Talking All Things Cardiopulm

Time to dust off those cobwebs if you have been in the field for some time, and re-investigate the patient-client management model. Why do you care about this verbiage? Because you will need to overlay the ICF model and the patient-client management model when writing up your MOSC Case.  Although they are separate entities they very much intertwine and share a common theme, with very different words.

Let’s make life easy by breaking down the verbiage up front, so you can tackle your case with ease.

MOSC Online Portal: https://abptsportal.apta.org/Learner/LearningPlan/List

MOSC Requirements: https://specialization.apta.org/maintain-certification/mosc-requirements

Join my newsletter:  https://allthingscardiopulm.ck.page/9bb2730421

Need further guidance on the MOSC?
Sign up for 1:1 mentoring session: https://www.allthingscardiopulm.com/mentoring

Find me on:

IG: @all_things_cardiopulm

Threads: @all_things_cardiopulm

Website: www.allthingscardiopulm.com

Youtube: @allthingscardiopulm

Linked-In: Rachele Burriesci

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Are you an ABPTs certified specialist? Are you knee-deep in the MOSC or are you not sure where to start?? Join me as I break down the MOSC application.

Learn from my early shortcomings and take advantage of the inside tips to take on your application cycle with ease.

Organization is key. Let me help lay the groundwork to set you up for success for years to come.

 In this episode:

• Direct qualifications for patient care hours
• Discuss the 3 categories of professional development.
• Number of MOSC credits required per category
• Organization techniques to stay ahead of the curve

MOSC Online Portal: https://abptsportal.apta.org/Learner/LearningPlan/List

MOSC Requirements: https://specialization.apta.org/maintain-certification/mosc-requirements

Join my newsletter:  https://allthingscardiopulm.ck.page/9bb2730421

Need further guidance on the MOSC?
Sign up for 1:1 mentoring session: https://www.allthingscardiopulm.com/mentoring

Interested in Jane?
Jane, is an all-in-one practice management software with helpful features to power your practice.
Head to jane.app/guide to book a personalized demo.
Don't forget, you can use the code CARDIOPULM1MO at the time of sign-up for a 1-month grace period applied to your new account.

Find me on:

IG: @all_things_cardiopulm

Threads: @all_things_cardiopulm

Website: www.allthingscardiopulm.com

Youtube: @allthingscardiopulm

Linked-In: Rachele Burriesci

Text at 913-308-4494

Are you a board-certified physical therapy specialist? 

Have you started the MOSC process yet? MOSC is the Maintenance of Specialty Certification process utilized by the ABPTS to help PTs re-certify in their specialty area. It’s essentially a portfolio to showcase your competence in your specialty area.

Before I go into the ins and outs of the MOSC application I wanted to first tackle the ICF model as this will be integrated within the case application. 

If you never learned about the ICF in school, it’s ok, me neither, there was a change in language sometime in the early 2000s, but clearly change takes time to make its way into practice.

I’m here to help break down the nomenclature within the ICF model and help you integrate it within your MOSC case, and maybe within your practice.

If you are still feeling overwhelmed by the MOSC process, Sign up for a 1:1 mentoring call and we can discuss your individual needs to get your MOSC completed and submitted.  https://www.allthingscardiopulm.com/mentoring

Interested in Jane?
Jane, is an all-in-one practice management software with helpful features to power your practice.
Head to jane.app/guide to book a personalized demo.
Don't forget, you can use the code CARDIOPULM1MO at the time of sign-up for a 1-month grace period applied to your new account.

Are you on my newsletter? Interested in joining? Sign up here: https://allthingscardiopulm.ck.page/9bb2730421

Find me on:

IG: @all_things_cardiopulm

Threads: @all_things_cardiopulm

Website: www.allthingscardiopulm.com

Youtube: @allthingscardiopulm

Linked-In: Rachele Burriesci

Text at 913-308-4494

In this episode Dr. Burriesci discusses the common question about sternal precautions: Is there a Standard?  As simple as this question may seem, there is a ton of nuance and a ton of variation across the country, across hospital systems and across surgeons. 

This is then followed up with the question: are these standards to restrictive? Are there other options? Should we be moving away from these “precautions”?  

This is not a new question.  We will go back to 2011 and discuss the evolution of this thought process.

