WEBVTT 00:00:02.577 --> 00:00:03.415 Okay, we're recording. 00:00:05.083 --> 00:00:06.524 Welcome to the Hands-On, 00:00:06.564 --> 00:00:09.066 Hands-Off podcast brought to you by AONT, 00:00:09.125 --> 00:00:11.007 the American Academy of Orthopedic Manual 00:00:11.028 --> 00:00:11.888 Physical Therapists. 00:00:12.468 --> 00:00:14.750 And today we're really excited to launch 00:00:15.191 --> 00:00:18.033 the first of four podcasts, 00:00:18.134 --> 00:00:19.295 including iFOMT. 00:00:19.335 --> 00:00:21.876 So this is an AONT-iFOMT collaborative. 00:00:22.637 --> 00:00:23.597 And so over this series, 00:00:23.638 --> 00:00:24.678 we're going to bring you various 00:00:24.719 --> 00:00:26.541 conversations with internationally 00:00:26.600 --> 00:00:29.042 recognized speakers in orthopedic manual 00:00:29.062 --> 00:00:29.843 physical therapy. 00:00:30.283 --> 00:00:32.424 So we're really excited to launch this new 00:00:32.466 --> 00:00:32.886 series. 00:00:34.898 --> 00:00:35.918 And I'm Megan Donaldson. 00:00:35.939 --> 00:00:37.261 I'm the president of AOMT. 00:00:37.500 --> 00:00:39.543 And of course, I have Amy McDevitt, 00:00:39.584 --> 00:00:41.585 who's joining us as a member at large 00:00:41.625 --> 00:00:43.588 for our AOMT organization. 00:00:44.029 --> 00:00:45.030 And together today, 00:00:45.049 --> 00:00:47.753 we are thrilled to join a colleague and 00:00:47.792 --> 00:00:49.795 friend, Dr. Paolo Sanas, 00:00:49.936 --> 00:00:51.637 who is the president of IVOMT. 00:00:53.290 --> 00:00:55.993 So Paolo is an associate professor at 00:00:56.313 --> 00:00:59.814 Lakehead University and the Northern 00:00:59.914 --> 00:01:02.436 Ontario School of Medicine University, 00:01:02.877 --> 00:01:04.838 director of active potential 00:01:04.938 --> 00:01:06.939 rehabilitation services and a clinical 00:01:06.959 --> 00:01:08.721 specialist in musculoskeletal 00:01:08.760 --> 00:01:10.721 physiotherapy in Canada. 00:01:10.742 --> 00:01:13.243 He's also a lead instructor and examiner 00:01:13.403 --> 00:01:15.945 for the IFOMT accredited Advanced 00:01:16.025 --> 00:01:18.808 Integrated Musculoskeletal or AIM program 00:01:18.847 --> 00:01:20.929 of the Canadian Physiotherapy Association. 00:01:21.533 --> 00:01:24.474 Paolo is also currently the president of 00:01:24.515 --> 00:01:28.316 the iFOMT organization. 00:01:28.356 --> 00:01:29.496 And in this episode, 00:01:29.596 --> 00:01:31.718 we want to explore the iFOMT vision a 00:01:31.739 --> 00:01:33.599 bit more and Paolo has had such a 00:01:33.739 --> 00:01:36.480 rich contribution to this over the last 00:01:36.581 --> 00:01:39.242 many years and its role in shaping global 00:01:39.263 --> 00:01:41.243 standards for manual and musculoskeletal 00:01:41.304 --> 00:01:43.224 physical therapy with an international 00:01:43.265 --> 00:01:45.406 collaboration and what that means for 00:01:45.445 --> 00:01:47.167 patients and clinicians worldwide. 00:01:48.772 --> 00:01:50.772 So let's go ahead and get started. 00:01:51.733 --> 00:01:53.352 Paulo, first, again, 00:01:53.393 --> 00:01:54.593 we want to welcome you. 00:01:54.793 --> 00:01:57.213 Can you give us just a little bit 00:01:57.254 --> 00:01:58.754 of a background on yourself, 00:01:58.793 --> 00:02:00.593 if there's anything that wasn't covered in 00:02:00.614 --> 00:02:03.394 your introduction? 00:02:03.415 --> 00:02:05.135 Thank you very much, Amy and Megan, 00:02:05.174 --> 00:02:06.814 for the opportunity to be here today. 00:02:06.875 --> 00:02:08.034 And thank you for the very, 00:02:08.115 --> 00:02:09.955 very kind words and introduction. 00:02:10.776 --> 00:02:11.656 I guess the other thing is, 00:02:12.216 --> 00:02:14.456 other than physiotherapy and being a 00:02:14.516 --> 00:02:15.597 professor at a university, 00:02:16.016 --> 00:02:16.637 I am also 00:02:17.044 --> 00:02:17.224 you know, 00:02:17.245 --> 00:02:18.686 the husband of a wife that's an 00:02:18.746 --> 00:02:19.727 occupational therapist. 