Regis DPT Global Health Pathway Immersion trip to Huancayo, Peru

This past spring, 8 students from the Regis DPT Global Health Pathway attended a 3-week global immersion trip to Huancayo, Peru, led by Regis DPT faculty member Dr. Heidi Eigsti and Regis DPT alumnus Dr. Amber Walker.

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“We were fortunate to have the expertise of Dr. Heidi Eigsti and Dr. Amber Walker. This was Dr. Eigsti’s third trip to Huancayo and it took about 5 seconds after our plane landed to realize how popular she is in Huancayo. It was quickly evident how much genuine compassion she invested into her relationships on previous trips. She developed trust, and what I realized is that when you care that deeply about others, they don’t forget. The foundation that Dr. Eigsti and past students built on previous trips allowed us to quickly build relationships with these individuals as well. As a result, we were able to hit the ground running with our purpose there in partnering with them.” -Dr. Jessica Kirkwood, Regis DPT Class of 2019

Family Nurse Practitioner and DPT students collaborated with the Catholic Medical Mission Board Community Based Rehabilitation program to provide inter-professional support and services to children who have disabilities and their families. Students had the opportunity to provide physical therapy services in a collaborative model of care at Carrion hospital outpatient physical therapy department.

“These experiences help both students and faculty more clearly define personal and professional values, acknowledge what we can learn from others, and ask us to expand our perception of how we can have a greater impact on the health outcomes of all members in our communities specifically those members who live on the margins.” -Dr. Heidi Eigsti.

 

Student Perspective on the value of the Global Pathway Immersion Trips

 “It was incredibly valuable to experience another culture in such an immersive way. We spent much of our time learning about the healthcare system in Peru while providing free health fairs and working at Carrion Hospital and CMMB, a non-profit organization that provides therapy for children with disabilities. I will never forget the people I met, the places I saw, the food I ate, and the lessons I learned during my 3 weeks in Huancayo.

I came into the trip with a very go-to attitude and I wanted to help as much as I possibly could. However, during this trip I realized that sometimes more important than doing is watching, listening, and going with the flow. This is something that I feel we’re taught in our global health pathway as a whole. However, the concept really hit home for me in Peru and I left with a humility that I had not expected to come away with. I realized that we weren’t there to “do it all”; we were there to learn and to do some good while we were at it. Sometimes our impact is big, like providing adaptive equipment to a child with cerebral palsy. Sometimes our impact is smaller, like putting a smile on someone else’s face for 0.5 seconds. I realized that sometimes the biggest impact is just showing up, learning, listening, and showing love.” -Dr. Amber Bolen, Class of 2019

 

“My experience in Huancayo, Peru was filled with endless learning. It did not take long for me to realize how often I take my resources for granted. As our trip coordinator Natalia reminded us, “You have amazing teachers, you have amazing resources, you have amazing opportunities. Take them.” This trip was a much needed reminder that I have been given endless privileges that others are not as fortunate to receive. It is my duty to consistently use these privileges to help others. Working with our community partners in Peru- Carrion Hospital, Continental University, and CMMB- taught me a lot about the differences in our healthcare system and how deeply limited resources acts as a restriction to outcomes. Navigating these relationships was also very impactful, as it taught me how to balance respect with education to work on both nurturing relationships while also promoting health in our profession. The change we made in those quick 3 weeks is really minimal in the big picture, but taking the lessons I learned and applying it to my future practice is what will make a difference. Witnessing the social injustices experienced in Huancayo firsthand has lit a fire inside of me- to open my eyes a little wider, listen a little clearer, and to act with more intention.”– Dr. Jessica Kirkwood, Class of 2019

 

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Charting Your Clinical Education Course

Name: Josh Hubert, Class of 2019

Undergrad: Bellarmine University

Hometown: St. Louis, MO

Fun-fact: I was told by a Greek reiki-master that I am a crystal baby

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Like any great exploration recorded in history, your clinical education at Regis will be a trip fueled by careful planning, curiosity, intrepid spirit, chance, and financial backing from a powerful monarch. Just kidding on the last fuel source, but the others may be necessary. I am the Clinical Education Representative for my cohort,  and I’d like to share how and why I chose my first few clinical experiences. Through my process, I hope you can draw parallels to your own clinical education journey and chart a course that is ultimately fulfilling to you and your future practice. In an effort to wring my exploration analogy dry, you may be seeking cities of gold, but much like Francisco Vasquez de Coronado, the late Spanish explorer, you may find that golden cities do not exist. There will be greater treasures on the journey itself (the Grand Canyon). Coronado was deemed a failure for his “fruitless” mission, but he and the Spanish people failed to recognize the beauty that had been found. Enjoy the journey and respect those you meet along the way. So, to continue with less figurative advice, here are the steps that led me to my decisions:

