1. Knowledge is growing at an exponential rate.
1994-1995 | 1995-1996 | 1996-1997 | 1997-1998 | 1998-1999 | 1999-2000 | 2000-2001 | 2001-2002 |
567 | 568 | 554 | 547 | 568 | 666 | 795 | 841 |
1994-1995 | 1995-1996 | 1996-1997 | 1997-1998 | 1998-1999 | 1999-2000 | 2000-2001 | 2001-2002 |
2784 | 2957 | 3140 | 3289 | 3216 | 3287 | 3624 | 3679 |
2. The quality of healthcare in the US is not as good as you might think.
3. Trends in the profession, such as Evidence-Based Practice (Evidence-Based Medicine) demands it.
4. It's ethical and expected, not only of our profession but by the patients entrusting themselves to our care.
Books, alerting services, and book reviews
You can browse a university or hospital medical bookstore to look at the texts that occupational therapy programs and professionals are utilizing.
See what items the National Library of Medicine has, perhaps you might want to purchase the same resources for yourself! Click on "Search LOCATORplus." You can limit your search by year and format (book, audiovisual/video, etc.), too.
Amazon.com offers a free alerting service, which will send you an email when a new book is publised in your specific interest area. After doing a book search, scroll down to "Amazon.com Alerts," & type in your email. Barnes & Noble offers a monthly medical newsletter which showcases newly published medical books. Unfortunately, you can't limit it to therapy books.
Book reviews can help you decide if you want to buy the book. You can find where editor book reviews have been published via various databases, such as MEDLINE, CINAHL, Library Literature, Book Review Digest, Books in Print with Book Reviews, Choice Reviews, Academic Index, LexisNexis Academic, & InfoTrac One File; ask a Reference Librarian for assistance.
Amazon.com & Barnes and Noble not only have customer reviews, but these book sellers often include excerpts of published book reviews. These vendors also show book table of contents & book excerpts. You can do an Amazon simple search by typing the terms in the search box, or, select "Books" (or "VHS" if you are interested in videos or DVDs), leave the search box blank, & click on "Go!" to be taken to the advanced search screen. Barnes & Noble offers a simple search as well as an advanced search (from their homepage, select "Bookstore," leave the search box blank, click on "Search," & then click on "Advanced Search"). (You can supposedly do a "Subject" search (from the homepage, "Browse all subjects," then "Medical Books") & then search within those results.) The book review(s), if available, are under the book description. In addition, both companies provide links to search similar items as well as providing a list of books: "Customers who bought this book also bought..." Some Amazon users put up a list, "Listmania!," of their favorite books on a topic, however, I've found the quality of some of the lists to be poor.
Grey Literature
The Grey Literature Report from the New York Academy of Medicine; grey literature is typically not commercially published yet can be quite valuable & includes: "..reports (pre-prints, preliminary progress and advanced reports, technical reports, statistical reports, memoranda, state-of-the art reports, market research reports, etc.), theses, conference proceedings, technical specifications and standards, non-commercial translations, bibliographies, technical and commercial documentation, and official documents not published commercially (primarily government reports and documents)." Recent titles include, "Beyond 50.03: A Report to the Nation on Independent Living and Disability."
Journals, alerting services, and journal lists
Want to subscribe to an exciting rehab journal? See what's currently in print. Look for journal titles in Bowker's Medical and Health Care Books and Serials in Print. Go toward the back of the book for the "Serials--Subject Index" and under "Handicapped" as well as under "Education: Special Education and Rehabilitation" for promising titles.
Want to know what new OT & rehab journals are being published in the future? If your library subscribes to the online Ulrich's Periodicals Directory, do a search with the truncated keywords occupational therap* and limit it to "Forthcoming Titles."
Occupational Therapy Index: Current Awareness Topics Services--this monthly bibliography from the UK focuses on occupational therapy. I haven't seen it yet, unfortunately. See if your library subscribes to it.
Some journals offer free table of contents (TOC) email alerting services (or an alert on your topic) from their homepage. First, check if the journal is CURRENTLY indexed in the MEDLINE, CINAHL, or other medical database of choice. If it's not currently indexed in the database, then doing a database search will NOT retrieve article citations of that journal. Just think of all the important information, profession tips, and research you may be missing out on! Using the journal's free TOC alerting option can be an easy way to keep up with the journal. For example, the Scandinavian Journal of Occupational Therapy is not currently indexed in MEDLINE. However, the journal's website has an email TOC service (Email Contents Alerting).
