advanced diploma in manual and manipulative therapy

In-class sessions will feature a maximum of 10 learners per instructor and will be held at the UBC Vancouver campus She became a Clinical Specialist in Musculoskeletal Physiotherapy in 2012 and recently received the Golden Hands Award, which recognizes exceptional orthopaedic physiotherapists who exemplify the commitment to the profession in manual therapy, education, mentorship and research. She is a fellow of the Canadian Academy of Manipulative Physiotherapists (FCAMPT) and the recipient of the Physiotherapy Association of British Columbia’s award of excellence in education and the UBC Faculty of Medicine Clinical Faculty Award for Excellence in Community Practice Teaching. She has served as an instructor and Chief Examiner for the Orthopaedic Division of the Canadian Physiotherapy Association (CPA) and as an online instructor in the MClSc program at Western University. In 2013, Jan won the Golden Hands award. It’s difficult exam to pass after 5 days study and usually needs 3-6 months preparation following taking the practical program. There are no exams, only on going assessment. If we feel somebody is unsafe, We will not issue a attendance certificate. This has only happened twice in 12 years of teaching 3500 Physio’s in 14 countries. This course is recommended once you have finished the certificate program part 1. However, if you are a Chiropractor,you can go straight to this advanced course without completing the certificate course. The precision of adjustments and analysis on this course is second to none.Dr Sasha said, “Dr Robbie, you are one of the best in the world, I woke up feeling so light and pain free in my normally painful lower back.” Including the Goodrum Specific manipulation method. This method is similar to Gonstead Chiropractic, but much improved. We use specific points of contact and vectors of thrust. Our Goodrum Somatic Master techniques gives superior results for Disc problems and difficult to settle spinal or SI J pain.

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FAQs Our Stories FAQs Our Stories Over the course of one year, students will develop the necessary clinical skills and strategies for life-long learning to graduate as advanced health care practitioners. This program is taught through a combination of online courses, on-campus residency periods and a clinical mentorship. Students have the flexibility of self-directed learning with access to our world-class instructors. They are equipped with the research and appraisal skills to become better evidence-informed practitioners, and to participate in clinical research projects. Advanced healthcare practitioners foster effective communication and collaboration in interprofessional settings, and advocate on behalf of their clients. Many of our graduates become valuable mentors within their own organizations and communities. Students learn to leverage evidence-informed clinical skills together with advanced clinical reasoning to assess and manage patients with complex clinical presentations. The program is designed to help students develop strong self-reflection skills in order to assess potential biases and ethical considerations, and evaluate their impact on client care. Graduates obtain the research and professionalism competencies necessary for CPA specialization. Have you earned an Advanced Diploma in Manual and Manipulative Therapy? FAQs Our Stories. We anticipate, pending approval from UBC and the International Federation of Orthopaedic Manipulative Physical Therapy (FOMPT), that the GCOMPT will be available as part of the UBC MRSc online degree, which would grant learners Fellow of the Canadian Academy of Manipulative Physiotherapy (CAMPT) status.

So far in the 2000 plus physio’s, Osteopaths and Chiropractors that we have taught, including Physios with master’s degrees in manipulation, they all have agreed that our hands-on course was head and shoulders above the rest regarding practical application of manipulative techniques. Each technique will have a clear Photo and the seminar will be a power point presentation with DVDs on our Goodrum somatic master techniques taught for sale. You must be a health professional. Competing interests: None declared. Acknowledgements: The authors thank Nancy Salbach, assistant professor at the University of Toronto Department of Physical Therapy; Laura Passalent and Sara Guilcher, teaching assistants, for assistance with data analysis; and Shannon Michels, secretary of Canadian Academy of Manipulative Physiotherapy, for assistance with distributing the questionnaire to study participants. This research was completed in partial fulfilment of the requirements for a MScPT degree at the University of Toronto. All rights reserved. This article has been cited by other articles in PMC. ABSTRACT Purpose: Our purpose was to determine advanced manual and manipulative physiotherapists' (AMPTs') current use and awareness of continuing education (CE) opportunities; to establish their perceived CE needs by identifying facilitators and barriers to participation; and to explore the association of demographics with CE needs. Methods: A questionnaire was e-mailed to 456 registered members of the Canadian Academy of Manipulative Physiotherapy. Data analyses using frequencies and percentages of total responses and t -tests for group comparisons were performed. Results: One hundred thirty-three (29.2%) participants responded. Most lived in an urban region and worked predominantly in direct patient care. More respondents reported engaging in informal CE than in formal CE. Hands-on or practical workshops were the preferred CE format.