00:02:19.826 --> 00:02:22.328 And I have two wonderful daughters as well 00:02:22.348 --> 00:02:23.247 that are young adults, 00:02:23.429 --> 00:02:24.609 one in university still, 00:02:24.669 --> 00:02:27.251 and one that is starting her career as 00:02:27.270 --> 00:02:29.292 a nurse and going on to grad school 00:02:29.331 --> 00:02:31.293 and more education in the future. 00:02:32.373 --> 00:02:35.314 And I'm here in Northwestern Ontario, 00:02:35.395 --> 00:02:37.355 just north of the Minnesota border as 00:02:37.395 --> 00:02:39.997 well, and had some snow overnight. 00:02:40.117 --> 00:02:41.899 Yeah, and it's probably very cold. 00:02:43.430 --> 00:02:43.890 Well, you know what? 00:02:43.931 --> 00:02:45.454 It's been unseasonably warm, 00:02:45.514 --> 00:02:46.276 believe it or not, 00:02:46.336 --> 00:02:48.099 but we've had the last week or two 00:02:48.120 --> 00:02:49.723 things are changing and you can definitely 00:02:49.764 --> 00:02:52.088 get a flavor that winter is coming. 00:02:52.188 --> 00:02:53.551 That is great. 00:02:54.106 --> 00:02:54.326 Well, 00:02:54.507 --> 00:02:56.328 thank you for being here despite the cold 00:02:56.367 --> 00:02:57.649 and the need to shovel outside, 00:02:57.709 --> 00:02:59.050 as you mentioned previously. 00:02:59.150 --> 00:03:01.531 So I'm going to dive in. 00:03:01.670 --> 00:03:03.271 And what I wanted to start talking about 00:03:03.372 --> 00:03:05.492 first, Paolo, is really IFOMS. 00:03:05.532 --> 00:03:07.995 So for listeners who may not be familiar, 00:03:08.055 --> 00:03:09.395 can you tell us a little bit about 00:03:09.596 --> 00:03:13.177 what IFOMS is and what makes it unique 00:03:13.237 --> 00:03:16.498 in the global physiotherapy landscape? 00:03:16.680 --> 00:03:18.621 That's a great question and a great place 00:03:18.661 --> 00:03:19.181 to start. 00:03:19.717 --> 00:03:21.598 For people that aren't familiar with what 00:03:21.758 --> 00:03:23.777 iFONT is exactly as an organization, 00:03:24.298 --> 00:03:25.859 I think we start first with World 00:03:25.919 --> 00:03:26.778 Physiotherapy. 00:03:26.859 --> 00:03:29.199 World Physiotherapy is the representative 00:03:29.319 --> 00:03:31.881 organization globally for all 00:03:31.961 --> 00:03:33.841 physiotherapists that work in different 00:03:33.980 --> 00:03:35.741 areas of practice. 00:03:36.201 --> 00:03:38.701 And they have specialty groups that 00:03:38.782 --> 00:03:39.923 represent different, 00:03:40.603 --> 00:03:42.623 very specific or very unique 00:03:42.764 --> 00:03:45.604 niche-oriented special interest groups. 00:03:46.025 --> 00:03:47.564 And iFONT represents the 00:03:48.001 --> 00:03:50.703 physiotherapists that work in manual and 00:03:50.723 --> 00:03:52.443 musculoskeletal physiotherapy. 00:03:53.024 --> 00:03:55.566 And essentially, it is the oldest, 00:03:55.806 --> 00:03:58.987 it is the largest representative group for 00:03:59.027 --> 00:04:00.329 physiotherapists around the world. 00:04:00.389 --> 00:04:04.931 And it is a global representative. 00:04:05.110 --> 00:04:06.551 And so tell us a little bit about 00:04:06.572 --> 00:04:08.554 the history of some of what your 00:04:08.593 --> 00:04:10.955 involvement has been in IFOMT over time. 00:04:12.116 --> 00:04:12.716 Yes, 00:04:12.876 --> 00:04:15.657 so I was originally part of IFOMT as 00:04:15.717 --> 00:04:19.038 the junior delegate representing Canada 00:04:19.519 --> 00:04:21.920 and worked with our sort of delegate at 00:04:21.959 --> 00:04:24.600 the time to kind of learn and see 00:04:24.620 --> 00:04:26.841 what the role was exactly of delegate 00:04:26.901 --> 00:04:27.843 representing Canada. 00:04:28.302 --> 00:04:31.764 I then was appointed as a treasurer for 00:04:31.805 --> 00:04:33.404 the IFOMT executive committee, 00:04:33.444 --> 00:04:35.745 so had the capacity to kind of learn 00:04:35.786 --> 00:04:38.007 a little bit about the finances and the 00:04:38.067 --> 00:04:41.728 finance side of a global organization 00:04:42.338 --> 00:04:44.858 I then sat in the vice president's role 00:04:44.918 --> 00:04:46.899 for four years and had the opportunity to 00:04:46.959 --> 00:04:48.800 work with an amazing executive at that 00:04:48.821 --> 00:04:49.081 time, 00:04:49.420 --> 00:04:52.062 trying to implement strategy and change 00:04:52.083 --> 00:04:53.644 and listen to the delegates and what was 00:04:53.684 --> 00:04:54.803 happening around the world. 