1. Assess your resources

a. Requirements/Desires

Forget ships and gold! Sit down and take inventory of available resources to direct your search, just as you would use MeSh terms when searching for relevant articles in databases. Firstly, consider your curriculum requirements to determine how and when to use your resources. You must complete an outpatient (OP) and an inpatient (IP) rotation. One of your rotations must be rural, and one must be out-of-state. However, one rotation may satisfy both the rural and out-of-state requirements. Lastly, rotations II, III and IV or III/IV combined cannot be in the same concentration area. Prioritize these requirements in such a way that aligns with your vision for future practice, which is bound to change and develop. Try to set aside time for deliberate development of your vision and allow growth to happen. Enjoy the journey. The chart below that depicts these requirements.

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b. Location

Next, consider a location with requirements and resources in mind. Is there a clinical site that happens to be in your hometown? Or a town in which you have a friend or relative? How will you get there? This can help to lower the cost of lodging and travel, which calls to mind your living situation in Denver. Based on the dates, could you create a situation that avoids the need to pay double rent while at clinical? Do you see yourself practicing in a rural setting or an IP setting? Or maybe not? Do you have a burning desire to work with a particular population? These answers help to filter out less practical locations off-the-bat.

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Bardstown, KY – the bourbon capital of the world

c. Connections

Did you develop any relationships with physical therapists before coming to Regis? Have you developed any relationships with faculty since being at Regis? Do these professionals practice in a place that you would like to practice? Talk to them and seek their counsel. If they work in an area that interests you, ask about potential or existing clinical education opportunities that they may know about. And don’t stop there. Research their suggestions for yourself. Just because you have developed a relationship does not mean they know exactly what’s best for you. Decide on your own when you feel enough information has been gathered.

d. Time

Do you have a good idea of what you want to do? If so, go with it. It may change after your first clinical, but we are fortunate to have time for reassessment. Consider a FCFS (first come first serve) or Corporate site if you have a strong sense of where you want to end up or where you don’t want to spend the majority of your clinical time. If you choose one of these sites or set one up, you are locked in. You may save yourself time required by deliberation and also open up spots in the lottery for your classmates. However, if  you are not completely sure, then consider the lottery. If a site you desire is not in contract with Regis, then explore building that bridge, under the direction of your Clinical Education advisor, and after accounting for all the sites available to you. In addition to Acadaware, there is a list of corporate companies which typically include a handful of sites in different cities both regionally and nationally. Setting up a rotation with one of these sites is much more manageable than starting from scratch, which will be more time-intensive, but worth it if you’re vision is clear.

2. Mobilize your resources

a. Plan

I save your Clinical Education Team for this step because I believe it’s helpful to come to them with an idea of your requirements in order to direct the conversation. I think we can agree that sitting down for a 30-minute meeting regarding 3-5 prioritized sites will likely be more productive than a 30-minute meeting covering the possibility of 134 potential sites. Your advisor is your second most valuable resource, after your own brain of course, and it’s a good idea to develop a relationship with your advisor that fosters open dialogue.

b. Pursue Your Choice

Time is a resource. Consider a FCFS or corporate site if it aligns with your vision. With the blessing of your advisor, commit to that site on the list or create a site of your choosing, and do it with gumption. If you go the prior route, there is not much else required of you than a commitment, but if you go the latter route, put in work. Understand that if the site agrees to host you, you will be required to go. Take initiative and offer to establish initial contact with the new site. If your advisor approves, compose a professional and compelling email to get the ball rolling. See your choice through to the end. If a site is unavailable, refresh and continue with your next choice in the same manner.

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I completed my first clinical at KORT-Bardstown, a corporate site in KY. The site was not previously an option as a first clinical site.

c. Logistics

Piggybacking off the suggestion to narrow your site options before attempting heroic feats of decision amid many options, it is easier to cross-compare the logistics of a few sites rather than 100 sites. If you have 5 sites that all meet the same criteria you’ve established for the unfolding of your vision for practice, then maybe something simple like the cost or availability of housing distinguishes one site as the preferable option. What will weather be like during your clinical? Will there be unearthly traffic on your commute in one city? Is there good food and good beer there? These things, while seemingly superficial, may help with that final step of narrowing it down, since our quality of life is important too. #happyPThappypt

d. Enjoy the ride

Map it out as carefully as you like, but uncharted territory is only chartable once you get there. In other words, there is only so much calculation you can rely on in life before you need to simply rely on curiosity and spirit. There may not be golden cities on your course, but be sure to recognize a giant canyon for what it is…graaand. The reality is that you can take all these steps along with others and still end up with a site you did not chose. In this case, gear up for an adventure and come back with a map of your own for those that follow. Embrace each moment on your adventure as a learning opportunity whether it’s what you wanted to learn or not, and respect the people who teach you. Experience is a willing teacher and learning makes the vision clear.

