Dedicated to Improving Pelvic and Abdominal Health Globally

Piston Science Part Two: It Depends! Clinical Decision Making in the Real World

Course Description

Julie WiebePT, MPT, BSc

Time to dig deeper. The Diaphragm/Pelvic Floor Piston for Adult Populations: Part One (aka The Piston Science Series online) provided a foundational framework to guide patients towards creating an inside-out strategy of dynamic stability by balancing muscular relationships and pressure systems with a whole lot of brainwork and motor control. The goal: to address pelvic health, musculoskeletal and performance issues simultaneously.

Now let’s take the next step and explore how to apply the ideas more specifically into different patient populations. Piston Science: Part Two will explore clinical decision making in real time with 2 live patients over 2-days. We will collectively participate in patient interviewing, assessment and generation of treatment ideas, treatment planning and progressions, and developing cueing options. Grow your clinical “theology” by critically thinking through guiding clinical questions: What’s your goal? What’s their goal? How do you treat the why and who, not the what? What are the limits of your theology? When do you refer out? The cases will be selected by the hosts, so it will be a bit like a box of chocolates, “you never know what you’re gonna get” (i.e., no guarantee of diagnoses to be covered). If you are local you can also suggest a patient. However, the goal will be that the selected patients will have a variety of pelvic health (incontinence, prolapse), post-pregnancy (diastasis, pain) issues and fitness goals (running, crossfit). Come and be ready to think and participate.

Pre-Requisites & Requirements

Open to: Licensed Physical Therapists, Physical Therapist Assistants, and Student Physical Therapists in their 3rd or final year of their DPT program.

Pre-requisites: Successful completion of the Piston Science Part One: The Diaphragm/Pelvic Floor Piston for Adult Populations Online or the Live version completed at least 3 months prior to participating with effort towards implementing the concepts. If taken online need to have proof of completion to register.

Attendance: Participants are expected to stay through the entire course; please make your travel plans accordingly. Deduction of contact hours will occur for participants who leave the course early.

English Language Proficiency: If you are a foreign-educated physical therapist/assistant, you will need to pass the TOEFL(Test of English as a Foreign Language) and meet the score requirements. There are some exemptions to the TOEFL requirement for individuals who are exempt under the USCIS regulations. TOEFL scores must be reported directly to SoWH for the purposes of determining eligibility for course attendance. The minimum TOEFL scores we require are the following: Reading: 21; Listening: 18; Writing: 24; Speaking: 26. 

Course Schedule & Contact Hours

Day 1: 8:30 AM – 5:00 PM
Day 2: 8:30 AM – 5:00 PM
Contact Hours: 14.0 hours 

Course Objectives

  1. Develop clinical decision making skills to form a “theology” for care based in critical thinking that guides patient interview, assessment and treatment progressions.
  2. Apply Piston Science concepts into multiple patient populations.
  3. Learn to live in the grey area of “it depends”! 

“Julie’s newest course “Piston science part two: it depends! clinical decision making in the real world” takes piston science to the next level. There is no better way to progress your clinical reasoning skills then problem solving through a live case with Julie. She challenges you to think outside the box of traditional pelvic floor and rehab exercises to create meaningful and effective exercises for your clients to meet them where they are at…”
– Micaela Zettel, Physiotherapist

“This course went beyond expectations. I loved the opportunity to share and discuss treatments with other practitioners — a big deal when you’re talking about what sometimes seems like an entirely new treatment paradigm. The biggest benefit of the course though, was exactly why I went — I wanted to learn more about the application and progression of these principles that are so fundamental to my approach in working with patients/clients. It more than delivered.”
– Anna Patitucci, Physical Therapist

“Julie’s course embodied the idea that critical reasoning is still our greatest skill as physical therapists. The concept of “It Depends” within the course demanded us as clinicians to evaluate and treat at a level that I hope the entire profession can one day get to. Principally the course taught me not to be fearful of uncertainty, but rather, embrace it allowing my confidence to be in helping the person in front of me. I recommend this course to anyone as it transcends the idea of any one particular treatment, methodology, or belief but rather forces us to use every tool at our disposal as physical therapists in order to keep the person in front of us moving.”
– Ryan Smith, Physical Therapist 

Dates & Locations

Dates & Locations will be posted below as they become available.

Piston Science Part Two: It Depends! Clinical Decision Making in the Real World (PSP2)

DatesLocationEarly-Bird Rate Ends:Regular Rate Begins:Registration Link
November 10-11, 2018Houston, TX10/09/2018
Member: $550
Non-M: $650
Member: $625
Non-M: $725

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