HERMES physiotherapy

Transcription

1 HERMES physiotherapy

2 Outline What is HERMES The Challenges for PT process of HERMES The steps for HERMES PT The next steps

3 Harmonised Education in respiratory medicine for European specialties (HERMES)

4 GENERAL AIMS OF HERMES Standardise training and education within different specialties of respiratory medicine. HERMES seeks to prescribe the knowledge and skills required of the respiratory specialists and produce educational tools to support the implementation of various educational activities.

5 Respiratory InfecGons (2014) Adult Respiratory Medicine (2005) Paediatric Respiratory Medicine (2008) HERMES Task Forces Thoracic Surgery (2014) Spirometry (2009) Physiotherapy (2012) Respiratory Sleep Medicine (2009) Thoracic Oncology (2011) Respiratory CriGcal Care (2010)

6 CHALLENGES FOR PHYSIOTHERAPY Heterogeneity of the graduate education Heterogeneity of the field Absence of legal requirement for specialization in many (most) countries

7 CHALLENGES FOR PHYSIOTHERAPY Heterogeneity of the graduate education <1yr Duration >4yrs 1yr 2yrs Type (professional, academic) Availability of specialization 4yrs 3yrs

8 CHALLENGES FOR PHYSIOTHERAPY Heterogeneity of the field

9 CHALLENGES FOR PHYSIOTHERAPY Legal requirement for specialization What would be the added value? <1year 27% 1year 27% 2years 29% 3+years 17% Yes No Don't know

10 THE HERMES PROCESS SituaGonal Analysis Monitoring and EvaluaGon Statement of Intent OrganisaGon and ImplementaGon Programme Building (syllabus) Programme Building (assessment) Programme Building (knowledge, skills, aztudes)

11 THE HERMES PROCESS

12 DEVELOPMENT OF SYLLABUS (WHAT NEEDS TO BE TAUGHT)

13 DEVELOPMENT OF SYLLABUS (WHAT NEEDS TO BE THAUGHT) Critical decisions Separate track Adults vs Pediatric (although covering largely similar broad topics) Additional (optional) modules for ICU

14 DEVELOPMENT OF SYLLABUS (WHAT NEEDS TO BE TAUGHT) Adult non- cri-cal Adult cri-cal Paediatrics (including newborn and infants) Assessment x x x x Techniques for airway clearance x x x x Respiratory muscle assessment and training, breathing strategies and techniques for lung expansion x x X x Exercise and physical ac-vity X x x x Pre- and post opera-ve physiotherapy X x x x Pharmacotherapy relevant to the physiotherapist X x x x Non- invasive ven-la-on x x x x Paediatric Cri-cal Physiotherapy in the intensive care unit x x Mechanical ven-la-on for the respiratory physiotherapist x x Introduc-on to respiratory Paediatrics x x Communica-on and educa-on x x x x Research x x x x

15 SYLABUS EXAMPLE MODULE 1 Assessment of adult Mandatory ü Anamnesis, inspecgon, general aspects ü Dyspnoea ü Respiratory pa]ern ü AuscultaGon ü Cough and mucus ü Lung funcgon test: assessment and interpretagon ü Peripheral muscle strength: assessment and interpretagon ü Blood gases: interpretagon ü Basic interpretagon of chest radiograph ü Physical acgvity ü FuncGonal status/acgviges of daily living Module Adult track: noncri-cal pa-ents

16 SYLABUS EXAMPLE MODULE 2 Techniques for airway clearance in the adult pa-ent Mandatory ü RaGonale and indicagons ü Body posigoning for secregon clearance and dyspnoea management ü Manual techniques (including manually assisted cough), manual hyperinflagon, air stacking and glossopharyngeal breathing ü Forced expiratory technique, acgve cycle of breathing, autogenic drainage, ELTGOL ü Devices (PEP, oscillatory PEP, IPV, HFCWO, in/exsufflagon- assisted cough ü Aerosoltherapy and humidificagon ü Airway sucgoning ü Exercise as a technique for airway clearance ü Self- management techniques/educagon ü Summarising the evidence and reference to evidence- based documents

17 WHAT S NEXT... Translating a syllabus into a curriculum

18 WHAT S NEXT... SituaGonal Analysis Monitoring and EvaluaGon Statement of Intent OrganisaGon and ImplementaGon Programme Building (syllabus) Programme Building (assessment) Programme Building (knowledge, skills, aztudes)

19 TO BE DECIDED What type of educational material do we need How will the exam be organized CME Online modules Procedure videos Case reports

20 HERMES EDUCATION MODEL Postgraduate courses Hands-on workshops Preparation course for the examinations Train-the-trainer E-Learning Modules Online knowledge tests Syllabus Curriculum European examinations and other assessments Other teaching materials (handbooks, website) Training Centre Accreditation

21 HERMES ASSESSMENTS KNOWLEDGE BASED ASSESSMENTS Multiple choice question examination SKILLS BASED ASSESSMENTS Portfolio Direct observation of procedural skills Simulation

22 IN SUMMARY There is a need for harmonized PG education in respiratory PT The HERMES PT project is designed to provide a framework for such education The project has developed a syllabus for PTs working with adult and pediatric patients A curriculum describing in detail the knowledge, skills and attitudes is being developed

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