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Over 45 Years of PT Education

Over 45 years ago, in 1979 the Community Benefits Division of Kaiser Foundation Health (KFH) funded the post professional manual therapy program for one year.  The program was successful and continued to be funded year after year and has grown into the well-respected Orthopedic Manual Physical Therapy (OMPT) Fellowship Program that it is today.  Kaiser Permanente Northern California Rehabilitation Services Education currently offers post-graduate residency programs in neurological physical therapy and orthopedic physical therapy in addition to the Fellowship program in orthopedic manual therapy.

The journey began with a vision…

…and continues the pursuit of service to the profession, excellence in patient care and scholarly endeavors through Residencies and Fellowships.

The journey began because Peter Edgelow had a vision.  That vision has grown to now include at least 244 Residencies and 44 Fellowships.  Programs have expanded beyond orthopedics and manual therapy to include Neurology, Geriatrics, Sports, Women’s Health Acute Care, Pediatrics, among other subspecialty areas.

1970’s

The 1970’s: Creation of the Manual Therapy Program

1970-Peter Edgelow
1970-Peter Edgelow
1970

Peter Edgelow, Director of the Kaiser Hayward physical therapy department, travels to Adelaide to study with Geoff Maitland for 3 months. When he returns, he wants to create a similar program in the States.

1972-Richard Erhard
1972-Richard Erhard
1972

At the request of Richard Erhard, then president of the International Federation of Orthopedic Manual Therapists, known as IFOMT. Peter Edgelow sponsors a local course to bring manual therapy into the community and raise the level of  orthopedic physical therapy practice as he experienced in Australia.

1976-Proposal Presented
1976-Proposal Presented
1976

Peter Edgelow presents a proposal to Kaiser Permanente, as a component of his master's degree thesis at San Francisco State University, for a post professional program emphasizing manual therapy, modeled after the Adelaide program in Australia. (Photo of Eileen Vollowitz)

1978-Grant Approved
1978-Grant Approved
1978

Kaiser accepts the proposal.[br] Using Peter Edgelow’s master thesis for guidance, Eileen Vollowitz submits a proposal for a post professional manual therapy program.[br] The Community Benefits Division of Kaiser Foundation Health (KFH) funds the program in 1979 for one year.[br] Barbara Stevens and Linda Van Hoesen, like Peter Edgelow, had completed manual therapy training in Adelaide, Australia. They, along with Norwegian-trained Eileen Vollowitz, develops the initial program curriculum.

1979-Eileen Vollowitz
1979-Eileen Vollowitz
1979

Eileen Vollowitz becomes the first Program Director and leads the program for 2 years.

1979-Mix of Teaching Philosophies
1979-Mix of Teaching Philosophies
1979-1980's

The first program faculty are eclectic in their approach to teaching Manual Therapy. As described by Barbara Stevens:  “In the beginning, there were no teaching strategies to learn from in the USA. Thus, the faculty employed the teaching strategies they had been exposed to in the countries they were trained in. This faculty decided to work together, learn from each other despite differing clinical philosophies. The faculty was incredibly dedicated to patient care and had the passion to teach!” Peter Edgelow, Barbara Stevens and Linda Van Hoesen, along with Jim and Jennifer Lynn teach the Australian Approach based on Geoff Maitland’s principles. Bob Simpson teaches the approach from James Cyraix of Great Britain. Eileen Vollowitz and Dennis Morgan teaches the Norwegian Approach, from Freddy Kaltenborn and Olaf Evjenth. And to round things out, the McKenzie Approach and principles of Proprioceptive Neuromuscular Facilitation PNF are also taught.

1980’s

The 1980’s: Many approaches to Manual Therapy are taught including the Australian Approach based on Geoff Maitland’s principles. The first class graduates and the program continues to evolve.

1980-First Class
1980-First Class
1980

The first class graduates: Kathy Hoyt, Hugh Murray, Dan Kelley, Cammy Porter Garey, Martha Plescia, Janet Yamada Soto.

1980-Choosing a Foundation
1980-Choosing a Foundation
1980's

Feedback from alumni strongly suggests that clinical reasoning, the foundation of Australian Approach, makes the greatest impact on their ability to manage patients. As described by Barbara Stevens: “Even in the beginning of the program when McKenzie’s influence as well as Norwegian philosophies were taught; the faculty realized that teaching multiple approaches was not working due to the lack of a concrete manner of thinking and teaching.” Joe Farrell and Margaret Anderson joins the faculty. Joe Farrell earned his master's degree in manipulative therapy in Australia and Margaret Anderson studied with Maitland in Australia. The Australian Approach is adopted as the primary teaching philosophy with integration of other OMPT approaches, therapeutic exercise and self-management concepts.

1981-Fran Finney
1981-Fran Finney
1981

Fran Finney becomes the second Program Director in 1981. The KFH Community Benefits Division grants permanent funding status to the program, allowing Fran to develop training sites in Fremont, San Francisco and Oakland. University affiliations were expanded, tuition reimbursement encouraged graduates to continuing working at Kaiser Permanente.

1989-Carol Jo Tichenor
1989-Carol Jo Tichenor
1989

Carol Jo Tichenor ("CJ") becomes the third Program Director. She directs the program from 1989-2014. During this time she steers the program through major funding issues and changes in the physical therapy job market. Factors such as the expanding amount of evidence-informed practice and information on the internet and social media influences clinical practice during these years, and continues to influence clinical practice.

