Continuing Education

Professional Education

Cayuga Medical Center, the region’s leader in physical therapy and sports medicine, offers a unique opportunity for physical therapists, athletic trainers, and other healthcare providers who seek continuing education in New York State. We are pleased to offer a series of coursework designed to improve your skills in treating patients with orthopedic conditions. Choose to attend an individual Continuing Education Course Series live course, or consider our full time or part time Orthopedic Physical Therapy Residency and Spine Fellowship programs. Our faculty includes highly trained clinicians who have experience teaching post-graduate coursework, as well as in entry-level physical therapy programs.

Continuing Education Course Series

Cayuga Medical Center’s continuing education series has grown out of our well-respected Residency Program to meet the needs of clinicians looking for high-quality training offered here in the Northeastern US. Our teaching faculty includes physical therapists and athletic trainers with advanced training and subspecialty certification. Several of our instructors also teach in the physical therapy program at Ithaca College.

Courses are focused on hands-on learning of techniques combined with lecture and discussion designed to develop advanced clinical reasoning skills. We utilize an eclectic approach to physical therapy management incorporating the current best evidence, practical clinical experience, and a bio-psycho-social viewpoint. Manual therapy, exercise, and patient education interventions are emphasized during each management course. Concepts are applied to real clinical scenarios so that you will gain the confidence to incorporate new skills into your practice.

2022 Course Descriptions and Dates

January 15-16 - Foundations of Orthopedic Physical Therapy Practice: Module 1

Audience

Physical Therapists, Athletic Trainers, Other Healthcare Providers

Instructors

Vanessa R. Mirabito Gerner, PT, DPT, OCS, CMPT, ATC
Jason Cherry, PT, DPT, OCS, COMT
Allison Howe, PT, OCS, CLT
Ethan Lewis, PT, DPT, OCS
Course Description

This course addresses concepts integral to clinical decision making for physical therapists in the management of neuromusculoskeletal conditions. This course is intended to help prepare the orthopedic physical therapist to function as an expert practitioner in a direct access environment by providing a framework for the use of a biopsychosocial approach to patient management. The concepts of person-centered care, therapeutic alliance, and motivational interviewing are discussed, as well as reasoning strategies related to diagnosis, prognosis and selection of interventions, and current concepts in medical screening for the physical therapist. Lecture, lab and case presentation format will be used.

Course Objectives

        1. Describe the principles of Motivational Interviewing
        2. Implement strategies to enhance patient adherence to home exercise programs and lifestyle modification and discuss ways to foster adherence to the techniques/strategies/behaviors being taught
        3. Compare different models of clinical reasoning in physical therapy.
        4. Describe the effects of physical stress on neuromusculoskeletal tissue.
        5. Describe the effects of various physical therapy interventions on tissue healing.
        6. Discuss the physical therapist’s role and responsibilities associated with the medical screening process, including the identification of risk factors, red flags, visceral pain patterns, and constitutional symptoms that warrant medical referral.
        7. Describe the clinical signs and symptoms of selected medical diseases and side effects of medications that may present as neuromuscular and musculoskeletal conditions.

January 29-30 - An Eclectic Approach to Head, Neck and Thoracic Conditions

Audience

Physical Therapists, Athletic Trainers, and Other Healthcare Providers

Instructors

Michael Costello, PT, DSc, OCS, MTC

Course Description

This course covers the clinical anatomy, biomechanics, pathology, examination, diagnosis, prognosis and management of conditions of the cervico-thoracic region, as well as cervicogenic headache and temporomandibular joint disorders. It will focus on integrating basic sciences and current best evidence into the clinical decision-making process with an emphasis on treatment by classification. A variety of intervention strategies focusing on manual therapy, therapeutic exercise, and patient education will be presented. Surgical procedures and their impact on management will be discussed. Instruction will include lectures, lab time, and independent reading.

