impact 2015

imPacT 2015

Physical Therapy Association of Georgia

Saturday, March 28 The Armstrong Center Savannah, Georgia

Registration Brochure

Saturday, March 28, 2015

7:00 AM - 6:30 PM Registration Desk Open

7:00 AM - 3:35 PM Sponsor Tables Open

7:00 AM - 7:45 AM Breakfast

7:00 AM - 7:45 AM Student SIG Meeting & Breakfast

7:00 AM - 7:45 AM PTA SIG Meeting & Breakfast

7:45 AM - 8:35 AM APTA Hot Topics Jeanine Gunn, PT, DPT

8:45 AM - 1:00 PM Career Fair

8:45 AM - 1:00 PM Treating the Injured Tennis Athlete - A Comprehensive Evidence-Based Approach Melissa Baudo Marchetti, PT, DPT, SCS, MTC 0.40 CEUs

8:45 AM - 1:00 PM Ethics & Jurisprudence in Physical Therapy Practice Kathleen Schaefer, PT, DPT, MBA & Anne Thompson, PT, EdD 0.40 CEUs

8:45 AM - 12:00 PM Management of Patients with Persistent Low Back Pain - Employing the Biopsychosocial Model into Clinical Practice Jeremy Fletcher, PT, DPT, CSCS, OCS & Mark Powers, PT, DPT, OCS 0.30 CEUs

8:45 AM - 10:45 AM Examination & Treatment of Patients with Disorders of Consciousness Danielle Bonner, PT, DPT, NCS 0.20 CEUs

10:45 AM - 11:15 AM Morning Break

11:00 AM - 1:00 PM Neuroplasticity Mechanisms Underlying Gait Rehabilitation Trisha Kesar, PT, PhD 0.20 CEUs

1:10 PM - 2:10 PM Town Hall Luncheon

2:20 PM - 3:20 PM 5x5 Research Panels 0.10 CEUs

3:20 PM - 3:35 PM Afternoon Break

3:35 PM - 4:35 PM Oxford Debate S. Kate Hamilton, PT, DPT, OCS & David Taylor, PT, DPT, GCS

4:35 PM - 5:30 PM SIG & Committee Mingle Student SIG PTA SIG Acute Care SIG Neurology SIG Private Practice SIG Delegates

5:30 PM - 6:30 PM Business Meeting

7:00 PM - 11:30 PM GA PT PAC Dinner at Moon River Brewing Company

PROGRAM AT A GLANCE

imPacT 2015 ! PAGE 2

imPacT is PTAG’s new spring meeting which will address the impact any new policy and payment changes will have on you as a physical therapist. The new addition of 5x5 Research Panels will also highlight the impact of new research from young professionals and clinical pearls from expert clinicians. The Town Hall Luncheon will offer a time to informally discuss trends and hot topics with the PTAG Board of Directors and fellow physical therapy colleagues. The Oxford Debate is a fun and interactive way of discussing issues with your state delegates before the House of Delegates meeting at APTA’s NEXT Conference. Before the Chapter Business Meeting, we will allow time for special interest groups to network and brainstorm ideas to advance our profession. Throughout the morning session, PTAG will host a Career Fair to encourage interaction between students and young professionals and established clinicians. This will be a great environment for generations of PTs to establish strong working relationships for mentoring and collaboration. We envision this meeting as a great time for intimate discussion of issues and learning as well as a fantastic environment for meeting your fellow colleagues from around the state.

We hope you enjoy the new face of our spring meeting and we look forward to bringing you many new and exciting things for the annual fall meeting as well!

All the Best,

Beth Collier, PT, DPT, OCS Vice President, Physical Therapy Association of Georgia (PTAG)

TABLE OF CONTENTS

Program at a Glance 2 Maps & Directions 10

Welcome to imPacT 2015! 3 Hotel Options 10

Table of Contents 3 Meeting Registration Form 11

Sessions 4 - 7 GA PT PAC Dinner Registration Form 12

Speaker Biographies 8 - 9 Upcoming PTAG & APTA Events 13

Registration Policies 9 Sponsors & Career Fair 13

WELCOME TO IMPACT 2015!



