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R O B E R T M . P A L M E R , M . D . I N S T I T U T E O F B I O M E C H A N I C S I N C .
A 501(c)(3) Not-For-Profit SchoolFounded 1996 - Incorporated 2003
Welcome to the Pedorthic Pre-Certification Course presented by the Robert M. Palmer, M.D., Institute Of Biomechanics, Inc., and numerous sponsors.
Thank you for your interest in the field of pedorthics and allowing our faculty to assist you with your continuing education. The Institute is proud to be the first not-for-profit school in the United States to provide pedorthic education. Our multi-disciplinary faculty includes world renowned medical practitioners, educators, inventors, and authors who will provide you with the most innovative pedorthic educational opportunity.
Our course objectives include 1) providing you with the knowledge and resources required to successfully sit for the American Board For Certification in Orthotics, Prosthetics and Pedorthics National Exam 2) careful compliance with the educational criteria developed by CAPE/NCOPE to assure professional standards and 3) incorporating contemporary biomechanics to increase the educational quality and it’s value to you.
Much of the course will be taught in a lecture setting as well as in a hands-on manufacturing lab. This time spent with experienced professionals provides you the opportunity to excel as a successful, Board Certified Pedorthist, taking clinical care to a higher standard utilizing the science of biomechanics.
We look forward to meeting you and the opportunity for you to share your experience and ideas as we continue to build our “Partnerships In Alignment”.
Helping People…Step By Step…
CAPE/NCOPE Protocols / Enrollment Protocols Pre-certification In Pedorthics
In this document you will find the following topics:
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The RMPI Staff would like to encourage all participants to review this document in it’s entirety. Underlined topics indicate suggested reading topics
Associations - ABC, PFA CAPE, COPE, Alliance, BCP, PFOLA, BAPFOLInformation of Prospective Students
Primary Topics of EducationAdmission Policy and ProceduresTuition, Fees and ExpensesCancellations and RefundsFinancial Aid
ScholarshipsFinancial Aid
Advanced PlacementPrerequisitesADA Technical StandardsGradesGrading Scale
Course Participation, Policies and Procedures pgs 10 - 12Online Overview please visit www.rmpi.org RMPI Technical Assistance / IT Department: [email protected]: You will receive an Online Welcome Email with instructionsLevel 1 - Online Participation, Course Assignments and Final Level 2 - AttendanceLevel 3 - Online Participation, Course Assignments and Final
Student Appeal of Final GradesFinal ExamsDismissalStudent ConductClass Etiquette pg 13Academic DishonestyCommunicable Disease PolicyCounselingEvaluationsFair PracticesStudent ResourcesHousing and Transportation pgs 14 - 16Course Schedule pgs 15-16
Standard Course ScheduleCurriculum Narrative
Cape RequirementsAdditional Modules Available At RMPIGuest Lecturer’s
Course Syllabus - Levels 1, 2 and 3 PedorthicsCourse ObjectivesPurpose
Administration and Instructor Information pg 37Instructor’s PhoneInstructor’s NameInstructor’s EmailSchool Administrative HoursInstructor’s Office HoursRMPI Travel Department: 317-750-2431 or 765-425-9012RMPI Technical Assistance / IT Department: [email protected] Text, References and Materials pgs 37 - 39 - “ What To Bring” Texts pg
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MaterialsRequiredRecommended
Estimated Costs of MaterialsCourse CompetenciesCourse ActivitiesAmerican With Disabilities ActAmericans With Disabilities Act Technical StandardsProtocol Conclusion
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R O B E R T M . P A L M E R , M . D . I N S T I T U T E O F B I O M E C H A N I C S I N C .
A 501(c)(3) Not-For-Profit SchoolFounded 1996 - Incorporated 2003
1601 Main Street, Elwood, Indiana 46036 765-557-7216 www.pedorthicbiomechanics.org
Pedorthic Pre-certification Training - 160 Hour Total Hours plus 1000 internship hours effective March 2, 2009
“This program is approved by the ABC as meeting all of the ABC and CAPE/NCOPE’s pre-certification education requirements.”
ABC - The American Board For Certification in Orthotics, Prosthetics and Pedorthics
The ABC has recognized the RMPI to deliver the educational requirements established by CAPE/NCOPE. Once you have completed Levels 1, 2 and 3 (approximately 160 hours) of Pedorthic Pre-Certification Education, and effective March 2, 2009 with 1000 mandatory internship hours of 750 clinical and 250 retail, you are eligible to sit for the ABC Exam at a designated testing site administered by Castle.
You are required to complete various manufacturing products or prescription modifications during hands-on in order to receive a certificate of completion.
ABC Merger Announcement - 2008
The ABC is pleased to announce continued progress in the integration of the Board for Certification in Pedorthics (BCP) into ABC. Two Certified Pedorthists have joined the ABC Board of Directors, and staffs of both organizations are hard at work on the transition of organizational
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records and data. A packet of information highlighting many of the developments has been mailed to all Certified Pedorthists in good standing.
As we look towards the future, ABC stands ready to serve the pedorthic community as the leader in certification and facility accreditation. Applications for upcoming Pedorthics exams are available at www.abcop.org. ; In addition, newly released ABC Accreditation information is now available to help guide patient care facilities as they undertake the steps necessary to achieve ABC Accreditation and strive to meet the new Medicare Quality Standards. We encourage all practice managers and business owners to read and review the ABC Accreditation Guide and contact us with any questions at [email protected].
On behalf of the ABC Board of Directors, we welcome the pedorthic community to the American Board for Certification and look forward to a prosperous future together.
- Tom Derrick, American Board for Certification in Orthotics & Prosthetics www.abcop.org
BOC – Board For Certification in Orthotics, Prosthetics and Pedorthics
The BOC also recognizes the RMPI as a pedorthic educator. Do note: if your state requires licensure, there are some states that do not recognize the BOC for state licensure. Also, the BOC offers a larger scope of practice for the pedorthist; allowing pre-fabricated AFO’s below the knee. Whereas the ABC only allows AFO’s to the gastroc juncture of the calf. Please consult the ABC and BOC for other variations in their certification credentials. www.bocusa.org
PFA - The Pedorthic Footwear Association
The Pedorthic Footwear Association originally was named The Prescription Footwear Association. This group assists you with educational opportunities to network together at an annual symposium, coordinating vendor alliances, discounted products and services, books and supplies, etc.
COPE - Council on Pedorthic Education
The Council (COPE) is pleased that you are interested in the education process for becoming a Certified Pedorthist (C.Ped.) As C.Ped’s, we offer a valuable service to our patients and customers. The pedorthic profession gives us meaningful and profitable careers, and we encourage you to explore this exciting career option.
CAPE - Commission on Accreditation of Pedorthic Education
Alliance – The International Alliance for Pedorthic Education and Advancement - merged with PFA as PFA Educators in 2008
The mission of The Alliance or the PFA Educators is to advance quality outcome based pedorthic education and training globally to potential and practicing pedorthists, other allied healthcare
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professionals, retailers and the public. You may reach the PFA by contacting www.cpeds.org links tab.
The Robert M. Palmer, M.D., Institute Of Biomechanics was voted as the Headquarters For TheInternational Alliance of Educators for Pedorthic Education and Training for the years of 2005 – 2006, comprising the accredited educators in pedorthic pre-certification in the United States listed below:
Foot Solutions, Inc. New York College of Podiatric MedicineOklahoma State University – Okmulgee Scholl School of Podiatric MedicineTemple University Eneslow Pedorthics SchoolThe Robert M. Palmer, MD – Institute Of Biomechanics, Inc. / Ball State University
PFOLA – The Prescription Foot Orthotic Laboratory Association The Prescription Foot Orthotic Laboratory Association (PFOLA) is a non-profit professional Association dedicated to promoting and improving the efficacy of custom, prescription foot orthoses to the medical professions, the public, and to third-party providers of medical coverage.
The Chief Manufacturing Instructor of the RMPI has received accreditation from BAPFOL as a podiatric manufacturing laboratory holding the highest industry standards in manufacturing custom functional feet orthoses.
BAPFOL – The Board For Accreditation in Prescription Foot Orthotic Laboratories
BAPFOL is the accrediting body for the Prescription Foot Orthotic Laboratory Association.
Information for Prospective Students
Primary Topics of Education
This course teaches the fundamentals of pedorthics and the science of orthotics, footwear construction and modification techniques. The topics are selected to prepare you to sit for the American Board For Orthotics, Prosthetics and Pedorthics (ABC) Examination scheduled at numerous locations throughout the USA during the months of May, August and November, approximately the first week of each month.