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My CI and I enjoying homemade mint juleps, in accordance with KY tradition.

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Sentimental cookie-cake. I’ll miss them, too.

Feel free to stop me in the hall or email me if you have any more questions about my experience: Jhubert001@regis.edu

Bonus Fun-Fact: I did a project in 7th grade on Francisco Vasquez de Coronado.

 

Lessons Learned During the First Clinical Experience

Name: Kelsie Jordan, Class of 2019
Hometown: Portland, OR
Undergrad: Oregon State University
Fun Fact: I spent the summer of 2014 studying in Salamanca, Spain.
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When I tell people I was in California for my first clinical rotation, everyone’s minds seem to jump to the flashy big cities like Los Angeles, San Diego, or San Francisco. Sorry guys, I wasn’t lying on the beach or treating the movie stars; I was working more in the realm of Middle of Nowhere, CA in a small town called Orland. If you’ve ever driven to or from Oregon along I-5, you’ve probably driven right past it without ever even knowing it existed, as I actually have multiple times. I have lived in or near major cities all my life, so I had no idea what to expect from working in a rural setting. I was worried I was going to be bored, and that being away from everyone I know would make me lonely. But Orland, with its farmers, high school football, and Dollar General stores, turned out to be the best place I could have been for my first clinical.
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Welcome to Orland!

Here are just a few things I learned along the way:

Work schedules > school schedules

I’m not going to lie, clinicals are exhausting. Being on my feet all day, both literally and figuratively, drained the life out of me, especially in that first week. The good news is, I immediately discovered how great it is to come home at the end of a long, demanding day and have nothing–and I mean nothing–to worry about. After a year straight of exams, projects, and endless studying, I forgot how nice it was to have a mellow evening without feeling guilty about procrastinating. My clinical instructor (CI) once asked me what I generally do after work and I had to laugh; my nightly routine was pretty much eat dinner, drink an occasional glass of wine, and re-watch early episodes of Game of Thrones. Call me lazy, but I look at it as taking advantage of the free time I never get to have during school.

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Wine tasting in Sonoma!

It’s never easy, but it gets better

As barely a second year student going into this rotation, I was pretty much inexperienced in every sense of being a physical therapist. Even the skills I was most familiar with had a different feel to them when working with real patients instead of practicing on healthy classmates. Luckily, my CI was an amazing teacher. He did a great job of layering on responsibilities for me so I always felt challenged but never felt thrown into the deep end. After an observation-heavy first week, I was tasked with doing the subjective interview portion of every evaluation and taking over the exercises for a couple patients. At the time, that honestly made me nervous and it felt like a lot of independence. But fast forward to my final week: I had somewhere around 10 patients all to myself, I was flying solo on pretty much every lower extremity and back evaluation, I was completing all documentation, and I had discharged three of my patients. We had a packed 8-5 schedule and it was never easy because my CI always gave me more to do before I got fully comfortable. It was demanding, I made a lot of mistakes, and being challenged every day sometimes made me feel like I wasn’t improving or I shouldn’t still be struggling. But looking back at what was difficult for me in that very first week compared to what I was able to do by the end, it’s easy to see how much I learned and improved!

Confidence takes practice

I have always struggled with my outward displays of confidence in patient interactions because I get nervous and tend to doubt myself. I’ve always been told, “Fake it ‘til you make it,” but that’s a lot easier said than done; I guess I just don’t know how to fake confidence. Instead, my confidence builds gradually as I experience success and overcome challenges. And that’s exactly what happened during my clinical. From prescribing and teaching exercises on my own to completing several full evaluations in Spanish, I was definitely challenged, but I was also successful. Sure, I felt like I didn’t quite know what I was doing half the time, but I learned to not dwell on mistakes and to push myself out of my comfort zone. Most importantly, I gained confidence in my own knowledge and abilities, and I now feel more prepared to take on the rest of PT school. If there’s anything I learned from my clinical, it’s that I am capable of doing far more than I ever thought I was.

Solo adventures are good for the soul

I’m usually go go go from one thing to the next for fear of missing out on any fun, so being alone in a rural area was definitely a change of pace.  Although I was lucky enough to reunite with some college friends during trips to San Francisco and Lake Tahoe, I actually probably spent more time alone over the six weeks of clinicals than I did throughout the entire first year of PT school. It allowed a lot of time for self-reflection I didn’t even realize I needed. I was itching to get out and explore, and my weekend adventures were definitely worth all the miles I put on my car: I took my first solo camping trip, discovered a National Park I had never even heard of, and hiked upwards of 35 miles by myself. Of course I missed my friends and my normal crew of camping/hiking buddies, but I learned how to embrace time alone without being lonely.