APTA Hot Topics

Treating the Injured Tennis Athlete - A Comprehensive Evidence-Based Approach

8:45 AM - 1:00 PM 0.40 CEUs

Melissa Baudo Marchetti, PT, DPT, SCS, MTC

Tennis is a popular sport with tens of millions of players participating worldwide and over 200 nations having an association with the International Tennis Federation. Atlanta is the #1 city for recreational tennis athletes with over 80,000 members of ALTA (Atlanta Lawn and Tennis Association). This popularity was one factor leading to the reappearance of tennis as a medal sport at the 1988 Summer Olympics in Seoul, South Korea. The volume of play, poor technique, change of surface combined with the current physical demands of the sport can lead to injuries within the musculoskeletal system. Tennis specific injuries can range from acute lower extremity injuries to chronic overuse injuries of the upper extremity. Understanding tennis biomechanics plays a key role in assisting physical therapists and tennis coaches to understand the mechanical characteristics of the tennis strokes and the role they play in injury. As physical therapists, we are responsible for returning these injured athletes back to the court. This 4-hour lecture will introduce attendees to the most current evidence in the treatment and rehabilitation of the injured tennis player including manual therapy, tennis stroke analysis, tennis specific corrective exercises, neuromuscular reeducation, Redcord Suspension Training and the Neurac Method, and player-specific factors, such as musculoskeletal weaknesses in the kinetic chain, volume of play, skill level, racket properties, grip positions, nutrition, and the effect of playing surface on the incidence and prevalence of tennis injuries. Upon completion, participants will be able to: • Understand the fundamentals and biomechanics of tennis • Understand the influence of surface, equipment, grip and training on common tennis injuries • Appropriately evaluate and screen the tennis athlete to identify causes of injury • Identify the kinetic chain and discuss the importance of an efficient kinetic chain in tennis • Identify common causes of tennis specific injuries • Identify the most common tennis related injuries and outline the current evidence-based treatment methods

and rehabilitation interventions including: Manual Therapy, Myofascial Triggerpoint Dry Needling, Stroke Analysis, Tennis-specific Neuromuscular Re-education & Taping, Redcord Suspension Training and the Neurac Method, Corrective Exercises and Strengthening, Therapeutic Modalities, Nutrition and Hydration Education, Stretching (Dynamic vs. Static), Tennis Specific Drills

• Discuss injury prevention strategies for the tennis athlete • Develop a return to tennis program for common tennis injuries and discuss how to get the athlete back on the

court

SESSIONS

7:45 AM - 8:35 AM

Jeanine Gunn, PT, DPT

Come join us for this opening general session with Jeanine Gunn, PTAG’s Board Liaison to the APTA, as she discusses nationwide hot topics! What are the APTA’s 2015 top public policy priorities? How will they impact you? How will they affect your practice? How can you get involved and take action? What are the new vision statement and 2015 strategic plan? How has the new vision reshaped the APTA’s? overall strategic plan? How can you incorporate it into your practice and PTAG activities?

8:45 AM - 1:00 PM 0.40 CEUs

Kathleen Schaefer, PT, DPT, MBA & Anne Thompson, PT, EdD

This four-hour course is designed to meet the ethics and jurisprudence requirement for continuing competence as mandated by the Georgia State Board of Physical Therapy. A review of theory, the APTA Codes of Ethics, Georgia Physical Therapy Practice Act, recent rules changes, and pertinent case law will be used together with discussion and case-based activities.

Content includes a review of the Georgia General Provisions (Title 43 Chapter 1 – specifically 43-1-9 and 43-1-19 through 43-1-27), Georgia Physical Therapy Practice Act (Title 43 Chapter 33), Board Rules (Chapter 490), Board Policies, and a general review of the Board website, including FAQ’s.activities.

Upon completion, participants will be able to: • Understand common terminology in physical and occupational therapy ethics and jurisprudence • Review the ethical foundations of the Georgia Physical Therapy Act • Apply ethical decision-making principles to case studies in physical therapy practice • Discuss the structure and roles of the Georgia legislature, state boards, legislative process, rulemaking

process, and common features of board structure • Review the rules and regulations of the Georgia Physical Therapy Practice Act pertaining to referral,

delegation, and practice. • Review the rules and regulations of the Georgia Physical Therapy Practice Act pertaining to licensure renewal

and continuing competency

Ethics & Jurisprudence in Physical Therapy Practice

8:45 AM - 12:00 PM 0.30 CEUs

Jeremy Fletcher, PT, DPT, CSCS, OCS & Mark Powers, PT, DPT, OCS

This session will focus on management of patient’s with persistent low back pain. The goals of this session are to explore the role therapist language has in management of these patients, as well as provide therapeutic neuroscience education and discuss its role as proven evidenced based intervention. We will also discuss persistent low back pain as a learned behavior and review utilization of behavior change theories and motivational interviewing in rehabilitation of these patients.

