#41: Trends in Rheumatic and Musculoskeletal OT with Winnie Tsui (CE Course)

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Full Course Details: Public course page
Learn more about our guest: Winnie Tsui, OTL, CHT, MBA

Read the article and discussion upon which this podcast is based.

Released October 3, 2022.

It is so easy to get caught in the minutiae of our daily work.

And, sometimes it is incredibly helpful to zoom out and take a big picture look at the incredible changes we have seen in healthcare over the past decades.

The journal article we are looking at this week gives us a birdā€™s-eye view of the past, present, and future of managing rheumatic and musculoskeletal (MSK) diseases.

In the article youā€™ll find the same trends that we see in occupational therapy-specific research: a focus on self-management, patient reported outcome measures and patient centeredness. In looking to the future, technology is going to further enable all of these trends.

After the articles orients us to the advances in MSK care, we will be joined by Winnie Tsui, OTL, CHT, MBA, who works as a product manager on the frontiers of technology in this area. Winnie will help us understand the exciting technology that is ushering the future of careā€”and the role OT has the potential to play in this exciting new reality.

Primary Journal Article Explored

When you log in, be sure to check out the OT Potential Clubā€™s written breakdown of the following research article. Then, share your questions and thoughts with fellow practitioners.

Burmester, G., Bijlsma, J., Cutolo, M. et al. Managing rheumatic and musculoskeletal diseases ā€” past, present and future. Nat Rev Rheumatol 13, 443ā€“448 (2017).

Supporting Research and Journal Articles

Weinstock-Zlotnick, G., &; Mehta, S. P. (2019). A systematic review of the benefits of occupation-based intervention for patients with upper extremity musculoskeletal disorders. Journal of Hand Therapy, 32(2), 141ā€“152.

Poole, J. L. (2022). Beyond the hand and upper extremity: The role of hand therapists in care of people with rheumatic diseases. Journal of Hand Therapy.

Learning Objectives

  • You will be able to identify the general trends related to OT delivery for rheumatic and musculoskeletal disease.
  • You will be able to recognize how new technologies may help fill current gaps in OT care.

Agenda

Intro (5 minutes)

Breakdown and analysis of journal article (5 minutes)

  • Intro to rheumatic and MSK management
  • Why was this specific article written?
  • Timeline of pharmacological treatment
  • Surgical treatment updates
  • Changes in clinical practice (Hello OT!)
  • The centering of the patient
  • What does the future hold?
  • Conclusions
  • Takeaways for OT practitioners

Discussion on practical implications for OTs (with Winnie Tsui) (50 minutes)

  • How did you first find OT?
  • How did you become drawn to rehab technology?
  • Can you tell me about your current job and how you found it?
  • What were your initial impressions of our article?
  • Tell me about the current gaps in care you see in the support for MSK patients?
  • In the ā€œchanges in clinical practiceā€ section, I loved the call-out of the shift to self-management. How do you see technology enabling this shift?
  • How can new technologies aid in the assessment of MSK disorders?
  • How do you see technology facilitating multidisciplinary/holistic MSK care?
  • How do you think the OT workforce needs to change to adapt to the exciting changes you are a part of ushering in?
  • Is there one thing you want OTs to do differently after listening to this episode?

Contact Hours

1 hour (0.1 AOTA CEUs). Released online from Aurora, NE.

Target Audience/Educational Level

Our target audience is occupational therapy practitioners who are looking to learn about trends in rheumatic and musculoskeletal OT. The educational level is introductory.

Instructional Methods/Registration/Special Needs Requests/Cancellation Policy

This course is an independent/self-study course delivered via podcast on iTunes, Spotify and Google Play. Explore your listening options on the OT Potential Podcast page.

If you need accommodations to take this course, please contact us and we will address your needs on an individual basis.

If this course were to be canceled, please see our cancellation policy on our terms page.

Course Completion Requirements

In order to receive a certificate for this course, you must first listen to the podcast in its entirety. Then, you will need to take the test (found at the top of this page) and earn 75% or higher. If you pass, a certificate will be automatically generated and sent to your email.

Financial and Non-financial Disclosures

It is the policy of OT Potential to disclose any financial and non-financial interest the provider or instructor may have in a product or service mentioned during an activity. This is to ensure that the audience is made aware of any bias of the speaker.
We here at OT Potential have no financial stake in this topic. Our guest, Winnie Tsui also has no financial disclosures.

Speakers

Winnie Tsui, OTL, CHT, MBA

Winnie Tsui , OTL, CHT, MBA

Winnie trained in OT at the University of Alberta. She then moved to New York City where she acquired her Certified Hand Therapy (CHT) certification and MBA at New York University. Winnie worked as a Clinical Specialist of Hand Therapy in NYU Rusk Institute of Rehabilitation for 10 years. She then shifted to developing technology for healthcare, collaborating with clinicians and tech developers in Silicon Valley, Johns Hopkins University, NYU, Columbia, and Washington University.