Our Goodrum Somatic Master technique is one smooth method.We will teach how, as practitioners, manipulation becomes much more than just anipulation. Specific adjustments can restart the healing mechanism for many health conditions. A force is applied as the drop table falls suddenly. The physics of every action having as equal and opposite reaction is used here. Once the table falls and stops, the bone is re-set or manipulated. This is a very good technique for slight therapists that have a large patient to treat. This technique can generate up to 10 times more force than standard manipulation. The drop table in the Advance course will only be taught around 2 hours- manual hand on manipulation to balance the spine is our focus. You will be able to formulate a differential diagnosis to give an effective specific manipulation treatment. With some special osteopathic Long lever manipulation and specific Physiotherapy Rehabilitation. Rather our own style of mechanical manipulation, with our own instruments. We teach you specifically how to use these special tools for difficult Spinal, complicated SI J and disc pathologies. Effective rehabilitation to help balance the body follow a manipulative treatment. The Adjuster pro delivers a specific thrust 1000 times faster than the human hand. It’s is great for joint restrictions, vertebral, pelvic misalignment and trigger points. It is excellent for paediatric, geriatric use and safe for areas of areas of pathological weakness. Like osteoporosis. Designed in the UK with an 18 month guarantee longer lasting spring than the activator and ergonomically designed for comfort. He studied Chiropractic in the USA for 2 years at Palmer west and worked under Dr George Papaphotis DC for 6 years. Dr Robbie now teaches the best modified techniques from Chiropractic, Osteopathy and Physiotherapy in his Goodrum Somatic master technique.

This includes lectures, small-group work, hands-on practice of skills, and a 150-hour clinical mentorship requirement, as well as written and practical examinations. 9 Canadian AMPTs are qualified on the basis of the standards of the International Federation of Orthopaedic Manipulative Physical Therapists. 10 CAMPT and the federation promote high standards in manual therapy skills and encourage research and dissemination of new knowledge within the field. 11 Although AMPTs are encouraged to continue to further their knowledge and training, no literature currently exists related to AMPTs' specific needs, opportunities, and challenges related to CE. To date, research conducted in the field of physical therapy has investigated perceived CE needs of physiotherapists who do not necessarily have advanced training. 5 AMPTs have already participated extensively in CE and may therefore have different perspectives on the importance of CE for professional development. As a result, the CE needs of AMPTs may differ from those of physiotherapists without advanced training and thus warrant further investigation. The value of investigating the perceived needs of the target population was described by Aherne and colleagues, 12 who reported that informed CE planners produce programmes that are more sustainable, more meaningful to the intended audience, and more responsive to changes in practice. Previous studies investigating the CE needs of physiotherapists have categorized needs as perceived facilitators of and barriers to CE participation. Several authors have reported location, cost, timing, and prior commitments to be barriers to CE participation among physiotherapists 5, 8, 13, 15 and enhanced clinical skills, fulfillment of personal goals, professional advancement, and increased job satisfaction as facilitators. 8 Other perceived needs that have been investigated to date relate to preferences, including particular topics of interest and modes of delivery.

Common barriers to CE included professional commitments and cost and time of travel; facilitators included interest in the topic and increasing knowledge and competency. AMPTs with less physical therapy experience found cost to be a greater barrier and were more interested in mentorship programs and CE as a means to obtain credentials. Conclusions: AMPTs' preferred CE formats are inconsistent with the CE opportunities in which they participate. CE initiatives for AMPTs should include hands-on training and should account for time and cost to make CE opportunities more readily available to them. Over the past 50 years, manual and manipulative therapy has emerged as an advanced orthopaedic skill set within the profession of physical therapy. 6 Furthermore, because 456 members are currently registered with the Canadian Academy of Manipulative Physiotherapists (CAMPT), 7 information pertaining to AMPTs' needs is critical to the continuing development of CE opportunities for this growing population. The purpose of this study was to identify the CE needs of AMPTs practising in Canada by investigating their current use and awareness of CE and identifying preferences, facilitators, and barriers related to CE participation. Within physical therapy, many clinicians pursue postgraduate education to obtain knowledge and specialized skills in specific areas of practice. 8 In Canada, approximately 50% of orthopaedic physiotherapists have received postgraduate training in manual and manipulative therapy, which culminates in a Diploma of Advanced Orthopaedic Manual and Manipulative Physiotherapy. 7, 9 At present, postgraduate training in manual and manipulative therapy in Canada is delivered nationally through the Orthopaedic Division of the Canadian Physiotherapy Association (CPA) and typically consists of seven courses totalling 66 days of instruction.