Upon completion, participants will be able to: • Understand the updated neuromatrix theory of pain and its role in treatment of patients with persistent low

back pain • Visualize chronic low back pain as a learned pain behavior which drives treatment decisions • Identify risk factors for chronicity in patients with persistent low back pain • Utilize appropriate evidence based screening tools to properly identify at risk patients and adjust prognosis

accordingly • Identify clinical interventions aimed to improve outcomes for patients that present with high psychosocial

distress • Review literature supporting the use of therapeutic neuroscience education in the management of patients

with persistent pain • Discuss the role therapist language has in the management of these patients utilizing supporting evidence • Discuss clinical applications of motivational interviewing for patients with chronic pain

Management of Patients with Persistent Low Back Pain - Employing the Biopsychosocial Model into Clinical Practice

SESSIONS


8:45 AM - 10:45 AM 0.20 CEUs

Danielle Bonner, PT, DPT, NCS

With the advancements in emergency medical care, patients with Disorders of Consciousness (DOC) are a growing population in neurological rehabilitation. Research demonstrates that these patients have higher rates of emergence from disorders of consciousness and greater functional improvements with structured rehabilitation. Also, structured and functionally based rehabilitation for patients with DOC have resulted in increased return to home and community with greater caregiver education and competence in caring for this unique patient population. This presentation is aimed at educating the clinician on the clinical features and presentation of each state of disordered consciousness including coma, vegetative state, and minimally conscious state and accurate diagnosis of each state. From this understanding, the clinician should then understand the current research behind the medical management and neuropharmacology for patients with disorders of consciousness. Examination of the patient with a disorder of consciousness will be discussed followed by specific treatment options and therapy interventions. Lastly, the concept of family inclusion in therapy interventions, caregiver education and long term care for the patient with disorders of consciousness will be discussed.

Upon completion, participants will be able to: • Understand the neuropathology of brain injury • Describe the differences between disorders of consciousness including coma, vegetative state and the

minimally conscious state • Distinguish the clinical features of each state of consciousness • Recognize pharmacologic interventions for decreased arousal • Describe the physical therapy examination for patients with disorders of consciousness • Determine prognosis and goals based on the examination findings • Create a treatment plan for a client in the minimally conscious state • Select outcome measures that incorporate changes in arousal and cognition • Discuss equipment and discharge considerations

Examination & Treatment of Patients with Disorders of Consciousness

11:00 AM - 1:00 PM 0.20 CEUs

Trisha Kesar, PT, PhD

The session will be in a lecture and discussion format. The speaker will provide a summary of a systematic review of literature pertaining to modulation of corticospinal excitability after clinical gait training. The attendees will engage in group discussion about why clinicians should care about the mechanisms and time courses underlying gait retraining interventions in individuals with neurological impairments. We will provide examples of how an in-depth understanding of neuroplasticity mechanisms can aid with the development of improved gait retraining interventions.

Upon completion, participants will be able to:

• Summarize the current literature on changes in corticospinal circuitry induced by clinical post-stroke gait retraining

• Elucidate how gait rehabilitation interventions can be modified to maximally harness neuroplasticity • Discuss how a better understanding of neuroplasticity mechanisms can help develop evidence-based gait

training strategies that can improve locomotor function in impairments with neurological impairments • Describe the physical therapy examination for patients with disorders of consciousness • Determine prognosis and goals based on the examination findings

Neuroplasticity Mechanisms Underlying Gait Rehabilitation

SESSIONS


SESSIONS

5x5 Research Panels

3:35 PM - 4:35 PM

S. Kate Hamilton, PT, DPT, OCS & David Taylor, PT, DPT, GCS

An Oxford debate is a formal, interactive debate in which audience participation is a key feature of the occasion, providing a fun opportunity for the public to voice their opinions. The debate focuses on a resolution relevant to physical therapist practice in Georgia, over which the two debate teams, both pro and con, dramatically address the motion in a systematic process of supporting and rebutting arguments. Audience participation is an important component of the Oxford debate. The audience is expected to participate by bringing points from the floor, for or against the resolution. The audience has been known to show their appreciation or displeasure via rousing applause, using the ever-present clickers and by moving between the pro and con sides of the auditorium to show support. The audience has a significant role in “influencing” the final decision of the moderator who will determine which team has made the most persuasive argument.

