Physical Medicine GPS Roll out Phyllis Johnson and Kechia Seabrooks January 14, 2010 Roll Call for ETC’s We are about to get started… Please MUTE your Microphone unless someone from your site is speaking Plan for the Day Introduction Physical Roll out Medicine Rationale behind pathway Pathway development Georgia Economy Georgia Center for Innovation Employment Opportunities Trends, shortages Courses in the pathway Standards in each course Teaching resources to include websites Sharing ideas Assessment “Linking classroom learning to realworld earning opportunities available in the state will help the state grow it’s own highly skilled workforce , attract future economic development, and ensure that every student is prepared to build a rewarding future right here in Georgia.” Kathy Cox, Georgia Superintendent of Schools Industry Validation http://www.salary.com/ http://www.bls.gov/oco/ http://explorer.dol.state.ga.us/default.asp www.dol.state.ga.us/know_job_market.htm Long-Term Occupational Projections 2006-2016 Statewide Fastest Growing Occupations Occupation Physical Therapist Assistants Massage Therapists 2006 2016 Total Percent Annual Base Projected Change in Change in Growth Employment Employment Employment Rate Employment Annual Annual Openings from Growth Openings from Replmnts Annual Openings 1,350 1,870 520 38.7% 3.3% 50 20 70 2,450 3,350 900 36.5% 3.2% 90 30 120 The number of Athletic Trainers employed in Georgia in 2006 Long Term Occupational Employment Projections or Athletic Trainers The number of Athletic Trainers employed in Georgia In 2006 was 277. It is projected in 2016 there will be 374. This represents an annual average growth rateof 3.0 percent faster than 1.3 percent growth rate for all occupations in Georgia. Long Term Occupational Employment Projections for Athletic Trainers Athletic Trainers All Occupations 2006 Employment 2016 Projected Total 2006-2016 Annual Avg Employment Employment Percent Change Change 277 374 97 3.0% 4,378,871 4,997,099 618,228 1.3%Source: Georgia Department of Labor Archived Webinars 10/08/2009 Proposed Guide for CTAE HS Curriculum Phase IV & MS Phase II Course Numbering Information FY 2010-2011 Course Numbering Pending State Board of Education Approval Please check the website for updates and SBOE approval status anticipated January 2010. **CURRENT STATUS: REPLACED by GPS = The previously existing (old) aligned course has been revised including GPS. RENAMED = The title for the previously existing (old) aligned course has been changed. NEW = There is not a previously existing (old) course with which this newly developed course aligns. Retains Current Course Number = The newly revised course will retain the course number assigned the aligned “old” course. RED = There is not a previously existing (old) course with which this newly developed course aligns the number assigned is new. TO BE DELETED = Course title and number will be deleted. APPROVED PHASE I, II or III = Course and number were previously approved. Program Concentration: HEALTHCARE SCIENCE - Therapeutic Services - Physical Medicine Career Pathway **CURRENT STATUS Old Course Title Current Course Number Approved Phase I 25.52100 NONE NONE Principles of Physical Medicine (HS-PPM) New Proposed Course Number: 25.58000 NONE NONE Concepts of Physical Medicine (HS-CPM) New Proposed Course Number: 25.58100 NONE NONE Rehabilitation in Physical Medicine (HS-RPM) New Proposed Course Number: 25.58200 New Course Title with Performance Standards Introduction to Healthcare Science(HS-IHS) NEW or Replaced by GPS and/or Renamed Approved Phase I Program Concentration: Healthcare Science Healthcare Science Programs of Study Therapeutic Services-Physical Medicine Career Pathway •Introduction to Healthcare Science* •Principles of Physical Medicine* •Concepts of Physical Medicine* •Rehabilitation in Physical Medicine *Required for Pathway Completion Physical Medicine Specialty: Physical medicine is the medical specialty concerned with evaluating, diagnosing, and treating patients with physical disabilities affecting the musculoskeletal system including neck and back pain, sports injuries, or disabilities resulting from neurological trauma or disease such as spinal cord injury, head injury, or stroke. The primary goals of physical medicine are to achieve maximum restoration of physical, psychological, social, and vocational function through comprehensive rehabilitation and effective pain management. 3/17/2016 15 Physical Medicine Subspecialties: • Hospice and Palliative Medicine - prevent and relieve the suffering experienced by patients with life-limiting illnesses. • Neuromuscular Medicine - possesses specialized knowledge in the science, clinical evaluation and management of these disorders. • Pain Medicine - provides a high level of care for patients experiencing problems with acute, chronic or cancer pain. • Pediatric Rehabilitation Medicine - prevent, diagnose, treat and manage congenital and childhood-onset physical impairments. • Spinal Cord Injury Medicine - addresses the prevention, diagnosis, treatment and management of traumatic spinal cord injury and non-traumatic causes of spinal cord dysfunction. • Sports Medicine - responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. 