Little comparable evidence exists within other health professions on CE needs and opportunities following post-licensure certification. Furthermore, no research has investigated whether the needs of HCPs with advanced training differ from those of HCPs without it. Therefore, the results of this study may ultimately further the understanding of CE needs of physiotherapists and other HCPs with advanced training and guide future CE initiatives. Our primary objectives in this study were to (1) determine AMPTs' current use of CE opportunities; (2) determine AMPTs' awareness of available CE opportunities; (3) assess AMPTs' perceived CE needs by examining potential preferences, facilitators, and barriers to further CE participation; and (4) investigate the association of demographics to AMPTs' perceived CE needs. We anticipated that AMPTs would be highly aware of CE opportunities available to them because of their previous engagement in numerous courses associated with the AMPT qualification. We also expected that they would express a preference for interactive forms of CE, such as hands-on or practical workshops and seminars, because they may have personally experienced the benefits of such interactive formats during their AMPT training. Because barriers to and facilitators of CE participation are likely to be independent of prior CE experience, we predicted that these factors would be similar to those identified for the general physiotherapist population. METHODS Study Design We conducted a cross-sectional, quantitative Web-based survey, using a protocol approved by the University of Toronto Clinical Research Ethics Board. Participants and Sampling The inclusion criteria specified that all intended participants be AMPTs who were fluent in English, had trained in Canada or abroad, were currently practising in Canada, and were registered members of CAMPT as of January 2010.

The sample population was recruited with the aid of the CAMPT secretary, who agreed to distribute the link to the online questionnaire to the 456 registered members of CAMPT. In addition to the link, a cover letter was distributed explaining the rationale of the study and stating that informed consent would be implied by completion of the questionnaire. We predicted a response rate of approximately 30%, based on response rates of other studies. For example, an Internet survey of public health physicians regarding their clinical work yielded a response rate of 34%. 22 In another study involving physiotherapists currently taking manual and manipulative therapy courses, the response rate using Web-based questionnaires was approximately 30%. 23 Development of the Questionnaire A questionnaire was developed using SurveyMonkey. Before distributing the questionnaire to CAMPT members, we piloted it with 10 physiotherapists, of whom 4 were AMPTs, who provided feedback on the questionnaire's clarity, structure, and relevance. Revisions to the questionnaire were made in response to the received feedback. Data Collection A link to the questionnaire was sent to participants by the CAMPT secretary on February 15, 2010, via e-mail, using a modified version of the Dillman 24 three-step mailing process. Participants were given a total of 6 weeks from the initial e-mail to complete the questionnaire. The survey consisted of some close-ended categorical questions that addressed the descriptive objectives of the study, namely current use, awareness, and perceived needs. Numerically coded data from these categorical questions were analyzed using descriptive statistics. We used independent-samples t -tests to determine differences in sample means for CE preferences, barriers, and motivators between those with 13 years or less of physical therapy experience and those with more than 13 years of experience.

5, 8, 13, 15 At present, the literature is inconsistent with respect to the preferred modes of CE delivery for physiotherapists. Although some have reported lectures 13 and face-to-face learning 16 as the most preferred CE format, others have found that physiotherapists prefer interactive workshops 5 and computer-based home study. 17 It is important to note that these conflicting results arose from research studies that investigated CE preferences of different subgroups of the general physiotherapist population, which suggests that preferences may be specific to the clinical context or area of practice. Further investigation into the specific perceived needs of AMPTs is therefore important for future CE planning. A broadening of the definition of CE in this study to include more informal workshops and in-service training may also give rise to inconsistencies in terms of preferred CE format, given that in the past most HCPs have viewed CE as confined to more formally structured formats. 5 Specifically, our questionnaire clearly stated that the definition of CE in this study is any means of acquiring knowledge and skills beyond completion of the advanced manual and manipulative therapy diploma through formal or informal settings. Moreover, recent research findings have suggested that HCP learners' preferences may be shifting away from conventional didactic learning, 13, 18 contrary to a 1992 study 13 that reported lectures as the most preferred CE format. In a recent study of Australian pharmacists, interactive sessions were favoured over didactic sessions, because the former were viewed as more interesting and constructive. 18 In addition, newer technologies such as the Internet and the development of interactive online seminars and workshops, which have enhanced accessibility and convenience, may account for a change in preferences.