Topics include:
▪ Practice Management ▪ Patient Management ▪ Foot Anatomy ▪ Biomechanics ▪ Pathology of Diseases ▪ Pedorthic Assessment ▪ Terminology ▪ Patient Evaluation ▪ Orthotics ▪ Shoe Assessment & Footwear ▪ Modifications Of Footwear
You will learn from a multi-disciplinary team of experienced health care professionals.
Medical and Osteopathic Doctors Orthopaedic and Podiatric Surgeons Professors of Biomechanics Chiropractic Physicians Physical Therapists Pedorthists* Orthopedic Shoe Technicians
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Guest Lecturers – i.e. Gait and Biomechanical Analysis, current research projects in conjunction with Ball State University Biomechanics Laboratory
*Pedorthic Instructors are accredited as lab owners by the Board for Accreditation in Prescription Foot Orthotic Laboratories (BAPFOL) as having passed the Accreditation process in manufacturing functional feet orthoses with the highest industry standards.
Admission Policies and ProceduresGeneral Qualifications:
All applicants must possess a high school diploma or its equivalent.
CAPE (The Council for Accreditation for Pedorthic Educators) has implemented a competency based pedorthic educational course beginning January 1, 2006. As of 2-18-2006, the required time to complete this course is 160 hours. Effective March 2, 2009, the ABC has mandated a 1000 hour internship requirement before sitting for the ABC exam.
Level 1 & 2: Candidates are required to attend Level 1 & 2 and successfully complete and pass both a hands-on test as well as a written exam before proceeding to the next level. Levels 1 & 2 are provided consecutively. Upon the successful completion of these two levels the candidate is eligible for the certificate of Registered Footwear Technician. Level 1 & 2 offers a program in which a candidate may arrive for the course, pay full price for the course and test out of Level 1 & 2 after successfully completing both the hands-on and written exams.
Level 3: It is mandatory that all candidates attend the entire Level 3 course unless they meet specific degree qualifications approved by the ABC, CAPE/NCOPE. Upon the successful completion of this level the candidate is eligible to sit for the ABC exam which is offered twice a year at various national locations in the USA.
Internships: The internship requirement has been postponed until 2009
Tuition, Fees and Expenses2011 - ABC / BOC / NCOPE Compliant Courses:
Level 1, 2 & 3 provided in Elwood, Indiana - $2500 – $3000 dependant upon length of Level 2 course; full payment due at time of enrollment.
Level 1, 2 & 3 (Outside Elwood, Indiana) Varies if within USA or International Level 1 & 3 Online - $1000.00 per course, open enrollment Internet based course unless full payment is received at time of enrollment – then applicable discounts apply.
Note: $500.00 deposits or less are non-refundable.
10% service fee for financial plan candidates for cancellation prior to 30 days prior to the course.
There is no refund within 30 days of any course or once online instruction or live instruction has begun.
Cancellations and Refunds
There is no refund within 30 days of the enrolled and reserved course date, however the participant may change their desired course date with a written request and confirmation from the RMPI. This course is non-refundable once the online passwords have been provided or live instruction has begun.
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Financial Aid
Scholarships1. The Pedorthic Footwear Association has several scholarships and grants for 2007. Visit www.pedorthics.org more information. Scholarship deadline is January 31 of each year. The contact person for the scholarship application is provided below:
Harriet Cavanah Dart, C.PedPresident, Pedorthic Footwear Foundation2101 Waukegan Road #104Bannockburn, IL 60015T>847-444-0690 Fax>[email protected]>847-370-2088
2. The Theodore H. Morden Scholarship Fund - Athletic Scholarship. 3. The Carl Riecken Scholarship Fund - Specifics To Be Announced. 4. Learning Disabilities Scholarship Fund. 5. Clyde Edwards Scholarship Fund - The Contribution to Pedorthic Profession. 6. Survivors of Intimate Abuse Scholarship Fund. 7. Financial Aid Scholarships (total of 3 available) please visit www.rmpi.org for
financial aid scholarships available.
Advanced PlacementContact ABC at www.cpeds.org for current policies on advanced placement.
Prerequisites
College level Human Anatomy, Physiology or Kinesiology is suggested, but not required. High school diploma or GED is required. An Associates Degree may be mandated in the upcoming years.
ADA Technical Standards
All applicants accepted to RMPI must be able to meet the School's technical standards. Students are asked to review the standards and to sign a form certifying they have read, understand, and are able to meet the standards. RMPI’s Technical Standards are as follows:
The ability to demonstrate an understanding of foot and ankle anatomy, biomechanics, and foot pathologies.
The ability to properly fit shoes and pre-made foot orthosis. The ability to demonstrate an understanding of the BCP scope of practice and code
of ethics. The ability to demonstrate an understanding of Pedorthic Evaluation techniques, Foot
Orthoses fabrication and Shoe Modifications. The ability to demonstrate an understanding of Advanced Anatomy, Physiology,
Pathomechanics, Systemic Diseases, Custom Molded Shoes, Subtalar-Control Foot Orthosis, Patient Management and Implementation, and Practice Management.
Grades
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A minimum grade of 70 percent is required to pass each Level. The student may be allowed to retake the exam in 24 hours upon instructor approval.
Grading Scale
Pass / Fail = 70% required to pass
Course Participation, Policies and Procedures
It is recommended that you begin each module with the book “Introduction To Pedorthics” as your study guide. Read each chapter of the book that corresponds with each module to help you to retain the information and pass your course exams.
To begin your Online education, please visit our website at www.rmpi.org
On our website, go to tab: Online Courses, then tab: Online Courses Overview: There is pertinent information, regarding system requirements for your computer as well as course submission deadlines, so please take the time to read this section on the website. Below lists the format required for submitting course assignments. Please print this document for easy access while performing your online course requirements.
If you need technical assistance from our IT Department please contact us via : [email protected]
Level 1 - Online Participation, Course Assignments and Final Exam
Please forward your online assignments to [email protected] or fax them to 765-557-7223. When submitting your assignment, please attach a word document with your homework completed in the document, do not complete your assignment as merely an email correspondence. You are required to save your word document in the format provided below:
Please be sure to place the identical title in the subject matter of your email when submitting your saved word document via email transmissions.
Note: Self Assessments are not to be forwarded to your professor. John Doe MM-DD-YR Module #1 Terminology - Level 1John Doe MM-DD-YR Module #2 Anatomy - Level 1John Doe MM-DD-YR Module #3 Biomechanics - Level 1John Doe MM-DD-YR Module #4 Pathology - Level 1John Doe MM-DD-YR Module #5 Shoe Fit - Level 1John Doe MM-DD-YR Module #6 Shoe Construction - Level 1John Doe MM-DD-YR Module #7 Prefab - Level 1John Doe MM-DD-YR Module #8 Retail - Level 1John Doe MM-DD-YR Module #9 Final Exam - Level 1 (New Password Required)John Doe MM-DD-YR Module #10 (Optional Review - Level 1)
Level 2 - Attendance Students are expected to attend all class sessions. Students who fail to attend classes regularly or otherwise, demonstrate a lack of appropriate concern for satisfactory academic progress toward program objectives and may be withdrawn from the institution. Please see Course Schedule listed below for specific details of violation in arrival and departure times. As of 2011,
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we are pleased to provide you with a portion of the Level 2 curriculum to be performed prior to arrival to Level 2 depending upon the extent of the Level 2 course enrolled within. The RMPI offers a 5, 7, 10 and 15 day Level 2 curriculum.
Pre-Certification In Pedorthics Course Options – Jan – June 2011
Level 1 and Level 3 are online courses; while Level 2 offers either a 5,7,10 or 15 day course. If the intent is to learn the most from our programs, the 10-15 day Elwood, Indiana programs are the best for achieving hand skill or applying biomechanical theory. The cost of these two programs are $3K. Otherwise, the 5-7 courses are $2500.00. The 5-7 day courses will not be available until late spring, early summer. Although participation may begin Level 1 before attending once a method of payment is established as outlined in our Welcome Packet. The participant may decide what course date to attend at a later time; the achieve the current scholarship tuition price, the participant must enroll before April 1st, 2011 to achieve the best savings. Further differences of these courses are listed below: 5 Day Course ($2500.00; includes housing and transportation in Elwood, Indiana) - a single foot is manufactured; not bilateral pairs of various styles; applied biomechanics PPT of approximately 400 slides (not verbally narrated) to read and complete assignments before attendance to Level 2. Course intended for the person who will not engage in manufacturing within their career.
