Breast CA Registration

Course Calendar

The PORi Breast Cancer rehabilitation course instructs participants in the clinical skill sets and techniques needed to effectively deliver well-structured, specialized oncology rehabilitation therapy to breast cancer patients in any phase of their cancer treatment and beyond. The clinical skill sets and techniques instructed in PORi are based on the PORi Body Systems Approach, which includes integrated treatment models designed to include Myofascial Trigger Point Release, Joint Mobilization, Neural Mobilization, Lymphatic Manual Drainage, Pain Mitigation and Functional Restoration.

​Prerequisite: Foundation in Oncology Rehabilitation
Course Capacity: up to 25 participants
Target Audience:  PT / OT / PTA / OTA
Course Type: Live Webinar / Video & Live Virtual Lab Sessions
Contact Hours: 31 hrs
Price: $1250

The integrated clinical techniques and the breast cancer patient management system are placed in the context of understanding the physiological and anatomical effects of cancer treatments including specific surgical interventions, chemotherapy regimens, radiation therapy, and adjuvant medications.

Careful study is made of the impact of cancer treatment on the Epidermal, Dermal, Myofascial, Skeletal, Lymphatic, Vascular and Neural Systems, and the treatment protocols instructed by PORi relate to the optimal resolution of signs and symptoms within these body systems.
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All of the clinical skill sets and techniques instructed within the PORi Oncology Rehabilitation Curriculum are derived from evidence-based clinical applications within the scope of Physical Therapy and Occupational Therapy practice.  One of the more defining elements of PORi, presented alongside PT/OT evidence-based clinical application, is the necessary physiological and anatomical knowledge unique to the oncology patient population, which is required by qualified practitioners to accurately and safely implement oncology-specific treatment plans and realistic goal-based outcomes for this patient population.

​Live and/or Video Patient Presentations
Running over 28hrs, the PORi Breast Cancer Rehabilitation continuing education course includes patient case presentations of patients who have undergone a variety of treatments for breast cancer and present with a variety of conditions and side-effects relating to their cancer treatments. For virtual courses, patient presentations will run from between 60 minutes and 90 minutes via pre-recorded videos of patient treatments, technique demonstrations and patient interviews. In live courses or live lab supplementary courses, a patient case presentation can run as long as 3 hours and participants are given the opportunity, with guided supervision from the instructor, to perform subjective and objective evaluations on these patients, as well as practice the appropriate techniques (presented in the course) on the patients during these lab sessions.

 Course Requirements

• Course participants must attend 90% of scheduled course hours
• Each participant must sign in and out of the course each day
• Each participant must complete the online post course exam

​Examination
Within 7 days of the completion of the course, participants are required to complete a 90 minute written examination.  There is also a participant competency exam of 2 separate patient volunteers (arranged by PORi).  Course participants will interview patient volunteers that will call in during the course and there will be a multidisciplinary clinical management implementation discussion.  Understanding of techniques of oncology rehabilitation therapy and their application as well as an understanding of the effects of cancer treatments on the body’s systems will be tested. A passing grade (75%) is required for Continuing Education Units to be issued. Participants who do not pass the exam will be eligible to sit a supplementary exam.

Target Audience for the Course
Qualified and Licensed Physical Therapists (Physiotherapists), Occupational Therapists, Physical Therapy Assistants, and Certified Occupational Therapists are the target audience for the course.

Ratio of Instructor to Participants
In-person courses are limited to 14 and, for live virtual, the number of participants is kept below 35 people so as to ensure optimal assimilation of information and concepts presented in the course.