More important, interactive medical CE programmes that focus on hands-on practical skills and participant involvement have been shown to positively influence professional practice, whereas didactic CE sessions do not appear to have an impact on either physician performance 19 or patient outcomes, 20 although changing these parameters is ultimately the goal of CE. 2, 19 Research has also found a lack of consistency between available CE formats and learner preferences. Charles and Mamary 21 reported that satellite broadcasts were the most extensively offered method of CE for nurse practitioners, yet study participants identified these broadcasts as the least preferred style of CE delivery. These investigators therefore concluded that attending to the preferred style of CE delivery would improve CE participation among nurse practitioners. Similarly, investigating the formats of existing CE opportunities in relation to AMPTs' preferences would be helpful in determining the suitability of current and future CE programs. Consequently, it is necessary to identify whether the CE opportunities currently offered are indeed meeting the learners' needs or whether changes need to be implemented to address CE consumers' preferences more appropriately. According to a national survey of Canadian physiotherapists, another critical factor in determining CE participation is the physiotherapists' awareness of available CE opportunities. 16 CPA conducted a survey in 2008 16 investigating the association's role in professional development of physiotherapists; respondents ranked lack of awareness of professional development opportunities as a major reason for nonparticipation. Similarly, Karp 13 identified availability of course information as an important determining factor for CE involvement. At present, however, AMPTs' levels of awareness of existing CE programs are not known, which would appear to be an important factor for determining the extent of their CE participation.

No current research is available to guide the selection of a cutoff point for dichotomizing respondents into more and fewer years of physical therapy experience; we therefore divided the sample into two groups using the median value of 13 years as the cutoff point, because this yielded two equally large subgroups that would optimize the reliability of the between-group comparisons. We set the significance level a priori for all t -tests at p RESULTS Of the 456 AMPTs on the CAMPT list, 133 completed and returned the questionnaire, for a response rate of 29.2%. Data analyses were conducted on this sample of 133 AMPT participants. The sample was almost equally divided between women (51.1%) and men (48.9%). Almost all respondents reported living in an urban location (94.5%), and a bachelor's degree was the most commonly cited highest degree attained (58.0%). The median number of years of practical physical therapy experience of our sample population was 13. Fewer than half of respondents had more than 13 years of practical physical therapy experience (46.6%). Most participants completed their manual training in Canada (89.5%), and almost half (48.1%) had been registered with CAMPT for more than 6 years at the time of the survey. Perceived CE Needs Most respondents strongly agreed that CE is pertinent to their current practice as manual therapists (79.8%), continues to play an important role in their professional development (62.0%), and improves the quality of their patient care (78.1%). Approximately three-quarters of respondents (76.6%) disagreed or strongly disagreed with the statement that CE opportunities related to manual and manipulative therapy are lacking. Almost all respondents (93.8%) agreed or strongly agreed that CE continues to be relevant and applicable to their area of work.

DISCUSSION This study's findings shed light on the current landscape of CE as perceived by Canadian AMPTs, presenting information on awareness, current use, preferences, barriers, and facilitators with respect to CE participation. According to the Canadian Institute of Health Information, 26 most physiotherapists in 2008 were female (78.4%), which is not consistent with the demographics of our study. However, it is interesting to note that the proportion of male physiotherapists working in private practice or clinics in 2008 was almost twice that of female physiotherapists, which may mean that a greater percentage of male physiotherapists than of physiotherapists overall work in the private practice setting. Because the gender demographics of the specific AMPT population are unknown, the characteristics of the CAMPT respondents in our study may be more representative of the general AMPT demographics than at first appears. Our results show that AMPTs consider CE relevant to the practice of physical therapy, and specifically to manual therapy; that they regard it as a key part of professional development; and that they feel that it has a positive impact on the quality of patient care. These values were demonstrated by the high rates of participation reported in all the CE opportunities with the exception of conducting research. Most of the respondents worked predominantly in direct patient care (93.2%), which is not surprising, because the skills gained during AMPT training are focused on improving patient outcomes through manual therapy. By contrast, only 2.3% reported their primary area of work as research and education. The reason may be because, until recently, opportunities within the fields of research and education have been limited, as reflected in the small number of master's degrees held by respondents (8.4% entry-level master's degrees and 20.6% applied or research master's degrees).

