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June 2009 --  Vol 1, Issue 3
CEO's Corner
Hi, All! 
Lots of interesting stuff going on in the PT world!
~ This past month I ran across a fascinating CE process designed by the IFSP (sub-group of the WCPT).  The depth of thought in this process is well worth the time of PTs in every discipline.  The IFSP received funding from the Leonardo Da Vinci Foundation and developed competencies and audit tools for sports PTs in every country.  Check it out!
~ Around another corner: BIG CONGRATS to Dr. Chad Cook!
Dr.  Cook has just received the 2009 Dorothy E. Baethke - Eleanor J. Carlin Award for Excellence in Academic Teaching at the annual meeting of the APTA. 
Take a look at
Chad's bio.  Very impressive and well deserved award!
If you've not yet been one of his 2,000+ students/year, you can now hear and interact with him on his superb CE course on Differential Diagnosis for physical therapists.  
We are honored to dedicate this edition of our newsletter to Differential Diagnosis!
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I'm very glad to offer this continuing education course! Differential Diagnosis is critical for our professional development --and a topic that will be updated throughout our careers. 
Ongoing research will enable us to advance our education and how we approach the subject.  The knowledge in our research library and on these interactive lectures is directed towards physical therapists around the globe and is especially critical for PTs who practice with direct access to patients.
I hope you will join us for this learning experience. I look forward to your comments!
Test your familiarity with this subject.  Take this quick 3-question quiz (see answers at bottom)
A) Which of the following tests is best for ruling out impingement of the shoulder?
  1. Neer Test
  2. Biceps Squeeze Test
  3. Hawkins-Kennedy Test
  4. Biceps Load II Test  

B) Which of the following is the best test to determine the presence of clinical osteoarthritis?

  1. 3 or more planes of ROM loss.
  2. Osteolysis.
  3. Capsular pattern
  4. Pain in the morning
C) Which of the following tests is most useful for ruling out the presence of any sacroiliac lesion?
  1. Palpatory tests, such as Gillet's or ASIS symmetry
  2. Hip Flexion Test
  3. Pubic symphysis palpation
  4. Long dorsal ligament palpation
And the correct answers are...
A) 3    --    B) 1    --   C) 4
How did you do?  Is this a subject about which you would like to learn more?  If so, please check out Dr. Cook's excellent interactive class: Differential Diagnosis
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EDUCATA Courses meet the Continuing Professional Development (CPD) and Continuing Education Units (CEU) requirements in most countries, states, provinces and territories.
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Physical therapists with specialty professional development have proven higher levels of knowledge in managing musculoskeletal conditions than do medical students, physicians intern and residents and all physician specialties except for orthopaedists. 
A Description of Physical Therapists' Knowledge in Managing Musculoskeletal Conditions -- By: John D Childs, Julie M Whitman, Phillip S Sizer, Maria L Pugia, Timothy W Flynn and Anthony Delitto -- Click here to access full article. 
Aging_coursesDifferential Diagnosis Course & Lectures at EDUCATA
Take the whole course or get your feet wet by trying one lecture!
  1. Foundational Clinical Decision Making (2 hours).  Download outline.
    These concepts allow the clinician to target the most effective tests and measures to further improve differential diagnostic skills.  
  2. Spot Diagnosis or Triage (2.00 hours) Download outline.
    Learning the tests that allow ruling out red flags early in the examination to give clinicians the confidence that their examination and treatment programs are appropriate.
  3. Differential Diagnosis of the Upper Quarter (1.50 hours). Download outline.
    Involves regional differentiation, as well as identification of the tests and measures with the most diagnostic power, based on best available evidence (upper extremities and upper axial skeleton).                  
  4. Differential Diagnosis of the Lower Quarter (2.00 hours). Download outline.
    Involves regional differentiation, as well as identification of the tests and measures with the most diagnostic power, based on best available evidence, (lower extremities and lower axial skeleton/pelvis).      
    Curious?  Download the outline for the lectures and check it out!
Would you like to share this information and free articles with your friends?  Just forward this newsletter and tell them to register with EDUCATA (fast and free!)
Creation and Critique of Studies of Diagnostic Accuracy: Use of the STARD and QUADAS Methodological Quality Assessment Tools
By: Chad Cook, Joshua Cleland, Peter Huijbregts
J Man Manip Ther. 2007;15(2):93-102.

>> Click for full version
The methodological issues associated with studies investigating the diagnostic utility of clinical tests have mandated the development of the STARD (Standards for Reporting of Diagnostic Accuracy) and QUADAS (Quality Assessment of Diagnostic Accuracy Studies) criterion lists. The purpose of this paper is to outline the STARD and QUADAS criterion lists and to discuss how these methodological quality assessment tools can assist the clinician in ascertaining clinically useful information from a diagnostic accuracy study. (more)