7 Day Course ($2500.00; includes housing and transportation in Elwood, Indiana) - two days of additional manufacturing; pairs are manufactured of various styles; applied biomechanics PPT of approximately 400 slides (not verbally narrated) to read and complete assignments before attendance to Level 2. Course intended for the person may engage in manufacturing within their career or desires to "feel" the differences in postings to each individual foot for a total fit and wear experience enhancing applied theory.
10 Day Course ($3000.00; includes housing and transportation in Elwood, Indiana) -"live applied biomechanics lecture". Course intended for the person who will be engaging in formulating a biomechanically engineered foot orthosis, clinical care and an interest in manufacturing skills. A business owner should consider this course.
15 Day Course ($3000.00; includes housing and transportation in Elwood, Indiana) - clinical care internship and additional manufacturing. Course intended for the person who will be engaging in formulating a biomechanically engineered foot orthosis, clinical care and an interest in manufacturing skills. A business owner or person who desires to work closely with the healthcare industry as a clinician, should consider this course.
Level 3 - Online Participation, Course Assignments and Final Exam
Please follow the same instructions provided above in Level 1 - Online Participation, Course Assignments and Final Exam but title Level 3 documents as outlined below.
Note: Self Assessments are not to be forwarded to your professor.
John Doe MM-DD-YR Module #1 Anatomy 1,2 - Level 3John Doe MM-DD-YR Module #2 Physiology 1,2 - Level 3John Doe MM-DD-YR Module #3 Pathology 15 Case Studies - Level 3John Doe MM-DD-YR Module #4 Pathology Arthritis/CMT - Level 3John Doe MM-DD-YR Module #5 Custom Shoes/SCFO - Level 3 (Performed in Level 2 Hands-On at RMPI)John Doe MM-DD-YR Module #6 Patient Management - Level 3
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John Doe MM-DD-YR Module #7 Practice Management - Level 3John Doe MM-DD-YR Module #8 Case Studies - Optional - Level 3John Doe MM-DD-YR Module #9 Final Exam - Level 3 (New Password Required)John Doe MM-DD-YR Module #10 (Optional - Review) - Level 3
Student Appeal of Final Grade
Upon the completion of a Level in which a student is enrolled and in receipt of the final grade, a student who feels their grade was incorrectly reported may appeal the receipt of said grade.
The student will first attempt to resolve the difference of opinion relating to the grade with the faculty person.
If resolution cannot be obtained through the faculty person, the student should then consult the Program Director.
Final Exams
The student may be allowed to retake the exam upon instructor approval. This will require student counseling and additional research by the student before being allowed to retake the exam. Each level has a Final Exam. Level 1 & 3 are password protected to maintain the integrity of the exam. A grade will be assessed and an overview of the topics missed to aid the student with reviewing. The answers to the exam are not provided; to maintain the integrity of the exam. Level 2 has one final exam and three mandatory competency based projects to complete; mock healing of two diabetic lesions via insoles, mock healing of diabetic ulcer with shoe modifications, and miscellaneous course workbook requirements.
Dismissal
Any student, who willfully by use of violence, force, coercion, threat, intimidation or fear, obstructs, disrupts or attempts to obstruct or disrupt, the normal operations or functions of the RMPI or who orally or in writing advises, procures or incites others to do so shall be subject to dismissal from the RMPI.
Student Conduct
Students are expected to cooperate in maintaining a classroom environment conducive to learning. Courteous and respectful behavior will be expected from all students.
Classroom Etiquette
1. Please turn pager and cell phones to vibrate; please ensure that you handle important phone calls during breaks, lunch and dinner.
2. During a live video taping, please try to remain seated, a beverage or mint might be appropriate to assist with any throat irritation. Please open snacks and beverages before filming begins.
3. Please respectfully, refrain from the following during class:
You may receive an RMPI disciplinary action and your employer notified as well as be asked to discontinue your studies and forfeit your tuition and instruction with the RMPI upon the following occurrences:
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1. Second offense of tardiness to class or leaving early upon formal notice from RMPI.2. Verbal abuse, vulgarity, sexual harassment or disrespectful behavior.3. Alcohol, drug or cigarette usage on the premises of RMPI or clinical internship sites.4. Unsafe or improper conduct with patients or students.5. Unsafe or improper conduct using machinery and tools.
Academic Dishonesty
Academic dishonesty or misconduct is neither condoned nor tolerated at RMPI. Any student found guilty of academic dishonesty or misconduct shall be subject to disciplinary action. Academic dishonesty and/or misconduct include, but are not limited to, the following actions:
(1) Plagiarism: the representation of previously written, published, or creative work as one’s own; (2) Unauthorized collaboration on projects; (3) Cheating on examinations; (4) Unauthorized advance access to exams; (5) Fraudulent alteration of academic materials; (6) Knowing cooperation with another person in an academically dishonest undertaking.
Students are required to actively protect their work against misuse by others.
Communicable Disease Policy
We strongly recommend that you be vaccinated against Hepatitis A, meningitis, chickenpox, and influenza.
Counseling
Counseling Services are provided to students in the form of individual sessions. Referrals to community agencies are provided as needed. Crisis intervention is also an integral part of this office working in conjunction with local police.
Students may contact the Program Director for an appointment. All services are free of charge and regarded confidential.
Evaluations
Student evaluations are an essential source of information on how well an online course is meeting its objectives and can point to ways to improve course design and delivery. Students will be required to complete evaluations as required by the Program Director.
Fair Practices
The RMPI Board has a special obligation to have its operations serve as a model for education. Neither the Board nor any official who is responsible to the Board shall, therefore, in policy or in practice, discriminate on the basis of race, creed, color, religion, sex, national origin, age, or physical or mental disability except where it relates to a bona fide occupational qualification.
Student Resources
Local Information can be found on www.elwood.org . Demographic and map data can be found at http://www.city-data.com/city/Elwood-
Indiana.html .
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Flights should be booked to Indianapolis International Airport at http://www.indianapolisairport.com/ . RMPI may be available to shuttle students from the airport to RMPI with prior notice.
Car rental is available at the Indianapolis International Airport. Drive time to Elwood is about 1 hour and 15 minutes.
There are limited accommodations in Elwood. However, there are many quality accommodations in Noblesville and Anderson less than 30 minutes away.
RMPI will soon have dormitories available. As of 2009, modest, limited free housing is available on a first-come-first serve basis; limited availability. Please call for updates.
Housing and Transportation Information
To participate in the RMPI dormitory housing, currently provided by the generous support of many corporate sponsors, you must request and complete a Housing Request & Questionnaire
by preferably, emailing the administrator, Pam Haig at the email address: [email protected] or via
fax at 765-557-7223.
If dormitory housing is available, you will be given a confirmation email confirming your housing
request. Check in times are between the hours 6 PM – ll PM, the day before the course is
scheduled to begin. Early arrivals may visit local attractions in Indianapolis, Fishers or Noblesville,
while late arrivals are requested to secure their own housing and transportation as to respect the
sleeping hours of fellow students and the RMPI dormitory supervised faculty. Check out times are
any time from the conclusion of the course until 9AM on the day following the conclusion of
attending the RMPI course. Do note, that the RMPI provides free transportation from the airport
during the hours of 6PM – 9PM the day before the course begins and at 10 AM – 2 PM the day
following the conclusion of the course. There is a fee of $100.00 per person to be shuttled prior to
or after the scheduled shuttle times. Regretfully, it will be the responsibility of the student to make
prior arrangements with the transportation manager of the RMPI if their arrival times, flight times
or personal needs fall outside of the scheduled shuttle and dormitory schedules. Please forward your flight itinerary at your earliest convenience to schedule RMPI transportation. You may
reach the transportation manager by telephoning Joe at 765-425-9012 or by making prior
arrangements at the email address: [email protected]
RMPI Dormitory Housing Emergency Information: Phone or Fax the RMPI at: Telephone #: 765-557-7216 Fax # 765-557-7223. Emergency phone
numbers: 317-750-2431, 765-557-7216, 765-810-3177. Wireless Internet Is Provided At The Dormitory And An Additional Computer At The RMPI.