3/17/2016 16 Pathway Team • Lance Kelly, MPT, ATC- Momentum Physical Therapy & Sports Enhancement • Lance McNamara, Winder Barrow High School MS, NREMT-I, ATC Health Occupations Teacher • Courtney McQuaker,- Columbus State University- Assistant Athletic M.Ed, ATC Director of Operations • Debbie Vinsant,Lithia Springs High SchoolEd.S, NREMT, ATC Health Occupations Teacher • Gina Wilkes, RNOconee County High School Health Occupations Teacher • Kechia Seabrooks,Rockdale County Public Schools M.Ed, ATC Athletic Coordinator and Athletic Trainer 3/17/2016 17 Therapeutic ServicesPhysical Medicine • • • • • • • • Career Pathway Sequence of Courses: 25.52100 Introduction to Healthcare Science 25.56500 Principal of Physical Medicine 25.58100 Concepts of Physical Medicine Related courses: 25.58200 Rehabilitation in Physical Medicine 24.56200 Concepts of Emergency Medicine 25.52200 Applications in Therapeutic Medicine 26.07300 Anatomy & Physiology Some Suggested Basic Support Material • Physical Therapies in Sport and Exercise, Kolt, SnyderMackler & Hoen • Exercise in Rehabilitation Medicine, Frontera, Dawson & Slovik • Therapeutic Exercise for Musculoskeletal Injuries, Houglum • Sports Medicine Essentials: Core Concepts in Athletic Training and Fitness Instruction, Clover • Sports Injury Management, Anderson, Hall & Martin • Manual of Structural Kinesiology, Floyd 3/17/2016 19 Physical Medicine Units Covered: Anatomy and Physiology Assessment Preventative Care Medical Terminology Kinesiology Basic Life Support 3/17/2016 Injury Evaluation and Classification Therapeutic Exercise Therapeutic Modalities Infection Control Nutrition Pharmacology 20 Check these out. CTAE Foundation skills, etc. Academic Foundations • HS-PPM-1; HS-CPM-1;HS –RPM-1: Students will demonstrate knowledge and understanding of the academic subject matter required for proficiency within their area. Academic Standards are integrated throughout the standard statements within their discipline areas and documented immediately following the standard statement. CTAE Foundation Skills • http://www.teampedia.net/wiki/index.ph p?title=Main_Page • http://www.teambuildinginc.com/teambu ilding_services_master_list.htm • https://www.ctaern.org/portal/Instructio nalResources.asp?SysId=100&PID=3199& profile=3199 Principles of Physical Medicine Standard • HS-PPM-2: Students will analyze anatomic positions, directional terms, movements, and postures as related to the appendicular skeleton. 3/17/2016 25 Making Anatomy Fun • Demonstrations • Hands on Activities anatomy coloring books kinesiology experiments Simon says/Songs • Web Anatomy Games • Field Trips • Classroom competitions & Quiz Bowls • Invite local Physical Medicine providers as guest speakers • Collaborate with CTAE teachers, science teachers, Industry Professionals • Internships with local Physical Medicine • Physical Medicine Summer Camps TEAM NAME #1 #2 10 Athletic Trainer Physical Therapist Occupational Therapist 10 10 10 The Massage Therapist Orthopedic Surgeon 10 #3 #4 #5 #6 #7 #8 #9 #10 #11 #12 #13 #14 #15 #16 #17 #18 #19 #20 TOTALS Websites that will help • http://msjensen.cehd.umn.edu/webanatomy/ • http://www.neuroexam.com/content.php?p=2 • http://edheads.org/ • http://anatomy.uams.edu/anatomyhtml/muscles_alpha.html • http://www.lawrenceville.org/mgolden/hsforms-doc/ • http://teachers.net/lessons/search.html • http://academic.missouriwestern.edu/rachow/Inflammation%20and%20Healing.pdf • http://www.bownet.org/cchulada/sportsmed.htm • http://at.uwa.edu/CurrHome/Default.asp • http://www.accessexcellence.org/ • http://serendip.brynmawr.edu/sci_edu/biosites.html • http://www.studysphere.com/Site/Sphere_10278.html • http://www.montgomeryschoolsmd.org/SCHOOLS/WJHS/mediactr/scipathfinder/HumanBodySyst/index.htm #top • www.teach-nology.com • http://library.thinkquest.org/10348/ Healthcare lesson plans (includes anatomy lesson plans http://www.khake.com/page77.html http://www.instantanatomy.net/headnec k/areas/overviewofcontents.html http://www.teach-nology.com/teachers/lesson_plans/science/anatomy Healthcare Lesson plans http://www.khake.com/page77.h Elements of Standard HS-PPM-2 a. Identify the anatomy of the skeleton system. b. Identify and understand the terminology used to describe body part locations, reference positions, anatomical directions, and planes of motion, with their respective axis of rotation in relation to human movement. c. Define and understand the various types of bones and joints in the human body, and their characteristics. d. Define demonstrate the joint movement of the skeletal system. 