiences:
This course will include lecture, case presentations, discussions, role playing, audio-visual presentations, demonstration on a model, lab time for practice of skills, course handout, directed self-study and resource materials. The lab component of the course will be limited to 20-30% of the contact hours. Optional or required pre-reading or post-course assignments will be at the direction and discretion of the faculty
Overall Course Objectives:
Upon completion of this 21-hour module, the participant should be expected to:
1. Efficiently and accurately formulate patho-anatomical and movement impairment musculoskeletal diagnoses
2. Be familiar with and efficiently utilize a variety of clinical data collection methods, identifying the benefits and risks of “short cuts” to diagnosis, prognosis and intervention selection
3. Be able to effectively apply advanced knowledge of anatomy, patho-biomechanics, medicine and evidence to the recognition of clusters of signs and symptoms
4. Efficiently search, select and integrate relevant all-source evidence in their clinical reasoning process
5. Recognize local, regional and global influences on impairement and assess their relative relevance (quadrant theories and regional inter-dependence)