Prior topics at APTA national meetings include: 2014: Resolved: That evidence-driven manual therapy does not necessarily improve patient outcomes. http://www.apta.org/NEXT/News/2014/6/13/Oxford/ 2013: Resolved: That wellness and prevention are an integral part of physical therapist practice. 2012: Resolved: That graduation from an accredited entry-level doctor of physical therapy degree program and the subsequent completion of an approved residency program should be required for licensure as a physical therapist in the United States or its territories. 2011: Resolved: That the integration of clinical practice rules (CPR) into physical therapy practice represents the next logical step in the evolution and growth of the profession

Oxford Debate

SIG & Committee Mingle


2:20 PM - 3:20 PM 0.10 CEUs Are you looking to learn about the research developments in the physical therapy profession and have it presented in 10 minute bursts? Join us for 5x5 Research Panels! Students, Residents, Fellows & Clinicians will have an opportunity to share their clinical pearls/case studies for 5 minutes. We will then open the floor to the audience for an additional 5 minutes of questions and answers. Students, Residents, Fellows & Clinicians: If you are interested in presenting, contact [email protected] for 5x5 Call for Papers submission materials.

4:35 PM - 5:30 PM Join us for cocktail hour as you mingle at the SIGs and Delegates Meetings! Paid registrants receive one complimentary drink ticket. Additional drink tickets will be available to purchase on-site.

Business Meeting5:30 PM - 6:30 PM

New Time for 2015! Join us as we discuss the business of the Association, including updates on the Modernization of the Practice Act.

GA PT PAC Dinner at Moon River Brewing Company7:00 PM - 11:30 PM

Support the GA PT PAC and enjoy dinner at Moon River Brewing Company! Registration for this event is a separate process and form with payments made to GA PT PAC.

Melissa Baudo Marchetti, PT, DPT, SCS, MTC received her Doctor of Physical Therapy from Emory University and is a Board Certified Sports Clinical Specialist at One on One Physical Therapy, a multidisciplinary practice in Atlanta. For five years she was a full-time Sports Physiotherapist for the WTA Tour and is a Tennis Medicine Expert.

Danielle Bonner, PT, DPT, NCS received her DPT from Armstrong Atlantic State University in 2010. She has been a physical therapist in the Acquired Brain Injury Department at Shepherd Center in Atlanta, Georgia since May 2010. She has given presentations and focused her education on manual facilitation, visually guided postural facilitation, and disorders of consciousness.

Jeremy Fletcher, PT, DPT, CSCS, OCS is a 2010 graduate of the University of South Alabama’s Doctor of Physical Therapy program. He is currently an active duty officer stationed at Fort Stewart, GA where he serves as the Assistant Chief of Rehabilitative Services. His current interests include health promotion and behavior modification.

Jeanine Gunn, PT, DPT currently works for Therapeutic Associates as the Director of CareConnections, a web-based outcomes tool as well as having her own consulting company, Jeanine Gunn Rehab Consultants. Her clinical expertise focuses on orthopedic conditions, where she has overseen and coordinated specialty programs throughout her career. Dr. Gunn received her Masters degree in physical therapy from the University of Southern California (USC) in 1993 and her Doctor of Physical Therapy degree in 1999. During her doctoral education she was a graduate assistant in USC’s entry-level doctoral program, teaching in the yearlong orthopedics curriculum.

Dr. Gunn has spent much of her career working in private orthopedic practices, however she also has administrative hospital experience. As the Executive Director of Clinical Operations at Casa Colina Rehabilitation Hospital in Pomona, California, she was responsible for oversight of numerous programs. She was previously the Director of Operations for a startup EMR company, OptimisPT as well.