 

In this episode:

-              Typical Sternal Precautions and the variations that exist

-              Discuss a more individualistic approach based on risk factors

-              Break down 4 articles starting from 2011 addressing these exact questions

-              Discuss Baylor’s protocol “Keep Your Move in the Tube”

 

Highly recommend reading these articles:

• Cahalin LP, LaPier TK, and Shaw DK: Sternal Precautions: Is it time for change? Precautions versus restrictions – a review of literature and recommendations for revision.  Cardiopulmonary Physical Therapy Journal 22(1), 2011, p 5-15 (on blackboard)
• Adams J et al. An alternative approach to prescribing sternal precautions after median sternotomy, “Keep Your Move in the Tube.” Bayl Univ Med Cent. 2016 Jan;29(1)97-100.
• Katijjahbe M et al. Sternal Management Accelerated Recovery Trial – standard restrictive v. modified sternal precautions following median sternotomy. Study Protocol for randomized control trial. April 2017;18:290. DOI 10.1186/s13063-017-1974-8
• Gach R, Triano S, Ogola GO, et al. “Keep Your Move in the Tube” safely increases discharge home following cardiac surgery. PM&R. 2021;13:1321–1330. https://doi.org/10.1002/pmrj.12562

Interested in Jane?
Jane, is an all-in-one practice management software with helpful features to power your practice.
Head to jane.app/guide to book a personalized demo.
Don't forget, you can use the code CARDIOPULM1MO at the time of sign-up for a 1-month grace period applied to your new account.

Are you on my newsletter? Interested in joining? Sign up here: https://allthingscardiopulm.ck.page/9bb2730421

What to discuss how to implement protocols into your setting or disscuss a complex case.  Sign up for a 1:1 mentoring call:
https://www.allthingscardiopulm.com/mentoring

Find me on:

IG: @all_things_cardiopulm

Threads: @all_things_cardiopulm

Website: www.allthingscardiopulm.com

Youtube: @allthingscardiopulm

Linked-In: Rachele Burriesci

Text at 913-308-4494

This episode starts with a little recap from the past week.  The astrological world came in with a vengeance and Dr. B definitely felt the wild energy last week.  We learn more about Remy, the cute pup you will likely see on her IG stories, and the highs, lows and plateaus of training. All is good, just a hiccup in time, a slight low after an appreciated plateau. But as we all know with anything we are going after, progress is not linear.

The same is true for breathing exercises and many times it comes with a learning curve.  But it is worth it. Today we dive into paired breathing. It’s uses, benefits and a little how-to to get the ball rolling. Dr. Burriesci shares what population she loves to use paired breathing with and gives some inside tips on how to customize it to your patient.

 Come join me on another episode of learning, insight and clinical tips.

In this episode:

-              Definition of paired breathing

-              Populations that may benefit from paired breathing 

-              How to perform paired breathing

-              Clinical tips to adjust paired breathing to your patient.


Are you on my newsletter? Interested in joining? Sign up here: https://allthingscardiopulm.ck.page/9bb2730421


Interested in Jane?
Jane, is an all-in-one practice management software with helpful features to power your practice.
Head to jane.app/guide to book a personalized demo.
Don't forget, you can use the code CARDIOPULM1MO at the time of sign-up for a 1-month grace period applied to your new account.


What to learn more about breathing exercises and how to implement them with your patient population? Sign up for a 1:1 mentoring call
https://www.allthingscardiopulm.com/mentoring

Find me on:

IG: @all_things_cardiopulm

Threads: @all_things_cardiopulm

Website: www.allthingscardiopulm.com

Youtube: @allthingscardiopulm

Linked-In: Rachele Burriesci

Text at 913-308-4494

Have you ever had a new job?  Have you ever had an expectation of what the orientation process would look like? Ever expect mentorship and didn’t get it?  Me too!

The primary reason I was in search of a residency 4 years into my career, was because I was search of mentorship. I wanted to be challenged, I wanted to be guided, I wanted to be a better mentor.

I truly believe mentorship is a progression and it should be structured and it should be evolving.

What does mentorship mean to you?

Tune in, to talk about mentorship, dig in to expectations and of course a bit of storytelling.

Interested in 1:1 mentoring with me? Book a call today...
https://www.allthingscardiopulm.com/m...

SMART goals podcast:
https://podcasts.apple.com/us/podcast...

Want to learn more about Jane?
Jane, is an all-in-one practice management software with helpful features to power your practice.
Head to jane.app/guide to book a personalized demo.
Don't forget, you can use the code CARDIOPULM1MO at the time of sign-up for a 1-month grace period applied to your new account.

Find me on:

IG: @all_things_cardiopulm

Threads: @all_things_cardiopulm

Website: www.allthingscardiopulm.com

Youtube: @allthingscardiopulm

Linked-In: Rachele Burriesci

Text at 913-308-4494

Have you ever wondered what a cardiopulmonary residency would look like? The pros, the cons, the real insights?

Join us today for our candid conversation about residency life, the rigors and the many rewards.

I am joined by two mentors from the VA Ann Arbor Residency program, Crystal and Jessica, who share their personal stories of choosing residency, their life within residency and their continued role post-residency.