I enjoyed the opportunity to appreciate silence and just be.

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Support systems are necessary

As a class, we spend so much of our lives together throughout the year that, I have to admit, it was oddly nice to be away from everyone. No, I’m not saying I was sick of my classmates, but those 6+ weeks apart allowed me to actually miss my friends. And, although I already said I enjoyed my time alone, man did I miss them. When you go from sharing all of your time together to none of it, all while you’re being thrown into a new situation, there’s a lot to catch up on after just one day! I did my best to reach out to my friends here and there to see how their clinicals were going, and sometimes those check-ins turned into 2-hour phone conversations. Shout out to the two friends who kept up a group text with me every single day–we practically shared a play-by-play of our clinical experiences, from funny patient stories to weekend plans. Knowing everyone else was having similar challenges was reassuring, and receiving daily encouragement and sharing my accomplishments kept me excited to keep learning.


In a rural setting, a physical therapist needs to be a jack-of-all-trades and a master of none, as my CI once told me. As a result, I got to see a little bit of everything. Sure, there were quite a few back, shoulder, and knee injuries, but I also did some detective work with more neural issues, and I got to observe several vertigo treatments as well. I absolutely loved being in Orland, not only for the varied learning experiences, but also for the people and the small town charm. I found out the correct way to pronounce almond is “am-end” (according to Northern California farmers), and I even joined in on the tradition of wearing blue on Fridays in support of the high school football team.

“You are enough!”

That’s what we were told in our final pre-clinical prep session over the summer, and it turns out it’s true! At first it was easy to think,“I’m just a student” and feel as though I had to run every thought and decision by my CI. However, as he let me become more independent, I realized even as a student, I really did have enough knowledge and skill to make a difference in patients’ lives all on my own. Now, when people ask me how my clinical went, I have nothing but good things to say. I was pushed into recognizing how much I was capable of, and humbled into realizing how much more I still have to learn. Although it was a short period of time, those six weeks were like a refresh button to help me overcome the burnout I had experienced after a year in the classroom, and allowed me to come back to Regis ready to keep expanding my knowledge base before I head back into the real world again.

 

Chris Lew Reflects on Working With 2017 Opus Prize Winner

What is the Opus Prize? 

The Opus Prize is an annual faith-based humanitarian award that is designed to recognize and celebrate those people bringing creative solutions to the world’s most difficult problems. The award partners with Catholic universities, although recipients can be of any faith (Excerpt from Crux.).

Mercy Sister Marilyn Lacey received the Opus Prize from Regis, the host for 2017. Chris Lew, 3rd year Regis DPT student, assisted in her work in Haiti for displaced women and children as an Opus Student Scholar. Here is his reflection about his experience in Haiti, initially published in the Jesuit Journal of Higher Education.

Name: Chris Lew, Class of 2018
Undergrad: University of Portland
Hometown: Eugene, OR
Fun Fact: I have a whistle reminiscent of various fairy tale soundtracks…or so I’m told.

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Throughout my life I’ve had many opportunities for international travel – from travel abroad to Granada and London, a Fulbright scholarship to Madrid, and a service-learning immersion trip to Nicaragua, I have always considered myself blessed to be able to travel the world, experience different cultures, and see the world from a different perspective. Nevertheless, my time performing a site assessment in Haiti at Mercy Beyond Borders (MBB) for the Opus Prize was a unique and eye-opening experience.

MBB was founded more than 30 years ago by Sister Marilyn with the vision that education, especially of women, is the key to overcoming the widespread corruption and poverty that has consumed Haiti and South Sudan. Through my research of the Opus Prize, I understood this site assessment was different from the typical trip to an underserved community. From the initial interview to the final trip preparations, it was made very clear that the purpose of these trips was not to do; rather, the intention was to be, to see, and to experience. It was this aspect of the Opus Prize that interested me most in the organization and its mission. There is a plethora of groups in developing and underserved areas that perform charity work such as building houses and providing medical goods and services. While this service work provides a certain degree of benefit to the community, I have always been somewhat hesitant of this type of altruism because it generally fails to provide long-term, sustainable change to an underlying societal problem. What happens when the volunteers leave and no one is left to provide the necessary medical services? What happens when a fire destroys a new house and there are no resources to build a new one? This traditional type of charity work seems to be a superficial bandage over a much deeper, wider wound.

This is where Opus is different.

The Opus Prize Foundation emphasizes six values that it seeks in the recipient of the Prize. The one that stands out to me most is Sustainable Change. Rather than focusing on a top-down, government-focused approach to solve global issues, Opus intentionally sponsors and supports organizations directed towards community development and cooperation. Opus understands that the resolution of profound societal problems and corruption is ultimately driven internally, not externally. As such, the Prize acknowledges individuals who are addressing the root of social issues and are striving for change that is pioneered locally.

