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Fall Conference 2013

  • 28-Sep-2013
  • 29-Sep-2013
  • Hilton Garden Inn, Missoula


  • You may pick one of the cancer rehab courses by Catherine Goodman (Saturday) or Tammy DeMeere (Sunday)
  • You may choose from Lynn McKinnis two day course, OR the cancer rehab two day series.
  • Student rate if you bring your own meals!
Room One:
Fundamentals of Musculoskeletal Imaging for Physical Therapists
(Saturday and Sunday course);

Lynn N. McKinnis, PT, OCS;
See below for course details;
12.0 Hours; 1.2 CEUs

Room Two:
Saturday: Differential Diagnosis for Physical Therapists and other professionals: Cancer Screening and Prevention Catherine Goodman, MBA, PT
6.0 Hours; 0.6 CEU
see below for course details

Sunday: Oncology Rehabilitation: From Diagnosis to Hospice Tammy DeMeere, DPT, CLT
6.0 Hours; 0.6 CEU
see below for course details

Business Meeting
12:15pm, Sept. 28, Hilton Garden Inn Conference Center

Board Meeting
Sept. 27, 6pm. Hilton Garden Inn

Saturday: (detailed agenda available at course)
7:15am                    Registration and Continental Breakfast Available
8:00 - 12:15pm      Courses, with 15 min. break around 10am.
12:15pm - 2pm      Business Meeting and Lunch (provided)
2:00-5:00pm          Courses, with 15 min break.

(detailed agenda available at course)
7:30am                    Continental Breakfast Available
8:00 - 12:15pm      Courses, with 15 min. break around 10am.
12:15pm - 12:45 or 1:15pm Lunch, provided (speaker may make this a 1/2 or 1 hour lunch)
post lunch - 3pm    Courses, with 15 min break.

Accommodations and logistics at bottom of this page.

Fundamentals of Musculoskeletal Imaging for Physical Therapists (Saturday and Sunday course);
Lynn N. McKinnis, PT, OCS;
See below for course details;
12.0 Hours; 1.2 CEUs

Course Description: This two day seminar provides a fundamental understanding of the conventional radiograph and advanced imaging modalities as used in orthopedic assessment. Methods of instruction include lecture with an extensive collection of imaging slides, and a written laboratory exercise requiring independent viewing and assessment of images. The slide and laboratory images are comprised of examples comparing normal, trauma, and disease states in the musculoskeletal system.  A detailed course handout includes radiographic tracings and pertinent radiologic observations for each projection in a radiographic series of an anatomy region.

Course Objectives:
At the conclusion of the course the student will be able to:

  1. Understand the theory and technology of radiology and advanced imaging modalities, with emphasis on magnetic resonance imaging (MRI).
  2. Recognize normal and abnormal anatomy on radiographs and MRIs.
  3. Identify definitive pathology on radiographs and MRI.
  4. Understand radiologic orthopedic and descriptive terminology sufficient to understand imaging reports and communicate effectively with the physician.
  5. Understand age-related changes in joints and bones from pediatric development to the elderly.
  6. Understand fracture/dislocation terminology and classification, fracture healing and remodeling, and evidence of these on images.
  7. Recognize the radiologic characteristics of common disease processes, including osteoporosis, Paget’s disease, osteoarthritis, rheumatoid arthritis, avascular necrosis, and myositis ossificans.
  8. Recognize arthritic changes in vertebral joints including cervical spondylosis, foraminal encroachment and degenerative disc disease.
  9. Value the differences in diagnostic capabilities of radiology, CT image, MR images, and radionuclide bone scans.
  10. Recognize the routine radiologic series of projections for the spine and extremities, and recognize the pertinent findings to look for on each view.
  11. Recognize basic MRI sequence protocols for evaluation of the extremity joints.

