Conference Presentation Ideas

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Wonsung
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Joined: 07/19/2007

I am going to be presenting in Washington DC to the Institute of Medicine's standing commitee advisory panel on Disability to Medicare at their conference in April. The audience is people who look atr disability cases, review disability cases, Medicare panel who are making decisions on Medicare and physicians and nurses.

I am going to be covering several topics regarding the use of FCE in disability cases:

-general purpose of FCE and FCE questions that referral sources may have regarding RPDR, effort, maximum capacity and comparisons to Dic.Occ.tites

- Some conclusions that can be drawn from FCE's

-Importance of psychosocial factors/cognitive factors that we may gain especially via RPDR, in a medical model changing to the ICF model

- Being careful with use of strict kineseophysilogic factor guided FCE that neglect the personal and environmental factors that effect FCE outcomes(again, drawing back to the ICF model)

- guidance or appropriate referrals for people who show low RPDR/low effort (some literature from SZ George, Paul hodges and company that looks into reversing fear avoidance and catastrophizing behaviors that may lead to low effort with FCE) with appropriate graded rehabilitation programs that may not have been performed or cognitive based counseling etc

-guidance or counseling for people who show at least sedentary physical demand level and positional tolerance along with hand function into an appropriate state funded vocational rehabilitation program versus permanent federal disability

-addressing low predictive validity of FCE and effect of a biased sample for some of these studies (people sometimes get FCE's because they are already at the end of the road).

I got some heavy hitters on the panel I will be adressing including Tony Delitto, so I want to be prepared, and have some experience with national conference presentations, but I still want to be over prepared than under prepared.  Anybody have any other suggestions, it would be greatly welcome as I address the government's advisory panel.  Thanks in advance.

Jim Clouse
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Joined: 10/06/2004
Len's Paper

You might consider reading/printing Dr. Leonard Matheson's presentation to Congress from, I believe 2004.  It is available for dowload at epicrehab.com.  Among other pertinent theoretical points, he lists at least 12 reasons why an evaluee might not partiicipate with high levels of effort.  I found it to be a really good read!!