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 SattarPM&R PGY 4Research Day5/22/2012

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

Curriculum

24 online training modules Online moderated discussion board Month long field rotation in vocational,

rural/agricultural and other community setting

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

Module Topics

1. Introduction and Orientation2. Interdisciplinary Rehabilitation

Technology Team(part1)3. Interdisciplinary Rehabilitation

Technology Team(part2)4. Funding Rehabilitation Technology

Devices and Services5. Information and Referral Sources for RT-

related services6. Interface and Control Devices for RT7. Seating, Positioning and Mobility (Part I)8. Seating, Positioning and Mobility (Part II)9. Seating, Positioning and Mobility (Part III)10. Upper Limb Prosthetics11. Lower Limb Prosthetics12. Driver Rehabilitation Services and

Vehicle Modification: Evaluation and training

13. Driver Rehabilitation Services and Vehicle Modification: Vehicle modification

14. Communication Technology15. Sensory Aids16. Computer Access – Human-

computer Interaction17. Computer Access – Adaptive

Software18. Environmental Adaptations –

Universal Design, accessibility, home and work site modifications

19. Environmental Adaptations – low tech aids and electronic aids for ADLs

20. Technology for Persons with Cognitive/Intellectual Disabilities

21. Job Accommodation – Principles for developing accommodations, Human Factors, Ergonomics

22. Job Accommodation – Rehabilitation engineering in employment

23. Rural and Agricultural Rehabilitation24. Recreation and Leisure

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

RT Practicum Activities

1. Week 1: Rehabilitation technology in vocational/worksite settings

2. Week 2: Driver evaluation and training; vehicle modification services

3. Week 3: Rehabilitation technology in rural/agricultural settings

4. Week 4: Rehabilitation technology and environmental modifications in the home

 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

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

Equipment & Assistive Technology Section

10% of the total written exam Topics tested:

1. Prosthetics 2. Orthotics 3. Other Rehabilitation Technology

Shoes Functional Electrical Stimulation Transcutaneous Electrical Nerve Stimulation Augmentative Communication Ventilation Wheelchair / Seating Other Devices

Average Scores

2005 2006 2007 2008 2009 2010 2011

UK 6.4 7.4 6.3 5.5 7.6 7.0 6.5

U of L 6.6 6.3 6.8 6.1 5.8 5.0

National

7.0 6.5 7.0 6.8 6.1 6.4 6.4

Comparison of Average Scores

2005 2006 2007 2008 2009 2010 20114.0

4.5

5.0

5.5

6.0

6.5

7.0

7.5

8.0

Institution 1National AverageInstitution 2

Partial Cours

e

Full Cours

e

ABPMR Part 1Pass Rate

2005 2006 2007 2008 2009 2010 20114.0

4.5

5.0

5.5

6.0

6.5

7.0

7.5

8.0

Institution 1National AverageInstitution 2

50%

50%

50%

33%

100%

100%

100%

100%

100%

100%

100%

100%

Regression Analysis

2005 2006 2007 2008 2009 2010 20114.0

4.5

5.0

5.5

6.0

6.5

7.0

7.5

8.0

Modules Completed vs. Average Scores

2007 2008 2009 2010 20110

2

4

6

8

10

12

14

16

18

20

22

24

Average Number of Modules completedInstitution 1

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

Thank You