Category: Professional Development


Fundamentals in Human Sexuality. Katchadourian and Lunde. Holt, Rinheart and Winston, 1972. pg 17.

Sigmund Freud.

Alfred Kinsey.

 

Sigmund Freud was born threeyears earlier than Ellis, and they died in the same year. Freud was not a sex researcher, in the sense that he did not deliberately initiate the investigation of sexual behavior; rather he developed his theories of human sexuality from his clinical work in psychoanalysis. Nevertheless, his influence, both directly and through his followers, in making sexuality a focus of attention probably has outweighed that of any other person or group. Freuds multivolume collected works include countless discussions of sexuality in human development and its “normal,” as well as pathological, manifestations. The same is true of the writings of other psychoanalysts, though some have dealt with sexual issues more extensively than have others…

… The investigations of Alfred C Kinsey (1894-1956) and his collaborators have so far been the one major attempt at taxonomic study of human sexual behavior.  The primary goal of this approach is to make understanding of the individuals possible through examination of their behavior in relation to that of the group as a whole. IN order to determine whether a man is “tall” or “short,” it is not enough know his height accurately; we also need to know the range of heights in the group to which he belongs. The frequency and length of orgasm and so on are also meaningless unless we have standards of comparison from the general population. Basically, that is the purpose of the statistical approach in any field. It it one tool –though by no means the only or always the best tool– for the study of a given problem, yet it is indispensable to any systematic study of behavior….

By Marcy L. Crouch, PT, DPT, CLT, Women’s Health Residency Committee Representative

 

As our profession continues to grow, become more evidence-based, and is starting to receive the recognition it deserves, clinicians must also rise to the occasion. This is especially true for us as Women’s Health Clinicians. We are a small and proud group of clinicians that hold unparalleled compassion, empathy, and sensitivity for our patients. We are dedicated and strive to raise awareness and provide care to an underrepresented patient population of men and women who need our help. I have had the opportunity this past few years to become enveloped in this community of amazing and strong colleagues as I became active in the Section as a student and then continued on to complete a Women’s Health Residency at Baylor and Texas Women’s University in Dallas, Texas.

As a student and then as a new clinician in an arduous post-professional program, I strived to challenge myself as a clinician and was dedicated to help advance the field of Women’s Health Physical Therapy. Completing a residency and continuing to pursue post profession development is paramount for the new clinician to continue the advances that have all ready been made. As we continue to fight for Direct Access and appropriate reimbursement, we also strive to demonstrate that we are collectively a group of competent and capable clinicians. It is imperative that practicing clinicians are up to date with current practice acts, the highest level of research available to support our interventions and assessments, and practice standards.

Gone are the days where we are thought of as “Glorified Personal Trainers”. We have moved from Bachelor’s degrees to Masters to Doctorates and PhD’s. Residencies and Post-Professional development are becoming more and more readily available. Clinical Specialist examinations given by the American Physical Therapy Board of Specialities have certified 82 Women’s Health Clinical Specialists by the year 2010. That number is growing every year as more clinicians are sitting for the specialist examination. The Baylor/TWU Women’s Health Residency was the fourth credentialed program in the US and the only one west of the Mississippi. There are more active programs in development at this time, and they are currently undergoing the application and credentialing process.

Residencies are a good option for the clinician who not only wants to spend a year immersed in Women’s Health, but also who wishes to help advance the field of physical therapy and who wishes to meet the higher standard of clinical practice. The programs are a blend of clinical and didactic work, and require the clinician to step out of their comfort zone and become independent thinkers and develop high level clinical reasoning skills. The resident is expected to be a self directed learner, and demonstrate advanced clinical mastery in the practice of Women’s Health Physical Therapy. Excellent mentorship with a blend of didactic work helps to prepare the clinician to not only become the experts in Women’s Health, but also to sit for the Women’s Health Clinical Specialist Exam and earn the title of a Board Certified Clinical Specialist.

My experience as a budding new clinician in a post professional residency program was  a positive one. I wanted mentorship, exposure to the population, and didactic work that focused on the all the aspects of Women’s Health. As I transitioned through the program and now out into the field, I realize that my journey has only just begun. The residency is a stepping stone towards my personal and professional goals. It is the “tip of the iceberg”, if you will. It has helped me to start my journey to who I want to be as a clinician. I still have a long way to go, but I am grateful for the Residency and the relationships with colleagues and patients I had the honor to be a part of. I encourage new clinicians and students to consider Residency as an option for professional and personal growth.

Look for us at CSM 2012 in Chicago! We are hosting the second annual panel discussion titled, “Everything you need to know about Women’s Health Residency”, where current residents, program leaders, and alumna share their experiences and answer audience questions. It was a success at CSM 2011 in New Orleans, and we are looking forward to presenting again in Chicago. Also visit www.womenshealthapta.org/credentialing/opportunities.cfm and www.apta.org/CareerDevelopment/ to learn more about professional development opportunities and upcoming residency programs.

spa_fitnessOkay, so I’ve got a few choices for my next career move, considering Ive been aiming at building my career honestly for like 15 years or so.