If you are interested in cardiopulmonary residency, check out the VA Ann Arbor, and take a listen to this episode to find out why this may be the place for you!

In this Episode:

• Discuss the benefits of a cardiopulmonary residency
• Pros and Cons between a new-grad PT and a seasoned PT applying for residency
• Expectations of the Residency Year
• Benefits of choosing the Ann Arbor VA
• Cardiopulmonary PT Residency Application process

About the Ann Arbor VA Residency:
https://www.va.gov/ann-arbor-health-care/work-with-us/internships-and-fellowships/cardiovascular-and-pulmonary-physical-therapy-residency/

How to apply to the Ann Arbor VA Cardiopulmonary Residency:
https://rfptcas.liaisoncas.com/applicant-ux/#/login

For further information,  contact:
Stephanie Kostsuca PT, DPT, CCS
PT Residency Program Director: [email protected]

Interested in Jane?
Jane, is an all-in-one practice management software with helpful features to power your practice.
Head to jane.app/guide to book a personalized demo.
Don't forget, you can use the code CARDIOPULM1MO at the time of sign-up for a 1-month grace period applied to your new account.

Find me on:

IG: @all_things_cardiopulm

Threads: @all_things_cardiopulm

Website: www.allthingscardiopulm.com

Youtube: @allthingscardiopulm

Linked-In: Rachele Burriesci

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It is as simple as that. Assessment is key. Taking vitals is paramount. Get those baseline values, so you know whether your person is tolerating or having an inappropriate response.

Join Dr. Rachele Burriesci, as she discusses the importance of vital sign assessment via case examples.’

Interested in Jane?
Jane, an all-in-one practice management software with helpful features to power your practice.
Head to jane.app/guide to book a personalized demo.
Don't forget, you can use the code CARDIOPULM1MO at the time of sign-up for a 1-month grace period applied to your new account.

Find me on:

IG: @all_things_cardiopulm

Threads: @all_things_cardiopulm

Website: www.allthingscardiopulm.com

Youtube: @allthingscardiopulm

Linked-In: Rachele Burriesci

Text at 913-308-4494

RMT (respiratory muscle training) is a simple intervention with a lot of punch.  Dr. Burriesci breaks down the benefits of utilizing an intervention like RMT with patients across the spectrum and with a wide variety of diagnoses. Breath training, specifically, resistance training can have a profound impact on the entire system.

Come join me on this episode as we define RMT, MIP, and MEP.  Determine objective measures and devices available to measure MIP and MEP and devices that provide resistance with inspiration only, expiration only or both.  

Find out which type Dr. Burriesci prefers and why.

In this episode:

• Define RMT (respiratory muscle training)
• Define IMT (inspiratory muscle training)
• Define MIP & MEP (maximal inspiratory and expiratory pressure)
• Discuss devices available to determine MIP/MEP
• Discuss devices available to perform RMT
• How to perform MIP/MEP
• Benefits of RMT
• FITT principles typically adopted for RMT

The Breather: https://amzn.to/49OZuw8
*As an Amazon Associate, I earn from qualifying purchases, at no cost to you.*

Interested in Jane?
Jane, an all-in-one practice management software with helpful features to power your practice.
Head to jane.app/guide to book a personalized demo.
Don't forget, you can use the code CARDIOPULM1MO at the time of sign-up for a 1-month grace period applied to your new account.

Find me on:

IG: @all_things_cardiopulm

Threads: @all_things_cardiopulm

Website: www.allthingscardiopulm.com

Youtube: @allthingscardiopulm

Linked-In: Rachele Burriesci

Text at 913-308-4494

Welcome back from CSM, join Dr. Burriesci as she recaps her time at CSM. A dicey start with a near nor'easter, but all faired well as 16,000 people attended CSM in Boston.  Whether you were there to present, learn, or enjoy an ultimate reunion, CSM brings energy and rejuvenation.

Switch gears to an objective measure that is sure to show benefit over time. Grip strength! What's the first thing you think of when you hear grip strength? Is it overall wellness or prediction of morbidity and mortality?

Tune in to hear the strength of grip strength in the literature.

Camry Digital Dynamometer: https://amzn.to/436pqBr
*As an Amazon Associate, I earn from qualifying purchases, at no cost to you.*

Interested in Jane?
Jane, an all-in-one practice management software with helpful features to power your practice.
Head to jane.app/guide to book a personalized demo.
Don't forget, you can use the code CARDIOPULM1MO at the time of sign-up for a 1-month grace period applied to your new account.

Find me on:

IG: @all_things_cardiopulm

Threads: @all_things_cardiopulm

Website: www.allthingscardiopulm.com

Youtube: @allthingscardiopulm

Linked-In: Rachele Burriesci

Text at 913-308-4494