Course Objectives

      • Describe the common injuries and conditions affecting the head, neck and thorax
      • Describe the current evidence for best practice related to examination and evaluation of head, neck and thorax injuries/conditions
      • Describe the current evidence for best practice related to intervention strategies for head, neck and thorax injuries/conditions

February 19-20 - Evidence-Informed Approaches in the Management of Lumbo-Pelvic Conditions

Audience

Physical Therapists, Athletic Trainers, and Other Healthcare Providers

Instructors

Tim Reynolds, PT, DPT, OCS, CSCS
Rob Kaplan DPT, MTC, cert. MDT

Course Description

This course covers the clinical anatomy, biomechanics, pathology, examination, diagnosis, prognosis and management of conditions of the lumbo-pelvic region. It will focus on integrating basic sciences and current best evidence into the clinical decision- making process with an emphasis on treatment by classification. A variety of intervention strategies including manual therapy, therapeutic exercise, patient education, and ergonomics will be presented. Surgical procedures and their impact on management will be discussed. Instruction will include lectures, lab time, and independent reading

Course Objectives

      • Describe the common injuries and conditions affecting the lumbopelvic region
      • Describe the current evidence for best practice related to examination and evaluation of lumbopelvic injuries/conditions
      • Describe the current evidence for best practice related to intervention strategies for lumbopelvic injuries/conditions

March 26-27 - Clinical Application of Pain Sciences

Audience

Physical Therapists, Athletic Trainers, and Other Healthcare Providers

Instructors

Mike Costello, PT, DSc, OCS, MTC

Course Description

This course examines the neurobiology of pain and its management. A continuum of normal/physiologic pain to abnormal/pathologic pain will be presented including peripheral and central mechanisms. Treatment approaches based on pathophysiologic mechanisms will be discussed. Incorporating this information into the clinical decision making process for conditions such as chronic low back pain, osteoarthritis, whiplash associated disorder, fibromyalgia and myofascial pain syndromes, and neurogenic pain will be explored through lecture and case study format.

Course Objectives

      • Describe the current evidence regarding pain mechanisms
      • Describe the current evidence for best practice related to examination and evaluation of pain
      • Describe the current evidence for best practice related to intervention strategies for the management of pain, including acute and chronic conditions

April 9-10 - Thrust Manipulation of the Spine & Extremities

Audience

Physical Therapists

Instructors

John Winslow, PT, DPT, OCS, MTC, ATC

Course Description

This course covers the history of manipulation, evidence for manipulative therapy, clinical reasoning and treatment models, safety of manipulation, patient rights and informed consent, state practice acts and APTA guidelines, joint anatomy and arthrokinematics, motion palpation , HVLA thrust manipulation techniques, and a review of case reports. Instruction will include lectures, lab time, and independent reading.

Course Objectives

      • Describe the current evidence for best practice related to proper screening for the safe and effective use of HVLA thrust manipulation of the spine and extremities in clinical practice
      • Describe common manipulation techniques for the cervical, thoracic and lumbar spine and sacroiliac joints
      • Describe common manipulation techniques for the upper and lower extremities

Instruction Methods

      • Lecture instruction
      • Lab instruction and practice
      • Independent reading

Lab Requirements

      • Appropriate lab clothing
        • males (shorts)
        • females (shorts & bathing suit top or halter)
      • Complete cervical spine questionnaire
      • Informed consent all those who have pre-existing conditions, are not in good health, or are pregnant should be cautious about participating in the lab. Please be responsible for yourself. You do not have to do anything asked of you by the instructor or other students. If you have a pre-existing spine or extremity problem it could become aggravated by the activities of the class unless you exclude yourself from such activities.

May 14-15 - Demystifying the Shoulder Complex: Clinical Management Strategies

Audience

Physical Therapists, Athletic Trainers, and Other Healthcare Providers

Instructors

Andrew Jordan, PT, DPT, OCS
Mark Jackson, PT, DPT, OCS

Course Description

The shoulder is certainly one of the most amazing joint complexes in the body. Its structure allows for more degrees of freedom than any other joint, while also being able to withstand high angular velocities and enormous compressive/distractive forces. The rich variety of pathologies around the shoulder complex can often present a diagnostic and treatment challenge for clinicians. The goal of this course is to demonstrate a systematic approach to the evaluation of the shoulder complex that leads to the application of diagnostic labels which are used to guide effective management.

The course will be structured around the 4 gross patterns of shoulder dysfunction (the stiff shoulder, the loose or unstable shoulder, the painful shoulder without marked global stiffness or instability, and the arthritic shoulder) and sports specific patterns of dysfunction. General principles that inform the evaluation/management cycle, including anatomy and pathomechanics, the physical stress theory, principles of tissue healing, regional interdependence, motor learning and dynamic systems theory, will be included.