With this in mind, I embarked on my site assessment trip to Haiti with a very different perspective and intention than my previous international travels. The first stop on our trip was in Ft. Lauderdale, FL , where we met Sr. Marilyn, who lives in California and operates MBB in both Haiti and South Sudan. She introduced us to her story and illuminated details of the work she does with MBB. Her work in Haiti revolves around empowerment and opportunity for girls and women. Extreme poverty and corruption of the educational system prevent most children from obtaining a basic education. Most primary schools are private and, as such, require tuition as well as uniforms and books. Many families cannot afford to send their children to school or can only afford to send one child. In the latter case, most families opt to send boys rather than girls because males typically have greater opportunity for success than females in Haiti. As a result, most girls in Haiti only receive up to a 1st or 2nd grade level education. Sr. Marilyn and MBB attempt to ameliorate this disparity by providing secondary school scholarships, leadership development opportunities, and a safe and supportive living environment for girls who demonstrate academic potential. Additionally, MBB provides vocational and literacy training for young adult mothers and older women to develop skills such as reading, writing, computer skills, and baking. These skills provide women with greater independence and self-sufficiency and can even allow them to earn money through both formal and informal work.

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The following morning we took a short early morning flight from Ft. Lauderdale and landed in Port-au-Prince, Haiti. The contrast between our departure and arrival city–only a quick two-hour flight apart–was profound. Destitution was apparent on our short drive from the airport out of the city. Litter filled the streets and empty plots of land and stray animals ran largely unmonitored throughout the city. Sr. Marilyn explained that, due to political and financial reasons, much of the rubble from the 2010 earthquake was never adequately disposed of in many of the poorer areas of the capital. As a result, many parts of the city appear recently destroyed even though the earthquake was seven years ago.

Our initial stay in Port-au-Prince was short as our first destination was Gros Morne, about a five-hour drive north of the city. Gros Morne, a town of about 35,000 people, is the community that MBB primarily serves in Haiti. Following the earthquake in 2010, Sr. Marilyn noticed that many relief efforts developed in Port-au-Prince but much fewer resources made their way out of the city and into the more rural parts of the country. She understood that her vision for MBB in Haiti had its limitations and saw the most potential for change in a smaller community.

Our time spent in Gros Morne and the surrounding area was quick but powerful. To gain insight into the MBB’s operations and its community impact, we met with several partners and individuals associated with the organization. We were able to meet several of the girls who are a part of the educational program as well as their families and see the personal impact that MBB has on their lives and their future. We interviewed the principal of a primary school that hosts several of the MBB students; he had high praise for the organization, stating that many, if not all, of the students would be unable to afford their school dues if it wasn’t for the support of MBB. On our final day in Gros Morne we also met with Sr. Jackie, a missionary sister who has worked in Haiti for almost two decades. She provided insight into the corruption in the Haitian political and educational systems. She explained that the private school system is largely unregulated, meaning almost anyone can start a school. This inhibits children from receiving a high-quality education and prevents those students who have the potential to succeed academically from actually achieving success. Overall, these interviews and personal interactions further highlighted the need for an organization like MBB in Haiti.

Sr. Marilyn embodies the spirit of the Opus Prize and models many of the Opus values, including Sustainable Change, Faith, and a Life of Service. She understands that long-term transformation is driven from within, not purely from her work, and this is what directs her vision for MBB. Through empowerment and leadership training of the girls she sponsors, employment opportunities for the local people, and a conscious effort to have Haitian and South Sudanese representation on her Board of Directors, she demonstrates a continued commitment to sustainable change in these countries. A woman humble in both stature and personality, she demonstrates her love and passion for her work in Haiti and South Sudan through her relentless work. I was most impressed by her ability to understand the needs of the communities she works with, while also maintaining a realistic expectation of how many people one person and one organization such as MBB can effectively impact. Although her work may be relatively small in the scope of the vast corruption and poverty in Haiti and South Sudan, her heart is big, and it shines through in both her actions and words.

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Let’s Talk About Mental Health

Name: Amanda Rixey, Class of 2018
Undergrad: University of Kansas, KS
Hometown: Overland Park, KS
Fun Fact: My massive bear dog, Sherlock, has over 7,000 followers on Instagram.

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I think most of my classmates would view me as the hyper, kind-of goofy, and giggly one in the class.  It’s easy for me to hide under that personality— especially after having suffered from generalized anxiety and PTSD.  Both inside and outside of PT school, mental health is my passion.  In 2012, I lost my dad to suicide; ever since, awareness and treatment of mental health has been the biggest thing I’ve ever advocated for.  Mental health and physical therapy go hand-in-hand.  However, mental health issues can sort of creep up on you as a busy physical therapy student when you least expect it.

