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Volume 12, No. 1F — January 2013

Occupational Therapists & COTAs
NEWS-Line for

News, Information and Career Opportunities

Study Questions Reasons for Routine Pelvic Exams Exercise Program Helps Pediatric Cancer Survivors Regain Physical Strength, Balance, Encourages Weight Loss


“Clumps” and “Gaps” Typify Public Health Social Network

Hana Bernett, BSHS, MOT,
Occupational Therapist
in Broomall, Pennsylvania
Conferences & Educational Opportunities • Job Opportunities


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& QA with Hana Bernett, BSHS, MOT,

Occupational Therapist in Broomall, Pennsylvania

Hana Bernett is a pediatric occupational therapist at Theraplay. She has a minor in fine art, and BSHS and master’s of occupational therapy from Quinnipiac University in Hamden, Connecticut. When not helping children reach their therapy goals, Hana can be found on her “soapbox” educating people about occupational therapy. She says, “I think it is very important to support the profession and educate the populace about the benefits.”

7 Occupational Therapy News
Study Questions Reasons for Routine Pelvic Exams Exercise Program Helps Pediatric Cancer Survivors Regain Physical Strength, Balance, Encourages Weight Loss “Clumps” and “Gaps” Typify Public Health Social Network

NEWS-Line for Occupational Therapists & COTAs is intended to serve as a news and information source, not as a replacement for clinical education. Readers are advised to seek appropriate clinical and/or reference material before acting on NEWS-Line information. Views expressed do not necessarily reflect the opinion of the NEWSLine management, ownership or staff. Advertising Policies: Errors on our part will be reprinted at no charge if notified within 10 days of publication. Publisher reserves right to refuse any advertising. Any copying, republication or redistribution of NEWS-Line content is expressly prohibited without the prior written consent of NEWS-Line.

10 Conferences & Educational Opportunities

12 Job Opportunities
12. National and Pennsylvania 13. Virginia, North Carolina, Illinois and Texas 14. Michigan, California and Washington

NEWS-Line Publishing, 661 Moore Rd., Suite 100, King of Prussia, PA 19406 Phone: 800-634-5463 • Fax: 610-337-1049 • Advertising: [email protected] • Editorial: [email protected]


Q: Why did you become an occupational therapist? A: After my mother had three children she decided to leave the art therapy field and become a preschool teacher to spend more time with the family. It was in this setting where she became familiar with occupational therapy, a profession my father was already very acquainted with as a geriatrician. Both of them recognized my potential in this field and encouraged me to seek out opportunities to shadow professionals and learn more about this dynamic profession, which I am so proud to be associated with today. After an extensive day shadowing one therapist traveling from two different pediatric settings to a geriatric setting to assistant teaching a class at a city college, I knew I had found a career, which would continue to challenge and motivate me throughout my life. Q: What can you tell us about Theraplay? A: It is an ever-expanding company with multiple facilities located around Pennsylvania. The site that I work at is located in Broomall and the population consists of children, infants to 21 years old, both typically developing and with special needs. Among the services the OT team offers are sensory integration, handwriting, feeding, ALERT program, and Therapeutic Listening. Q: When and how did you start at this facility? A: I started with Theraplay approximately one year ago; however, I

& QA with Hana Bernett, BSHS, MOT,

Occupational Therapist in Broomall, Pennsylvania

Hana Bernett is a pediatric occupational therapist at Theraplay. She has a minor in fine art, and BSHS and master’s of occupational therapy from Quinnipiac University in Hamden, Connecticut. When not helping children reach their therapy goals, Hana can be found on her “soapbox” educating people about occupational therapy. She says, “I think it is very important to support the profession and educate the populace about the benefits.”


NEWS-Line for Occupational Therapists & COTAs • January 2013 Feature

became familiar with them while I was in graduate school and attended an in-service for parents and paraprofessionals on a topic related to sensory integration and behaviors. Flash forward to two years later when I stopped at the Theraplay booth at the annual AOTA conference in Philadelphia and provided them with my information. One week before I sat for my national board certification exam I received an e-mail from them, and although I did not want to apply for a job before I took my exam, I thought the e-mail to be kismet and jumped on the bandwagon. A: The OT teams generally sees a population consisting of Autism Spectrum Disorder clients as well as children with ADD/ADHD and children with fine motor delays. Q: Are there other areas of interest for you as an OT, either clinically or educationally, that you plan to pursue?