Instruction will include lectures, case presentations, lab time, and independent reading.

Course Objectives

At the conclusion of this course, the participant will:

      • Describe the common injuries and conditions affecting the shoulder girdle region
      • Describe the current evidence for best practice related to examination and evaluation of shoulder girdle injuries/conditions
      • Describe the current evidence for best practice related to intervention strategies for shoulder girdle injuries/conditions

June 4-5 - Elbow, Wrist and Hand Conditions: Strategies for the Orthopedic Physical Therapist

Audience

Physical Therapists, Athletic Trainers, and Other Healthcare Providers

Instructors

Jeff Humphrey, PT, CHT, CEAS, CFCE

Course Description

This course covers the clinical anatomy, biomechanics, pathology, examination, diagnosis, prognosis and management of conditions of the elbow, wrist, and hand. It will focus on integrating basic sciences and current best evidence into the clinical decision-making process with an emphasis on treatment by classification. A variety of intervention strategies focusing on manual therapy, therapeutic exercise, splinting, and patient education will be presented. Surgical procedures and their impact on management will be discussed. Instruction will include lectures, lab time, and independent reading.

Course Objectives

      • Identify patients who may present with serious pathology or require referral to another practitioner.
      • Describe anatomic, physiologic, and biomechanical principles as they relate to a case description.
      • Utilize information from the history and self-report measures to select appropriate physical examination procedures.
      • Demonstrate clinical examination procedures for body region.
      • Synthesize information gathered from the subjective and physical examination to diagnose/classify the patient and determine prognosis.
      • Select interventions based on the diagnosis/classification incorporating current best evidence.
      • Demonstrate the application of interventions including:
        • Therapeutic Exercise
        • Manual Therapy
        • Patient Education
        • Functional Training
        • Therapeutic Modalities
        • Other (orthotics, taping, biofeedback, etc.)
      • Evaluate the efficacy of the treatment plan
      • Discuss post-operative rehabilitation principles and how they impact the clinical decision making process.
      • Incorporate diagnostic imaging in the clinical decision making process.

Course Outline

Each day is scheduled 8:00 a.m.-5:00 p.m. with a morning, lunch (Noon-1:00 p.m.), and an afternoon break. The following will be covered for each in the elbow, wrist, and hand sections:

      • Describe the common injuries and conditions affecting the elbow, wrist and hand
      • Describe the current evidence for best practice related to examination and evaluation of elbow, wrist and hand injuries/conditions
      • Describe the current evidence for best practice related to intervention strategies for elbow, wrist and hand injuries/conditions

August 6-7 - Principles of Strength and Conditioning for the Healthcare Provider

Audience

Physical Therapists, Athletic Trainers, and Other Healthcare Providers

Instructors

Tim Reynolds, PT, DPT, OCS, CSCS
Dan Agnese PT, DPT, SCS, COMT, CSCS

Course Description

This course covers skeletal muscle physiology and the adaptations that occur following goal specific training. This course will focus on understanding the energy systems utilized during physical activity, creating goal/sport oriented programs, the principals of periodization, and application of these principals to an outpatient setting. Students will also learn how to perform, instruct, and modify basic Olympic lifts, plyometric movements, and commonly employed exercise techniques. There will be a focus on scaling exercises to meet the needs of injured and low functioning individuals up to high level athletes, as well as rehabilitation of post-surgical/common orthopedic injuries. Finally, there will be a review of manual therapy techniques to help facilitate and improve functional and athletic performance. This course will be instructed through online lectures, live lectures, discussions, and lab.

Course Objectives

At the conclusion of this course, the participant will:

      • Describe the concepts of scaling, periodization and exercise selection in strength and conditioning programming
      • Describe the current evidence for best practice related to pre-participation and return to sport testing in an athletic population
      • Describe effective strategies for teaching Olympic Lifts to patients/clients

September 11-12 - Management of Hip and Knee Conditions Across the Age and Activity Level Spectra

Audience

Physical Therapists, Athletic Trainers, and Other Healthcare Providers

Instructors

Ethan Lewis, PT, DPT, OCS
Dan Agnese PT, DPT, SCS, COMT, CSCS

Course Description

This course covers the clinical anatomy, biomechanics, pathology, examination, diagnosis, prognosis and management of conditions of the hip and knee. It will focus on integrating basic sciences and current best evidence into the clinical decision-making process. A variety of intervention strategies including manual therapy, therapeutic exercise, patient education, functional training, taping/bracing and orthotics will be presented. Surgical procedures and their impact on management will be discussed. Instruction will include lectures, lab time, and independent reading.

