DVIDS – News – EACE aims to standardize the use of “outcome measures” in amputation rehabilitation


JOINT BASE SAN ANTONIO-FORT SAM HOUSTON, Texas – The Center of Excellence in Trauma and Amputation of the Extremity (EACE) will this year host the fully online Federal Advanced Training Symposium on Amputation Techniques (FAAST) with instructions in direct, from June 29 to July 1.

“Outcome measures” are the focus of this year’s training.

By standardizing the understanding, implementation, and interpretation of outcome measures, clinicians will be more competent to track patient progress and amputation rehabilitation outcomes over time.

Despite the various challenges posed by the pandemic, EACE education staff spent the last year developing a virtual and synchronous FAAST course that will continue to provide healthcare professionals and researchers with knowledge, skills, tools and tools. and advanced techniques that they can take back to their clinic. practice.

Led by Stuart Campbell, Head of Global Health Engagement, and Dr Laurie Lutz, Head of Training, Education and Simulation, EACE will use the digital platform Adobe Connect to train more than 50 medical experts in an interactive setting that will allow participants the ability to ask questions and give feedback.

Clinicians who were primarily selected from the three DoD Advanced Rehabilitation Centers (ARC) – Military Advanced Training Center (MATC) at Walter Reed National Military Medical Center, Bethesda, Maryland; Center for the Intrepid (CFI) at Brooke Army Medical Center, San Antonio, Texas; and Comprehensive Combat and Complex Casualty Care (C5) at Naval Medical Center in San Diego, Calif., will receive extensive training on the DoD standard for outcomes associated with amputation rehabilitation.

“Outcome measures are critical to understanding the impact of what we do clinically,” said Campbell, explaining why he thinks this year’s training is so important.

“Currently, there is no formal outcome measurement program associated with amputation rehabilitation. The EACE and the three ARCs are building this, ”said Campbell. “For the past three years, we have been involved in selecting outcome measures with the best scientific evidence for the amputation population. It is important to standardize the way everyone performs measurements.

Most clinicians know the results we teach, Campbell said, but many have learned variations of these measures. Standardizing an approach for each measure to ensure a thorough understanding of individual measures and standardization of their use is imperative for clinical decision making and performance improvement projects.

During the course, clinicians will be trained on two types of outcome measures: patient-reported and performance-based. An example of a patient-reported metric is when a patient is given a survey to complete before their medical appointment, or whenever feedback is provided by the patient directly orally or in writing. Performance-based measurement, however, involves the physical steps a clinician would take to treat a patient, for example, when a therapist causes the patient to perform a series of physical tasks associated with a particular measurement.

“That’s what outcome measures do for us,” Campbell said. “The goal of FAAST is to ensure the performance of outcome measurement and implementation is standardized across the three rehabilitation centers. If the tests we use on each site are conducted differently, we lose this ability to compare and track over time. “

Faced with these challenges, Lutz also understands the importance of this training. With limited support, she led the development of this year’s Synchronous Virtual Course to ensure clinicians get the education they need and the training they requested.

“Traditionally, in the past, this was a hands-on, in-person training event located at different locations across the United States. This year, due to COVID-19, it is a fully virtual activity that lends itself to many different challenges, one of which is the interactive component over a three day period of having clinicians in front of the ‘computer to assess results,’ Lutz explained. “We mitigated this by inserting knowledge check slides that require answers, talking points throughout presentations, pre-tests and post-tests to measure learning data in between and maintaining a small group that allows for increased participant interaction.

“We have subject matter experts in each individual outcome measure presenting this training,” she continued. We’ve assembled a team of nationally recognized experts in outcome measures, and we have presenters from DoD, academia, and our VA partners. We have an incredible list of presenters. If any of the clinicians have follow-up questions, we have a more cohesive group that they can reach out to and get more questions answered. “

Clinicians working in CRAs undoubtedly have a direct impact on amputation rehabilitation and medical preparation in general. Because their role in patient care is so important, it is essential that these medical experts not only produce positive results in the treatment of their patients, but also understand these results and share their best practices for the benefit of other patients as well. .

“The information we receive is absolutely crucial for us because it helps us understand what we are doing clinically and if what we are doing is actually working,” Campbell said. “Are we making a difference with the individual and are we making a collective difference on the clinic side in the three CRAs?” Or is there an outlier or difference between one of the three sites where patients improve in one place rather than another? ”

“We can use these results to compare and see how we are developing best practices,” he added. “These give us the most objective metrics we can get to determine what our best clinical practices are and then enact them throughout the system. “

The FAAST Symposium was designed to educate DoD physiotherapists and occupational therapists, orthotists, prosthetists, and physical medicine and rehabilitation physicians working with amputation in CRAs. It is the culmination of various training courses sponsored by EACE, which is the leading advocate for the research and treatment of DoD / VA patients with extremity trauma and amputation.

Date taken: 07.06.2021
Date posted: 07.06.2021 16:06
Story ID: 400395
Location: SAN ANTONIO, Texas, United States

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