RMPI Dormitory Address: 2032 S. J. Street, Elwood, IN 46036
RMPI Dormitory Housing Directions:
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The directions to the RMPI are located on our website at www.rmpi.org The directions to the school have been provided from the school address, as many students locate the school before arriving at the dormitories. From the RMPI at 1601 Main Street (16th & Main), Main Street is also known as HWY 28, head west to Anderson Street which goes directly through town (north and south). Turn left, cross over the railroad and begin looking for "J" street. All streets East to West are labeled alphabetically. Notice the Plum House Bed & Breakfast on the right. Turn left which is East onto "J" street. Proceed about three blocks to 2032. Please park just east of the building, pulling in slightly slanted as to keep the tail end of your automobile off the street. Enter through the front hallway. Please phone 317-750-2431 to gain entrance to the building. If you arrive after 9PM, the person who will check you in will be on the premises. If you arrive after 11PM, please utilize alternate housing for your first evening as to respect the other students sleeping requirements. Class begins promptly at 8AM with early registration at 7:30 AM. Otherwise, if you arrive earlier than 9PM we will make arrangements to meet you at the apartment/dormitory but not prior to 6PM. The school is approximately 1 mile from the apartment/dormitory.
Course Schedule
Standard Course Schedule Some sponsors may alter the schedule to meet their corporate requirements, you will be notified of specific changes as they develop.
Class Begins At 8:00 AM (Please arrive on time; your cooperation is required)Three ten minute breaks at: 10 AM, 2 PM & 4 PM during lectures; varied during hands-on.Lunch 12 – 1Dinner 5 – 6Class Ends at 8:30 PM - Be sure your flight departure is the following day! RMPI does not provide free shuttle service on the last day of class. The shuttle runs 6-9 PM the day before the course begins and day after the course conclusion from 10AM – 2PM.
The Indianapolis International Airport is 1 hr and 15 minutes south of the RMPI.
IMPORTANT INFORMATION: Please check your flight arrival and departure times as tardiness or early release may forfeit your certificate of completion to the Level 2 program. Private tutoring may be available and deemed necessary at $100.00 per hour for those in violation of course arrival and departure times. Otherwise, the participant may be required to return to complete their course curriculum and competency based projects at a later date. Please note there is a $250.00 fee for course reinstatement.
Please respect the rights of those who 1) have medical or dietary needs, 2) desire to participate in the academic guidelines established for routine breaks, lunch and dinner to ensure a successful program to all or 3) allowing participants scheduled times for business or personal issues to be addressed during the course.
Curriculum Narrative
The mission of RMPI is to educate consumers and allied health professionals in biomechanical principles, diagnosis, treatment and prevention of musculoskeletal injuries and malalignments in adolescents and adults. We seek to improve the quality of biomechanical performance while enhancing and promoting adolescent and adult active lifestyles. Our team of professionals takes great pride in changing the history of biomechanics by applying innovative theory and principles. We further accomplish our mission objectives by sharing our latest clinical and research finding through publications of findings in related peer reviewed journals and through Continuing Medical Education opportunities.
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The goals and objectives of the pedorthic pre-certification program is to provide competency-based education to aspiring pedorthists through lectures, laboratory work, and supervised clinical experience to provide a sufficient body of knowledge to make them competent to enter the field of Pedorthics. The successful student will demonstrate an understanding of foot and ankle anatomy, biomechanics, and foot pathologies. The successful student will also have the ability to properly fit shoes and pre-made foot orthosis. The successful student will also demonstrate an understanding of the ABC scope of practice and code of ethics. The successful student will demonstrate an understanding of Pedorthic Evaluation techniques, Foot Orthoses fabrication and Shoe Modifications. Finally, the successful student will demonstrate an understanding of Advanced Anatomy, Physiology, Pathomechanics, Systemic Diseases, Custom Molded Shoes, Subtalar-Control Foot Orthosis, Patient Management and Implementation, and Practice Management.
Students take an average of 160 hours of didactic and lab courses to complete the program competencies. Since CAPE/NCOPE Standards are competency-based and not clock hour based, the amount of time to complete the course competencies varies from student to student.
Standard courses are offered based upon a 40 hour instructional week. Fast track courses are offered from time to time that meet 10 hours per day for up to 6 consecutive days. In this case the maximum number of hours the student attends in a week is 60 hours.
One good example of didactic and clinical / lab time integration of instruction is the mock clinical day in Level 3 Pathomechanics. The day consists of each student scheduled with patients, consisting of individual case studies. Each student has a new case study every 15-30 minutes. Students receive mock calls from “physicians” asking for status and assessments on their patients. Students receive mock phone calls from insurance companies, manufacturers, irate patients, and sometimes young family members just wanting to chat and burn off valuable time. Some patients cancel, others are double booked. At any time students can walk away from their desk and “call” the instructor for a consultation. This exercise allows the student to experience real life circumstances and allows a good opportunity for the instructor to assess competency. There are other similar instructional opportunities like this throughout RMPI’s program as well.
Student competency is tracked via different, but specific assessment tools. First, individual competency is assessed via direct questioning. It is the responsibility of the faculty to integrate questioning techniques and assess responses to use as a tool to assess student progress and adjust learning modalities. Students are also required to take a Self Assessment at the end of each module / course. This provides immediate feedback and motivates the learner to study or seek assistance from peers or the instructor. Lab projects are also subject to grading and feedback. These grades do count towards the final grade, but are another source for immediate feedback for the student and a tool for the instructor to adjust learning modalities.
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Didatic
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Course
Hours
Program Concentration
Didatic Lab
Each level completed requires a comprehensive final exam of 50 questions to pass that part of the program. A passing grade of 70% is required to pass onto the next level. A total of 150 questions are presented, 50 at each level, which the student must pass with 70% or better to be considered competent.
Cape Requirements of Level 1,2,3 - 2008 - Present
Level 1Shoe Fitting, Shoe Construction, Basic Anatomy,
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Biomechanics, and Pathology Pre-fabricated Foot OrthosesA. Objective: The student will understand and demonstrate basic knowledge in foot and ankle anatomy, biomechanics, and common foot pathologies. Demonstrate the ability to properly fit shoes and pre-made foot orthosis. The student will also understand the BCP scope of practice and code of ethics.
1. The student will develop an understanding of the meaning of medical and Pedorthic terminology.
a. abductionb. adductionc. arthritisd. anteriore. ambulationf. ankle jointg. apexh. archi. atrophyj. breakk. bilaterall. blucherm. buttressn. buniono. charcot footp. claw toeq. hammer toer. dorsiflexions. crepitust. cuboidu. counter, longv. elevationw. equinovarusx. fasciay. fascciitisz. heel padaa. heel pitchbb. harris matcc. toe springdd. pronationee. supinationff. Plantar flexiongg. Varushh. Valgusii. Genu valgumjj. Genu varumkk. Post tib tendon
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2. The student will develop an understanding of basic foot anatomy of the human foot.
a. Identify and name the bones of the human foot.b. Identify and name the muscles of the human foot and their function.c. Identify and name the three anatomic divisions of the human foot.d. Identify and name bones of the hind foot.e. Identify and name bones of the midfoot.f. Identify and name bones of the forefoot.
3. The student will develop an understanding of basic level 1 biomechanics as it relates to foot function, including planes of motion, and ideal foot function. Heel strike, foot flat, heel off, toe off, and swing phase.
a. abduction/adductionb. dorsi/plantarflexionc. inversion/eversiond. varus/valguse. pronation/supination
4. The student will develop an understanding of basic foot pathologies, (most common) level 1, and understand when molded shoes should be indicated.
a. bunionsb. calluses, cornsc. hammer/claw/mallet toesd. heel paine. metatarsal pain (metatarsalgia)f. over supination/pronationg. diabetesh. arthritis
5. The student will develop an understanding of shoe anatomy and shoe construction.
a. Identify and describe the primary sections and basic components of the shoe.
1. quarter2. top line3. vamp4. welt5. toe box6. outsole7. throat8. heel9. midsole10. shank11. counter12. insole13. inlay14. stitching and seams
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b. Identify and describe the basic construction of a shoe including last patterns, and function of lastshape.
1. cement process2. Goodyear welt process3. stitch-down process4. genuine moccasin construction5. heat-sealing process6. basic shoe assembly6. The student will develop an understanding of goals and
techniques for measuring feet, and demonstrate the ability to properly fit shoes.
b. Proper measuring techniques using the Brannock device. (and others)
c. Understanding shoe sizing; U.S., U.K., Euro.d. Proper techniques for checking shoe fit.e. Proper techniques for fitting over an AFO (plastic).f. Fitting children, teens, adults, elderly, and athletes.g. Fitting special feet by understanding different foot shapes,
and basic pathology as listed in # 4.h. Develop an understanding when molded shoes should be
indicated. i. Proper fitting techniques using minor modification tools.
1. stretching tools, and how to properly soften leather2. tongue pads3. met pads4. heel straights5. arch cookies6. forefoot pads
7. The student will develop an understanding of common pedorthic shoe modification and their function.
a. Basic rocker sole, understand the function, and biomechanical effects.
b. Stabilizers/flairs/wedges, lateral/medial, understand the function, and biomechanical effects.
c. Build – ups, internal/external, understand the function, and biomechanical effects of a leg length discrepancy.