Course Objectives

      • Describe the common injuries and conditions affecting the hip and knee
      • Describe the current evidence for best practice related to examination and evaluation of hip and knee injuries/conditions
      • Describe the current evidence for best practice related to intervention strategies for hip and knee injuries/conditions

October 8-9 - Monday Morning Techniques: Management of Foot and Ankle Conditions

Audience

Physical Therapists, Athletic Trainers, and Other Healthcare Providers

Instructors

Brian Lee, PT, OCS, CSCS
Jackie Haines, PT, DPT, OCS

Course Description

This course covers the clinical anatomy, biomechanics, pathology, examination, diagnosis, prognosis and management of conditions of the ankle and foot. It will focus on integrating basic sciences and current best evidence into the clinical decision-making process. A variety of intervention strategies including manual therapy, therapeutic exercise, patient education, functional training, taping/bracing and orthotics will be presented. Surgical procedures and their impact on management will be discussed. Instruction will include lectures, lab time, clinical mentoring, independent reading, and clinical rounds. Residents will present a case describing the clinical decision-making process, treatment and outcomes.

Course Objectives

      • Describe the common injuries and conditions affecting the foot and ankle region
      • Describe the current evidence for best practice related to examination and evaluation of foot and ankle injuries/conditions
      • Describe the current evidence for best practice related to intervention strategies for foot and ankle injuries/conditions

Course Outline

      • Review clinically relevant anatomy
      • Review normal biomechanics (osteokinematics, arthrokinematics, muscle balance) and pathomechanics (i.e. ankle/foot pain in patients with weak core musculature)
      • Subjective examination
      • Physical examination
      • Common disorders (plantar fasciitis, ankle sprains, posterior tibialis and peroneal tendonosis, etc.)
      • Manual therapy interventions
      • Exercise interventions
      • Other interventions (i.e. ergonomics, orthotics/taping/bracing, modalities, education, biofeedback, etc.)
      • Outcome measures related to region (FADI, FADI Sport, FAFSM, FFI, etc.)•Differential diagnosis: red flags and yellow flags
      • Post-operative rehab considerations

Instruction Methods

      • Lecture instruction
      • Lab instruction and practice
      • Independent reading
      • Clinical Mentoring

TBD - Advanced Applications of Pain Science

Audience

Physical Therapists, Athletic Trainers, and Other Healthcare Providers

Instructors

Michael Costello, PT, DSc, OCS, MTC

Course Description

Research investigating pain mechanisms has demanded a transformation of patient management paradigms over the last several years. In this course, we explore the clinical application of this research in the management of patients with complex pain conditions. Participants will learn to develop effective treatment plans for individuals with chronic spine pain, headaches, radiculopathy, whiplash-associated disorder, and fibromyalgia.

Course Objectives

At the conclusion of this course, the participant will:

      • Describe the current evidence regarding tests and measures to identify dominant pain mechanisms contributing to a patient presentation
      • Describe ways to prioritize examination and treatment strategies to improve outcomes for complex pain cases.
      • Describe techniques to positively influence neural plasticity including graded motor imagery and sensorimotor retraining
      • Describe ways to incorporate cognitive behavioral strategies into a comprehensive management plan, including graded exposure, activity pacing, meditation, and cognitive restructuring.

TBD - Foundations of Orthopedic Physical Therapy Practice: Module 2: Diagnostic imaging

Audience

Physical Therapists, Athletic Trainers, and Other Healthcare Providers

Instructors

John Winslow, PT, DPT, OCS, MTC, ATC

Course Description

Therapists will gain knowledge regarding various diagnostic imaging modalities and lab tests. The history of diagnostic imaging beginning with Wilhem Roentgen’s discovery of X-rays to the most recent advances in 3D computer technology will be explored.  Basic radiographic densities, views, and structural analysis will be taught using digital imaging.  Students will become competent in understanding radiologic interpretations of X-rays, Fluoroscopy, Computed Tomography, MRI, Nuclear, and ultrasound imaging.  Patient cases will be used to compare pathostructural diagnosis with actual symptoms and clinical presentation. This course is intended to help prepare the orthopedic physical therapist to function as a direct access provider capable of accurately screening for medical diagnoses. Pathology of the major body systems/regions will be covered with an emphasis on conditions that mimic neuromusculoskeletal conditions.