1990’s

The 1990’s: The program transitions into a 3-month Mentorship and 9-month Fellowship. Advanced Skills weekend courses allowed PTs to participate in labs, earning CEUs.
RotaCare: An innovative community service program, run by faculty and Fellows-in-Training, brings physical therapy services to the under- and un-insured.

1990-Progression and Changes
1990's

Physical therapy education, both undergraduate and post-graduate, evolves.  APTA Vision 2020 recognizes the DPT or Doctorate of Physical Therapy as a professional goal.  The job market is tight, and therapists are less inclined to leave their secure jobs for a year of training.  Hence, the Kaiser Permanente program transitions into a 3 month Mentorship and 9 month Fellowship in 1998, with mentoring key to both.  The Advanced Skills program opens participation during the weekend labs for therapists to earn Continuing Education Units (CEU’s), but they do not receive mentoring. Funding through KFH Community Benefits, and participation in the RotaCare clinics exposes Fellows-in-Training to providing care for the under- or non-insured in the Bay Area.  RotaCare, sponsored by the Rotary, is a volunteer alliance of medical professionals dedicated to providing free, quality healthcare to individuals with limited ability to pay for medical services. Internationally known speakers are brought in for lab-based continuing education courses, open to all therapists for professional development, recognizing that many could not participate in the more intensive Mentorship or Fellowship programs.  Many of these courses are sponsored by our alumni association: IAOPT (Institute for the Advancement of Orthopedic Physical Therapy).

1991-AAOMPT
1991-AAOMPT
1991

The American Academy of Orthopedic Manual Therapists (AAOMPT) is established.[br] The Founding Fellows of the American Academy of Orthopedic Manual Physical Therapists or AAOMPT comes together to pursue a common goal to foster the educational growth of Orthopaedic Manual Physical Therapy in the United States.[br] The 8 Founding Fellows are: Joe Farrell, Dick Erhard, Kornelia Kulig, Ola Grimsby, Michael Moore, Stanley Paris, Mike Rogers and Bjorn Svendsen.

1992-IFOMT
1992-IFOMT
1992

IFOMPT accepts AAOMPT as a member organization in 1992.[br] Along with Carol Jo Tichenor, Joe Farrell and Kornelia Kulig writes the successful application for the United States to become a member of the International Federation of Orthopaedic Manipulative Therapists (IFOMT) in 1992.  During the Vail, Colorado IFOMT meeting the USA application is unanimously approved by member countries with the AAOMPT and designated as the manual therapy organization representing the USA.[br] Now that the US had a national organization representing manual therapists and supporting post-professional education, work needs to be done to integrate manipulative therapy into physical therapy programs, both post-graduate and undergraduate, and to define our standards of practice.

1996-MEM
1996-MEM
1996

Consultants from the Orthopaedic Section, Education Section, APTA, and AAOMPT creates the Manipulation Education Manual (MEM).  The group of consultants includes Joe Farrell, Bill Boissonnault and Steve McDavitt.  Educators, clinicians, and legislation experts formulate a national plan to combat chiropractic attacks and the MEM is used as guidelines for content in manipulation education in PT programs across the USA.[br] Recent graduates of PT programs are often exposed to high velocity, low amplitude thrust techniques, alongside goniometry, manual muscle testing, exercise prescription and standard PT clinical practice.  But in 1996, HVLAT manipulation is not taught or accepted universally.  Consultants from the APTA Orthopedic section, APTA Education section and AAOMPT create the Manipulation Education Manual, which is a stepping stone to help integrate manipulation education into graduate and undergraduate programs.  A national plan was formulated to protect our organization or profession from outside entities.

2000’s

The 2000’s: Technology transitions the program into a blended online format, with a 6 month Mentorship and 12 month Fellowship, with traveling Mentors.

2008-Program Transitions
2008

In 2008, the program transitions into a hybrid in-person and on-line program, allowing therapists to continue working at their jobs full time, study the didactic components at home online, and attend weekend labs.

200X-Traveling Mentors
200X

Kaiser Permanente faculty travels outside of Kaiser to provide mentoring, allowing PTs to stay in their current jobs (and with their families) while in the Fellowship and Mentorship.

2014-Eric Robertson
2014-Eric Robertson
2014

Eric Robertson becomes the fourth Program Director and leads the program for 5 years.

201X-OMPT Fellowship
201X

The OMPT Fellowship becomes a 15 month program with a focus on mentoring and metacognition, integrating clinical expertise, patient preference and best evidence into the advanced clinical reasoning process of patient management.

2020-Sue Grieve
2020-Sue Grieve
2020

Susan ("Sue") Grieve becomes the fifth Program Director, leading from 2020 to the present.

2021-Cindy Walton
2021-Cindy Walton
2021

Cindy Walton becomes the Assistant Program Director and Co-Coordinator of the Orthopaedic Manual Physical Therapy Fellowship Program.

2022-Becky Hartman
2022-Becky Hartman
2022

Becky Hartman becomes the Co-Coordinator of the Orthopaedic Manual Physical Therapy Fellowship Program.

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