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Hena Sattar PM&R PGY 4 Research Day 5/22/2012

Influence of the Resident Training Program in Rehabilitation Technology on the Equipment and Assistive Technology Portion of the ABPMR Part 1 Scores. Hena Sattar PM&R PGY 4 Research Day 5/22/2012. Kentucky Resident Training Program.

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Hena Sattar PM&R PGY 4 Research Day 5/22/2012

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  1. Influence of the Resident Training Program in Rehabilitation Technology on the Equipment and Assistive Technology Portion of the ABPMR Part 1 Scores Hena Sattar PM&R PGY 4 Research Day 5/22/2012

  2. Kentucky Resident Training Program • Gain knowledge and skills related to Rehabilitative Technology(RT) devices and services • Early clinical exposure to RT • Identification and assessment of RT related needs • Planning, coordinating and evaluation of the application of RT services • Establish role of physiatrist with the interdisciplinary team • Field experience in vocational rehab, independent living and rural/agricultural applications

  3. Curriculum • 24 online training modules • Online moderated discussion board • Month long field rotation in vocational, rural/agricultural and other community setting

  4. Training Modules • 24 online training modules • 1-2 hours in length • Variety of RT topics • Completed during PGY 2, PGY 3 and PGY 4 years • Self assessment exam after the completion of each module • Modules are supplemented with reading material and links to additional resources

  5. Module Topics • Introduction and Orientation • Interdisciplinary Rehabilitation Technology Team(part1) • Interdisciplinary Rehabilitation Technology Team(part2) • Funding Rehabilitation Technology Devices and Services • Information and Referral Sources for RT-related services • Interface and Control Devices for RT • Seating, Positioning and Mobility (Part I) • Seating, Positioning and Mobility (Part II) • Seating, Positioning and Mobility (Part III) • Upper Limb Prosthetics • Lower Limb Prosthetics • Driver Rehabilitation Services and Vehicle Modification: Evaluation and training • Driver Rehabilitation Services and Vehicle Modification: Vehicle modification • Communication Technology • Sensory Aids • Computer Access – Human-computer Interaction • Computer Access – Adaptive Software • Environmental Adaptations – Universal Design, accessibility, home and work site modifications • Environmental Adaptations – low tech aids and electronic aids for ADLs • Technology for Persons with Cognitive/Intellectual Disabilities • Job Accommodation – Principles for developing accommodations, Human Factors, Ergonomics • Job Accommodation – Rehabilitation engineering in employment • Rural and Agricultural Rehabilitation • Recreation and Leisure

  6. RT Practicum Activities • One month training • On-site participation • Planning and delivery of RT services in rural, agricultural, vocation, independent living and community settings • Sites and activities provided in collaboration with • Rehabilitation Technology and Driver Rehabilitation staff of the Kentucky Office of Vocational Rehabilitation • Kentucky AgrAbility • University of Kentucky Human Development Institute

  7. RT Practicum Activities • Week 1: Rehabilitation technology in vocational/worksite settings • Week 2: Driver evaluation and training; vehicle modification services • Week 3: Rehabilitation technology in rural/agricultural settings • Week 4: Rehabilitation technology and environmental modifications in the home

  8. Grant • Obtained from 10/01/2005-9/30/2010 • Estimated funding: • Project year 1: 75,280 • Project year 2 82393 • Project year 3 84,766 • Project year 4 83,961 • Project year 5 86,385 • Total requested : 412,785

  9. DATA • Cohort analytic study • Comparing the national average scores from the Equipment & Assistive Technology Portion of the ABPMR Part I(written) to that of UK PM&R(Institution 1) and University of Louisville PM&R(Institution 2) averages • Scores compared from first time test takers 2005-2011 • Training modules were fully functional in 2007

  10. Equipment & Assistive Technology Section • 10%of the total written exam • Topics tested: • Prosthetics • Orthotics • Other Rehabilitation Technology • Shoes • Functional Electrical Stimulation • Transcutaneous Electrical Nerve Stimulation • Augmentative Communication • Ventilation • Wheelchair / Seating • Other Devices

  11. Average Scores

  12. Comparison of Average Scores

  13. ABPMR Part 1Pass Rate

  14. Regression Analysis

  15. Modules Completed vs. Average Scores

  16. Conclusion • Graphing tendencies show trend towards improvement on the ABPMR Part I Equipment and Assistive Technology portion with the addition of training modules • No statistical analysis due to small size • Possible factor influencing results • Variations in content of exam • Resident knowledge • Environmental factors/outside stressors

  17. Thank You

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