3/17/2016 32 Standard • HS-PPM-3. Students will utilize correct terminology, abbreviations, and symbols to appropriately communicate oral and written information within the physical medicine team. Elements of Standard HS-PPM-3 a. Interpret common terminology, abbreviations, symbols, and acronyms related to physical medicine. b. Explain the importance of reporting and recording information within the physical medicine team. c. Evaluate a variety of methods for recording patient information including SOAP notes and special considerations for electronic information and records. d. Analyze the legal responsibilities regarding privacy for patient information (HIPAA regulations). e. Organize thoughts and information to develop clear and accurate reports both verbal and written. Standard • HS-PPM-4: Students will demonstrate knowledge and understanding of injury classifications. Elements of Standard HS-PPM-4 a. Differentiate between evaluate and diagnose. b. Differentiate between a sign and a symptom. c. Compare and contrast injuries based upon the onset and duration of symptoms. d. Classify and explain the various degrees of tissue injury both open and closed. e. Classify and explain the various injuries to the bone and joint articulations. f. Classify nerve injuries according to mechanism, severity, signs and symptoms. g. Indentify signs and symptoms of skin infections, and other dermatological conditions, and will be able to outline the proper treatment procedures for these conditions. Standard • HS-PPM-5: Students will demonstrate the performance of first aid procedures meeting and/or exceeding all standards of the American Red Cross (ARC) and/or American Heart Association’s (AHA) utilizing personal protection devices and equipment in compliance with all OSHA regulatory guidelines. Situations may be used when necessary. Elements of Standard HS-PPM-5 a. Demonstrate the assessment of a victim requiring first aid, identification of the signs and symptoms, and how to locate the victim’s injuries. b. Demonstrate the ability to adapt resources at the scene of injury for the provision of first aid techniques as necessary. c. Perform basic triage techniques for emergency situations involving multiple victims. d. Complete the American Red Cross (ARC) and/or American Heart Association’s (AHA) First Aid Training. Standard • HS-PPM-6: Students will demonstrate knowledge and understanding of injury evaluation. Elements of Standard HS-PPM-6 a. Demonstrate the ability to obtain and document client history, observation, palpation, and specific tests. b. Define and demonstrate the Subjective, Objective, Assessment and Plan (SOAP) that is standard note writing in patient documentation. c. Identify and demonstrate appropriate anatomical structures to palpate during an injury evaluation. d. Administer active and passive Range of Motion (ROM) tests using standard goniometric techniques. e. Demonstrate the use of proper manual muscle testing techniques. Standard • HS-PPM-7: Students will analyze the anatomy, muscular structure, vascular structure, Range of Motion (ROM), Manual Muscle Tests (MMT) and special tests, as well as prevention and treatment, of the shoulder joint. Elements of Standard HS-PPM-7 a. Identify and locate the bones associated with the shoulder joint on either a human skeleton or subject. b. Identify and locate the muscle origins and insertions of the shoulder joint on either a human skeleton or subject. c. Demonstrate muscle actions associated with the shoulder joint. d. Identify the primary blood vessels and nerves that innervate the shoulder joint. e. Administer Passive Range of Motion (PROM) and Active Range of Motion (AROM) tests special to the shoulder joint f. Administer MMT specific to the shoulder joint g. Identify specific type of injuries that occur to the shoulder. h. Define the proper evaluation procedures and special tests specific to injuries associated with the shoulder. i. Identify and demonstrate proper preventative techniques to the shoulder joint j. Utilize proper treatment techniques specific to the shoulder joint. k. Participate in mock examinations and practical simulations. Standard • HS-PPM-8: Students will analyze the anatomy, muscular structure, vascular structure, ROM, MMT and special tests, as well as prevention and treatment of the elbow joint. Elements of Standard HS-PPM-8 a. Identify and locate the bones associated with the elbow joint on either a human skeleton or subject. b. Identify and locate the muscle origins and insertions of the elbow joint on either a human skeleton or subject. c. Demonstrate muscle actions associated with the elbow joint. d. Indentify the primary blood vessels and nerves that innervate the elbow joint. e. Administer PROM and AROM tests special to the elbow joint f. Administer MMT specific to the elbow joint g. Identify specific type of injuries that occur to the elbow. h. Define the proper evaluation procedures and special tests specific to injuries associated with the elbow. i. Identify and demonstrate proper preventative techniques to the elbow joint. j. Utilize proper treatment techniques specific to the elbow joint. k. Participate in mock examinations and practical simulations. Standard • HS-PPM-9: Students will analyze the anatomy, muscular structure, vascular structure, ROM, MMT and special tests, as well as prevention and treatment of the wrist/hand. Elements of Standard HS-PPM-9 a. Identify and locate the bones associated with the wrist and hand on either a human skeleton or subject. b. Identify and locate the muscle origins and insertions of the wrist and hand on either a human skeleton or subject. c. Demonstrate muscle actions associated with the wrist and hand. d. Indentify the primary blood vessels and nerves that innervate the wrist and hand joint. e. Administer PROM and AROM tests special to the wrist and hand f. Administer MMT specific to the wrist and hand. g. Identify specific type of injuries that