CMEs (Continuing Medical Education) for PTs (physical therapists), OTs (occupational therapists) from Davenport, Stevens, VanNess, 2019

Todd Davenport, Mark VanNess & Staci Stevens have announced two CMEs for PTs, OTs and nurses provided through MedBridge.

The first one is
ME/CFS Part 1: Introduction and Identification
https://www.medbridgeeducation.com/...on-todd-davenport-staci-stevens-mark-van-ness

ME/CFS Part 2: Etiology and Analeptic Management
https://www.medbridgeeducation.com/...nt-todd-davenport-staci-stevens-mark-van-ness

I have not watched these yet but expect these courses will be very helpful to get PTs and OTs get ME and PEM

 

More info on Chapters and Learning Objectives

Part 1: Introduction and Identification

1. What's in a Name and Why Does it Matter?
Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) is identified on the basis of case definition criteria. Over time, several sets of case definition criteria have been developed. The purpose of this section is to describe the epidemiological background of case definition criteria, present the common contemporary case definition criteria for ME/CFS for use in the clinic, and discuss the relative utility of contemporary case definition criteria to identify ME/CFS

2. Objective Evidence of Post-Exertional Malaise and Exercise Impairment in ME/CFS
The provocation of symptoms and signs in ME/CFS in response to exertion suggests the presence of measurable physiological deficits in the post-exertional state. A 2-day maximal cardiopulmonary exercise test (CPET) paradigm was devised, which has revealed a whole host of cardiac, pulmonary, metabolic, and symptomatic differences between people with ME/CFS and sedentary people after an initial bout of exertion. The purposes of this chapter are to acquaint the learner with the 2-day maximal CPET paradigm and to describe the scientific research it has generated regarding the physiological basis of post-exertional malaise.
​

Part 2 - Etiology and Analeptic Management

1. Etiological Clues From Cardiopulonary Exercise Testing
Measurements obtained during maximal cardiopulmonary exercise tests (CPET) are commonly used across clinical populations to make determinations regarding cardiac, pulmonary, and metabolic deficits that may underlie disablement, as well as to stratify the severity of functional impairment. Similarly, maximal CPET has been used in people with ME/CFS. The purpose of this chapter is to introduce the learner to inferences that can be made regarding the pathoetiology of disablement in ME/CFS, based on maximal CPET data.

2. Analeptic Strategies for ME/CFS
Clinical management strategies for ME/CFS should be informed by current physiological evidence. Specifically, CPET findings of aerobic system dysfunction suggest that clinical management should emphasize energy conservation self-management strategies and restorative anaerobic activities, as tolerated by the patient. The purpose of this chapter is to describe a staged approach to analeptic management for people with ME/CFS.​

 

Could you expand on what CME, PT, and OT stand for, please.

 

CMEs are Continuing Medical Education courses for medical folk. PT and OT, I'm assuming, stand for physical therapy and osteotherapy.

 

Probably physical therapist (PT) and occupational therapist (OT).

 

they seem to have courses for a few more health professionals as well, including home care aides and nurses.

 

I would like to know more about the activity part before recommending this to anyone.

Anaerobic activity didn't do better than pacing or the relaxation (control) group in the study referenced in these posts (each group recorded some symptoms better and some worse, iirc, but pacing was better than others overall--if there was even a statistically significant difference between groups):
https://forums.phoenixrising.me/thr...erapist-management-of-cfs-me.2638/#post-62338
https://forums.phoenixrising.me/thr...-recent-afme-survey-report.30354/#post-464586

(The site that was hosting the paper is now down.)

 

Thanks. I'm following this. It's potentially useful info.

 

Thank you for tagging us - we have been in contact with Workwell as we have lots of questions as part of our quest to understand their exercise physiology work. This certainly looks very interesting

 

Anybody had a chance to look through this material yet?

 

Very interested to hear if any Occupational Therapists, Physiotherapists or Exercise Psychologists have done this training and provided feedback? @PhysiosforME? And if any ME/CFS experts have reviewed the content.

I understand that Workwell Foundation recommend this (were involved in it's development in fact) and have a good reputation, but would appreciate knowing if this particular material is worth recommending.
Kind of have an urgent need actually.

https://workwellfoundation.org/resources/ suggests it is normally US$375 to do, but if you use the promo code WORKWELL the cost is discounted to US$200. A bit of a blocker from us doing it for review purposes.

 

@Hutan perhaps our partnership funding could cover you doing this course so we can have it reviewed?

 

Thanks @Hutan, I guess at this stage we recommend the other non-cme material is done on an individual basis and with the professionals applying for credits personally.