You can also go to your library & look up promising articles the old-fashioned way: cuddling up in a chair with the latest OT journal issue. Some libraries shelve their journals alphabetically, others by subject. Many libraries have a guide that list journal titles by subject so you can browse their shelves. Here's some journal title lists: CINAHL's Occupational Therapy Journal list, Occupational Therapy & Related Journals, AOTF's Journal Holdings (mostly OT), Physical Therapy & Rehabilitation Journal Titles List (many international titles), OT Journals (PT & Music Therapy, too), Journal Titles (not just OT), CIRRIE Journal List (international rehab journals), & OT Journals.
Databases
There are numerous rehab, allied health, medical, and education databases. Some databases are free to search, while others can be searched for a fee or subscription. Libraries pay for many of these databases so you don�t have to.
Databases differ in what they index; examples include journal articles, book chapters, dissertations, and even pamphlets. Some databases provide full text, while others only provide the citation information so you can locate the item in a library. Consult with a medical librarian to design an efficient and effective database search.
Databases also differ in the features they offer. Alerts are a nice feature that helps keep you abreast of new literature on your topic. There are free alerting services which will search PubMed's MEDLINE every week or so and email you an alert when articles on your topic are published. Warning: it is usually best to search the database directly, as it offers more search options. Some of the free alerting services are: BioMail (which has instructions in Chinese, English, French, German, Russian, Spanish, Turkish, & Ukranian), PubCrawler, JADE (Journal Abstracts Delivered Electronically), & Automated Query Tool.
News of issues impacting our profession
OT Listservs your colleagues are valuable sources of information!
Wondering how Washington DC is affecting your profession? Look at AOTA's Legislative Action Center. Also read the Washington Highlights, a weekly newsletter which offers quick blurbs on policies affecting healthcare. You can read it (for free) online or subscribe to it via email. Your library might also have a print subscription. Washington Highlights is published by the Association of American Medical Colleges Office of Governmental Relations and is for all health professionals.
The AOTA home page lists headlines, also look at "People in the News," "Press Center," & the Legislative Action Center.
Check out the news on these websites: your state's OT board (Florida site: Profession Updates), your state's OT association (Florida Occupational Therapy Association), and university student association (SOTA) websites.
Advance has a directory of "state occupational therapy associations, state boards of occupational therapy (those who handle licensure), as well as Web sites of each state's governor, Congressional delegation, state legislature, state department of health or human services, and state home page."
You should also be familiar with your state's agency which regulates medical & allied health practice (Florida's Medical Quality Assurance (MQA); Therapy Licensing Boards, this site lists the medical board URLs which may lead to the department regulating OT; your state's department of health may do the same.
News on disability and medical issues
Yahoo! News World Full Coverage: Disabilities & the Disabled (their term, not mine!) links to news articles around the world
International Disability News Ticker lists headlines around the world
Allied Health Professionals Bulletin for the UK (NHS)
MEDLINEplus: Current Health News.
My colleague showed me this. It appears this is a weekly feature of the Washington Post. Go to Washington Post, click on "Health," scroll to the bottom of the page, and click on the link, QUICK STUDY : A weekly digest of new research on major health topics.
TREATS an assistive technology weekly email letter
Mentoring or Being Mentored
You can learn valuable tips and clinical pearls from other OTs. Ask an OT who you admire to become your mentor. Other professions even have mentor databases so mentees with certain skills and interests can be matched with the most appropriate mentor. Once again, the medical librarian profession has made wonderful strides in another area of life-long learning. Check out the MLA's mentoring webpage.
If you are a mentor, you can also learn from your mentee and the mentoring experience. Volunteer to be a mentor today!
OT Listservs your colleagues are valuable sources of information and can be your virtual mentors.
Grand Rounds
Use Google's Advanced search to find online rehabilitation or occupational therapy Grand Rounds. Many universities have their medical Grand Rounds online; it'd be nice of the university OT departments would do the same. If you know of any online rehab grand rounds, please email me: tfeddern at med.miami.edu (substitute @ for at).
Continuing Education
Before registering for any CE course, double-check with your state's occupational therapy association and OT board to make sure they will accept the CEUs.
Most professional journals & trade magazines list continuing education opportunities, generally towards the back of the publication. Advance for Occupational Therapy Practitioners is a wonderful, free trade magazine (online & in print) that also has a great listing of CE opportunities. This publisher has other Advance magazines, for Directors in Rehabilitation, Providers of Post-Acute Care, PTs & PTAs, and SLPs & Audiologists. Scroll to the bottom of the homepage, under "Related Sites."
More journals are offering CEs themselves. OT Practice, a super magazine that comes with your AOTA membership, offers CEUs via articles (read the article, answer the quiz, & mail in your fee & registration); you don't have to be an AOTA member, but the fee is slightly higher, & you'll need to get the article (check your library).