Saturday: Differential Diagnosis for Physical Therapists: Cancer Screening and Prevention
Catherine Goodman, MBA, PT
6.0 Hours; 0.6 CEU
see below for course details

Course Goal:
The instructional focus of this course is on developing advanced clinical reasoning skills related to determining a client’s appropriateness for physical therapy. Cancer can present as primary neck, shoulder, chest, upper back, hip, groin, pelvic, sacroiliac or low back pain/symptoms.  The therapist must know how and what to look for to screen for cancer.  The course builds on concepts of evidence-based clinical practice as they are used to identify conditions that might mimic neuromuscular or musculoskeletal dysfunction.

Identified Instructional Level: Basic to Intermediate

Course Description:  
Physical therapists must be able to identify signs and symptoms of systemic disease that can mimic neuromuscular or musculoskeletal (also referred to as neuromusculoskeletal or NMS) dysfunction. Cancer screening is a major part of the overall screening process. 

A large part of the screening process is identifying red flag histories and red flag signs and symptoms.  Anyone with a past medical history of cancer is at risk for cancer recurrence.  Whether primary cancer or cancer that has recurred or metastasized, clinical manifestations can mimic NMS dysfunction.

This course is designed for physical therapists and physical therapist assistants working with clients in all settings and at all levels from beginner to advanced.  The course will review terminology, epidemiology and the metastatic process, especially as the latter presents itself in a clinical practice. 

Learner Outcomes:

Upon completion of this course, the learner will be able to:

  1. Identify basic metastatic process
  2. Name the most common risk factors for cancer
  3. Identify the systems most often affected by cancer metastasis in a physical therapist/PTA practice
  4. Describe the corresponding clinical manifestations of each system affected by cancer metastasis
  5. List clinical signs and symptoms corresponding to paraneoplastic syndromes

Course Outline:

  • Overview of the 5-step Screening Process
  • Cancer Statistics
  • Risk Factors and Red Flags
  • Risk Reduction
  • Clinical Manifestations of Malignancy
  •     Early Warning Signs of Cancer
  • Mechanisms of Cancer Metastases
  • 4 Systems Affected
  • Paraneoplastic Syndrome
  • Screening for Skin Cancer
  • Hand and Nailbed Assessment
  • Screening the Chest
  • Breast Cancer
  • Screening the Back and Shoulder
  • Conclusion

Recommended Reading*

Differential Diagnosis for Physical Therapists: Screening for Referral (5th ed.) – Elsevier Science, 2013.

Pathology: Implications for the Physical Therapist (3rd ed) – Elsevier Science, 2009.

* Co-authored by Catherine Goodman, MBA, PT. A major change in physical therapy has increased the amount of responsibility assumed by the therapist. Patients with orthopedic and neurologic conditions are presenting with more comorbidities requiring modification of treatment techniques. These two books as well as this course address the changing knowledge requirements for therapists to successfully treat patients in today’s healthcare environment.

 Sunday: Oncology Rehabilitation: From Diagnosis to Hospice
Tammy DeMeere DPT, CLT
6 Hrs; 0.6 CEUs

This course is designed as an overview of the breadth of services therapy can provide before, during and after oncology treatments.  It will provide you with special considerations and guidelines for treatment during and following chemo, radiation and surgery.  It will review pertinent anatomy and pathology related to each cancer type. It will address side effects of treatment such as scar tissue, radiated tissue, cardiovascular issues, Lymphedema, and more.  Manual techniques will be discussed and reviewed for head and neck, genitourinary, breast cancer, metastatic cancer and more.  Insight will be provided throughout on how to grow an oncology program, who to network with, and the evidence through research to back it up.

About the Speakers:

Lynn N. McKinnis, PT, OCS, graduated from St. Louis University. She has spent the last 24 years working in acute orthopedic and long-term care clinical practice. She is Bobath certified in the treatment of adult hemiplegia, and was the first PT in Pennsylvania to become certified as an Orthopedic Clinical Specialist when that designation was established in 1989. She is a visiting professor in several physical therapy programs including University of Maryland, University of St. Augustine, Arcadia University, St. Francis University, and St. Louis University, teaching imaging courses.Ms. McKinnis has authored chapters and home study courses, and is the author of the textbook Fundamentals of Musculoskeletal Imaging, 2nd ed., on medical imaging for PTs.