Dr. Gunn has been an active member of the American Physical Therapy Association (APTA) since 1991, where she has served at both the state and national levels. She is currently a Director on the APTA Board of Directors. Her current liaison responsibilities for the APTA BOD include 4 Chapters, 2 Sections, member of the Public Policy and Advocacy Committee, Chair of the Learning Task Force and Chair of the Strategic Business Partners work group. She is the immediate Past President of the Ohio Physical Therapy Association (OPTA) and prior to that was the Treasurer for OPTA and a member of the Board of Directors of the California Chapter. Nationally, she has served the APTA as Trustee on the Political Action Committee, a member of the Annual Conference Planning Committee, and on the Finance & Audit Committee.

S. Kate Hamilton, PT, DPT, OCS graduated with a Doctorate of Physical Therapy from Emory University in 2009 and currently works in pediatric sports medicine at Children’s Healthcare of Atlanta. Prior to joining the Children’s Sports Medicine team Kate worked as a physical therapist on multiple traveling Broadway shows, including The Lion King, Wicked, and War Horse. Kate is a board certified Orthopedic Clinical Specialist, a Georgia delegate to the APTA House of Delegates, a former APTA student assembly president, and has served on the APTA task forces for Governance Review and Membership Engagement/Leadership Development.

Trisha Kesar, PT, PhD is a faculty at Emory University’s Physical Therapy Division. Dr. Kesar completed her PhD in Biomechanics from University of Delaware. She is the Director of the Motion Analysis Lab at Emory. Dr. Kesar’s research focuses on elucidating the motor learning, neuroplasticity, and biomechanical mechanisms underlying post-stroke gait rehabilitation.

Mark Powers, PT, DPT, OCS graduated from Armstrong State University in 2011. He passed the OCS exam and is currently enrolled in a manual therapy fellowship program. Mark is currently employed by Amedisys Home Health and his research interests include pain sciences and exploring the role language and observation has in rehabilitation.

Kathleen Schaefer, PT, MBA, DPT has been in practice as a physical therapist since 2001. She holds a BA in French from the University of Virginia, MBA from the College of William and Mary, MS in Physical Therapy from Armstrong State University and a transitional DPT from Simmons College. She is an Assistant Professor and Academic Coordinator of Clinical Education in Armstrong’s DPT program.

SPEAKER BIOGRAPHIES


David Taylor, PT, DPT, GCS is a Clinical Assistant Professor in the Department of Physical Therapy at Mercer University in Atlanta, Georgia. Dr. Taylor received his B.S. in Psychology in 1988, Master of Physical Therapy in 1992, and Doctor of Physical Therapy in 2004 from Emory University. He has been a Board Certified Clinical Specialist in Geriatric Physical Therapy since 2001. Dr. Taylor’s teaching responsibilities include health promotion, geriatric physical therapy, service-learning, and clinical education. Dr. Taylor served as Georgia Delegate in the 2014 & 2015 House of Delegates and was the recipient of the 2014 Lynn Phillippi Advocacy for Older Adults Award from the Academy of Geriatric Physical Therapy. He has taught Ethics and Jurisprudence continuing competence courses in Georgia since 2005.

Anne Thompson, PT, EdD has been a practicing physical therapist since 1977. She received a BS in Psychology from the College of William and Mary, MS in Physical Therapy from Duke University and EdD in Educational Administration from Georgia Southern University. She is the Interim Dean for the College of Health Professions and the Director of the Doctor of Physical Therapy Program. She is the Past President of PTAG, 2015 Federal Liaison, and an APTA Credentialed Trainer for the Level 1 Clinical Instructor course.


SPEAKER BIOGRAPHIES

REGISTRATION POLICIES

Session Handouts Session handouts will be distributed online and not provided on-site. On Tuesday, March 24, a link to the documents will be sent to all registrants. Please print or have available on your mobile device.

Registration Discounts Recent Graduate Members who graduated in 2014 are eligible for a $50 discount.

Post-Doctorate Specialty Program Members who are enrolled in an APTA credentialed specialty program as a post-doctorate student are eligible for a 70% discount (of the PT Member rate). Price is pre-calculated on registration form.

Registration Fees Registration fees include all meals and admittance to all classes, career fair, business meeting, SIG meetings and Delegates meeting.