occur to the wrist and hand. h. Define the proper evaluation procedures and special tests specific to injuries associated with the wrist and hand. i. Identify and demonstrate proper preventative techniques to the wrist and hand j. j. Utilize proper treatment techniques specific to the wrist and hand. k. Participate in mock examinations and practical simulations. http://www.teach-nology.com/teachers/lesson_plans/science/anatomy/ Hamate Bone Scaffold Bone (Holding up the Radius) Sally Left The Party To Take Cathy Home Standard • HS-PPM-10: Students will analyze the anatomy, muscular structure, vascular structure, ROM, MMT and special tests, as well as prevention and treatment of the hip joint. Elements of Standard HS-PPM-10 a. Identify and locate the bones associated with the hip joint on either a human skeleton or subject. b. Identify and locate the muscle origins and insertions of the hip joint on either a human skeleton or subject. c. Demonstrate muscle actions associated with the hip joint. d. Indentify the primary blood vessels and nerves that innervate the hip joint. e. Administer PROM and AROM tests special to the hip joint. f. Administer MMT specific to the hip joint. g. Identify specific type of injuries that occur to the hip. h. Define the proper evaluation procedures and special tests specific to injuries associated with the hip. i. Identify and demonstrate proper preventative techniques to the hip joint. j. Utilize proper treatment techniques specific to the hip joint. k. Participate in mock examinations and practical simulations. Standard • HS-PPM-11: Students will analyze the anatomy, muscular structure, vascular structure, ROM, MMT and special tests, as well as prevention and treatment of the knee joint. Elements of Standard HS-PPM-11 a. Identify and locate the bones associated with the knee joint on either a human skeleton or subject. b. Identify and locate the muscle origins and insertions of the knee joint on either a human skeleton or subject. c. Demonstrate muscle actions associated with the knee joint. d. The student will indentify the primary blood vessels and nerves that innervate the knee joint. e. Administer PROM and AROM tests special to the knee joint. f. Administer MMT specific to the knee joint. g. Identify specific type of injuries that occur to the knee. h. Define the proper evaluation procedures and special tests specific to injuries associated with the knee. i. Identify and demonstrate proper preventative techniques to the knee joint. j. Utilize proper treatment techniques specific to the knee joint. k. Participate in mock examinations and practical simulations. Standard • HS-PPM-12: Students will analyze the anatomy, muscular structure, vascular structure, ROM, MMT and special tests, as well as prevention and treatment of the ankle joint. Elements of Standard HS-PPM-12 a. Identify and locate the bones associated with the ankle joint on either a human skeleton or subject. b. Identify and locate the muscle origins and insertions of the foot and ankle joint on either a human skeleton or subject. c. Demonstrate muscle actions associated with the foot and ankle joint. d. Indentify the primary blood vessels and nerves that innervate the foot and ankle joint. e. Administer PROM and AROM tests special to the foot and ankle joint. f. Administer MMT specific to the foot and ankle joint. g. Identify specific type of injuries that occur to the foot and ankle. h. Define the proper evaluation procedures and special tests specific to injuries associated with the foot and ankle. i. Identify and demonstrate proper preventative techniques to the foot and ankle joint. j. Utilize proper treatment techniques specific to the foot and ankle joint. k. Participate in mock examinations and practical simulations. Suggested Equipment Needs • Anatomical Models (Shoulder, elbow, hand, wrist, hip, knee, ankle) • Skeletal Muscle Chart • Goniometer • Ace Bandages • Taping Supplies (Athletic Tape, Prewrap, medirip, coban, leukotape) • Measuring Tape • • • • • CPR Items Gauze Biohazard Bags Foam/Felt Padding Splinting Devices (SAM Splint, Vacuum Splints) • Various Braces/Immobilizers (Ankle, knee, walking boot, sling, crutches) Anatomical Models Concepts of Physical Medicine Standard • HS-CPM-2. Students will be able to analyze the anatomy, muscular structure, vascular structure, and describe the mechanisms signs and symptoms and potential complications associated with head and facial injuries. Elements of Standard HS-CPM-2 a. Identify and locate the bones associated with the head and face on either a human skeleton or subject. b. Identify and locate the muscle origins and insertions of the head and face on either a human skeleton or subject. c. Perform a complete examination of the cranial nerves. d. Identify specific type of injuries that occur to the head and face. e. Differentiate among signs and symptoms of concussions, skull fractures and intracranial hemorrhage. f. Discuss the potential consequences and delayed symptoms of head and facial trauma. g. Utilize proper treatment specific to head and facial injuries. h. Perform an on-site examination of potential head or facial injuries, including special tests for cognition, balance and coordination to include the criteria for medical