Tammy DeMeere DPT, CLT has been a lead team member in the development of the Oncology Rehab program for a major hospital system in Michigan.  She helped create and formalize the hospital’s oncology programs including Therapy screens for Breast, Prostate and Head and Neck Cancer, traditional therapy, and a Survivorship Exercise and Wellness Program.  She was a member of the hospital’s weekly Breast Cancer Tumor Board Case Review Team on which she provided input and expertise on Lymphedema and other Therapy related topics.  Being on the ground floor of a Rehab program in its infancy has given Tammy unique insight into the development of Oncology programs, who the key players are, and what the patient really needs.  Tammy currently is developing an Oncology and Hospice program in the Home care setting at the same large hospital system, to ensure these patients are treated through the continuum of care.  She is passionate that therapists provide a crucial role in the treatment of patients at the end of life, and an advocate for patients, families and caregivers   to receive the full care that they need.  She is a Certified Lymphedema Therapist and a specialist in educating and teaching other therapists in the field of Oncology Rehab.  

Catherine C. Goodman, P.T., M.B.A., C.B.P.
Ms. Goodman has over 35 years of experience in a variety of clinical settings including the military, pediatrics, out-patient orthopedics, private practice, home health care, acute care, inpatient/rehabilitation, hospital out-patient services, hand therapy, and oncology. She developed a Clinical Medicine course including the textbook Differential Diagnosis for Physical Therapists: Screening for Referral (DDPT) while serving as the director of the University of Montana Physical Therapy Clinic and on faculty at the University of Montana School of Physical Therapy. DDPT is now in its fifth edition and was voted the 2007 Physical Therapy Book of the Year by Doody Enterprises. Currently, Ms. Goodman is a medical writer for Medical Multimedia Group (www.eorthopod.com) and has a solo private practice in Missoula, Montana. She is a certified BodyTalk practitioner and myofascial therapist. She is the co-author of numerous articles, continuing education materials, and other textbooks including
    • Pathology: Special Implications for the Physical Therapist
    • Pathology for the Physical Therapist Assistant
    • Recognizing and Reporting Red Flags for the Physical Therapist Assistant
     • Exercise Prescription for Medical Conditions
She was awarded the APTA Helen J. Hislop Award for outstanding contributions to professional literature in 2013.


Rooms can be reserved at the Hilton Garden Inn, Missoula. Please call (406) 532-5300. Please reference MAPTA Fall Conference 2013 when making reservations. Room Block rate is $112 and expires on September 6, 2013.

W(h)ine and Dine
Network and dine, 6pm, Blue Canyon. You don’t have to enroll in a course to join us! No-host, however, RSVP is appreciated.

Business Meeting
Business meeting and elections will be held at noon on Saturday, Sept. 28, 2013. Lunch is included for those registered for Saturday courses. Please RSVP if you are not registered (you may register online)

Cancellation Policy
MAPTA reserves the right to refuse/cancel an event registration. If MAPTA refuses a registration, registrants will be offered a full refund.
Registration Cancellation by Participant:
• Cancellations will be accepted in writing via fax, email, or mail.
• A $25.00 administration fee will be withheld when cancellation occurs up to ten days prior to the start of the event; 50% refund if cancelled 2-10 days prior; 25% refund if cancelled 0-1 day prior.

Group Discounts:
10% Discount for 3 or more APTA Member PTs/PTAs from one clinic. Fees for all persons must be made with one payment. No exceptions. Credit will not be provided at a later date.

Lifetime Member:
Lifetime members can take any non-limited seating, MAPTA sponsored CE at 50% discount.


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