A: Since occupational therapy is so dynamic I relish the opportunity to further develop my clinical knowledge in both the pediatric population and the geriatric, rehabilitative population. They sound very different, but there Q: Typically, what are your dayare a lot of similarities reflected in to-day responsibilities as an OT? the presentation of symptoms of the two opposing demographics. A: During the day we have the potential to see eight kids, four in Q: What are the greatest chalthe morning and four in the afterlenges you face in your job? noon. The structure of our day is very fast fast-paced, which absoA: The time restraints of seeing lutely keeps us all on our toes. All children for the one-hour session sessions start and end on the hour, and having to get so much done in that includes setup, treatment, such a short period of time during documentation, cleanup, parent/ the day can be a big challenge. family discussion and preparing for Sometimes it makes it hard to get the next kiddo. everything I need to done, including preparing for clients and comWhen we have down time, we municating with the team. utilize it to prepare for upcoming appointments, discuss with the Q: What do you like and dislike team about shared clients, create most about your job? home exercise plans, and research relevant information to provide A: What I like and dislike most is evidence-based practice. how fast-paced the environment is. It has challenged me to become Q: What type of patients/diag- more creative and understanding noses do you encounter most of the population I work with. With frequently? that said, it makes it very difficult


to have concrete plans for each client because whatever I have planned will most likely change due to how a child feels, what they want to do, and family concerns. Q: Are there any projects that you would like to be involved with? it is very important to support the profession and educate the populace about the benefits. Q: What is the most rewarding part of your job? other staff members’ needs, values and goals into how I structure my working hours. Q: What advice do you have for others thinking of entering occupational therapy? A: Ask as many questions as you can: there is no such thing as a silly question, especially when you work with kids! Don’t be afraid to get your hands dirty, and learning from hands-on experiences can be extremely valuable. Q: How has working in pediatrics allowed you to grow professionally? A: Because of the close connections we have with families, I feel a great need to provide the best treatment possible whenever possible. Because of this I am constantly trying to further my own personal knowledge by researching outside resources, therapeutic techniques, and exercises to provide to families to support their needs. F

A: I feel so grateful to be involved in so many kiddos’ and families’ lives! I love hearing how excited A: My graduate capstone thesis they were to come back and visit utilized arts-assisted therapy while on vacation or hearing techniques to facilitate fine motor about milestones in different famdevelopment in children with ilies’ lives. Even just the smiles varying degrees of abilities. I and hugs you get in the waiting enjoy working with this popularoom when it’s time to bring a tion and I hope to do more within child back for a session. this domain of OT. Q: What is the most important Q: What do you feel is of the thing you’ve learned over the greatest concern to occupacourse of your career? tional therapy today? A: Flexibility! Flexibility in my ideas, A: I frequently find myself stepping session plans, schedule, physicality up on my soapbox to advocate (getting on the floor and playing), and define occupational therapy and, in general, my overall ability to and how we differ from other probe flexible with my team and my clifessions. Although my “elevator ents. I value the importance of othspeech” defining OT changes with ers’ opinions and understand the almost every proclamation, I think need to incorporate the clients’ and


NEWS-Line for Occupational Therapists & COTAs • January 2013 Feature


Study Questions Reasons for Routine Pelvic Exams
THE PELVIC EXAM, a standard part of a woman’s gynecologic checkup, frequently is performed for reasons that are medically unjustified, according to the authors of a UCSF study that may lay the groundwork for future changes to medical practice. and pinpoint potential problems early. Traditionally, these have included, among other assessments, a manual inspection of a woman’s cervix and uterus and a Pap smear.

