INFLUENCE OF THE RESIDENT TRAINING PROGRAM IN REHABILITATION TECHNOLOGY ON THE EQUIPMENT AND ASSISTIVE TECHNOLOGY PORTION OF THE ABPMR PART 1 SCORES Hena Sattar PM&R PGY 4 Research Day 5/22/2012

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 Orientation 2. Interdisciplinary Rehabilitation Technology Team(part1) 3. Interdisciplinary Rehabilitation Technology Team(part2) 4. Funding Rehabilitation Technology Devices and Services 5. Information and Referral Sources for RT- related services 6. Interface and Control Devices for RT 7. Seating, Positioning and Mobility (Part I) 8. Seating, Positioning and Mobility (Part II) 9. Seating, Positioning and Mobility (Part III) 10. Upper Limb Prosthetics 11. Lower Limb Prosthetics 12. Driver Rehabilitation Services and Vehicle Modification: Evaluation and training 13. Driver Rehabilitation Services and Vehicle Modification: Vehicle modification 14. Communication Technology 15. Sensory Aids 16. Computer Access – Human-computer Interaction 17. Computer Access – Adaptive Software 18. 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 Rehabilitation 24. 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 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 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 UK U of L National

Comparison of Average Scores

ABPMR Part 1Pass Rate

Regression Analysis

Modules Completed vs. Average Scores

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

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