Despite having little involvement in research as a primary area of work, a third of the respondents (33.3%) reported participating in research activities, which could indicate growing interest and opportunities to engage in research. Karp 13 reported that availability of course information was an important factor influencing CE involvement for physiotherapists in Georgia. Our respondents appeared to be well informed about opportunities and did not feel that CE options related to manual and manipulative therapy were lacking. Only 19% of our respondents reported participating in any osteopathy-related CE. These findings accord with those of Poitras and colleagues, 27 who reported that physiotherapists in Quebec treating work-related back pain fit into specific CE profiles with respect to topic preference and that those who pursued CE in osteopathy did not tend to take mobilization courses (and vice versa). The consistency between our results and Poitras and colleagues's findings suggests the importance of being familiar with the specific CE profiles that the target population may belong to, to address their interests and needs in designing future CE programmes. Because AMPTs do not appear to be interested in osteopathy-related topics, initiatives for program development should instead focus more on acupuncture- and orthopaedic-related content. AMPTs expressed a preference for active, hands-on learning: Almost three-quarters said they were very likely to participate in hands-on or practical workshops. This finding, however, is inconsistent with the higher level of participation in personal reflection, literature review, and peer discussion reported by AMPTs. This inconsistency may be the result of the AMPTs having an unclear understanding of the definition of CE when completing the questionnaire.

A survey of nurse practitioners in Nevada found a similar discrepancy between preferred and actual CE formats used; investigators concluded that this inconsistency was likely the result of a lack of options in CE delivery. 21 Similarly, AMPTs in Canada may lack opportunities for active, hands-on learning, or such courses may not be readily available. Therefore, it is important to align the formats of current and future CE activities with the preferences of the consumer, because it will ultimately affect participation. Facilitators of CE participation identified by AMPTs are interest in the topic area, increasing knowledge base and competency, and keeping up to date with current research. Similarly, Austin and Graber, 5 who interviewed physiotherapists in Illinois, found that high importance was placed on availability and relevance of CE topics. In another investigation of Illinois physiotherapists' perspectives on CE, Austin and Graber 1 reported that physiotherapists considered CE a vehicle for keeping up to date and a strategy for continually expanding their knowledge. In both of these studies, the physiotherapist respondents likely possessed varying levels of experience with CE; they identified facilitators similar to those noted by the general physiotherapist population, which may indicate that such factors are not related to previous exposure to CE. In contrast, one area in which our findings differed from previous findings related to the general physiotherapist population was in the preference for timing of CE activities. Previously, physiotherapists have expressed a desire for CE options that better fit their schedules during the work week, 5 and few favoured Friday or Saturday courses. 15 In this study of Canadian AMPTs, however, most respondents indicated a preference for CE courses to occur on Saturdays. Several possible explanations for this discrepancy exist.

First, most of our respondents work predominantly in private practice clinics and may therefore find that weekend courses are better suited and less disruptive to their working hours. Second, most reported that they would be very likely to engage in hands-on or practical workshops; because these interactive formats typically require larger blocks of time, it may be more feasible to schedule them on weekends. Finally, because our study population had already participated in manual and manipulative therapy courses, which take place mostly on weekends, 28 they may have been more familiar with this course schedule and thus chose it as their preference. In addition to determining facilitators of CE participation for Canadian AMPTs, we also identified barriers to participation. Most respondents agreed that cost and travel time, in addition to social and professional commitments (busy patient caseload, administrative duties), are barriers to participation in CE. Social and professional commitments were highly ranked as barriers to CE participation, indicating a need for further investigation into optimal timing and efficiency of CE events to minimize interference with these other obligations. As with facilitators of CE participation, we hypothesized that AMPTs would report barriers similar to those of the general physiotherapist population and that these barriers might be unrelated to prior CE experiences. Although some of the reported barriers correspond with those found in other studies, such as travel distance 5, 13 and social and family commitments, 5, 8 program cost 5, 8, 13, 15 was not identified as a barrier to CE participation among AMPTs. This population has already demonstrated a significant financial commitment to furthering their professional development through completion of costly manual therapy courses, 28 which may explain why they do not identify program cost as a barrier.