years who had no symptoms of gynecologic diseases and did not require a Pap test. The study centered on the bimanual exam, not other components of a pelvic checkup such as a speculum exam and visual inspection of external genitalia which are often performed. The researchers found that nearly all the physicians surveyed routinely would conduct the exam in asymptomatic, low-risk women. Furthermore, most of the doctors said they would perform the exam on a 55-year-old woman with no ovaries, uterus or cervix—and more than half considered such an exam to be very important for that woman. Some 87% of the physicians said they would perform the exam on healthy 18-year-olds. ACOG recently recommended the exam not begin routinely until age 21. Altogether, nearly half the physicians erroneously believe the exam is very important in screening for ovarian cancer, despite longstanding recommendations discouraging its use for this purpose. Notably, many doctors said they conduct the exam in part for non-clinical reasons: because it reassures patients, because patients expect it, because it ensures adequate compensation for routine gynecologic care. There were clear geographic patterns: doctors in the northeast and the south were more likely to consider the exams very impor-

Under updated preventive care guidelines by the American Cancer Society, the American The research shows that many Congress of Obstetricians and physicians mistakenly believe the Gynecologists (ACOG), and the exam is important in screening US Preventive Services Task for ovarian cancer. The study, Force, most women no longer which surveyed obstetricians need annual Pap smears, which and gynecologists around the screen for cervical cancer. Now, country, also shows that doctors questions are being raised by continue to perform the exam in the medical community about the part because women have come necessity of the annual pelvic to expect it. exam for women with no gynecologic problems such as pelvic The article is currently published pain or unscheduled bleeding. online in the American Journal of Obstetrics and Gynecology. “The bimanual pelvic exam is not recommended for ovarian canThe pelvic examination has been cer screening, so we wondered the foundation of the annual under what circumstances the checkup for women for many exam is being performed and decades, yet very little has been why,’’ said lead author Jillian T. known about why clinicians Henderson, PhD, MPH, who perperform it and if they believe it formed the research while based is useful,’’ said senior author at UCSF. She is now at the Kaiser George Sawaya, MD, a UCSF Permanente Center for Health professor of obstetrics, gynecol- Research in Portland, Oregon. ogy and reproductive sciences, and epidemiology and biostaThe study consisted of a nationtistics. “We set out to better wide survey of 521 practicing understand their practices and physicians specializing in obstetbeliefs.’’ rics and gynecology, or gynecology alone. The doctors were Well-woman annual medical asked to indicate whether they checkups generally are recomwould perform a bimanual pelmended because they allow phy- vic exam in vignettes of female sicians to assess overall health patients aged 18, 35, 55, and 70


tant and to believe they “reassure patients of their health.’’ The researchers said their study shows a need to educate doctors about the appropriateness of the exam, especially to clarify its role in ovarian cancer screening. The study also should prompt a closer look at the evidence that supports the exam’s usefulness for the reasons cited by surveyed physicians, they said. “These exams could result in unnecessary surgeries or women being falsely reassured,’’ Henderson said. “We need to have more discussion over whether the benefits of these exams outweigh the harms, and if they should be part of a woman’s annual checkup.’’ UCSF co-authors are Cynthia C. Harper, PhD, and Jocelyn Chapman, MD, of the Department of Obstetrics, Gynecology and Reproductive Sciences; and Sarah Gutin, MPH, of the UCSF School of Nursing’s Department of Community Health Systems. Funding for the study was provided by a grant from the UCSF Mt. Zion Health Foundation; the Mentored Research Scientist Development Award in Population Research (K01HD054495); and resources from the NIH/NCRR/OD UCSFCTSI program (KL2RR024130). Source: University of California, San Francisco (UCSF)

Exercise Program Helps Pediatric Cancer Survivors Regain Physical Strength, Balance, Encourages Weight Loss
THERE ARE MANY health effects that a patient may need to overcome after winning a battle against cancer. Cancer treatments can affect the patient’s balance, agility, coordination, prompt weight gain and other physical ailments. At Nationwide Children’s Hospital, beating cancer doesn’t mark the end of a child’s treatment regimen. A new exercise program at the hospital helps pediatric cancer survivors and those in remission regain both physical strength and confidence. “Play Strong,” a pediatric cancer exercise program in partnership with the Sports Medicine and Oncology teams at Nationwide Children’s, is led by certified athletic trainers. The program was developed for cancer patients, 8-21-years-old, who are off treatment and have clearance from their physician. It is based on functional rehabilitation activities including flexibility, muscle strength, power, balance, agility and functional coordination. cardiovascular fitness, strength, power, agility and functional movement skills to get their bodies back into the motion of physical activity.” Play Strong was designed for pediatric and adolescent cancer survivors to improve their motor skills and transition into physical activity safely. The goals are to improve muscle strength and power, balance and agility for better body coordination and self-confidence with all physical activities. “While the kids have the heart and have the mind to get back into physical activity, once their chemotherapy is over, their bodies sometimes just aren’t ready,” said Randal Olshefski, MD chief of the Section of Hematology/Oncology/Bone Marrow Transplantation (BMT) at Nationwide Children’s Hospital, and also an associate professor of Pediatrics at The Ohio State University College of Medicine. “Play Strong is just another example of continuing to break through the barriers. We want the kids, safely, to get back to being as much of a kid as possible.”