Course Objectives

      1. Describe the different diagnostic imaging modalities, how they work and when they are used in the diagnostic process as well as the benefits, limitations and safety considerations of each diagnostic imaging modality.
      2. Describe normal radiographic anatomy and be able to differentiate from pathological radiographic anatomy.
      3. Determine how the diagnostic imaging results impact the physical therapy plan of care, including comparison of radiological findings with actual patient symptoms and clinical presentation

TBD - Advanced Management of Spine Conditions: Lower Quarter

Audience

Physical Therapists

Instructors

Rob Kaplan DPT, MTC, cert. MDT
Michael Costello PT, DSc, OCS, MTC

Course Description

In this course participants explore the examination, assessment and interventions for patients with painful conditions from the upper spine (cranium, cervical and thoracic spine). Discussion of cases will guide discussion and lab practice of manual therapy, exercise and education interventions for patients with headaches, radiating upper extremity pain, cervicogenic dizziness, and cranio-mandibular dysfunction.

Course Objectives

At the conclusion of this course, the participant will:

      • Identify common impairment patterns for individuals with painful conditions of the cranium, cervical and thoracic spine.
      • Differentiate between conditions of the neuromusculoskeletal system from conditions due to pathologies that require medical intervention.
      • Discuss relevance of radiologic findings for a given case.
      • Demonstrate manual therapy interventions including joint, soft tissue and neural mobilization/manipulation.
      • Design an exercise program to address sensorimotor impairments for patients with acute, sub-acute, and chronic pain conditions.
      • Design patient education to address prevention and self-management strategies including self-care, pacing, relaxation techniques.

TBD – Advanced Management of Spine Conditions: Upper Quarter

Audience

Physical Therapists

Instructors

Rob Kaplan DPT, MTC, cert. MDT
Michael Costello PT, DSc, OCS, MTC

Course Description

In this course participants explore the examination, assessment and interventions for patients with painful conditions from the upper spine (cranium, cervical and thoracic spine). Discussion of cases will guide discussion and lab practice of manual therapy, exercise and education interventions for patients with headaches, radiating upper extremity pain, cervicogenic dizziness, and cranio-mandibular dysfunction.

Course Objectives: 

  • Describe common impairment patterns for individuals with painful conditions of the cranium, cervical and thoracic spine.
  • Describe current evidence for best practice related to manual therapy interventions including joint, soft tissue and neural mobilization/manipulation
  • Describe how to design an exercise program to address sensorimotor impairments for patients with acute, sub-acute, and chronic pain conditions

TBD - Movement Sciences in the Management of Spine Conditions: Lower Quarter

Audience

Physical Therapists

Instructors

Michael Costello, PT, DSc, OCS, MTC
Vanessa R. Mirabito, PT, DPT, OCS, ATC

Course Description

This course explores the human movement system and its relationship to spinal pain conditions. Participants investigate how neuromusculoskeletal adaptations are related to pathokinesology in acute, subacute and chronic spine pain in thoracic, lumbar and sacral regions. Evidence supporting the use of various exercise and education methodology to best positively influence the human movement system will be discussed, using a case-based approach.

Course Objectives

      1. Describe Pathokinesiology and Pathophysiology of the human movement system as it relates to various stages and classifications of spinal pain conditions.
      2. Compare and contrast various systems of exercise including models intended to manage spine pain.
      3. Describe how relevant cognitive-affective factors can effect motor performance, and discuss educational and functional interventions to facilitate change

TBD - Movement Sciences in the Management of Spine Conditions: Upper Quarter

Audience

Physical Therapists

Instructors

Michael Costello, PT, DSc, OCS, MTC
Vanessa R. Mirabito Gerner PT, DPT, OCS, CMPT, ATC

Course Description

This course explores the human movement system and its relationship to spinal pain conditions. Participants investigate how neuromusculoskeltal adaptations are related to pathokinesology in acute, subacute and chronic spine pain in the head, cervical and thoracic regions. Evidence supporting the use of various exercise and education methodology to best positively influence the human movement system will be discussed, using a case-based approach.