8. The student will develop the proper techniques in order to fit over-the- counter foot orthosis.
a. ¾ length vs. full lengthb. Rigid, semi-rigid, accommodative- Identify differences and benefits.c. Basic level 1 foot orthoses modifying techniques for better fit and
comfort.
9. The student will understand basic retail shoe and business management.a. Basic management skillsb. Proper inventoryc. Understanding point of sale datad. Medicare laws pertaining to Pedorthics
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e. Employment laws
EXAM
Level 2Pedorthic Evaluation Foot OrthosesShoe Modifications
Pedorthic Evaluation
The student will continue to develop an understanding of the meaning of medical and Pedorthic terminology.
Objectives:
1. The student will continue to develop an understanding of biomechanics of the human foot. (Intermediate)
The student will,
a. List and describe the three primary planes of motion of the foot.b. List and describe the three positions of plantar foot motion.c. List and describe the two positions of triplane motion.d. Describe how standing weight is distributed. (Static)e. Describe how weight is distributed during walking and running
motion. (Dynamic)
2. The student will continue to develop an understanding of the various pathology of diseases, trauma, congenital deformities, and acquired deformities of the foot and ankle. (Intermediate)
The student will,
a. State the causes and conditions of the diabetic foot.b. State the causes and conditions of the arthritic foot.c. Demonstrate an awareness of acquired and congenital deformities.d. Demonstrate an awareness of systemic diseases affecting the foot.e. Demonstrate an awareness of overuse/ traumatic, and sports related
disorders to the foot and ankle.
3. The student will demonstrate competency in performing an evaluation and pedorthic assessment of a patient. Know and understand the BCP scope of practice and code of ethics concerning a pedorthic assessment.
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The student will,
a. Complete an Assessment Form.b. Read and interpret a prescription/order.c. Conduct a patient history assessment.d. Perform a gait and biomechanical analysis.e. Identify areas of excessive plantar pressure utilizing a floor reaction
system, both static and dynamic. (imprint type, and computerized methods.)
f. Conduct a shoe inspection: wear pattern, size and measurements of shoes.
g. Conduct a physical examination of a patient’s feet.h. Observe and demonstrate the ability to recognize pathology of
diseases. i. Conduct an insensate foot evaluation using a sensory monofilament.
Foot Orthoses
1. Orthosis Defined
2. Objectives of Orthoses
3. Design and Fabrication of Orthosesa. Evaluation of lower limb biomechanicsb. Identification of areas of excessive plantar pressurec. Foot impression techniques d. Selection of appropriate orthosis materials
4. Accommodative or functional orthoses
5. Safety: Proper use of equipment and hand tools
6. Personnel safetya. Ventilationb. Safety glassesc. Masksd. First Aid kite. Personal hygienef. OSHA guidelines (Bloodborne Pathogens)
Objective: The student will design and fabricate foot orthoses, both accommodative and functional for patient (s), using selected materials to meet the pedorthic objectives; and evaluate and make necessary modifications or adjustments by understanding the implementation of pedorthic problem solving techniques. The student will demonstrate and understand the safety and use of equipment and hand tools, i.e., vacuum formers, shoe machinery (grinders) sewing machines, hammers and knifes, cements, etc.
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The student will,
a. Give a definition and describe the composition of total contact orthoses.
b. State the pedorthic objectives of orthoses for treatment of the diabetic foot, or insensate foot.
c. Conduct an evaluation of lower limb biomechanics.d. Identify areas of excessive plantar pressure utilizing a floor reaction
system: imprint type, and computerized methods.e. Conduct a physical assessment of the plantar surface of the foot. f. Obtain a model of a foot by taking an impression.g. Demonstrate four principle techniques when taking a foot
impression, including, a plantar cast (slipper), impression foam, and computerized.
h. Select the proper technique for taking a foot impression as determined by the condition of the patient’s foot and the desired function of the orthosis.
i. Describe two basic functions of orthosis, i.e., accommodative or functional.
j. Select appropriate orthosis materials, i.e., soft (heated at 250-300 degrees F) semiflexible, rigid. etc.
k. Describe material applications for a single, double, and tri-layer orthosis.
l. Produce a positive model of a patient’s foot and fabricate an orthosis, i.e., both accommodative and functional.
m. Use parting agents.n. Utilize mixing components.o. Separate a positive model from a negative mold.p. Describe intrinsic and extrinsic modifications.q. Perform intrinsic and extrinsic modifications.r. Demonstrate an appreciation for good safety practices.s. Conduct a trial fitting of an orthoses, evaluate, and make necessary modifications or adjustments.t. Demonstrate adjustment techniques by gathering information in
order to achieve maximine results in the adjustment of the orthoses, utilizing pedorthic modification techniques, i.e., medial or lateral anterior or posterior posting, met pads, adjusting arch heights, etc.
Shoe Modifications
1. Review shoe anatomy and shoe construction
2. Upper Modifications
3. Midsole and Outsole Modifications
4. Modifying the footwear to accommodate AFO, KAFO, and prosthesis.
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5. Equipment and material selection
6. Safety: Proper use of equipment and hand tools
7. Personal safetyg. Ventilationh. Safety glassesi. Masksj. First Aid kitk. Personal hygienel. OSHA guidelines (Blood borne Pathogens)
Objective: The student will design and/or fabricate footwear modification for the patient using selected materials to meet the pedorthic objectives; and evaluate and make necessary modifications or adjustments by understanding the implementation of pedorthic problem solving techniques; and the student will describe current shoe styles and construction that are appropriate for specific shoe modifications. The student will demonstrate and understand the use of equipment and hand tools, i.e., shoe machinery (grinders) sewing machines, hammers, knifes, and cements, etc.
The student will,
a. Perform upper shoe modifications applying balloon patches and know when to select this type of modification technique (hammer toe and hallux valgus associated with a bunion).
b. Perform upper shoe modifications utilizing closure conversion techniques (Weight-bearing straps with D-rings or matching lace stays and self-adhesive closures) and know when to select this type of modification technique (upper extremity involvement, i.e., rheumatoid arthritis or hemiplegia).
c. Perform upper shoe modifications applying heel counter modification techniques (reinforcement of
the inside or outside), select appropriate material, and know when to select this type of modifications technique, i.e. accommodating AFO, KAFO, prosthesis, or over all reinforcement.
d. Identify the various types of rocker soles, describe their function, biomechanical effects, and pedorthic applications.e. Differentiate between the terms heel strike, midstance, rocker
angle, and apex relevant to rocker soles.f. Fabricate five types of rocker soles, including, mild, heel-to-toe,
severe angle, negative heel, and double.g. Perform midsole and outsole modifications fabricating elevations for
leg length deficiencies (LLD). Know and understand the application techniques in order to properly meet pedorthic objectives.
h. Identify methods or types of stabilization, describe their function, and pedorthic
application.
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i. Describe the function and application of flares and stabilizers (buttress), both lateral and medial.
j. Fabricate two types of stabilization, including flares and stabilizers, both lateral and medial.
k. Describe the function and application of an extended steel, or carbon fiber shank; and fabricate a shoe modification with an extended shank.
l. Describe the function and application of wedges; and fabricate a shoe modification utilizing a wedge.
m. Describe the function and application of customizing uppers; and fabricate a shoe modification utilizing a customized upper, i.e., adding to the quarters of a low top shoe, converting it to a high top shoe, extending the opening posteriorally in order to facilitate doffing and donning, i.e., fused dorsi/plantar flexion, AFO, KAFO, or prosthesis.
n. Demonstrate sole splitting in order to add shoe modifications between the original sole.
o. Conduct a trial fitting of various shoe modifications, evaluate, and make necessary adjustments. Must include rocker soles and stabilizers.
p. Demonstrate an appreciation for good safety practices.
EXAM
Level 3Advanced Knowledge: Anatomy, Physiology, Pathomechanics, SystemicDiseases, Custom Molded Shoes, Subtalar-Control Foot Orthosis, Patient Management and Implementation Practice Management
Anatomy
Objective: The student will demonstrate an advanced knowledge of the following tissues and organs that affect the foot and ankle.