There are days when I never want to get out of bed.  There are days when I come home from school and all I do is lie in bed.  There are days when I don’t study because I’m too nervous about not knowing all of the material for school.  There are days when all I do is study because I’m nervous I don’t know enough.  Regardless of the day, I have to keep reminding myself I am not crazy.  Graduate school is stressful and it is normal to have these feelings of anxiety.  The biggest key, however, is to seek help and do something about it.


Here is my list of how I “keep calm and carry on” during PT school:

1. Get help when you need it

The longer you wait to seek medical guidance, the harder it will be.  I sought out a counselor and take medications for my anxiety and depression.  Regis is awesome and offers free counseling to students—take advantage of it!

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Sharing hugs and thoracic manipulations during MMII lab

2. Don’t be afraid to take medications if that’s what’s right for you

I take an SSRI every day. I find that there is some sort of stigma regarding medicating for depression and anxiety. Overcoming this stigma allowed me to experience life to the fullest for the first time. Talk to your primary care physician or counselor; they can help.

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Spending Thanksgiving with the Class of 2018 and our puppies

3. Find a network of support

 Be open with classmates, professors, family members, friends, or even your dog about what you’re going through.  Let them know when you feel anxious or down and talk to them about it.  I text my friends when I don’t feel like myself.  They are there to help.

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My sisters and friend at the University of Kansas Out of the Darkness Suicide Prevention Walk with AFSP where I served as Chairperson in May 2014

4. Take days off from schoolwork

I know that school can seem overwhelming, but it is acceptable to take one or two days off during the week for yourself.  Do what you love: workout, hike, do some Pilates, lay on the sofa and watch Bridesmaids for the 50th time, walk your dog!

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Enjoying a beautiful day off in Vail with my best buddy, Sherlock and my boyfriend, Joe (not pictured)

5. Get involved in the community  

Through Regis, I was able to get involved with Spoke n Motion, an integrated dance company.  Sharing my experience with dancers of diverse backgrounds helped me feel wanted in a very close community and enjoy dance from a beautiful perspective.

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Dancing with my fellow Spokes during our May 2016 show at the Colorado Ballet. PC: Spoke N Motion

6. Believe in yourself

When I doubt my abilities in school, I notice that I often find myself in a rut.  Accept what you know and what you don’t know.  Cherish the moments your classmates compliment you and when you succeed.  These little moments add up and you will realize that you are a capable student in this profession.

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Enjoying a Friday night with classmates

7. Remember that mental health doesn’t have to take over your life

Taking the proper steps and finding the right help will put you on the pathway to overcoming it. Please feel free to email me with any questions at arixey@regis.edu.


If you or someone you know needs help contact the National Suicide Prevention Lifeline: 1-800-273-TALK

Regis Counseling Services: 303-458-3507

 

How to Make the Most of Your Clinical…in ITALY!

 

Name: Lydia Hamstra, Class of 2018
Undergrad: Gonzaga University, WA
Hometown: Tucson, AZ
Fun Fact: I am a huge Harry Potter nerd and to help prep for Italy I read Harry Potter in Italian (since I’ve read it so many times in English, I was able to figure out the gist—it gave me ideas for how to say certain phrases that I liked and thought I could use. I also believe reading in any language is the best way to learn new vocab!).

Lydia Hamstra is currently in Umbertide, Italy for her second clinical rotation. She advocated for and helped set up Regis’ first entire clinical rotation in another country.

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Ciao, mi chiamo Lydia Hamstra e sono una studentessa di fisioterepia di secondo anno a Regis University. I have a passion for neurological rehab and travel and my goal is to combine those in my future career. One of the reasons I applied to the DPT program at Regis is because of the global immersion and service they do. Traveling off the beaten path has been a value instilled in me by my parents from a young age. Immersing myself in different cultures helps me grow as a person and as a clinician; it also enables a different kind of learning. By being present, helping others, exploring, and embracing what and who you find, you can create durable bridges that connect you to the world. It also illuminates parts of yourself you may not have known about and fosters reflection. We all want to have a positive impact in some way–I find that I grow the most when I’m out of my comfort zone and helping others.

Over the years, I have come to the conclusion that the best way to travel is by combining it with education. Why Italy? Honestly, it is difficult to say where I got the idea. I thought the country was romantic and charming, and more approachable than other countries. I actually picked my undergraduate school because they offered an Italian degree and had a second campus in Italy. In 2012, I was fortunate to study and live in Italy with a family from Florence (I’m actually meeting up with them during clinical!). My experience in undergrad made me realize that despite it being a first-world country, there is still a lot of need and hardship. I experienced it from the student perspective and I wanted to give back from the clinician perspective. I also wanted to learn about a different healthcare system and the pros and cons of socialized medicine. The clinical education team at Regis is one of the best in the country, if not the best. They worked diligently to create this opportunity–not just for me ,but for all future DPT students. The DPT program at Regis now has a partnership with Eduglobal and I am doing in-patient neurological rehab at the Instituto Prosperius in rural Italia.