referral. • • • • • • • • • • • On Olympus’ Towering Tops A Finn And German Viewed Some Hops Standard • HS-CPM-3. Students will analyze the anatomy, muscular structure, vascular structure, ROM, MMT and special tests, as well as prevention and treatment, of the cervical spine and upper thoracic spine. Elements of Standard HS-CPM-3 a. b. c. d. e. f. g. h. i. j. k. l. Identify and locate the bones associated with the cervical spine and upper thoracic spine on either a human skeleton or subject. Identify and locate the muscle origins and insertions of the cervical spine and upper thoracic spine on either a human skeleton or subject. Demonstrate muscle actions associated with the cervical spine and upper thoracic spine. Perform a functional assessment of myotomes, dermatomes, reflexes and vascularity of the cervical spine and upper thoracic spine. Interpret the causes of neuropathy in the upper extremity relative to cervical pathology. Administer Passive Range of Motion (PROM) and Active Range of Motion (AROM) tests special to the cervical spine and upper thoracic spine. Administer MMT specific to the cervical spine and upper thoracic spine. Identify specific type of injuries that occur to the cervical spine and upper thoracic spine. Define the proper evaluation procedures and special tests specific to injuries associated with the cervical spine and upper thoracic spine. Identify and demonstrate proper preventative techniques to the cervical spine and upper thoracic spine. Utilize proper treatment techniques specific to the cervical spine and upper thoracic spine. Participate in mock examinations and practical simulations. Standards • HS-CPM-4. Students will analyze the anatomy, muscular structure, vascular structure, ROM, MMT and special tests, as well as prevention and treatment, of the lower thoracic spine and lumbar spine. Elements of Standard HS-CPM-4 a. b. c. d. e. f. g. h. i. j. k. l. Identify and locate the bones associated with the lower thoracic spine and lumbar spine on either a human skeleton or subject. Identify and locate the muscle origins and insertions of the lower thoracic spine and lumbar spine on either a human skeleton or subject. Demonstrate muscle actions associated with the lower thoracic spine and cervical spine. Perform a functional assessment of myotomes, dermatomes, reflexes and vascularity of the lower thoracic spine and lumbar spine. Interpret the causes of neuropathy in the upper and lower extremity relative to lumbar pathology. Administer Passive Range of Motion (PROM) and Active Range of Motion (AROM) tests special to the lower thoracic spine and lumbar spine. Administer MMT specific to the lower thoracic spine and lumbar spine. Identify specific type of injuries that occur to the lower thoracic spine and lumbar spine. Define the proper evaluation procedures and special tests specific to injuries associated with the lower thoracic spine and lumbar spine. Identify and demonstrate proper preventative techniques to the lower thoracic spine and lumbar spine. Utilize proper treatment techniques specific to the lower thoracic spine and lumbar spine. Participate in mock examinations and practical simulations. Standard • HS-CPM-5. Students will analyze the anatomy, muscular structure, vascular structure, ROM, and special tests, as well as prevention and treatment, of the thoracic and abdomen. Elements of Standard HS-CPM-5 a. Identify and locate the bones associated with the thoracic region on either a human skeleton or subject. b. Identify and locate the muscle origins and insertions of the thoracic region on either a human skeleton or subject. c. Identify specific type of injuries that occur to the thoracic region and abdomen. d. Identify the potential consequences and signs and symptoms from direct or indirect trauma to the abdomen. e. Utilize proper treatment specific to thoracic and abdominal injuries. f. Perform an on-site examination of potential thoracic and abdominal injuries, indicating criteria for medical referral. Standard • HS-CPM-6. Students will analyze the anatomy, muscular structure, vascular structure, as well as prevention and treatment, of cardiorespiratory and visceral region conditions. Elements of Standard HS-CPM-6 a. Identify the function and anatomy of the cardiorespiratory system and visceral region. b. Identify specific type of injuries that occur to the cardiorespiratory system and visceral region. c. Define the signs and symptoms relative to the cardiorespiratory system that may be encountered. d. Perform an on-site examination of potential cardiorespiratory system and visceral region injuries, for emergent or non-emergent medical referral. Standard • HS-CPM-7.Students will identify and describe pathogens commonly encountered in physical medicine and will demonstrate knowledge of infection control principles. Element of Standard HS-CPM-7 a. Describe the components of the chain of infection and methods for interrupting the chain b. Explain and demonstrate the use of standard precautions as described in the rules and regulations set forth by the Occupational Safety and Health Administration (OSHA) c. Practice aseptic techniques in the physical medicine setting d. Compare the different levels of aseptic control and their uses in physical