Course Objectives

      1. Describe Pathokinesiology and Pathophysiology of the human movement system as it relates to various stages and classifications of spinal pain conditions.
      2. Compare and contrast various systems of exercise including models intended to manage spine pain.
      3. Describe how relevant cognitive-affective factors can effect motor performance, and discuss educational and functional interventions to facilitate change

Orthopedic Physical Therapy Residency Program

Cayuga Medical Center’s Orthopedic Physical Therapy Residency Program is accredited by the American Physical Therapy Association as a post-professional residency program for physical therapists in Orthopaedics.

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The region’s leader in physical therapy and sports medicine offers a unique orthopedic residency for licensed physical therapists who have graduated from an accredited physical therapy program. We offer a planned program of post-professional clinical and didactic education, designed to significantly advance patient care services in the area of orthopedics. The program provides ongoing mentoring and clinical supervision by experienced, highly qualified clinicians. The curriculum prepares you for the Orthopedic Certified Specialist (OCS) examination. The current passing rate for our residency graduates is 96%.

Our teaching faculty includes physical therapists and athletic trainers with advanced training and subspecialty certification. Several residency faculty also teach in the entry-level physical therapy program at Ithaca College – a collaborative partner of the residency program. Board certified physician specialists in orthopedic surgery, sports medicine, hand injuries, neurosurgery, radiology, and pain management provide clinical instruction in their areas of specialty, further enhancing the clinical and didactic education provided.

The residency program is located in Ithaca, NY, at a state-of-the-art facility on the water’s edge at the southern end of Cayuga Lake. This is the heart of the Finger Lakes and home to Ithaca College and Cornell University.

Mission

To develop practitioners with advanced clinical reasoning and patient management skills who provide evidence-based care for their patients, who will be a resource for others, and who will contribute to the scientific literature.

Commitment

We offer two program options: a traditional model and a more flexible model to give access to post-professional education to a broader range of professionals:

Full-time Internal Resident Position

  • A 12 month program that runs from January to December. These are paid positions, employed by Cayuga Medical Center at 75% of a full time entry-level salary, with full benefits including health insurance and paid time off.

External Resident Position

  • A 12-24 month program that begins in January. External Residents are employed by another facility, allowing these individuals to access the program while continuing to live and work where they choose. The details of their employment are mutually agreed upon by the External Resident and the employer.

Clinical Practice Hours

  • The Internal Resident will be involved with direct patient care for 30 hours per week, for a minimum of 1500 hours over the course of the program.
  • The External Resident will complete a minimum of 1500 hours of direct patient care over the course of the program, as determined by the resident and the employer.

Education Hours

  • The Internal Resident will attend weekend didactic courses, which take place ~1 weekend per month. Throughout the year, there will also be opportunities for interdisciplinary observation within the health system, professional lectures, independent study and research, and teaching in the entry-level Physical Therapy Program at Ithaca College.
  • The External Resident will attend all weekend didactic courses provided by Cayuga Medical Center. Course work will be augmented by online discussions with program faculty and other residents and fellows. Throughout the program, there will be opportunities to attend professional lectures and complete interdisciplinary observations, as well as opportunities to teach and engage in independent study and research.

*a minimum of 300 education hours are required for program completion

Clinical Mentoring

  • The Internal Resident will receive 1:1 clinical mentoring 4 hours per week, for a minimum of 150 hours over the course of the program. Using a multiple mentor model, the mentoring schedule will align with didactic course work, allowing the resident to receive timely mentoring from experts in particular areas of practice.
  • To allow for reduced travel and greater flexibility, the External Resident will receive 1:1 clinical mentoring with both permanent program faculty as well as a chosen local mentor with OCS certification. This mentoring will take place at both Cayuga Medical Center clinics as well as the resident’s “home clinic” to allow direct observation and guidance of the resident’s practice on their caseload in their typical environment.

Requirements for admission

The following items are prerequisites for an individual to meet in order for them to enter the Cayuga Medical Center Orthopedic Physical Therapy Residency Program:

  1. Graduate of a CAPTE accredited physical therapy program.
  2. Proof of licensure or eligibility to apply for licensure to practice physical therapy w in New York State.
  3. Meet all eligibility requirements to be employed as a practicing physical therapist within Cayuga Medical Center.
  4. Applicants are required to submit an Admission Essay.