If you’re heading abroad for a clinical experience, here are 5 tips to help you make the most of your time!

1)    Find Ways Around the Language Barrier

First off, you don’t need to get OVER the language barrier—you don’t have to speak the language fluently (or even well) in order to communicate with your patients.  It is, however, helpful to learn simple commands in Italian; these are great to take back home and use in English if you’re someone like me who tends to be wordy (beware the rest of my post!).  Beyond that, focus on teaching by example and using non-verbal cues to get on the same page with your patient.

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Stander at the Institute Prosperius: she does not have voluntary control of her lower extremities.

2)    Learn to Go With the Flow

Yes, a global immersion or clinical is going to be different, and like any clinical out there, there will be things that you like and things that you don’t like about the system. Remember that Italian physical therapists, too, will be frustrated by certain parts of practice–be it communication, lack of resources, or decisions by doctors, to name a few.  Remind yourself that professional frustrations and problems are universal. And remember that you are there to learn about physical therapy and to embrace the culture as much as you can. Learn to breathe and be patient—both with yourself and with your colleagues.

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Home sweet home! @vignedipace

3)    Go Above and Beyond

Just like any class or clinical, the time and effort you put in will transfer to what you get out of it. I believe this is true with regards to patient management, the language, and your rapport with your CI, the other students, and the other Italian physical therapists. One of the biggest differences in Italy is that they do not document every session…or even every day. This has to do with healthcare being a constitutional right for Italians, whereas we practice defensive medicine #CYA. Even though that is the case here, I am documenting certain things because I want to know how my patients are progressing. In general, Italians have an expectation that you hold yourself accountable. They expect you to push yourself; don’t fall into the trap of doing only the minimum.

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Positano on a sailboat on the Almalfi Coast

4)    Exchange Ideas with Colleagues

Going to Italy is unique, also, because you are placed with other students from a variety of schools. They are all at different points in their schooling, which provides quite the mix of ideas and understanding. Take advantage of this to exchange ideas and techniques with other students. For example, one SPT from Shenandoah taught us how to do a CT manipulation in prone.

Side bar: It is awesome to have a group to explore Italy with.

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In Venice for the weekend!

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Venezia-social commentary on global warming and human efforts to maintain our structures. Venice is not actually “sinking”, rather the water is rising because of the human impact of warming the earth and melting the ice caps.

5)    Take Advantage of the Slow Internet

You may find you have extra time here, especially because the internet is not as fast or reliable as in the US and certain websites *ahem Xfinity ahem* are unavailable. (You can get Netflix and Spotify, though, so I can promise you will survive.)

Gripe about it for a day…and then let it go and be in the moment. Journal, walk around town, engage with the locals, practice Italian, talk to your peers, learn how to make pasta, or study for the comp exam. You’ll feel less dependent on technology and it’s actually been amazing to unplug. It has given me more time to reflect on what I’m learning about myself, our practice, the meaning of life, etc, and always with a glass of wine in hand.

Ciao bella,

Lydia

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Lovely day at Agriturismo Tenuta I Colli del Trasimeno!

Summer in Colorado: Dispersed Camping 101

Name: Kate Bostwick, Class of 2018
Undergrad: University of Portland, OR
Hometown: Pendleton, OR
Fun Fact: I actually enjoy doing burpees.

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First thing’s first: the answer is yes…yes, there is time to get away from Regis for a weekend and put off studying for Cliff’s neuroscience class or practicing manual therapy skills until Sunday night…AND you will still pass PT school. One of the biggest fears I had about going back to school was that I would never have any free time. Luckily, that is not the case. If you manage your time efficiently, you always have time to do the things you love. If being outdoors is one of those things—like it is for me—you will have the time to enjoy all that Colorado has to offer. In this post I have reflected (wow—Regis has rubbed off on me!) on some of my favorite weekends spent in the mountains with my fellow classmates and have put together a detailed guide for you to explore these regions on your own!

Something that you should know about me is that I am a small-town gal who gets pretty overwhelmed in the big city. Nothing makes me happier than beating the crowd and enjoying a slow-paced weekend in the mountains with some of my close friends doing some fishing, sipping a nice cold beverage by the fire, and talking about subjects far from clinical prediction rules, dermatomes or goniometry. Personally, I like roughing it a little more than staying in a busy campground for the weekend. In order to do this, my classmates and I have done some pretty fun dispersed camping trips. If you don’t know what the heck dispersed camping is, keep reading; I highly recommend it!

Dispersed Camping: What Is It?