Some organizations are offering free CEs for various healthcare professionals. Some geriatric education centers offer free online CEs, while some special-interest, trade, and professional conferences and workshops offer free or discounted CEs.
For additional CE listings & opportunities, try contacting and/or searching the websites of AOTA, your state's licensing board, state OT associations, university student OT associations, and even hospitals and rehab clinics in your area or even your workplace: AOTA Continuing Education, Therapy Licensing (State) Boards, State OT Association Contacts, Student Occupational Therapy Associations (SOTAs), USA & Global Hospitals on the Web. Look for the hospital's Medical Education or Continuing Education department for CE listings. NOTE: You should also check a print directory, because not every hospital has a website (gasp!). In addition, some special-interest organizations host lectures and continuing education for healthcare professionals as well as the public. For example, look at the Lighthouse for the Blind's busy continuing education calendar.
Want to learn a new skill? Adult education is an inexpensive route--I've found that the instructors are excellent and the students are people who want to learn. (In your phone book under the listing for "Schools," look for sections titled "Community Schools" or "Vocational Adult Schools.") Two local resources are Broward Educator and Miami-Dade Community College: Community Education Class Schedules.
There are free online classes available, too: Supercourse in Health & Rehabilitation Sciences, Supercourse: Epidemiology, the Internet, and Global Health (lectures and courses); Hewlett-Packard Online Classes Learning Center, has many business classes; Barnes & Noble University; Equal Access to Software & Information (EASI) click on "Webcast:..." to listen to lectures & interviews or to view the transcripts on web accessibility, (they also offer certification in Accessible Information Technology for a fee); WebMonkey learn new computer skills.
Renew your NBCOT certification via their Certification Renewal Program.
Become Board Certified in a specialty by the AOTA!
Formal Schooling
Use Google's Advanced search to locate graduate certificate programs in Occupational Therapy. Some of these programs are completely online & are therefore designed for the OT practitioner--some may restrict registration to only practioners.
Go for your PhD or clinical doctorate. You can get an advanced degree in occupational therapy, or in a related field of interest, such as Education, Public Health, or Medical Anthropology. Some of these advanced degrees are available partially or fully online. There are books that list different fields offering advanced degrees--go to the Public Library and ask.
Look at the initials after an OT's name. These initials often signify certifications--ask about them. Some OTs have CHES after their OT initials; CHES stands for Certified Health Education Specialist. Other initials include: CHT (Certified Hand Therapist), CEES (Certified Ergonomic Evaluation Specialist), and others.
Expand your horizon
Learn another language, with the aim of eventually becoming bilingual.
Expand your role. Are you a clinician? Think about becoming a professor, researcher, officer in a special-interest group or OT association, consultant� Now consider what skills you'll need to become proficient in your new role(s).
If you're serious about life-long learning and strengthening your weak knowledge areas, you need to have a detailed plan of action. Now that you know the types of resources available for learning, writing an action plan should be easy.
The AOTA has a Professional Development Plan (a membership benefit).
NBCOT�s Certification Renewal Program
The Medical Library Association (MLA) has a wonderfully structured plan for medical librarians to structure their learning. You can extrapolate much of these strategies for our profession. Learning & professional development activites, relevant for any field. A bit of a stretch, but you can extrapolate these essential areas of knowledge into our profession, such as structure & organization of our profession's organizations, staff management, grant writing, research methods, etc. Rate your level of knowledge in each area & its importance to your career or workplace. Structure your plan for professional development/life-long learning by listing the actitivies you will do to accomplish these goals and how you will measure successful learning. You can also write up a self-directed learning contract with your mentor. Lastly, MLA has a new resource for life-long learning: CORE: a Gateway to Lifelong Teaching and Learning.
There never seems to be enough hours in the day, especially since there are so many wonderful activities to fill them up. I have difficulty sometimes deciding what to focus my time on. Everyone has their own way of making time. I hope that my "points to ponder" help to inspire some of us (including me!) to invest more time in evidence-based practice or at least keep current in our profession. Not only are we ethically and thus professionally bound to increase the need for life-long learning to augment knowledge, professional identity and competence, but also to effectively carry over that knowledge and extrapolate meaningful and functional aspects from it and to be able to adapt them to the individual's occupational world.
SUNY Downstate Medical: Evidence Based Medicine Course gives a speedy overview of EBM.
An Introduction to Information Mastery in-depth, interactive tutorials with quizzes; doesn't cover etiology/harm, but Dr. Ebell is working on creating a module for a Florida university for CE credit.
