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Words, Expectations, Placebo and Nocebo in Physical Therapist Practice
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4/12/2014
When: Saturday, April 12, 2014
8:00am-5:30pm
Where: University of Minnesota, Children's Rehabilitation Building Room 202
Minneapolis, MN  55455
Contact: Seana Williams
swilliams@mnapta.org
651-635-0902


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Speakers: Chris Kramer PT, DPT, OCS, FAAOMPT and Bill Koch PT, DPT, OCS, Cert MDT, FAAOMPT
Contact Hours: 8 MN BPT Cat. 1 CEUs

About This Course

Physical therapists, across practice areas, need to be master communicators with patients.  In addition to the “facts” delivered, the context, beliefs and assumptions that patients attribute to the “facts” can have a profound impact (both positive and negative) on patient outcomes. Therapists themselves may not recognize the subtext of the visual and auditory message they deliver in verbal and printed instructions and examples.   This course will use stories, analogies, case examples and the best available evidence to demonstrate how the presentation and delivery of information is vitally important to the patient experience and ultimately to their clinical outcomes.  Practical application of these concepts will include activities to improve clinic handouts and develop communication strategies that will facilitate positive clinical outcomes.  Therapists will be able to apply these techniques and concepts in the clinic on Monday to reveal how “treating with words” can be a powerful clinical tool.

 

Example: Placebo effect

Ultrasound: A "magic wand"?

You are treating a patient with a diagnosis of rotator cuff impingement. The patient reports a positive response to ultrasound used during physical therapy with a previous episode of shoulder pain and is requesting it today. You elect to proceed with a trial of ultrasound, but realize following the treatment that you forgot to hit the "start" button on the machine. Despite this, the patient reports feeling "a lot better" at the end of the session.

 

Example: Nocebo effect

Side effects:  In clinical studies many people report feeling the side effects they were warned about even when receiving a sham treatment.

Course Objectives

 

  • Introduce and define the concepts of Placebo and Nocebo within the context of clinical practice and the impact on clinical outcomes.
  • Discuss the importance of the words used in communication and education during the course of patient interaction.
  • Discuss the concept of a patient centered interview and how patient expectations and beliefs impact clinical decision-making.
  • Learn how to leverage these concepts to improve clinical outcomes.

 

Speaker Biography

Dr. Kramer graduated from the University of Minnesota with a Bachelor’s of Science in Kinesiology and went on to earn a Masters of Science in Physical Therapy.  In 2008, he became board certified in orthopedic physical therapy.  In 2009, Dr. Kramer graduated from Regis University with his transitional DPT.  Most recently he became a Fellow, graduating in 2011 from Regis University’s Manual Therapy Fellowship program.  He is a member of the American Physical Therapy Association and the American Academy of Orthopedic Manual Physical Therapists. He currently works at Park Nicollet in Minneapolis.

Dr. Koch is a graduate of Marquette University in Milwaukee, WI where he earned a Bachelor of Arts degree in Criminology and Law Studies (1999) followed by a Masters degree in Physical Therapy (2001). He is Credentialed in Mechanical Diagnosis and Therapy through the McKenzie Institute International (2006), is board certified in Orthopedic Physical Therapy (2008) and completed the transitional DPT from Regis University in Denver, CO (2009). He recently completed a Manual Physical Therapy fellowship through Regis University and is a member of the APTA and AAOMPT.  He practices for Park Nicollet Clinic in Wayzata.

Registration Information

Who Should Attend This Course: PTs, PTAs, SPTs, SPTAs
Registrants: Enrollment in this course is limited to 40 participants
Registration Prices:
PT MemberPTA MemberSPT(A) MemberPT NonmemberPTA NonmemberSPT(A) Nonmember
$140$120$105$180$150$140

Cancellations: Except for medical emergencies, cancellations two weeks before the course will be completely refunded, cancellations one to two weeks before the course will be refunded at the rate of 50%, and cancellations less than a week before the course will not be refunded. 

Questions: Please contact the MNPTA office with any questions at:
651-635-0902
info@mnapta.org