1. Skina. Epidermisb. Dermis
i. Sebaceous glandsii. Sweat glandsiii. Hair folliclesiv. Nerve endings
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2. Neuronsa. Cell bodyb. Axon (transmitter end)c. Dendrites (receiving end)d. Myelin sheath (insulation, acceleration of transmission and isolation)e. Synapse (electro-chemical action potential)
3. Arteriesa. 3 layers – inner layer-endothelium, middle layer smooth muscle and
elastic tissues and outer layer collagen and supporting tissue.b. Capillaries only endothelium layer
4. Veinsa. 3 layers also but additional venous valves to prevent backflow of
blood during standing.
5. Musclea. Smooth muscle (involuntary muscle)
i. Internal organs except for the heartb. Striated muscle (voluntary muscle)
i. Skeletal muscle – actin strands and myosin molecules make up the myofibril which combined make up the muscle fiber.
6. Ligamentsa. Lateral-collateral ligaments (lateral ligaments)b. Anterior and Posterior tibiofibular ligaments (lateral ligaments)c. Deltoid ligaments (medial ligaments)d. Plantar ligaments
Physiology
Objective: The student will demonstrate an advanced knowledge of the physiology of the nervous and cardiovascular systems of the body and how they affect the foot.
1. Nervous Systema. Central Nervous System
i. Brainii. Spinal cord
b. Peripheral Nervous Systemi. Somatic (voluntary movement and sensory)ii. Autonomic (automatic processes of the body)
2. Cardiovascular Systema. Heart, arteries, arterioles, capillaries and interstitial fluidsb. Veins, venulesc. Lymphatic system – interstitial fluid, lymph vessels, lymph nodes
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Pathomechanics
Objective: The student will demonstrate an advanced knowledge of foot pathomechanics and demonstrate the ability to properly produce and fit foot orthosis and pedorthic modalities, e.i. shoe modifications, SCFO, ect., that may be prescribed/ordered. (List pathologies and pedorthic treatments with expected outcomes.)
1. Foot pathologies and the mechanics associated with thema. Achilles tendonitisb. Plantar fasciitisc. Calcaneal apophysitisd. Clubfoote. Posterior tibial tendonitisf. Tarsal coalitiong. Ankle equinesh. Lateral and medial ankle sprainsi. Limb length inequalityj. Chondromalcia patellak. Hallux limitus and rigidus (structural and functional)l. Morton’s neuromam. Metatarsal and toe deformitiesn. Metatarsalgia (all forms)o. Plantar Fibromatosisp. All forms of arthritisq. Diabetic foot ulcersr. Peripheral neuropathies including Charcot-Marie-Tooth disease and
Alcoholic neuropathys. Venous, pressure and arterial skin ulcers
Custom Molded Therapeutic Shoes
1. Treatment goals for custom molded therapeutic shoesa. Disordersb. Applications
2. Castinga. Goalsb. Casting chairc. Casting platformsd. Casting positions
1) Weight bearing vs. non-weight bearing2) Knees3) Tibias or lower leg4) Ankle joint5) Midtarsal joint6) Digits
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7) Skin8) Prosthetic feet9) Special considerations
3. Recording two-dimensional dataa. Foot printing and outliningb. Measuring considerations
1) Rigid foot2) Hypermobile3) Edematus4) Flaccid5) Locations
4. Castinga. Materials: Plaster bandages or casting socksb. Bivalve techniquec. Univalve techniqued. Spiral wrap
Objective:
1. The student will demonstrate an understanding of goals when custom molded therapeutic shoes are indicated, and demonstrate the ability to conduct various casting techniques in order to capture an accurate negative mold; and understand when to help encourage patients to take advantage of this option when appropriate.
The student will,
a. Give examples or conditions that may cause a need for custom shoes.
b. Give examples or treatment goals for custom shoes.c. Identify the primary goal of casting for custom shoes.d. Describe casting equipment, accessories, and materials needed for
casting custom shoes.e. Describe a variety of casting positions and special considerations.f. Record two-dimensional data, including foot printing and outlining.g. Provide a description of measuring considerations.h. Record three-dimensional data by measuring a foot (feet) e.g.
length, width, and circumference.i. Demonstrate casting techniques, including, plaster bandages,
synthetic casting socks, bivalve techniques, univalve techniques, and spiral wrap (synthetic and plaster).
j. Know current available options concerning custom molded therapeutic shoe companies for the manufacturing of your patient’s custom shoes.
Subtalar-Control Foot Orthosis (SCFO)
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1. Define a SCFO, and understand design options. Treatment goals for SCFOa. Disordersb. Applications
2. Castinga. Goalsb. Casting chairc. Casting platformsd. Casting positions
1) Weight bearing vs. semi-weight bearing2) Techniques for maintaining correct casting position of the foot
and ankle3) Knees4) Tibias or lower leg5) Ankle joint6) Midtarsal joint7) Digits8) Skin9) Special considerations
3. Recording dataa. Rigid footb. Hypermobilec. Edematousd. Flaccide. Identifying bony prominences
4. Casting Materials:a. Synthetic casting socksb. Plaster rollc. Synthetic material rolld. Casting platforme. Marking pencilf. Interface protection for removal of castg. Scissorsh. Cast sawi. Casting stockinet for plaster or synthetic rollj. Plastic interface for synthetic casting sock
Objective:
1. The student will demonstrate an understanding of goals when a custom SCFO is indicated, and demonstrate the ability to conduct various casting techniques in order to capture an accurate negative mold.
The student will,
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a. Give examples or conditions that may cause a need for a SCFO.b. Give examples or treatment goals.c. Identify the primary goal of casting a SCFO.d. Describe casting equipment, accessories, and materials needed for
casting a SCFO.e. Describe a variety of casting positions and special considerations.f. Record all necessary data.g. Provide a description of measuring considerations.h. Identify and correctly mark all bony prominences, and landmarks in
order to effectively modify positive model.i. Demonstrate casting techniques including, synthetic casting socks,
and spiral wrap techniques.j. Demonstrate and understand fitting techniques and the proper shoes
needed.k. Know current available options concerning custom molded SCFO manufacturing companies for the manufacturing of
your patients SCFO.
2. The student will demonstrate the knowledge of proper fitting/modifying techniques of a SCFO and shoes and/or shoe modifications that may be required.
The student will,
a. Demonstrate proper donning and doffing of a SCFO.b. Describe various fitting challenges, e.i. needing larger size shoe,
additional shoe modifications (rocker soles, medial/lateral stabilizers, possible in-shoe lift for opposite side, etc.)
c. Demonstrate modifying techniques that can be done to a SCFO.1) Heating and expanding areas of pressure2) Padding techniques3) Trimming away areas that may irritate, i.e: dorsum closure,
anterior plantar edge, etc.
Patient Management and Implementation
The student will demonstrate the ability to begin working with a patient and the prescribing physician, and demonstrate necessary skills in patient care.
Objectives:
1. The student will demonstrate the knowledge and ability to instruct a patient on the potential effectiveness of the pedorthic treatment protocols, and related fees, using clear communication to help a patient understand and accept realistic goals.
The student will,
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a. Demonstrate the ability to begin working with a patient, know what initial questions they should ask, understand the importance of listening skills, know what type of information may be revealed in an initial patient interview, and show concern for the patient’s problem.
b. Explain a diagnosis and how the problem affects the patient’s feet.c. Communicate prescription footwear goals and importance; generate
realistic expectations for the patient.d. Emphasize the importance of pedorthic footwear in a total program,
stressing the importance of follow-up care.e. Teach patients that prescriptions usually require minor adjustments
in shoe modifications or orthoses; and encourage the patient to comply with follow-up instructions.
2. The student will understand and practice promoting the major components for a successful relationship between a pedorthist and patient, including consistency, trust, confidence, and availability.
The student will,
a. Understand that when at all possible, a patient should be seen by the same pedorthist each visit.
b. Understand the importance of maintaining complete and accurate patient records.
c. Practice the procedures that are designed for a pedorthic facility to follow for protection against infection or similar harmful consequences (Universal Precaution); and the importance of practicing these procedures in front of patients.
d. Understand the laws concerning the privacy of the patient (HIPAA).e. Understand the importance of communicating professional expertise
and knowledge to patients; and demonstrate the ability to communicate this expertise.
f. Promote a belief in prescription footwear by explaining the expected outcome to the patient in a realistic manner.
g. Demonstrate a caring attitude by being knowledgeable of current styles in pedorthic footwear, displaying consideration of the patient’s lifestyle and tastes, considering working with a patient’s current shoes when the shoes are deemed appropriate for the condition of the patient’s feet, and will accommodate any orthoses and shoe modifications that are
prescribed/ ordered.
h. Understand the importance of availability and demonstrate an awareness of the variety of places that a pedorthist may service patients, including, clinics, hospitals, nursing homes, and in a pedorthic facility (orthotic and prosthetic facilities with a pedorthist on staff)
i. Demonstrate an awareness of the educational brochures, and videos available from various organizations, i.e., PFA, ADA and
various product manufactures.