Travis Gallagher, ATC, a certified athletic trainer in Sports Medicine at Nationwide Many pediatric cancer survivorChildren’s, was key in implement- ship programs across the country ing the program at the hospital. encourage their patients to exercise and return to activity after a “At a patient’s first session, we battle with cancer. But, only a few access their deficits and try actually have a structured program to progress from there,” said similar to Nationwide Children’s. Gallagher as he explained the goals of the Play Strong Source: Nationwide Children’s program. “We’re usually doing Hospital


NEWS-Line for Occupational Therapists & COTAs • January 2013 Feature


“Clumps” and “Gaps” Typify Public Health Social Network
AT A TIME when the nation’s healthcare system is relying more than ever on the diffusion of innovative ideas and best practices to increase efficiency and decrease costs, a new study now shows that that the nation’s peer-to-peer network for public health executives to be more effective. Research from the emerging field of social network analysis revealed that local health department executives tend to talk to each other in small groups of twos and threes, mainly within state boundaries. “Professional social networks are recognized as an important vehicle for influencing ideas about practices that are valuable and effective,” says lead author Jacqueline Merrill, RN, MPH, DNSc, of Columbia University School of Nursing. “Overall, the gaps in information flow suggest that a direct peer-to-peer network is currently not the main way local health officials tend to communicate about administrative, professional and leadership issues in public health.” The paper, “Topology of Local Health Officials’ Advice Networks: Mind the Gaps,” was recently published in the Journal of Public Health Management Practice. The researchers investigated how top executives in local health departments communicate about substantive issues using the data from the National Association of County and City Health Officials 2010 National Profile Survey. Merrill and her colleagues constructed network diagrams representing communication links between local health departments which were augmented by attributes such as geographic location and size. Other characteristics were included to assess the overall terrain, or topology, of the communication network making visible communication patterns and the geographic distribution of links in the network. In a typical diffusion model, health officials at the periphery of the information network would rely on communication and ideas spreading from a central wellconnected core. In this case, researchers found that the connections were sparse at both the center and the periphery of the network, a pattern which could slow down the diffusion of ideas, but also suggests potential for improvement. Further, there was no sign that a central group of

health officials served as thought leaders or coordinated the flow of information with the rest of the network. A picture emerges, says Merrill, which shows an average health official at the local level who has only a few direct ties to peers, and a small effective network within his or her local area. In order to effectively spread the news about best practices and other innovations, the public health system could benefit from a communication network where health officials’ are connected to one another in greater numbers. “The more information each health official knows about the activities of their public health peers, the more opportunities there are for best practices to spread through the system,” says Merrill. “Information and influence might focus on professional issues such as culture change regarding quality improvement, enhanced leadership techniques, or improved business practices,” she says. “All public health practice is local, but not all innovation is local,” Merrill adds. Her team is now working on a computer simulation of communication flow that could guide interventions to increase the spread of information in the health officials’ advice network. Source: Columbia University School of Nursing


Conferences and Educational Opportunities

Conferences & Educational Opportunities
ICJR 5th Annual Winter Hip & Knee Course. Sponsored by the International Congress for Joint Reconstruction. January 17-20, 2013 Vail Cascade Resort & Spa, Vail, CO Phone: 760-942-7859 Email: [email protected] Web:

NCHCFA 2013 Annual Convention. Sponsored by the North Carolina Health Care Facilities Association. February 10-13, 2013 Greensboro, NC Phone: 919-782-3827 Web: 9th Annual Upper Extremity Tutorial, Placing the Hand in Space: Reconstructive Surgery of the Shoulder, Elbow and Wrist. Sponsored by the Hand Rehabilitation Foundation. February 10-14, 2013 Viceroy Hotel, Snowmass, CO Phone: 610-768-5958 Fax: 610-768-8887 Email: [email protected] Web:

Pediatric Upper Extremity PreCourse 2013 for Surgeons and Therapists. Sponsored by the Hand Rehabilitation Foundation. April 5, 2013 Sheraton Downtown Hotel, Philadelphia, PA Phone: 610-768-5958 Fax: 610-768-8887 Email: [email protected] Web: 15th Annual Philadelphia Hand Surgery Symposium (Surgery and Rehabilitation of the Hand: With Emphasis on the Wrist). Sponsored by the Hand Rehabilitation Foundation. April 6-8, 2013 Sheraton Downtown Hotel, Philadelphia, PA Phone: 610-768-5958 Fax: 610-768-8887 Email: [email protected] Web:

2013 NCAL Spring Conference. Sponsored by the National Center for Assisted Living. March 12-13, 2013 Westin Beach Resort & Spa, Fort Lauderdale, FL Phone: 202-842-4444 Fax: 202-842-3860 Web:

Assisted Living & Senior Housing Summit. Sponsored by the Care Providers of Minnesota. August 21-22, 2013 Location TBA Phone: 952-854-2844 Fax: 952-854-6214 Email: [email protected] Web:


NEWS-Line for Occupational Therapists & COTAs • January 2013 Feature


National and Pennsylvania


Job Opportunities
NEWS-Line for Occupational Therapists & COTAs • January 2013 Feature

Virginia, North Carolina, Illinois and Texas

Fairfax, Virginia

Joliet, Illinois


Occupational Therapist (OT) Certified Occupational Therapy Assistant (COTA)
Full-Time and Part-Time Positions Available Home Health and Geriatric In/Outpatient clinic
The Virginian, located in Fairfax, VA, has several excellent opportunities available for OTs who love geriatrics, value continued professional growth, and enjoy being part of a dynamic team. Part-time positions are available in both our clinic treating both SNF clients and outpatients with a variety of diagnoses, and in our home health department. Value flexibility but also enjoy the clinic environment? A split clinic/home health position offers fulltime benefits and the opportunity to work in both the clinic and home health. The Virginian is a not-for-profit continuing care retirement community committed to quality rehabilitation services for both our residents and the local community. We are also a local Parkinson care center, with therapists specializing in the treatment of people with PD through both skilled therapy programs and innovative wellness programs which we offer free to the community in conjunction with the Parkinson Foundation. Our caseload also includes people with joint replacements, fractures, CVA, cardiopulmonary issues, frailty, and other orthopedic, neurologic, and medical diagnoses. Full-time benefits include health, dental, short and long term disability plans, paid vacation and holidays, paid continuing ED and professional association dues, tuition reimbursement, and 403B plan. Interested split full-time position would be eligible for benefits and sign on bonus. If interested in positions please forward resume to [email protected] and/or send by fax at (703) 385-0161 attention Lynn/HR.

Occupational Therapists
EASTER SEALS JOLIET REGION has full-time, part-time and temporary positions available for AOTA Certified and IL licensed Occupational Therapists for our multi-disciplinary pediatric facility. We offer flexible hours, competitive salary, Full-time benefit package and an on-site daycare. Temp position to begin Jan 7th, 2013. Resumes to: HR Office, 991 Essington Rd. Joliet, IL 60435 or fax to (815) 773-9357. 1,000 HIKING TRAILS 25 ART GALLERIES 62 PLACES TO HEAR LIVE MUSIC 1 GREAT PLACE TO WORK

We are CarePartners


Dallas, Texas CarePartners, a post-acute healthcare system, is seeking Full-time and Part-time OTs for Home Health and a Full-time COTA for our Rehabilitation Hospital.

