Deductive Reasoning in Acute Care Physical Therapy Diagnosis: Solving the Differential Puzzle
Section: Academy of Acute Care PT
Session Code: AC-2B-8762
Date: Friday, January 25, 2019
Time: 11:00 AM - 1:00 PM
Location: Walter E. Washington Convention Center
Room: 144B

Speaker(s):   Sujoy Bose, PT, DPT, MHS, Board-Certified Clinical Specialist in Cardiovascular and Pulmonary Physical Therapy

Session Type: Educational Sessions
Session Level: Advanced

The concept of differential diagnosis is not foreign to physical therapist practice. Yet, despite modern curricular advances, the true realization of the importance of differential diagnosis in the primary care approach of an acute care PT is rarely the focus of teaching and research. And not quite unlike the medical model, there are numerous case scenarios in contemporary acute care PT practice that never receive a critical assessment of the differential to pinpoint the source of the signs and symptoms.

Consequent errors in differential diagnosis in acute care PT practice, where patients present with seemingly multisystem symptomatology, are rampant. And often, patients in the acute care setting receive physical therapy interventions that are generic: the fabled bed mobility, transfers, and gait goals in PT practice is legend. Yet, in many cases, these are neither individualized, nor indicated, nor evidence-based. This leads to patient dissatisfaction, physician apathy, overutilization of finite resources, and a general undervaluation of a doctorally-trained PT.

Using lecture, case-series, and small-group discussions, the speaker will demonstrate the art of inquiry into the puzzle of symptoms and signs in some patients admitted to general medical and some specialty wards of a busy hospital, where physicians work closely with highly-trained PT colleagues for rapid triage and assistance with case solutions. Attendees will take away strategies for teaching differential diagnosis and approaches to intuitive and analytical reasoning.

Learning Objectives: Upon completion of this course, you will be able to:

1. Discuss potential errors in identifying the source of symptoms and signs in patients referred to acute care physical therapy in non-critically-ill setting.

2. Analyze a set of given clinical data to develop a hypothesis of causation and systems involved, using evidence-based constructs.

3. Apply concepts of intuitive and analytic differential diagnosis to case vignettes presented during small-group discussions.

4. Successfully incorporate strategies of differential diagnosis to some common problems encountered in acute care PT practice.

CEU: 0.2

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