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j. Demonstrate an awareness of the importance of product display and the ability to create a product display in the patient
waiting area or fitting room of a pedorthic facility.k. Conduct a patient and/or family compliance counseling session.
3. The student will understand and demonstrate the knowledge to consult as necessary with the prescribing physician or other medical team member(s), through communication about the patient’s pedorthic management in order to achieve effective treatment outcomes.
The student will,
a. Know when to notify the physician of foot problems or warning signs, i.e., a callus, red spot, etc.
b. Demonstrate diplomacy (e.g., the ability to address a situation with respect and tact, even in disagreement) in communicating recommended changes in the prescription/order or attempting compromises between the patient and physician.
c. Communicate the notifying of physician referrals in writing and by telephone.
d. Understand the cooperation that can be promoted by having a physician emphasizing the importance of pedorthic footwear to patients.
e. List and describe the various medical disciplines interfacing with pedorthics, and understand the “team approach” to foot care.
4. The student will demonstrate the ability to develop and maintain a patient record keeping system, a procedure for scheduling appointments, ensure quality care, satisfy legal and reimbursement regulations, ensure patient compliance and progress through effective follow-up evaluations, and maintain effective product/service capabilities.
The student will,
a. Develop a patient file and patient chart of information.b. Understand what information is to be maintained in the patient file.
1) Medical history2) Intake, assessment, and prescription/order information3) Patient treatment plan4) Follow-up, progress reports, and performance outcome
measures5) Patient satisfaction survey
c. Write a procedure for appointments and scheduling.d. Demonstrate an awareness of the need for maintaining an
appointment book.e. Understand all laws that pertain to patient privacy.f. Develop and maintain product and service capacity.
1) Patient service area2) Laboratory equipment3) Display area
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4) Fitting and assessment room5) Inventory6) Adjustment and repair services7) Patient billing services8) Compliance with BCP Code of Ethics9) Safety management, Proper use of equipment and hand tools10) Personal safety
a. Ventilationb. Safety glassesc. Masksd. First Aid Kite. Personal hygienef. OSHA guidelines (Blood borne Pathogens)
11) Regular business hours12) Emergency phone number listing13) Referrals/Warranties14) Business insurance
Practice Management
The student will understand and demonstrate knowledge of basic management skills needed in order to maintain a successful pedorthic practice.
1. Sources of Medical Referralsa. Physiciansb. Other Medical Team Professionals
2. Developing Referring Professionalsa. Sources for Initial Contact Listb. Professional Detailingc. Direct Mail Marketing
1) Introductory Letters2) Brochures3) Return Post Cards
3. Advertisinga. Physicians Guidesb. Medical Journals and Newslettersc. Association Journals and Newsletters
4. Direct Calls and Presentationa. Printed Materialsb. Product Samplesc. Brevityd. Professionalisme. Genuiness
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5. Local Health Related Conferences and Conventionsa. Exhibits, Booth, or Displaysb. Direct Information
6. Communicating Patient Information to Referring Physiciana. Clarifying Prescription/orderb. Reporting Patient Progressc. Acknowledging Referralsd. Ongoing Communication
7. Educational Programs on Pedorthicsa. Presentations and Lecturesb. Instructing Physicians to Write Good Prescriptions/ordersc. Foot Clinicsd. Staff Education
8. Continuing Education for Pedorthicsa. Pedorthic Footwear Association (PFA)b. Board for Certification in Pedorthics (BCP)c. Conferences, and Educational Opportunities Sponsored by other
Allied Health Associationsd. Communicating with Suppliers
9. The Team Approach to Foot Carea. The Team Members and Scenariob. Keeping an Ongoing Professional Relationship with Team Members
10. Pricing and Billing Considerationsa. Professional Knowledge and Expertiseb. Servicec. Cost of Goodsd. Overhead Expensese. Payment Policiesf. Medicare Regulationsg. Managed Care Organizations
11. Personnel Managementa. Personnel Policiesb. Position and Job Descriptionsc. Applying for a position
1) Job application2) Prepare a resume3) Interview
d. Organizational Charts1) Pedorthic2) Lab3) Clerical4) Management
e. Team Management
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f. Staff Meetings and Staff Training
12. Insurance Considerationsa. Premises Liabilityb. Product Liabilityc. Professional (Malpractice Liability)
13. Capital Planning and Developmenta. Inventory
1) Footwear, i.e., Shoes, and over the counter products2) Laboratory Materials3) Office Supplies
b. Equipment1) Pedorthic2) Office
c. Facility1) Signage2) Patient Waiting Area3) Rest Rooms4) Water Cooler5) Telephone6) Displays7) Brochures8) Magazines9) Parking10) Accessibility for the Physically Challenged11) Assessment Rooms12) Laboratory14. Licenses, Taxes, and Permits
a. Business Trade Nameb. Sales Tax Permitsc. Federal and State Employer Identification Numbersd. State Licensure Lawse. Professional Certification (BCP)f. Professional Code of Ethics (BCP)g. Certification Retention Standards (BCP)
EXAM
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Modules Available At The RMPI But Not Necessarily Mandated By CAPE
Module 1 Module 2 Module 3Welcome Terminology Anatomy Questions
RMP Introduction Basic Anatomy BiomechanicsCode Of Ethics Surface Anatomy Cast Analysis
Practice Management Diagnostic Anatomy Compensation OnePatient Management OSU Anatomy Tekscan Gait
Team One / Team Two Chalk-N-Walk Stride LengthApex Gait
Module 4 Module 5 Module 6Pathologies Pathologies Pedigraphs x 6
Compensation Two DeFrese Rph, DO - Cells I-StepPedowitz DPM Morden DPM – Surgery Chalk-N-Walk
Herbst MD – Amputations Wernick DPM - Sports Pedigraph Sizing AnalysisNash MD - Vascular Offutt DPM – STJ Pronation
Herbst – Charcot Herbst MD – PTTDVan DPM – Amputations Herbst MD - Clubfoot
PhD – Unloading Palmer MD – Lis FrancFancher PT – Wound Care Miller DPM – Digital
Module 7 Module 8 Module 9Pedigraph Analysis First MPJ/Lesion/PF First Ray Pediatric Shoe Modifications
Insole Test Calcaneal Stance Position Internal Tibial TorsionPedigraph Artificial Pathology Pronation
Insole Accommodations Healthy Feet Henry Ford Orthosis Bionic Kidz
Module 10 Module 11 Module 12 Copolymer Plate Biofoam Casting Forefoot Planes
Direct Mold STN Non-weightbearing Forefoot Planes TestCustom Molded Pouring TechniquesAmputee Fill-in Lundeen Interview Video
Module 13 Module 14 Module 15 Functional Feet Orthoses ProLab Pres. Writing Video Ambulatory Shoes
Platforming Orthosis Terminology OTC ProductsExpansion Posting Apis Extra Wide Shoes
Manufacturing ModificationsManufacturing Video OSI Selection Guide
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Module 16 Module 17 Module 18Dual Axis AFO’s Sole Removal Left Shoe Sole Removal Right Shoe
Ritchie Full Sole Lift Left Toe Only Rocker RightStandard No Heel Spring No Heel Spring
Arizona Brace Video With Heel Spring With Heel SpringToe-Off – CAMP Lateral Sole Widening Heel To Toe Rocker
SureStep Pediatric Medial Reinforcement Severe Angle RockerSCFO Med Heel / Lat FF Wedge Chalk-N-Walk MH Pressure
Chalk-N-Walk Analysis Stride Length AnalysisAb/Adduction Analysis
Consider Apis Sole Widening
Module 19 Module 20 Module 21Custom Shoes Shoe Analysis Prosthesis
Custom Shoe Casting Shoe Design Safio VideoCasting Sock The Shoe Fits Video
BivalvePlaster
Foot Measuring Technique
Module 20 Module 22 Module 23Advanced Techniques Miscellaneous Videos Pre-Test
Dual Axis Miscellaneous Lectures Post TestStudy One Insole Test
Blake Inverted Forefoot Planes TestKirby Skive Shoe Fit Video Test
Raymond Anthony Book Post TestReview Pre-Post Test
OSU Review (If time permits)
Module 24 Module 25 Module 26Course Conclusion Axes Advanced Posting Techniques
Evaluations Advanced Posting BiaxialCertificates Fundamentals Of - Functional Triaxial
Feet Orthoses Kirby SkiveBlake Inverted
Dannenberg Kinetic Wedge
Module 27 Module 28 Module 29Accommodations Clinical Internship Business Management
Extensions Podiatry Practice And ConsultingOrthopedic Practice
Module 30 Module Module See Subject Titles Data
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Guest Lecturer’s - Please consider joining our “Partners In Alignment” lecturing team. We are interested in your knowledge, talents and expertise on a topic of your choice to enhance our future Associates Degree Program in Pedorthic Biomechanics. Please consider completing the form titled “Call for Presentations” under the Form Tab and submitting it to the RMPI at your earliest convenience.