Occupational Therapist Skilled NurSiNg SettiNg
HealthPRO has a staff occupational therapist position available in a premier skilled nursing setting in Dallas, Texas. This position offers a competitive pay rate, benefits that begin on your start date, and opportunities for clinical and career advancement. For more information, please call Rita Kacal at 888-531-8801 or e-mail [email protected]

Apply on-line at or call 828-274-9567 x4225

The Virginian
9229 Arlington Blvd., Fairfax, VA 22031


Michigan, California and Washington

Tacoma, Washington area

Marquette, Escanaba & Baraga, Michigan

OccupaTiOnal TherapisT
Immediate opportunity to work for award-winning MultiCare Health System in the beautiful Puget Sound region of WA State! MultiCare is in the top 2% in the nation for our EPIC electronic medical record, and in the top 5% in the country fiscally. Our CEO is one of 5 women RN’s in the country who run a health care system! She knows what great health care is about, and values our 10,000 employees with excellent working conditions and full benefits!
The Laurels of Coldwater, Michigan, currently has openings for OTs on a full-time and a PRN (weekends) basis. We are a progressive SNF/ Rehabilitation Center with an active medical staff specializing in short term rehab treating guests with a variety of diagnoses. QualiFicaTiOns: Must be a graduate of a certified program, nationally certified, and eligible to practice in Michigan. Terrific opportunity for a recent grad or professional with limited SNF/LTC experience to join our team and work with this caseload. Laurel Health Care Company staffs our employees in house - not thru contract companies and offers a competitive compensation and benefits package. Qualified candidates should submit resume to or call: Matt Graeber, OTR/RSD Rehab Services Director

OccupatiOnal therapists and Occup. therapist assistants
long term care and Outpatient clinic positions available
Come and enjoy the beautiful Upper Peninsula of Michigan. If you like to be active and enjoy the outdoors this is the place for you! Due to the growth of our company we are looking for 3 full-time therapists to join our team. Experience the enjoyment and excitement of working for an organization that is passionate about quality patient care and is committed to its employees. We are a therapist owned organization committed to providing the highest level of care to our residents of the Upper Peninsula of MI. We offer competitive wages, an excellent benefit package, and a strong commitment to continuing education. Take the first step towards a meaningful career and come experience fulfillment, success, and the support of an enthusiastic and committed team. 555 County Road HQ, Marquette, MI 49855

Full time - Home Health Occupational Therapist
Work in our well established Home Health department providing Occupational Therapy treatment to varying ages of outpatients with a variety of diagnoses, according to the principles and practices of evidence-based Occupational Therapy. Will maintain current and timely treatment documentation and charges for services using system-wide EPIC electronic medical records. Will consistently demonstrate and model behaviors consistent with MultiCare’s Behavioral Competencies of excellence, service, quality, respect, and kindness. The successful candidate will have a minimum of one year experience as an OT. Experience in Medicare Certified Home Health preferred. Position requires valid and current Washington State OT License. Must have valid WA State drivers license. Please contact senior recruiter, [email protected] for more information, or apply at

The laurels of coldwater

u.p. rehab services

90 North Michigan Avenue, Coldwater, MI 49036

Phone: 517-279-9808 • Fax: 517-279-2578 Email: [email protected]
Ventura, California

Phone: 906-225-5044, ext.#11 E-mail: [email protected]

south Bay area, california

pediatric Occupational Therapist
Full/part-time experienced occupational therapist interested in working with pediatrics in school-based positions. Experience in sensory integration and early intervention is a plus. Forward resume to [email protected] or fax to 650-631-9988, attention: Keiko ikeda, slp
1060 Twin Dolphin Drive, # 100, Redwood City, CA 94065

We would like to invite you to become part of our family at Children’s Therapy Network, Inc. in Ventura County. We believe in treating the whole child by working with the whole family. We provide a wonderful environment for the experienced or recent graduate PT, PTA, OT, SLP or SLPA because we offer: • Flexible hours with the ability to create your own schedule; mentoring opportunities; • Highly ethical work environment; • Competitive pay; • Full-time, per diem and subcontractor work; • Benefits; • Opportunities for creativity and growth in an expanding business; • A supportive, fun work environment and the ability to work with some great children and families!! • Bonus for Spanish bilingual If this sounds like the place for you, please e-mail us your resume with the subject header “Therapist Application” to: [email protected] or fax it to 805-667-8201

PTs, OTs & SLPs

alls, inc.

1234 E. Main St., Ventura, CA 93001 Phone: 805-667-8200


NEWS-Line for Occupational Therapists & COTAs • January 2013 Feature

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