Hands On Hands Off: Manual Therapy & Orthopedic Physical Therapy (AAOMPT)

Life After Fellowship: Giving Back to the Profession

Today we’re joined by Liam Globensky, Center Manager at Brooks Rehabilitation and a newly graduated fellow from the Brooks Institute of Higher Learning. Liam’s passion is clear: fellowship is not the finish line—it’s the launch pad for teaching, mentoring, advocating, and elevating the profession. In this episode, Liam discusses: * Why post-professional opportunities matter more than ever * How early-career fellows can “raise the tide” for PT practice * The importance of giving back through mentorship, leadership, and service * His joint presentation with his wife on orthopedic screening of pelvic floor dysfunction * Practical ways clinicians can integrate pelvic floor awareness into orthopedic exams * How new clinicians can shape the future of the profession Key Takeaways: * Fellowship is a platform for service, not a credential to sit on * Growth continues through advocacy, mentorship, and interdisciplinary collaboration * Orthopedic clinicians play an important role in screening pelvic floor dysfunction * The profession rises when clinicians invest in the next generation * Early-career PTs can be leaders today—not just “someday”

Why Kyle Feldman Never “Works a Day”

In this episode, we sit down with Kyle Feldman, National Director of Physical Therapy for ReEnvision PT and owner of WE ARE Physiotherapy. Kyle shares how clinical reasoning, therapeutic alliance, and intentional growth have shaped his work as a clinician, educator, and leader. We discuss: * Why clinical reasoning is often misunderstood * How strong therapeutic alliance amplifies patient outcomes * Safety, intent, and application of spinal manipulation in elderly patients * Using fellowship training to step into leadership or ownership * Kyle’s career path and the mindset that keeps him energized This is a must-listen episode for clinicians looking to level up their reasoning, build meaningful patient relationships, and explore new opportunities in the profession. Key Takeaways: * Clinical reasoning is more than pattern recognition — it’s dynamic decision-making. * Therapeutic alliance isn’t “being nice”; it’s a critical clinical skill. * Older adults are often under-treated due to clinician fear, not evidence. * Fellowships can be springboards for business ownership and leadership innovation. * Growth in PT requires curiosity, reflection, and courage. Guest Info: ???? Kyle Feldman – kylefeldmandpt@gmail.com ???? ReEnvision PT ???? WE ARE Physiotherapy

How to Teach Clinical Reasoning in OMPT

What happens when you mix decades of movement science, deep mentorship, and a passion for solving complex MSK problems? You get Lee Marinko — one of the most beloved educators and mentors in OMPT. Lee has been teaching in the Boston University DPT program for more than 20 years, serves as Chair of the AAOMPT Program Director SIG, and launched the BU OMPT Fellowship in 2014 with one goal: “We can do better than that.” In this conversation, Lee shares her philosophy on mentorship, the joy of Ah ha moments, how to keep clinical problem-solving fun, and what young professionals really need from their teachers and clinical leaders. In this episode, we explore: ???? Why movement science is the foundation for great OMPT ???? Lee’s favorite teaching moments — and what they reveal ???? How to guide learners through complex cases ???? Mentorship tips for faculty, fellows, and CI’s ???? The origin story of the BU Fellowship ???? Why curiosity beats certainty in clinical reasoning ???? The mindset that makes clinicians grow faster ???? How to “do better” for people with MSK pain If you teach, mentor, or simply want to think better as a clinician — do not miss this one.

Why Hip Dysplasia Goes Undiagnosed for 7 Years

Why do patients with hip dysplasia go years without a diagnosis? In this episode, physical therapist and researcher Dr. Libby Bergman [https://performancesciencerehab.com/about/libby-bergman/] explains why hip dysplasia in young adults is frequently overlooked—and what clinicians can do to catch it earlier. Her [https://performancesciencerehab.com/] research explores whether simple clinical tests physical therapists already use—range of motion, strength testing, and hypermobility measures—might help identify hidden hip instability. The findings could help clinicians recognize hip dysplasia sooner and potentially prevent years of unexplained pain and delayed treatment. In this conversation we discuss: • Why hip dysplasia is commonly missed • Early clinical signs physical therapists should watch for • Why athletes like dancers and swimmers may be at higher risk • New research linking range of motion and adductor strength to dysplasia • Why patients often wait 5–7 years for the correct diagnosis

When a PTA Crosses Scope of Practice: An Ethics Case Every PT Should Hear

What should a clinician do when they discover an ethical breach in the clinic? In this episode, members of the AAOMPT Ethics Committee walk through a realistic clinical scenario involving a physical therapy fellow who discovers a physical therapist assistant performing manipulation techniques outside their scope of practice. When the fellow raises the concern with the clinical director, the issue is dismissed—creating tension, professional risk, and uncertainty for a student observing the situation. This conversation explores the ethical principles that guide clinical decision-making and the leadership responsibilities that often come with fellowship training. The panel discusses how clinicians can navigate difficult ethical situations while protecting patients, maintaining professional integrity, and supporting colleagues. In This Episode • Ethical responsibilities of physical therapy fellows • Scope of practice considerations for PTAs • Patient expectations vs professional standards • The role of accountability and integrity in clinical practice • Leadership development through fellowship training • How students and clinicians can report ethical concerns • Why ethical issues in healthcare are often underreported