The Residency website, https://www.cayugamed.org/continuing-education/, contains a segment that describes the admissions process and requirements, as well as listing the application deadlines.  Applicants will apply via RFPTCAS at https://rfptcas.liaisoncas.com/applicant-ux/#/login

Please visit the Program Directory for detailed information about the program’s admission requirements. The application deadline for the next cycle is August 28.

Requirements for successful completion of residency program

The resident will have successfully demonstrated clinical and didactic orthopedic physical therapy competencies consistent with the Orthopedic Physical Therapy Description of Resident Practice of the American Board of Physical Therapy Specialties by achieving a minimum of 80% on all written, practical and live patient exams. The resident must also complete a case report, worthy of submission to a professional journal, and meet the minimum required hours for clinical practice, mentoring and education as determined by the American Board of Physical Therapy Specialties.

Program Outcomes:

  1. Demonstrates competency in conducting a systematic, efficient patient examination. Consistently utilizes valid and reliable outcome measures. Consistently recognizes common clinical patterns. Formulates and discusses a PT diagnosis with all stakeholders – patient/family, mentor and referral source.
  2. Demonstrates the ability to perform an accurate assessment, prioritize and list patient’s problems, and develop a plan of care based on the assessment. The plan of care identifies a prognosis and objective goals with timeframes for completion, established discharge criteria, and a multimodal treatment approach guided by evidence, clinical experience and patient beliefs/values.
  3. Demonstrates specialist-level decision making and psychomotor skill in manual intervention, therapeutic exercise prescription and implementation and use of therapeutic modalities and assistive/adaptive devices.
  4. Demonstrates professionalism in written and verbal communication and collaboration with all stakeholders – includes documentation, patient/family education, mentoring session preparation and discussion, physician/provider communications, teaching
  5. Contributes to evidence-informed practice through the preparation of a case report/case series capable of publication, professional publications, etc.
  6. Demonstrates adequate preparation to sit for the OCS exam

Enrollment, Graduation and OCS Exam Pass Rate Information (since 2010):

Number Enrolled – 27

Number Graduated – 26

Graduate OCS Exam Pass Rate – 96%

For questions or more information, please contact Dr. Vanessa Mirabito at vmirabito@cayugamed.org

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Typical Weekly Schedule

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Spine Fellowship Program

The region’s leader in physical therapy has developed a unique Spine Fellowship for licensed physical therapists. Fellows in training are required to be post-residency prepared and/or board-certified specialists in Orthopaedic Physical Therapy. This program is offered in collaboration with the Ithaca College Department of Physical Therapy, one of the nation’s top entry-level physical therapy programs.

Learn More

The Spine Fellowship Program consists of clinical and didactic education designed to significantly enhance physical therapy management of people with spine related disorders through advanced training in movement science, manual therapy and pain science.

Our teaching faculty includes physical therapists with advanced training and subspecialty certification, including manual therapy certification and certified MDT©. Several fellowship faculty also teach in the entry-level physical therapy program at Ithaca College – a collaborative partner of the fellowship program. Board certified physician specialists in orthopedic surgery, sports medicine, neurosurgery, radiology, and pain management provide clinical instruction in their areas of specialty, further enhancing the clinical and didactic education provided.

The fellowship program is located in Ithaca, NY, at a state-of-the-art facility on the water’s edge at the southern end of Cayuga Lake. This is the heart of the Finger Lakes and home to Ithaca College and Cornell University. The program has a 100% graduation rate, since its initial accreditation in 2017.

Mission

To develop physical therapists with advanced clinical reasoning and patient management skills with regard to spinal pain conditions, who provide evidence-based care for their patients, who will be a resource for others, and who will contribute to the scientific literature. .

Commitment

A 12-24 month program that runs from January to December. These are paid positions, employed by Cayuga Medical Center at 75% of a full time entry-level salary, with full benefits including health insurance and paid time off.

Clinical Practice Hours

The Fellow in training will be involved with direct patient care for 30 hours per week, for a minimum of 850 hours over the course of the program.