First I started at Firehouse Books and Espresso, building up relationships with people and sometimes not be choice, being dragged into their personal lives, knowing and growing their personal relationships with people. Then I quickly moved into the love and well being of fitness where I joined the local Curves at quickly excelled at being a fitness techinician. I had the canny ability to not only to get to know the medical facts that would affect their exercise regimen, but also knew when a husband switched jobs and the consequential stress associated with that decision. She just had to come and exercise that shit out. And even so, it became a stressful job not to only get their HR up and their BP up, but also to help a woman with hypothyroidism learn how to exercise.

Could I trust myself training a woman with hypothyroidism without the proper training, or at least something like that? I mean, what could I bring to the table to challenge her without, I guess, giving her a heart attack? For all I knew, I liked to sweat hard and I also liked to row.

Well, I liked to row so much that I needed it everyday, in fact a few times a day. I needed the air, I needed to be with the birds, I needed to be out in the middle of no where with no one else. Obviously there is evidence that people have been here before, I mean, like empty waterways, still long yachts, lonely hardened Southern docks to temp me. As I went by every dock could have been the very dock I jumped from when I was a child. In between the docks I managed to fit in a few good strokes here and there.

As I became more fit, I needed more competition. I had traveled to the local Southeast Regional competition for rowing and had easily won 1st place, and I needed a challenge. I needed to find more daily compeition on top of that if I was really serious about it. So I decided to move to Philly, train for the National Rowing team, and in the meantime work as a personal trainer.

From the very beginning in that high class, two story, 6000 square foot gym I was always kept on the gym floor with a running leash, kind of like where you can leave your dog outside in the rain and it has the reigns to run around “freely,” but would for sure get electrocuted the minute he stepped outside the boundaries. I was lucky back then to see that I was strongly protected using electrocution directly ellicited from the boss once I made a stupid decisions with my clients.

I was considered an independent contractor, which meant that I got paid in full for every client that I claimed on the payroll, and then I would be responsible for the taxes I made at the end of the year. To be able to handle this at 22 years old I thought was pretty responsible, even considering the small annual investment I made into Canadadian coal for retirement later. But the big thing was that I didn’t understand the concept of insurance. I had never gotten into an accident with my car, because that was the closest thing I really understood why insurance was a good thing. I needed it for legal reasons. Otherwise I’d be seriously fucked if I didn’t have it. What if I got sued in this sue-happy-state?

When I took 10 year old Jill and her 9 year old brother into a raquetball court and had them throw an 8 lb medicine ball into the air for each one to catch, I never thought their would be a problem. When I trained Michele on the mat for the simple prevention of pelvic floor problems after she had just told me about the explicit journey that her and her husband had attempted to travel into. Or that having Rachel run ladders outside in the parking lot was not covered by insurance becacuse It was literally outside the physical boundaries for legal protection.

Kevin had pulled me into the office, and I had realized that I had just been outside my fenced area and just had been electrocuted.

“Do you realize how much you are a liability to this company?” Its true, I wasn’t respecting the insurance boundaries and the professional boundaries at all. I was performing some mobilizations on clients, but it wasn’t that bad. I mean, in my record I had only pulled two hip flexors, hernieated one disc, and ripped the lower abs of another client. Was I that bad?

I thought that having a 4 year degree in exercise science could protect me from any harm. Or maybe my cute ass could protect me, along with my sexy-trailing smile.

I had caught myself. I needed a change. Not only by this point I had met the man of my life, but I realized that I was getting into something really stupid professionally. I needed to be challenged and I definitely didn’t want to work as hard for sales. I shouldn’t have to sell fitness, I mean, it should sell itself. Everyone should want to be intrinsically as fit as possibly, which would ward off disease, make the heart stronger, and help us deal with everyday stresses.

Fitness became more of a life sustaining necessity rather than a life fulfilling thing at that point. I needed fitness to make me a better ______(fill in the blank here, and this would assume any role you take on on a daily basis anyway). Rather that’s a mother, a student, a businessman, a coffee barista, a whatever! Fitness is the amazing balance of hormones that affect us on a daily basis. Sometimes we don’t give our body enough credit as it already is. For example, research has shown that a woman’s mood minute to minute can be attributed to the very hormones in our bodies: estrogen, progesterone, oxytocin, and GH. And Cortisol. And others.

In speaking with one of my professors at school about the combined sections meeting he just went to for the APTA, I couldn’t help but check out the suggestion he made to me after confessing my undying love for health, wellness and prevention all in the spectrum of PT. So check out this lady in Arlington, VA, he said. She has won a million awards through the APTA and has made a specific corporation that is EXTREMELY similar to the exact business I want to get into. Finally some hope! This economy won’t force me to go into long term care!!

Here’s an NPR special on her treatment style. She is extremely innovative AND cheap. She uses an inflated, closed BP cuff underneath a pt’s trunk in order to teach her how to contract her transverse abdominals!!!

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