Breast Cancer Rehabilitation - Course Objectives

Upon successful completion of the course, participants will be able to:

• Accurately list four anatomical/physiological body systems to be included in the evaluation and treatment of oncology patients using the PORi "body systems" approach.
• Describe breast cancer pathogenesis and its correlation to both genetic research and the functional behavior of tumor cells.
• Explain how genetic research and the functional behavior of tumor cells are impacting chemotherapy and targeted therapy treatment regimens, radiation therapy and hormone-based therapies
• Explain a clinical foundation of management for individual cancer patients using four elements of predictability of care related to tumor behavior (in-situ, invasive, node involvement, and metastatic) based on the AJCC Staging and Grading of cancer pathology.
• Describe at least two of the Physical Therapist/Occupational Therapist rehabilitative implications related to each of myelosuppression, cancer related fatigue, cardiotoxicity, and hormone changes in patients undergoing breast cancer treatment.
• Design a safe and appropriate oncology exercise program plan of care derived from the evidence-based guidelines, clinical tests and screening systems presented in the course.
• Explain the difference between the key treatment goals of patients with breast cancer receiving systemic chemotherapy regimens, targeted treatment regimens, and immunotherapy treatment regimens.  
• Identify at least two clinical signs and/or symptoms of differential diagnosis in oncology patients with metastatic cancer spread.
• Describe the evidence-based clinical presentation of two or more typical “Oncologic Emergencies” in each category of structural and metabolic emergencies
• List at least three evidence-based Functional Outcome Measurement Tools appropriate to the patient's breast cancer diagnosis
• Document at least three appropriate ICD-10 codes, three CPT codes, and three G-codes to reflect the skilled rehabilitation services provided to patients participating in oncology rehabilitation. 
• Incorporate two "medically necessary" criteria, into the documentation guidelines for patients with oncological/chronic conditions.
• Match the physiological impact of each phase of different breast cancer treatments on the body’s systems to the specialized clinical skills and early intervention strategies presented on the course designed to mitigate life-long sequelae of breast cancer survivorship.
• Describe how to use the PORi management system to provide a continuum of care across the primary phases of breast cancer treatment and into long term survivorship
• Justify at least three acceptable manual therapy techniques integrated into the PORi lympho-neuro-musculoskeletal treatment model for patients with either cancer-related surgical and/or radiation side effects. 
• Formulate oncology specialized evaluation protocols for patients with breast cancer-intervention related side effects
• Given three case scenarios, justify the appropriate phase of treatment application and goal setting for each patient with an impaired lymphatic system. 
• Explain how manual therapy and exercise techniques to strengthen the functional capacity of the lymphatic system during Stage 0-1 sub-clinical lymphedema can mitigate the lifetime risk of clinical lymphedema.
• Describe at least three marketing strategies to launch or grow a multi-disciplinary, comprehensive oncology rehabilitation program that spans both prehab and rehab.
• Describe four methods to document medical necessity and/or the necessity for skilled intervention within the protracted, long term survivorship needs the oncology patient population. 
• Implement a breast cancer rehabilitation program into their clinical practice using key PORI algorithms, PORI protocols, and evidence-based clinical practice presented in the course manual that is within the scope of professional practice
• Justify the need for patients to be referred into a comprehensive oncology rehabilitation program (including “prehab” and rehabilitation during active cancer treatment)

Pre-2018 PORi Certificate Holders
Any therapists that completed our pre-2018 PORi Certificate Program will have their PORi-Certification automatically converted to the Foundation in Oncology Rehabilitation plus the Breast Cancer Rehabilitation Therapist Course.

​Instructor Disclosures:
Julia Osborne, PT, CLT-LANA

• Financial Disclosure:  Julia is the owner of PORi and receives a salary for teaching & developing PORi courses.
• Nonfinancial Disclosure:  Julia has no relevant non-financial relationships to disclose.

Sarah Hahn, PT, DPT

• ​Financial Disclosure: Sarah receives a salary for teaching and developing PORi courses.
• Nonfinancial Disclosure: Sarah has no relevant non-financial relationships to disclose.

Breast CA Registration

Foundation Course Registration

Course Calendar

PORi Membership Site

CEU Information

• This course is approved for 31 Contact Hours for Physical Therapists and Physical Therapist Assistants by the Redefine– www.redefinehealthed.com/ceuinfo
• Florida CE Broker #s
  Live (In-Person or Virtual): 20-915727
• Other state approvals:  Texas and Ohio 
• please visit our CEU page for more information.