This is the bible of EBM: Evidence-Based Medicine: How to Practice and Teach EBM (Book with CD-ROM) by David L. Sackett, Sharon E. Straus, W. Scott Richardson, William Rosenberg, and R. Brian Haynes; 2nd edition, 2000
Users' Guides to the Medical Literature: Manual for Evidence-Based Clinical Practice; I prefer this book to Sackett's, but both are great.
There are also well-received books on evidence-based practice and rehabilitation. Unfortunately, I haven�t had the chance to read them yet.
Suggested articles on EBM: English-language, non-English languages, additional resources such as online quizzes, EBM competencies, etc.
Glossary of [EBM] Terms check out this wonderfully easy-to-understand glossary
EBM Glossary definitions gathered from the web
How to Read a Paper: The MEDLINE Database by Trisha Greenhalgh; you should also check out her other excellent articles
Studying a Study & Testing a Test: How to Read the Health Science Literature by Riegelman, R. & Hirsch, R. An older edition is available in a Spanish translation.
The Centre for Research into Disability and Society supposedly, they also have systematic reviews of OT, but that page was temporarily (?) down
Electrophysical Agents Home Page "This site is dedicated to the proposal of evidence based models for determining treatment dosages for the various electrophysical modalities. In addition, this site also serves as a database for published clinical studies related to the efficacy of electrophysical agents (EPA)."
Evidence-Based Physiotherapy Practice
Centre for Clinical Effectiveness has a few critical appraisals on rehab topics
Continuing Education & workshops in EBM
For ALL healthcare professionals: See also EBM Librarian Section One | Section Two | Section Three | Section Four
Searching MEDLINE and EBM Filters Links
A few good articles on how to search MEDLINE (much of the info can also be translated into searching CINAHL): will get the citations from my desk
EBM Librarian: Neat MeSH Terms
Databases (other than MEDLINE): Rehab, Allied Health, Medicine, Education, & Clinical Trials Links (a partial list)
CareSeach literature database includes a database of non-indexed palliative literature citations (non-indexed journals, conference abstracts, theses, and grey literature), some simple sensitive & specific MEDLINE filters on palliative care topics, and more. Their "Non-indexed Databased" pulled up some good hits on occupational therapy/occupational therapist(s). To get those 35 hits, search exactly with this:
occupational therap
Evidence Database for Social Care of the Aged "The Evidence Database is regularly updated by an advisory panel that filters, reviews, and catalogues articles published in professional journals both in the U.S. and abroad."
CIRRIE database (international rehabilitation research)
CAIRSS for Music searches journals which are not in MEDLINE nor CINAHL, although it's supposed to be about Music Therapy, I got article citations for Occupational Therapy; choose "Guided Keyword."
Disability World Community Database another international database; I got unique hits on this database that I didn't get in MEDLINE, CINAHL, or CIRRIE
IndMed prominent Indian medical journals database; click on "IndMed.� You may get more hits on OT with IndMed than with WHO's South-East Asia regional database (below), but do searches on both
WHO: Regional Databases the Regional Databases are listed towards the bottom left of the screen: Africa (seems to be down or moved), Eastern Mediterranean (the Regional Databases link moved so use this URL for Eastern Mediterranean http://www.emro.who.int/his/VHSL/Index.htm), Latin America and Caribbean, and South-East Asia (which has moved their link to here)
AOTF's OT Assessments journal articles on assessments; also use MEDLINE & CINAHL
AUSThealth contains the Australasian Medical Index (AMI)
AOTF's Rehabilitation Database Index (comprehensive)
Internet Resources for Occupational Therapy from the University of South Australia Library click on "databases," "occupational therapy" and scroll down to the occupational therapy section
OTDBase a database just for OTs
OTSearch another OT database
AOTF's Doctoral Dissertation Database
Networked Digital Library of Theses and Dissertations (NDLTD) use this portal to look up dissertations and theses held at various universities and institutions
Evidence-Based Program Database "For Practitioners in the Health and Human Services, Education, Mental Health, Child and Family Service, Juvenile Justice, and other Social Service Systems that seek to change youth behaviors."
Databases on assessments only. Don't forget, MEDLINE and other non-MEDLINE databases also have this info, too.
The Foundation for ASsistive Technology (FAST) includes a database of research studies being conducted on assistive technology.
ABLEDATA database, REHABDATA, and REHABDATA Backfile.
EBM databases include OTseeker, PEDro, OT CATS (Critically Appraised Topics), Critically Appraised Topics in Rehabilitation Therapy scroll down and click on "Critically Appraised Topics in Rehabilitation Therapy," ACP Journal Club, Cochrane Database of Systematic Reviews (here's a consumer version: InformedHealthOnline), & DARE.