Early Bird, Regular & On-Site Registration Deadlines Registrations must be received by Friday, February 27, 2015 to take advantage of the early bird rate. Registrations received between Saturday, February 28, 2015 and Monday, March 23, 2015 are eligible for the regular rate. Those received after Monday, March 23, 2015 will receive the on-site rate. The late fees will not be waived. Online registration closes 5:00 PM on Monday, March 23, 2015.

On-Site Registrations On-site registration is limited. There is not a guarantee of availability of seats to those registering on-site.

Cancellations Cancellations made in writing (mail, e-mail or fax), postmarked by Friday, March 6, 2015 will receive an 80% refund of the registration fee. Refunds will not be made for cancellations made less than seven days prior to the start of the meeting.

ADA Compliance In compliance with the American Disabilities Act of 1990, PTAG will make all reasonable efforts to accommodate persons with disabilities at the meeting.

Office Closed The PTAG Executive Office will be closed Wednesday, March 25 - Monday, March 30. The office will reopen on Tuesday, March 31.

MAPS & DIRECTIONS


Armstrong Center ! 13040 Abercorn St ! Savannah, GA 31416

Northbound Travel north on interstate 95 (I-95N). Take exit 94, GA-204, toward Savannah/Pembroke. Turn right onto GA-204 E for 7.3 miles to AASU. Continue to the intersection of Abercorn & Apache.

Southbound Travel south on interstate 95 (I-95N). Take exit 94, GA-204, toward Savannah/Pembroke. Turn left onto GA-204 E for 7.5 miles. AASU is on your right and has 2 entrances. Continue to the intersection of Abercorn & Apache.

Eastbound Travel east on interstate I-16 (I-16E). Take exit 157A onto 95 (I-95S) toward Brunswick/Jacksonville for 5.1 miles. Turn onto GA-204E for 7.5 miles. AASU is on your right and has 2 entrances. Continue to the intersection of Abercorn & Apache.

HOTEL OPTIONS

Holiday Inn Express & Suites Savannah-Midtown 11325 Abercorn St Savannah, GA 31419 912-629-0900 1.4 miles from the Armstrong Center

Courtyard by Marriott Savannah-Midtown 6703 Abercorn St Savannah, GA 31405 912-354-7878 5.3 miles from the Armstrong Center

Homewood Suites by Hilton Savannah-Midtown 5820 White Bluff Rd Savannah, GA 31405 912-353-8500 5.3 miles from the Armstrong Center

REGISTRATION FEE

Registration Deadline

APTA Member Fee APTA Non-Member Fee

PT Post-Prof. PT

PTA STU PT PTA STU

Early Bird Rate - Save $25! Received by Friday, February 27

! $120 ! $36 ! $90 ! $30 ! $150 ! $120 ! $60

Regular Rate Received by Monday, March 23

! $145 ! $61 ! $115 ! $55 ! $175 ! $145 ! $85

On-Site Rate Received after Monday, March 23

! $170 ! $86 ! $140 ! $80 ! $200 ! $170 ! $110

Business Meeting and SIG & Committee Mingle ONLY!

! $0 ! $0 ! $0 ! $0

imPacT 2015 Pre-Registration Form

Saturday, March 28 " Armstrong Center " Savannah, Georgia

PAYMENT

Registration Fee: $___________________

Members Only Discount: $___________________ Subtract $50 for 2014 graduates.

Voluntary GA PT PAC Donation: $___________________

TOTAL DUE: $___________________

PAYMENT METHOD ! Check ! VISA ! MC ! Discover ! AMEX Checks should be made payable to PTAG. Credit card statement will reflect a charge to PTAG.

Name on Card: __________________________________________

Check/Card #: ___________________________________________

Expiration Date: _______________ CVV/CVC: _______________

Billing ZIP: ___________________ Date: _____________________

Signature: ______________________________________________

Send Registration Form & Payment to: Physical Therapy Association of Georgia (PTAG)

1260 Winchester Parkway SE Suite 205 Smyrna, GA 30080-6546

P: 770-433-2418 " F: 770-433-2907 " [email protected] Register Online: www.ptagonline.org

•Cancellations must be received in writing by Friday, March 6. •Online registration closes 5:00 PM on Monday, March 23. •PTAG Executive Office will be closed Wednesday, March 25 - Monday, March 30.

