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The course instructs participants in the clinical skill sets and techniques needed to effectively deliver well-structured specialized oncology rehabilitation therapy to pelvic cancer patients in any phase of their cancer treatment and beyond.

Examples of the types of cancer diagnoses that could be treated based on the clinical skills, and algorithms in this course are:

• Gynecological Cancers (incl. Ovarian, Uterine, Cervical, Vaginal, Vulvar)
• Male Reproductive Cancers (Prostate, Testicular)
• Urological Cancers (Kidney, Bladder)​

​Prerequisite: Foundation in Oncology Rehabilitation
Target Audience:  PT / OT / PTA / OTA
Course Type: Live Webinar / Video & Live Virtual Lab Sessions
Contact Hours: 30 hrs
​Price: $1250 

The clinical skill sets and techniques instructed in PORi are based on integrated treatment models designed to include Myofascial Trigger Point Release, Joint Mobilization, Neural Mobilization, Visceral Mobilization Lymphatic Manual Drainage, Pain Mitigation, Bowel and Bladder Functional Restoration and Functional Movement Restoration.  This course does not include internal (vaginal/rectal) techniques as those are reserved for an advanced pelvic floor dysfunction course.  

These techniques 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, Neural, and Urogenital Systems and the treatment protocols instructed by PORi relate to the optimal resolution of signs and symptoms within these body systems.

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 30 hrs, the PORi Pelvic Cancer & Lower Extremity Rehabilitation continuing education course includes patient case presentations of patients who have undergone a variety of treatments for pelvic 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.

Pelvic Cancer & Lower Extremity Rehabilitation - Course Objectives

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

• List 5 pelvic cancers pathogenesis.
• Describe AJCC Staging and Grading of cancer pathology.
• Describe four physiological body systems to be assessed during the evaluation and examination of a patient with pelvic cancer.
• Identify 2 treatment goals for patients with pelvic cancers based on the patient’s AJCC stage of cancer.
• Discuss 3 implications related to gastrointestinal toxicity in patients undergoing pelvic cancer treatment.
• Participant will state 4 clinical signs & symptoms of pelvic radiation disease and radiation fibrosis.
• Identify at 3 clinical signs or symptoms of progressive metastatic disease.
• Describe the evidence-based clinical presentation of at least two typical “Oncologic Emergencies”.
• List at least three evidence-based Functional Outcome Measurement Tools appropriate to the patient's pelvic cancer diagnosis.
• Formulate a list at least 3 effective patient evaluation questions for a patient who has undergone systemic chemotherapy.
• Explain one surgical impact and one radiation impact on the pelvic cancer patient.
• List at least five manual therapy techniques to effectively promote fluid dynamics and tissue healing for a lower body impacted lymphatic system.
• Explain one impact of hormone suppressant therapy on both the myofascial and skeletal body systems. 

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 Abramov, PT, DTP

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

pELVIC ca & le Registration

Foundation Course Registration

Course Calendar

PORi Membership Site

CEU Information

• Continuing Education Units for Physical Therapy and Occupational Therapy vary from State to State - please visit our CEU page for more information.
• This course is approved for 30 Contact Hours for Physical Therapists and Physical Therapist Assistants by the Redefine– www.redefinehealthed.com/ceuinfo
• Florida CE Broker #: 
  Live = 20-920677
  
• Other state approvals:  Texas and Ohio 
  

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PORi CORE: Pelvic Cancer and Lower Extremity Rehabilitation - Course Outline

Day 1 - 8hrs 30mins

Morning

• Introductions​
• Building Blocks of PORi
• Pelvic Anatomy and Body System Delivery Pathways
  

Afternoon

• Bladder Cancer
• Testicular Cancer
• Patient Video/Lab

Day 2 - 8hrs 30mins

Morning

• Prostate Cancer
• Patient Video/Lab
• Rehab Considerations: Male Reproductive & Urological Cancers
• Anal Cancer

Afternoon

• Rehab Considerations: Anorectal and Bowel Impairments
• Ovarian Cancer
• Patient Video/Lab
• Uterine Cancer

Day 3 - 8hrs 30mins

Morning

• Uterine Cancer continued...
• Patient Video/Lab
• Cervical Cancer
  

Afternoon

• Vulvar Cancer
• Rehabilitation Considerations:  Gynecological Cancers
• PORi Practice Patterns for Pelvic Cancers
• PORi Treatment Protocol for Pelvis/LE
  

Day 4 - 5hrs 30mins

Morning

• Workshop: Self Care, Resilience, Strength Against Burnout
• Metastatic Disease and Oncologic Emergencies
• PORi Patient Evaluation for Pelvic/LE Impairments
• Functional Movement and PORi Profiling
• Guidelines In Documentation
  
• Patient Video/Lab Reviews

WRITTEN EXAM (to be taken within 7 days)​