medicine e. Demonstrate proper disposal of hazardous waste f. Utilize appropriate PPE whenever there is a risk for contact with bodily fluids g. Evaluate the role of the immune system in physical medicine. Safety • http://www.osha.gov/SLTC/teenworkers/ teenworkers.html • http://www.cdc.gov/niosh/talkingsafety/states/g a/ NIOSH is pleased to present Youth@Work: Talking Safety, a foundation curriculum in occupational safety and health. This curriculum is the culmination of many years’ work by a consortium of partners dedicated to reducing occupational injuries and illnesses among youth. This curriculum is meant to be used in a classroom or other group training setting.The entire curriculum includes instructions for teachers and a step by step guide for presenting the material. QUICK LINKS Entire Booklet ,Overheads ,Teacher PowerPoint Presentation , Handouts , Certificates Appendices , Video Infection Control • http://cdc.gov/ • http://www.osha.gov/SLTC/etools/hos pital/hazards/infection/infection.html • http://www.glogerm.com/ Glo Germ Standard • HS-CPM-8. Students will participate in research and self-assessment to identify their choice of careers in the area of physical medicine. Elements of Standard HS-CPM-8 a. Plan and evaluate a variety of careers in physical medicine and explain the educational requirements for each b. Identify a variety of employment settings within physical medicine c. Identify the personal characteristics for a career in physical medicine d. Explain certification, accreditation, registration and licensure as it applies to disciplines within physical medicine e. Identify primary and secondary members of the physical medicine team and evaluate the roles and responsibilities of each member f. Identify and discuss the professional organizations and associations related to physical medicine and evaluate the benefits of membership in these organizations h. Develop a career plan and set long and short term goals that will enable them to be successful members of the physical medicine team. Standard • HS-CPM-9.Students will evaluate the importance of nutrition in physical medicine. Elements of Standard HS-CPM-9 a. b. c. d. e. f. g. h. Identify the six classes of nutrients and describe the functions of each Identify the five food groups and list several food sources for each group Asses the nutritional status of patients in physical medicine Define calorie and explain the role of calories in weight maintenance, weight loss, and weight gain Distinguish between the signs, symptoms, and treatment of various eating disorders Analyze the importance of water and describe signs of dehydration Compare and contrast different methods of fluid replacement for the physically active person Describe the components of a pre-event meal. Standard • HS-CPM-10: Students will demonstrate the process for basic assessment (i.e. vital signs, height, weight, etc…), monitoring, reporting/recording patient/client’s health status. Elements of Standard HS-CPM-10 a. Perform all “beginning and ending” procedures utilized in a clinical setting (i.e. b. c. d. e. f. wash your hands, gather equipment, provide for privacy, etc…) Evaluate factors that may affect temperature, pulse, respirations, blood pressure, height and weight including normal and abnormal values. Demonstrate the ability to utilize and accurately read manual and electronic equipment to measure vital signs, height and weight using aseptic technique as well as use other assessment instruments and equipment according to manufacturer’s guidelines and accepted safety practices. Utilize manual and electronic equipment to measure vital signs, height and weight. Report and record temperature, pulse, respirations, blood pressure, height and weight manually on graphic/flow sheets and/or electronically on mobile charts (when available) within designated time frame. Apply mathematical concepts and perform mathematical calculations appropriate to clinical expectations and/or work-based learning site. Standard • HS-CPM-11. Students will demonstrate knowledge and understanding of the environmental conditions such as heat, humidity, moisture, and cold that can impair the body’s ability to function properly. Elements of Standard HS-CPM-11 a. Define and correctly spell each of the key terms associated with environmental issues b. Identify the signs and symptoms of conditions caused by exposure to extreme environments c. Describe methods to prevent or minimize the effects of environmental conditions d. Describe methods of handling emergencies associated with extreme environmental conditions e. Identify the stresses of exercise in the heat and cold conditions in both the trained and untrained state f. Identify the adaptations that occur as a result of acclimatization to heat and cold conditions g. Describe precautions that should be taken in a lightning storm h. List the problems that air pollution presents and how they can be avoided Standard • HS-CPM-12. Students will demonstrate the steps of Basic Life Support (BLS). Element of Standard HS-CPM-12 a. Demonstrate cardiopulmonary resuscitation on an infant; child and an adult (simulate using manikins). b. Utilize personal protection devices and the use of standard precautions for disease prevention. c. Identify