! APTA Member ! APTA Non-Member

APTA ID #: ________________________ PTAG District #: ______ ! PT ! PT STU (SPT) ! PTA ! PTA STU (SPTA)

Full Name, Including Credentials: Informal Name (for Badge):

Address:

City, State ZIP: Phone Number (Daytime):

Email:

! My name, credentials and city can be published in the on-site roster.

Special Needs and/or Dietary Requirements: ! I require BOC documentation.

BREAKOUT SESSIONS: Please select one.

! Treating the Injured Tennis Athlete (0.40) ! Ethics & Jurisprudence in Physical Therapy Practice (0.40) ! Management of Patients with Persistent Low Back Pain (0.30) ! Examination & Treatment of Patients with Disorders of Consciousness (0.20)

! Neuroplasticity Mechanisms Underlying Gait Rehabilitation (0.10) ! Combination Course: Examination & Treatment of Patients with Disorders of Consciousness / Neuroplasticity Mechanisms Underlying Gait Rehabilitation (0.40)

SIG & COMMITTEE MINGLE:

! Student SIG ! Neurology SIG ! PTA SIG ! Private Practice SIG ! Acute Care SIG ! Delegates

GA PAC Dinner Registration is available on a separate form with payments made to GA PT PAC.

http://www.ptagonline.org


imPacT 2015 GA PT PAC Dinner

Saturday, March 28 ! Moon River Brewing Company ! Savannah, Georgia

PAYMENT

# of Tickets: _________________

Guest 1 Name: _______________________________________

Guest 2 Name: _______________________________________

Guest 2 Name: _______________________________________

Ticket Price: $_________________ $40 each by Friday, February 27 $50 each after Friday, February 27 Very limited number of tickets available on-site

Voluntary GA PT PAC Donation: $_________________

TOTAL DUE: $_________________

Send Registration Form & Payment to: GA PT PAC

1260 Winchester Parkway SE Suite 205

Smyrna, GA 30080-6546 P: 770-433-2418 F: 770-433-2907

[email protected] Register Online:

www.ptagonline.org

•Cancellations will be considered a donation to the GA PT PAC. •Online registration closes 5:00 PM on Monday, March 23. •PTAG Executive Office will be closed Wednesday, March 25 - Monday, March 30.

Full Name, Including Credentials: Informal Name (for Badge):

Address:

City, State ZIP: Phone Number (Daytime):

Email: Special Needs and/or Dietary Requirements:

PAYMENT METHOD " Check " VISA " MC " Discover " AMEX Checks should be made payable to GA PT PAC. Credit card statement will reflect a charge to PTAG.

Name on Card: ________________________________________

Check/Card #: _________________________________________

Expiration Date: ______________ CVV/CVC: ______________

Billing ZIP: __________________ Date: ____________________

Signature: ____________________________________________

21 W Bay St Savannah, GA 31401

Saturday, March 28 7:00 PM - 11:30 PM

Join PTs, PTAs and students along with friends and family for an eventful night supporting the GA PT PAC! After a fulfilling day of networking and education at imPacT 2015, we will have a full dinner, drinks and conversation at Savannah’s famous Moon River Brewing Company.

Tickets are only $40, until Friday, February 27. The price covers your full dinner and drink ticket.



SPONSORS & CAREER FAIR

PTAG invites your organization and organizations with which you do business to participate as an imPacT 2015 Sponsor! This is a great opportunity to highlight your organization as one who supports the professional development of the physical therapist and have face-time with current and potential clients.

New for 2015! PTAG is hosting a Career Fair! This is the perfect place to reach the graduating PT and PTA students so you can fill those permanent, contract and internship positions.

For more information on sponsorship and the Career Fair, visit www.ptagonline.org or contact [email protected].

PTAG Executive Office 1260 Winchester Pkwy SE Suite 205 Smyrna, GA 30080-6546 770-433-2418 !770-433-3907 - FAX [email protected]!www.ptagonline.org PTAGInfo PTAGInfo PTAGBlog.com

UPCOMING PTAG & APTA EVENTS

NEXT Conference & Exposition June 3 - 6, 2015

National Harbor, Maryland

PTAG Fall Meeting TBA TBA

PT Month October 2015

National Student Conclave (NSC) October 22 - 24, 2015

Omaha, Nebraska

impact 2015

Documents