She now works as the Senior Product Manager at Kaia Health. Kaia offers digital programs to help people with chronic musculoskeletal painā€”including back, hip, and knee painā€”and COPD. Its mission is to make affordable and effective therapy accessible to millions of patients around the world.

Sarah Lyon, OTR/L

Sarah Lyon, OTR/L headshot

Sarahā€™s passion is helping fellow OT practitioners translate evidence into daily practice. Sarah earned her BA in religion from St. Olaf College, then earned her masterā€™s degree in occupational therapy from New York University in 2011. Since then, sheā€™s worked in numerous facilities, including a critical access hospital, an acute trauma hospital, and a state inpatient psychiatric hospital.

Sarah is the founder/owner of OT Potential. Read more about OT Potential here.

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Please share any other feedback below! Including, ideas for future programming, and most importantly, how you feel this podcast will impact your practice!

2 Likes
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Awesome article and inspiring words from Winnie on the value of OT in the product development and health promotion space. I am wondering if there is a similar Kaia type program for mental health - specifically to address the growing needs (both physical and psychosocial) of caregivers. There is a growing number of informal caregivers who feel isolated, depressed, delay their own health care etc - is there a way to target this population with these digital tools? OTs would be key changemakers in this area. Great podcast!

1 Like
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Hi @ann10! Good to hear from you! After the episode, I also become super interested in what other apps are out there in other practice areas. Iā€™m pasting two related lists below.

Even though there are apps in this space, I believe there is still lots of room for OT innovation and change-makers! I would love to see us reaching more people in this way!

5

This technology (such as that mentioned by Winnie in Kaiaā€™s app) would be excellent for someone on a maintenance program as well. It would be so great to be able to have a daily log and access between client and therapist so that the therapist can update/modify their program and add recommended healthy habits and other resources. So exciting!

1 Like
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@tara4, I know! I almost wish there was a universal OT app we could send people home with. Wouldnā€™t it be cool if it somehow correlated with the CO-OP Approach, where clients set their own goals and track their progress?

7

great podcast! Thank you so much.

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I am so excited that other OTs are in this space. I have participated in hackathons before and I think OTs have so much to bring to the table. I hope other OT/OT students dive into this space.

1 Like
9

The discussion today about the future opportunities for OTs was invigorating. Winnie Tsui definitely is a leader who has paved her way with solid stepping stones right into her personal gifts. OTs are amazing problem-solvers and medical technology needs more critical thinkers with our training and experience. Thank you Sarah for your questions that prompted the opportunity for all of us to get to know Winnie. The best is yet to comeā€¦ hang on!!!

2 Likes
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The best IS yet to come! For therapists AND for our patients. This episode really shaped how I see OT evolving in the next 5 years!

1 Like
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That is so cool, @julie20! I love my small town life, but I do wish I had more opportunities for things like hackathons around me! Also, I was just looking you up and I feel like we need to get you on Linked in or our OT directory! :slight_smile: Iā€™m curious about the work you do now!

1 Like
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Currently I am on leave to care for my two daughters (2.5 y and 8 m). I was working in a comprehensive wound care clinic as an lymphedema therapist. I work with PTs, wound care specialist, podiatrist, physical medicine, ID, and vascular specialist within the clinic.

1 Like
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Even if the app was part of the patients ā€˜MyChartā€™ and it was accessible to the patient as well as the care provider. It seems like hospital systems/insurance companies have invested a lot of resources in technology, but have fallen short of the education piece needed to build the conference of the provider as well as the patient/consumer.

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Great point, @julie20! Iā€™m really interested in platforms like this how much guidance from individual therapists is featured.

This is borrowing from our VR convo, but I really like how XRhealth forefronts the individual therapists that guide your care:

Related to this, I keep thinking about how when we are going through the hard work of habit change, how much it helps to carry a ā€œvoice in our headā€ of our provider who nudges us to do the right thing. I hear patients/therapists reference this, but Iā€™m curious to what degree it has been studied- and even what the scientific name of this phenomenon is?

16

Oh wow, @julie20 When I did the podcast with Jody Sabel on burn care, her and I talked about about how much I want to find a wound care OT for the podcast next year.

I just added you to my list of possible guests! (Our clinical advisory board guides helps guide the final schedule.) Enjoy your time with your daughters! Iā€™m so thankful for the time I spent at home with my two boys at that age!

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I loved this episode so much! I truly feel that the best thing we can do as OTs for our profession and by extension, our clients, is to dive into technologies and new ways of using our amazing skill sets. Thank you!!

1 Like