when cardiopulmonary resuscitation may be discontinued once it has been initiated. d. Demonstrate the application, operation, and maintenance of an automated external defibrillator trainer. Suggested Equipment Needs • Skeleton • Cervical Spine Anatomical Model • Thoracic/Lumbar Anatomical Model • Skeletal Muscle Charts • Gloves • BP Cuffs (Manual and Automatic) • Stethoscopes • Weight Scale with Height Rod • Goniometer • Measuring Tape • Textbook • Gauzes • Biohazard bags • Ace Bandages • CPR Items Rehabilitation in Physical medicine Standard • HS-RPM-2. Students will analyze and describe the basic principles and concepts of healing. Elements of Standard HS-RPM-2 a. Define and understand the terminology associated with wound healing. b. Distinguish between primary and secondary healing. c. Classify and explain the phases of healing. d. Identify the chronology of wound and common growth factors in healing. e. Describe the healing characteristics of specific tissues. f. Discuss factors that affect healing. Standard • HS-RPM-3. Students will analyze and describe the basic principles and concepts of rehabilitation. Elements of Standard HS-RPM-3 a. Identify the basic guidelines, components , objectives and phases of rehabilitation. b. Identify different modalities utilized in rehabilitation. c. Describe the relationship among goals, progression and examination. d. Outline the importance of outcomes-based rehabilitation. e. Identify and describe goals and objectives of rehabilitation programs. f. Evaluate and outline a patient’s progress in rehabilitation and return-to-competition criteria . g. Identify the stages of grief and the rehabilitation clinician’s role in assisting the patient through these stages. Standard • HS-RPM-4. Students will analyze and describe the principles of reconditioning and exercise physiology. Elements of Standard HS-RPM-4 a. Distinguish between the difference between anaerobic and aerobic exercise. b. Explain the difference between the energy systems to include the immediate, oxidative, and nonoxidative energy systems. c. Identify and describe the nutritional considerations for physical activity. d. Define pathologies of common diseases that affect physical activity ability. e. Describe muscle fiber types and the proper use of each during activity. f. Identify and demonstrate types of isotonic, isometric, and isokinetic exercises. g. Identify and demonstrate the difference between concentric and eccentric muscle contractions. h. Distinguish between open and closed kinetic chain activity. i. Identify the various grades of manual muscle testing. j. List the Proprioceptive Neuromuscular Facilitation (PNF) techniques commonly used in rehabilitation. Standard • HS-RPM-5. Students will analyze and describe neurological considerations in physical medicine. Elements of Standard HS-RPM-5 a. Identify the function of the central and peripheral nervous systems. b. Describe pathologies of the nervous systems to include muscular sclerosis, stroke, and cerebral palsy. c. Identify and describe neuromuscular involvement. d. Distinguish between myotomes and dermatomes. e. Name and perform an assessment of the cranial nerves. f. Identify and list the afferent receptors involved in proprioception. g. Identify the Central Nervous System sites that relay proprioceptive information to the motor system. h. List the ABC’s of proprioception. i. Identify the systems that control balance and components of coordination. j. Demonstrate the progression of proprioceptive exercises for lower and upper extremities. Standard • HS- RPM-6. Students will demonstrate knowledge and understanding of functional exercise. Elements of Standard HS- RPM-6 a. Explain the difference between functional exercise and functional testing. b. Identify functional exercises that are key to any therapeutic exercise program. c. Outline the progression from basic to advanced functional activities. d. Identify precautions that must be followed in functional exercises. e. List factors that can be altered with a progression of functional activities. f. Outline a functional exercise program for both the upper and lower extremities. Standard • HS- RPM-7. Students will analyze and describe the phases of gait mechanics. Elements of Standard HS- RPM-7 a. Identify the components of proper alignment in standing from an anterior, posterior, and side view. b. List common postural faults and describe their causes. c. Outline corrective exercises for common postural faults. d. List the basic principles of good body mechanics. e. Explain the importance of good posture and body mechanics. Standard • HS-RPM-8. Students will analyze and describe the phases of gait mechanics Elements of Standard HS-RPM-8 a. Identify the phases of gait mechanics to include stance, mid-stance, terminal stance, and swing phase. b. Describe the proper body alignment during phases of gait mechanics. c. Illustrate proper body alignment during these phases using assisted gait devices such as a cane, walker, or crutches. d. Explain the actions of major muscle groups during the different phases of gait mechanics. Standard • HS-RPM-9. Students will analyze and describe the different phases and principles of each phase of rehabilitation, as well as return to