Course Syllabus - Level 1, 2, 3 Pedorthics
Course Objectives:Upon successful completion of this course, the student should understand and demonstrate basic knowledge in foot and ankle anatomy, biomechanics, and common foot pathologies. The student should be able to demonstrate the ability to properly fit shoes and pre-made foot orthoses.
Purpose and Organization:The student will utilize classroom lecture and lab time that uses a variety of learning theory principles, including opportunities to collaborate, cooperate, engage other students, and utilize multiple learning pathways. Students will have an opportunity to interact, participate in self-assessments, and develop new skills.
Students will be required to participate in classroom discussion. Each student will be assigned projects relating to this course by their instructor. A comprehensive exam is required at the end of each Level. Students failing to take the exam will receive a failing grade.
Final exam will be proctored at RMPI at a date and time posted by the Program Director.
Instructor Phone: 765-557-7216
Instructor Name: Varies
Instructor’s Email: [email protected]
School Administrative Hours: 9 – 5 EST
Instructor’s Office Hours: Varies
RMPI Travel Department: 317- 750-2431 or 765-425-9012
RMPI Technical Assistance / IT Department: [email protected]
Required Text, References and Materials
It is essential that the student acquires and reads these books. It is not unreasonable to spend 40-80 hours reading these books prior to taking the ABC exam. Individual reading assignments for this course will be assigned by the instructor.
Texts : Introduction To Pedorthics (Recommended study tool when performing Levels 1 & 3) Professional Shoe Fitting (Recommended study tool when performing Levels 1 & 3) Contemporary Pedorthics (Recommended review tool prior to ABC Exam) The Foot, Examination & Diagnosis Pedorthic Reference Guide
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CD Encyclopedia CD-Series 1 Foot Anatomy CD 30 Common Foot Pathologies RMPI Biomechanical Overview for review RMPI Review PPT for review (under development but available for viewing) RMPI Classifications Of Diseases review (under development) RMPI Advanced Online Review Test
Materials: “What To Bring”Required:
Book with pathologies to use for pathology homework assignment or Laptop for internet accessibility (Elwood City Library is available across the street from RMPI for convenience in completing assignment and a student computer is available in the mini lecture hall on a first-come-first-serve basis; please limit time as to allow others to utilize the computer for their assignment and checking emails, etc.)
Minimum of one pair of shoes with a unique wear patterns. Consider purchasing shoes from Good Will or Salvation Army; RMPI asks you to consider donating shoes to RMPI
One pair of orthopedic or athletic shoes in participants size for disassembling Shorts to use for gait lab; exposing thighs and knees - long shorts are not acceptable Uniform Scrubs (preferably blue) or conservative professional attire; properly ironed and
hemmed for clinical internship Inexpensive rubber sandals for casting day to prevent barefooted walking Note pad or clipboard for dictation and/or instructions during gait, clinical and hands-on Portable hard – drive Extra piece of luggage to transport completed items such as orthoses, casts, shoes,
syllabus, etc; otherwise, please make arrangements for RMPI to ship approximately 30 – 50 lbs of course work to the participants home or employer. A charge card will be required for the RMPI to ship these items.
Recommended by not required:
Laptop Cell Phone Movable foot skeleton Pedigraph, Harris Mat or 10 Pressure Stat Forms
Further Information On Study Materials
RMPI Suggested Minimum Study Requirements
1) Introduction To Pedorthics2) Professional Shoe Fitting or When The Shoe Fits Video3) Scope of Practice of ABC:http://www.abcop.org/certification/Pedorthists/Documents/Scope%20of%20Practice%20Final%20WEB%20version%203-2010.pdf4) Code of Ethics of ABC:http://www.abcop.org/certification/Pedorthists/Documents/Code%20of%20Professional%20Responsibility%20and%20Rules%20and%20Procedures.pdf5) Code of Professional Responsibility of ABC:http://www.abcop.org/about/Documents/Code%20of%20Professional%20Responsibility.pdf
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Please visit the PFA Bookstore For Additional Study Materials
Link: https://www.pedorthics.org/PFAsPedorthicBookstoreOnline/tabid/322/Default.aspx
RMPI Specialized Study Materials:
Scope of Practice Treatment Modalities / Pathology Study Materials; excellent choices for those with no clinical experience:
Contemporary Pedorthics (may discourage beginner pedorthists due to vast information)Foot Orthoses – Principles And Clinical Applications – Kent K. Wu, MDApex University on CD - http://www.aetrex.com/#/contactus/
Biomechanical Theory – Post Certification – Advanced Study
Root, Orien and Weed – Biomechanical Examination Of The Foot - Volume IClinical Biomechanics Of The Lower Extremity – Valmassy DPMCompendium of Podiatric Biomechanics – California College Of Podiatric MedicineFoot Orthoses And Other Forms Of Conservative Foot Care – Thomas Michaud DCNormal And Abnormal Function Of The Foot - Root, Orien & Weed – Volume II
Used Books:
www.fetchbook.com
Estimated Cost for Materials
Books, CD & Reference Materials will cost around $500-$700. For a current price list or to order your books you may call RMPI Learning Resource Center at (765) 557-7216.
Course CompetenciesAll competencies will be assessed through final exams or hands-on analysis and inspection.
Course Activities
Grade will be based on the quality and completion of required tasks.
Level 1, 2, 3 Final Exams ............... 100%
Americans With Disabilities Act (ADA)
According to the Americans with Disabilities Act, each student with a disability is responsible for notifying RMPI of his or her disability and to request accommodations. If any member of the class feels that he/she has a qualified disability and needs academic accommodations, he/she should notify RMPI to request verification of eligibility for accommodations. Faculties have an obligation to respond when they receive official notice to provide academic accommodations but are under no obligation to provide retroactive accommodations.
Americans With Disabilities Act Technical Standards
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All applicants accepted to RMPI must be able to meet the School's technical standards. Students are asked to review the standards and to sign a form certifying they have read, understand, and are able to meet the standards. RMPI’s Technical Standards are as follows:
← 1. The ability to demonstrate an understanding of foot and ankle anatomy, biomechanics, and foot pathologies.
←← 2. The ability to properly fit shoes and pre-made foot orthosis. ←← 3. The ability to demonstrate an understanding of the BCP scope of practice and code of
ethics. ←← 4. The ability to demonstrate an understanding of Pedorthic Evaluation techniques, Foot
Orthoses fabrication and Shoe Modifications. ←
5. The ability to demonstrate an understanding of Advanced Anatomy, Physiology, Pathomechanics, Systemic Diseases, Custom Molded Shoes, Subtalar-Control Foot Orthosis, Patient Management and Implementation, and Practice Management.
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R O B E R T M . P A L M E R , M . D . I N S T I T U T E O F B I O M E C H A N I C S I N C .
A 501(c)(3) Not-For-Profit SchoolFounded 1996 - Incorporated 2003
1601 Main Street, Elwood, Indiana 46036 765-557-7216 www.pedorthicbiomechanics.org
Thank you for taking the time to learn about the Cape Protocols and Enrollment Protocols of the RMPI. Open communication is the key to your success between patients as well as the faculty and staff of the RMPI.
If for any reason, you are unable to meet the protocols established in this document, please do not hesitate to discuss your specific needs so that we may find a suitable alternative educational experience for you or your company either within the RMPI or through a creative effort, making your experience with the RMPI a win-win for both you and our staff, volunteers and adjunct faculty.
It is our goal to be of service to you and supply you with an exceptional opportunity to receive knowledge, career options, advancement potentials, professional and personal growth and enlighten you to the applications of pedorthic biomechanics as you seek to reach your own goals.
As the visionary founder of the RMPI, I want to personally thank you for choosing the RMPI for your pedorthic educational experience. Your support, whether in a tuition payment, scholarship participation, donations to the RMPI, shared knowledge or merely your participation, helps us to learn as well as reach our long term vision…helping people…step by step…
Pamela P. Haig, C.Ped.
Vice President, Visionary Founder
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