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Michael Wong, Co-Founder and Chief Learning Strategist at Physio U, comes onto the show to discuss the topic of clinical reasoning. He discusses what clinical reasoning is, how and why Physio U started, how PTs can use apps/software to advance the profession, barriers to education and learning clinical reasoning from the educator and student perspective, how to better integrate clinical reasoning in DPT education, how DPT students and clinicians can improve their clinical reasoning skills, ineffective methods of facilitating clinical reasoning and limitations of his proposed clinical reasoning methods, how clinical reasoning should be addressed to all healthcare providers and what we need to do to shift the needle.
This is a very powerful and important episode for all educators, clinicians, and students to hear!
Physio U is a software program (also available as apps) which focuses on improving clinical reasoning by deciphering the latest evidence based guidelines into meaningful clinical practice to really help clinicians in a variety of setting including orthopedic, neurologic, cardiopulmonary & pediatrics along with sections dedicated to specifically gait and ROM.
Physio U Twitter Page: https://twitter.com/physio_u
Physio U Facebook Page: https://www.facebook.com/PhysioU/
Physio U Instagram Page: https://www.instagram.com/physio_u/
Mike’s Biography
Dr. Michael Wong holds a full time appointment as an Associate Professor at Azusa Pacific University, teaching in the specialty areas of Modalities, Therapeutic Exercises, Orthopedic Physical Therapy, Evidence Based Practice, Diagnostic imaging and Medical Screening. He is a residency and fellowship trained orthopaedic clinical specialist. He currently lectures for the Southern California Kaiser Permanente Orthopaedic Fellowship and Sports Rehabilitation Program and the University of Southern California (USC) Spine Fellowship.
He is the author of Pocket Orthopaedics: Evidence based survival guide and has presented nationally and internationally on various topics related to manual therapy and movement. Dr. Wong has lectured in 8 sessions for Combined Sections Meeting in the last 3 years (2015-2017) covering topics related to movement analysis, manual therapy and using technology to enhance guideline implementation and entry level education. The following topics were his talks from 2017 Combined Sections Meeting in San Antonio Texas.
“Sports medicine secrets: aberrant spinal movements in the rotational athlete”
“Advanced Cervico-Thoracic & Shoulder Interventions for Upper Limb Symptoms”
“Guideline implementation in the digital age”
Dr. Michael Wong graduated from the Entry-level Physical Therapy Professional Program at Loma Linda University in 2000, receiving his Masters of Physical Therapy Degree. In 2001, he received his Post-professional Doctor of Physical Therapy (DPT) degree while simultaneously completing the Kaiser Permanente Orthopedic Residency Program.
In 2003 Dr Wong continued with his advanced training in physical therapy by successfully completing the Southern California Kaiser Permanente Fellowship Program in Manual Therapy. In 2003 he also began teaching orthopaedics at Azusa Pacific University, became a Board Certified Specialist in Orthopedic Physical Therapy and a Fellow of the American Academy of Orthopaedic Manual Physical Therapist. He is a reviewer for the Journal of Orthopaedic and Sports Physical Therapy musculoskeletal imaging feature.
Dr. Wong has presented nationally and internationally on various topics related to manual therapy and movement. He was a keynote speaker at the 2011 Ohio State Physical Therapy Association Annual Conference regarding the latest guidelines: Neck/Shoulder Disorders: Get with the Guidelines and Low Back/Hip Disorders: Get with the Guidelines.
He is currently a lead author on the Medical Screening Guidelines Task Force sponsored by the Orthopaedic and Federal sections of the American Physical Therapy Association.
Recent Publications include:
Wong, M Pocket Orthopaedics: an evidence based survival guide Bartlett and Jones Publishers 2009.
Wong, M; Godges, J; Boissonault, B; Chapter 6 Symptom Investigation Primary Care for the Physical Therapist: Examination and Triage, Second Edition Saunders 2011
Recent presentations include:
Podium Presentation- 2012 International Federation of Orthopaedic Manipulative Physical Therapist, Quebec, Canada “Blood pressure and heart rate response to unilateral posterior glide of the cervical spine in normal volunteers- a pilot case series”
Podium Presentation- 2012 International Federation of Orthopaedic Manipulative Physical Therapist, Quebec, Canada “The combined effect of utilizing manual therapy and motor control training for 2 recreational throwers with chronic shoulder pain”
Poster Presentation- 2012 International Federation of Orthopaedic Manipulative Physical Therapist, Quebec, Canada “The effect of ankle and foot manual therapy for chronic Achilles tendinosis in a duathlete who is non-compliant to clinical practice guideline based interventions”
3rd Place Best Poster presentation- 2011 American Academy of Orthopaedic Manual Physical Therapist “USE OF MIRROR BOX THERAPY FOR REDUCING FEAR AVOIDANCE IN A PATIENT WITH ANKLE OPEN REDUCTION INTERNAL FIXATION (ORIF)”
Poster Presentation- 2011 California Chapter APTA Annual Meeting “PLANTAR FASCIA THICKNESS IN RUNNERS AND NON-RUNNERS: AN IMAGING ULTRASOUND STUDY.”
Poster presentation- 2011 American Academy of Orthopaedic Manual Physical Therapist “DOES TAPING DECREASE PLANTAR FASCIA THICKNESS IN SUBJECTS WITH PLANTAR FASCIITIS?: A PILOT STUDY”
Lecturer University of Southern California (USC) Spine Fellowship March 14, 2012 Movement System Impairments of the Lumbar Spine linked to the Low Back Pain ICF Guidelines
Lecturer University of Southern California (USC) Spine Fellowship March 15, 2012 Movement System Impairments of the Cervical Spine linked to the Neck Pain ICF Guidelines
Key Speaker Ohio Physical Therapy Association Annual Conference April 7, 2011 Neck/Shoulder Disorders: Get with the Guidelines
Key Speaker Ohio Physical Therapy Association Annual Conference April 8, 2011 Low Back/Hip Disorders: Get with the Guidelines
Continuing education course Ohio Physical Therapy Association Annual Conference April 9, 2011Neck/Shoulder & Low Back/Hip Disorders Manual Procedures
Poster Presentation- 2010 American Academy of Orthopaedic Manual Physical Therapists Annual Conference, San Antonio, Tx Yung EY, Wong M Case Study Report “JOINT MOBILIZATION OF A PATIENT WHO DID NOT TOLERATE ECCENTRIC CALF MUSCLE TRAINING INITIALLY FOR CHRONIC ACHILLES TENDINOSIS”
Podium Presentation- 2010 California Chapter APTA Annual Conference “THE EFFECTS OF ANTIOXIDANT, ANTI-INFLAMMATORY SUPPLEMENT RACE DAY FUEL® ON POWER, ENDURANCE, MAXIMUM OXYGEN UPTAKE, LACTATE THRESHOLD AND CYTOKINE LEVEL IN ELITE MALE CYCLISTS” Wong, M; Ford, P
Mike’s Email: mswong@apu.edu
Mike’s Twitter Page: https://twitter.com/mikeswong
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While the federal sequestration and the tax increases that became effective earlier in the year were expected to be a substantial drag on economic activity this year, the magnitude and timing of the effects remained unclear. Several participants commented that the direct effects of the cutbacks in federal spending, to date, did not appear as great as had been expected, but that they anticipated that fiscal policy would continue to restrain economic growth in coming quarters. In particular, one pointed out that the furloughs scheduled for the second half of the year were likely to reduce household income and spending. A report on the favorable fiscal condition of one state was indicative of the improvement in the budget situation at state and local governments.
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