Dispersed camping is the term used for camping anywhere in the National Forest outside of a designated campground. None of the services that are found at a campground (like potable water, trash removal, tables, firepits, etc.) can be found at these sites; they are found on public property off of National Forest Service roads and may require 4WD, depending on the location. Dispersed camping is FREE (yay for free things in grad school!) and requires you to bring all of your own gear. Although this seems like a free-for-all, there are rules that you must abide by:

  1. Place your campsite at least 100 feet from any stream/water source
  2. Leave no trace: you must pack out everything you pack in
  3. Be bear aware: store food in bear canisters…and just be cognizant of those dang bears cuz they’re out there!
  4. Drive on existing roads and try to camp in already designated dispersed areas

    Weekend Getaway to Buena Vista
    (2 hr 40 min from Denver)

If you’re looking for a drive with a beautiful view and plenty of options for camping, fishing, and hiking, look no further than this route to Buena Vista, CO!

Directions: I-70 W past Frisco, then to CO-91 S which turns to US-24 E.

Fishing: Twin Lakes are home to numerous brown, rainbow, cutthroat and lake trout. It is a great place for shore fishing and has access to the Arkansas River close by. The Arkansas lies just across US-24 E and has public access at several points along this highway.

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Fishing at Twin Lakes

Camping: About 6 miles south from Twin Lakes down US-24 E is Clear Creek Reservoir. Turn right onto CO Rd 390 and travel a few miles west (past private property) and you will see plenty of dispersed camping sites down by the river and up the hill on the base of the mountain. Be aware that there is no cell phone service–so be prepared to have a relaxing weekend without that iPhone 🙂

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Camping up past Clear Creek Reservoir

Hiking a 14er: If you continue down CO Rd 390 you will come upon the trailhead for a trifecta of 14ers: Mt. Belford, Mt. Missouri and Mt. Oxford. While I have not done this hike, it is a beautiful and challenging option for 14er-seekers. Remember to research your trail if you do decide to complete this voyage—it’s a long one!

Hiking to Ptargamin Lake: if you go back on US-24 E and head south towards Buena Vista, turn right on CO Rd 306 and head ~15 miles to the trailhead. This is a 2.74 mile hike with options for backcountry camping at the top–not to mention a large lake full of beautiful brook trout!

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Ptarmagin Lake

Breckenridge Beauty:
(1 hr 45 min from Denver)

Directions: I-70 W to CO 9 S to Breckenridge. From Breckenridge, drive 8 miles south on CO 9 and turn right on CO Rd 850; after a few hundred yards turn right on to CO Rd 851. Quandary’s Peak trailhead will be about 0.1 mi up the road on the left with parking on the right.

Camping: Follow the above directions but go past the trailhead on CO Rd 851 up the hill and there are many spots off of this road that you can camp. If you do a little scouting, there are some pretty sweet spots to set up camp on both sides of the road.

Fishing: Instead of turning right on to CO Rd 851, continue left and head towards Blue Lakes Reservoir for fishing of any kind. There are rainbow, cutthroat and brook trout in this reservoir and it can be accessed right off the shore at the base of Quandary Peak!

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Evening at Blue Lakes Reservoir (Amanda, me, Karlee and Taylor)

Hiking Quandary Peak 14er: 14,265’: highest summit of the Tenmile Range in the Rocky Mountains. The 6.75 miles round trip hike should not be overlooked because of its short distance. This is a challenging hike with exposure and, like any 14er, variable weather to be aware of…so do your research before you head out!

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Karlee and me at the top of Quandary’s Peak (60 mph winds not pictured)

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Buffalo Creek Campin’
(1 hr 10 min from Denver)

Directions: Take I-70 W to CO 470 E to 285 S, travel past Conifer and take a left onto Pine Valley/Deckers Road (CO 126) travel ~14 miles until you see a turn off for Wellington Lake/Buffalo Creek Recreation Area on the right, CO 550.
Camping: Along this road (CO Rd 550), travel until you find a spot that you like. You will see parking signs scattered along the road that have pullouts for your car/truck and campsites around them. You can take your pick of these sites for multiple miles; so if there is a crowd, just keep driving until you have room to yourself.

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Pitstop off of the Colorado Trail near our campsite

Fishing: Cheesman Canyon Trailhead is located 7 miles south of the CO 550 turn off on CO 126. Here, you can hike in to access South Platte River for some of the best fishing on this section of the river. I love this: because you have to hike in to access spots on the river, it’s  a little less crowded on a nice weekend as opposed to fishing right off the road.

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South Platte fishing access in Cheesman Canyon

Hiking: Along road CO 550, there are multiple access points to the Colorado Trail that you can hike any distance on. A few of the dispersed sites back right up to the trail—like ours did—which makes it super accessible.

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Happy campers (Karlee and me)

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