activity. Elements of Standard HS-RPM-9 a. Distinguish between the phases of rehabilitation including the acute phase, sub-acute phase, and the return to function. b. Describe the inflammatory response, Range of Motion (ROM) and restoring ROM, soft tissue healing response, and proper therapeutic exercises for injuries in the acute phase. c. Describe the inflammatory response, Range of Motion (ROM) and restoring ROM, soft tissue healing response, and proper therapeutic exercises for injuries in the sub-acute phase. d. Describe the inflammatory response, Range of Motion (ROM) and restoring ROM, soft tissue healing response, proper therapeutic exercises, proper functional testing, concepts and application of plyometrics, and cardiovascular demands for return to activity. Standard • HS- RPM -10. Students will develop therapeutic exercise programs for each body segment. Elements of Standard HS-RPM-10 a. Outline and demonstrate a therapeutic exercise program relative to the neck and back. b. Outline and demonstrate a therapeutic exercise program relative to the shoulder. c. Outline and demonstrate a therapeutic exercise program relative to the elbow. d. Outline and demonstrate a therapeutic exercise program relative to the wrist and hand. e. Outline and demonstrate a therapeutic exercise program relative to the knee. f. Outline and demonstrate a therapeutic exercise program relative to the ankle. g. Outline and demonstrate a therapeutic exercise program relative to the foot. Standard • HS-RPM-11. Students will analyze and describe the principles of pharmacology. Elements of Standard HS-RPM-11 a. Define common over-the-counter (OTC) medications. b. Describe the contraindications and indications of common OTCs. c. Define legal and illegal supplements and their side affects. d. Identify specific prescription medications commonly used after sustaining an injury. e. Identify specific prescription medications commonly used as treatment or prevention of common pathologies such as diabetes or heart conditions. Standard • HS-RPM-12. Students will analyze and describe the appropriate use of therapeutic modalities. Elements of Standard HS-RPM-12 a. Describe the physiological effects and considerations in the use of cold and hot therapies. b. Describe the physiological effects and considerations in the use of ultrasound therapy. c. Describe the physiological effects and considerations in the use of electrotherapy. d. Describe the physiological effects and considerations in the use of massage therapy. Suggested Equipment Needs • Modality Charts • Theraband • Various Braces/Immobilizers (Ankle, knee, walking boot, sling, crutches) • E-stim/US or TENS unit Suggested Equipment Needs • Modality Charts • Theraband • Various Braces/Immobilizers (Ankle, knee, walking boot, sling, crutches) • E-stim/US or TENS unit Go to: www.georgiahosa.org under events and conferences tab hit competitive events – scroll down to competitive event guidelines. HOSA Contests • http://www.hosa.org/n atorg/sectb/catii/sm.pdf Check www.georgiahosa.org • Other contests might also be appropriate for students in this pathway • Examples: • Medical Terminology • Creative Problem Solving • CPR and First Aid • Interview skills • Community Awareness “Assessment should provide “feedback” or it is not truly assessment. Any assessment should supply the ‘performer’ – the student – with usable information about how the performance fared, and how performance might be improved.” - Grant Wiggins http://webquest.sdsu.edu/rubrics/ weblessons.htm • The Rubric is an authentic assessment tool which is particularly useful in assessing criteria which are complex and subjective. Authentic assessment is geared toward assessment methods which correspond as closely as possible to real world experience. The rubric is a formative type of assessment because it becomes an ongoing part of the whole teaching and learning process. Students themselves are involved in the assessment process through both peer and self-assessment. As students become familiar with rubrics, they can assist in the rubric design process. This involvement empowers the students and as a result, their learning becomes more focused and self-directed. Authentic assessment, therefore, blurs the lines between teaching, learning, and assessment. The advantages of using rubrics in assessment are that they: allow assessment to be more objective and consistent focus the teacher to clarify his/her criteria in specific terms clearly show the student how their work will be evaluated and what is expected promote student awareness of about the criteria to use in assessing peer performance provide useful feedback regarding the effectiveness of the instruction provide benchmarks against which to measure and document progress Rubrics can be created in a variety of forms and levels of complexity, however, they all contain common features which: focus on measuring a stated objective (performance, behavior, or quality) use a range to rate performance contain specific performance characteristics arranged in levels indicating the degree to which a standard has been met Phyllis Johnson Program Specialist - Healthcare, Cosmetology, and Public Safety Georgia Department of Education 404-463-6404 pjohnson@doe.k12.ga.us