EBM search engines include SUMSearch and Turning Research Into Practice (TRIP) Database (TRIP basic can be searched for free).
RehabTrials is a database of clinical trials of rehabilitation therapies.
Clinical Trials in Spine Medicine industry-sponsored clinical trials in spine medicine
Search the Cochrane Controlled Trials Register to get the most comprehensive listing of published, unpublished, and in progress controlled trials worldwide; there are additional Cochrane databases of interest, too.
Other research trials databases (not a comprehensive list): World Health Organization: International Clinical Trials Registry, controlled trials databases, UK National Research Register , RTD-Projects Database, NIH Clinical Alerts & Advisories (& all the clinical trials links); also check out ClinicalTrials.gov.
I'm gathering all the workshop fliers sent to me over the past couple of years so you can contact them about classes offered in your area. I haven't attended workshops held by some of these organizations. Don't forget to first check with your state's occupational therapy association and OT board to make sure they will accept the CEUs.
Approved Continuing Education Providers [for OT] list of CE providers who are approved by the Florida Board.
Occupational Therapist: CEU defines CEU & has some important links.
Center for Rehabilitation Effectiveness hosts an EBM workshop for faculty & others interested in advanced EBM; click on Training, then on Courses.
Learning EBM partial list of EBM workshops offered world-wide.
University of Florida Geriatric Education Center FREE (courtesy of a grant) online CEs on gerontology topics; check with your state OT association to see if these CEs can count for occupational therapy.
NWGEC: [Geriatric] Educational Modules online for free, some are about elder African-Americans & elders with Developmental Disabilities; check with your state OT association to see if these CEs can count for occupational therapy.
List of Online & Distance Learning Resources offered by Geriatric Education Centers
OT Direct: Occupational Therapy Training Courses lists CEU opportunities in England.
Vital Signs: Careers lists local (Florida) conferences for CEUs.
HealthCareSource nice list of continuing education classes.
Abilities Expo these national expos showcase products, services, & offers free workshops (some with CEUs) targeted towards consumers, caregivers, &/or healthcare practitioners in many disciplines; there may be a door fee, however, their website, newspaper ads, & mailings usually include a free ticket (which can be photocopied).
AOTA Continuing Education has online CE & more
CE International
P.O. Box 210393
Bedford, TX 76095-7393
1-888-633-2002
Fax: (817) 354-1258
[email protected]
Continuing Education Programs of America
Exploring Hand Therapy Company
Functional Rehabilitation Associates, Inc.
c/o Sandy L. Burkart PhD, PT
2841 NW Banyan Blvd. Circle
Boca Raton, FL 33431
561-988-5547 ofc., 561-702-8286 cell/pager, 561-997-5674 fax
[email protected]
Hand Rehabilitation Foundation
Institute for Natural Resources
National Rehabilitation Services, Inc.
Professional Development Programs offers workshops, books, tapes, and other items
Professional Development Resources, Inc.
Formal Schooling Links
International Distance Learning Course Finder
E-Learning Search from U.S. News
Florida Virtual Campus search for Florida college and university distance learning courses.
EBM Humor Links
Seven Alternatives to Evidence-Based Medicine by David Isaacs & Dominic Fitzgerald; also read the "Rapid Responses" and "Letters" linked at the end of the article
Additional EBM humor, strange & funny research, & scientific humor
1 Reed KL. Mapping the literature of occupational therapy. Bull Med Libr Assoc. 1999 Jul;87(3):298-304.
2 Hebert PC, Tugwell PX. A reader's guide to the medical literature--an introduction. Postgrad Med J. 1996 Jan;72(843):1-3.
3 Sackett DL, Rosenberg WM, Gray JA, Haynes RB, Richardson WS. Evidence based medicine: what it is and what it isn't. BMJ. 1996 Jan 13;312(7023):71-2.
4 Susan Landers, AMNews staff (2000). The world's health care: How do we rank? Retrieved November 27, 2003, from http://www.ama-assn.org/amednews/2000/08/28/gvsa0828.htm.
5 U.S. Department of Health and Human Services (Nov. 2000). Healthy People 2010: Understanding and improving health--Figure 2. Retrieved November 27, 2003, from http://www.healthypeople.gov/document/html/uih/uih_2.htm.
6 Sackett, D.L., Richardson, W.S., Rosenberg, W., Haynes, R.B. 1997. Evidence-Based Medicine: How to practice and teach EMB, New York: Churchill Livingstone.
7 Medical Library Association (2000). The value of the hospital library: Impact on patient care. Retrieved November 24, 2003, from http://www.mlanet.org/resources/value.html.