Education Hours

The fellow in training will attend weekend didactic courses, which take place ~1 weekend per month. Throughout the year, there will also be opportunities for interdisciplinary observation within the health system, attendance at and/or preparation of professional lectures, independent study and research, and teaching in the entry-level Physical Therapy Program at Ithaca College.

*a minimum of 150 education hours are required for program completion

Clinical Mentoring

The fellow in training will receive 1:1 clinical mentoring 2-4 hours per week, for a minimum of 150 hours over the course of the program. Using a multiple mentor model, mentoring will be provided in 6-8 week blocks by experienced and highly-qualified clinicians with varied training and clinical sub-specialties.

Requirements for admission

All fellows-in-training have graduated from an accredited entry-level physical therapy program and are licensed to practice physical therapy in New York State.  Additionally, they have demonstrated specialized proficiency by having completed 1) an accredited residency program in orthopaedics, or 2) passed the OCS exam.  As part of the admissions process, the Program Coordinator contacts the candidate’s references which include an employer or practicing therapist. These conversations allow the Program Coordinator to determine if there are any gross deficiencies in basic safety and competence that might preclude acceptance to the Program.

Please visit the Program Directory for detailed information about the program’s admission requirements. The application deadline for the next cycle is August 28.

Program Outcomes:

  1. Demonstrates competency in conducting a systematic/efficient/effective patient examination. Consistently recognizes common clinical patterns for spine-related disorders. Screens for and identifies patient presentations that at not consistent with neuromusculoskeletal conditions. Formulates and discusses a PT diagnosis with all stakeholders – patient/family, mentor and referral source. Consistently utilizes outcome measures.
  2. Demonstrates advanced, comprehensive clinical reasoning skills as they relate to the management of spine-related disorders. Demonstrates competency in comprehensive treatment planning for simple and complex patient cases as a member of the interdisciplinary care team through comprehensive PT treatment planning, referral for medical evaluation, psychological counseling, interventional pain management and alternative/complementary medicine as appropriate
  3. Demonstrates specialist level psychomotor skill in examination procedures, manual interventions, therapeutic exercise prescription and implementation and use of therapeutic modalities and assistive/adaptive devices.
  4. Contributes to evidence-informed practice through scholarly activities
  5. Demonstrates professionalism in written and verbal communication and collaboration with all stakeholders – includes documentation, patient/family education, mentoring session preparation and discussion, physician/provider communications, teaching

Enrollment and Graduation Information (since 2017):

Number Enrolled – 2

Number Graduated – 2

For questions or more information, please contact Dr. Vanessa Mirabito at vmirabito@cayugamed.org

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More about the programs

Facilities

Our program is located in the Cayuga Wellness Center. Physical Therapy and Sports Medicine and Athletic Performance are directly adjacent to Island Health & Fitness, a comprehensive, state-of-the-art, membership fitness center.

This collaboration supports our rehabilitation model of taking patients from physical therapy to physical fitness. Other tenants in the complex include the Cayuga Center for Healthy Living (healthy lifestyle specialists), sports medicine specialists, cardiologists, orthotics and prosthetics practitioners, Rasa Spa, and a café.

The physical therapy clinic in which our orthopedic residents work has more than 6,000 square feet of private treatment rooms and a fully equipped exercise gym. Aquatherapy takes place in a warm water therapy pool, adjacent to a 25-yard lap pool and a spa pool located in the adjoining fitness club.

Additional clinical time is spent at our Brentwood location, a nearly 6000 square foot facility with private treatment rooms, Hand Therapy Clinic, and a large gym space.

Location

Cayuga Medical Center is located in Ithaca, New York, situated in the heart of the Finger Lakes wine country. Home to Cornell University and Ithaca College, Ithaca is a small, cosmopolitan city on the south end of Cayuga Lake known for its diverse cultural life and its natural beauty. Lakes, waterfalls, gorges, and trails for hiking and cross-country skiing abound, providing year-round recreational opportunities. Ithaca is also home to an active community of artists in theatre, music, dance, film, and the visual arts.

Ithaca Tompkins Regional Airport serves Tompkins County with daily flights to and from Philadelphia, New York City and Detroit with direct connections from these hubs to national and international travel.

Additional Resources
Visit Ithaca
Tompkins County Chamber of Commerce
Island Health and Fitness
Cayuga Wellness Center

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