00:04:55.283 --> 00:04:57.504 And in twenty twenty four at the Basel 00:04:57.524 --> 00:04:58.005 Conference, 00:04:58.185 --> 00:05:00.947 I had the opportunity to now be elected 00:05:01.007 --> 00:05:02.668 into the president's role, 00:05:02.687 --> 00:05:04.689 which I currently sit in at this time. 00:05:05.235 --> 00:05:05.735 Yeah. 00:05:05.896 --> 00:05:06.836 And congratulations. 00:05:06.877 --> 00:05:08.158 Megan and I were both there for that. 00:05:08.197 --> 00:05:09.579 That was really exciting. 00:05:09.619 --> 00:05:10.939 It was a wonderful conference. 00:05:10.980 --> 00:05:12.341 It was so neat to have all these 00:05:12.360 --> 00:05:14.302 different people from different parts of 00:05:14.322 --> 00:05:15.944 the world come together and talk about 00:05:16.004 --> 00:05:17.345 topics that they're passionate about. 00:05:18.045 --> 00:05:19.065 And so, you know, 00:05:19.165 --> 00:05:20.747 iFont has been around since nineteen 00:05:20.766 --> 00:05:21.406 seventy four. 00:05:21.466 --> 00:05:23.928 How do you believe the organization has 00:05:23.968 --> 00:05:26.190 really grown over time? 00:05:26.430 --> 00:05:26.750 Wow. 00:05:26.790 --> 00:05:27.632 That's you know, 00:05:27.651 --> 00:05:29.432 it's been fifty one years now for this 00:05:29.512 --> 00:05:31.995 organization and it's really evolved, 00:05:32.035 --> 00:05:32.214 you know, 00:05:32.687 --> 00:05:34.869 originally from the grassroots of a 00:05:34.988 --> 00:05:36.790 passionate group of individuals that 00:05:36.910 --> 00:05:39.151 really had an interest in manual and 00:05:39.891 --> 00:05:42.512 manipulative physiotherapy to the 00:05:42.892 --> 00:05:45.994 development of educational standards that 00:05:46.033 --> 00:05:48.754 should be part of this organization and 00:05:48.834 --> 00:05:52.197 guiding education around the world to now 00:05:52.317 --> 00:05:54.598 where it has evolved and integrated 00:05:54.817 --> 00:05:57.259 evidence and research into everything that 00:05:57.298 --> 00:06:00.680 we do and really try to upskill and 00:06:00.740 --> 00:06:01.440 upscale 00:06:01.923 --> 00:06:03.845 the organization from a governance 00:06:03.884 --> 00:06:04.565 perspective, 00:06:05.206 --> 00:06:07.790 from the integration and connection of 00:06:08.029 --> 00:06:09.732 clinicians and researchers 00:06:10.153 --> 00:06:12.694 and trying to transform and transport that 00:06:12.754 --> 00:06:14.795 into our educational system, 00:06:14.935 --> 00:06:17.315 whether it is community-based programs, 00:06:17.435 --> 00:06:19.776 university-based programs that teach a 00:06:19.815 --> 00:06:22.396 variety of topics related to this, 00:06:22.817 --> 00:06:25.918 but also the growth of just the profession 00:06:26.278 --> 00:06:28.137 and trying to keep up with all of 00:06:28.218 --> 00:06:29.197 those changes. 00:06:29.557 --> 00:06:29.718 You know, 00:06:29.879 --> 00:06:32.619 I've really tried to integrate the history 00:06:32.959 --> 00:06:34.819 into sort of the modern contemporary 00:06:34.860 --> 00:06:36.220 physiotherapists and the roles 00:06:36.670 --> 00:06:38.773 that we have at an organizational level 00:06:38.992 --> 00:06:41.355 and also be globally representative and 00:06:41.415 --> 00:06:43.098 mindful of where everybody's at around the 00:06:43.119 --> 00:06:43.379 world. 00:06:43.939 --> 00:06:44.259 Yeah, 00:06:44.360 --> 00:06:45.963 and I think that's a really important 00:06:47.314 --> 00:06:47.535 you know, 00:06:47.595 --> 00:06:49.076 comment and I don't know that I really 00:06:49.096 --> 00:06:51.036 appreciated it until I came to some of 00:06:51.057 --> 00:06:52.177 the I found conferences. 00:06:52.197 --> 00:06:53.579 So I was at Glasgow and then I 00:06:53.619 --> 00:06:56.240 was in Basel and it's really interesting, 00:06:56.480 --> 00:06:57.620 you know, to your point, 00:06:57.641 --> 00:06:59.541 to just see what's happening globally. 00:06:59.601 --> 00:07:01.262 A lot of times I think we're myopic 00:07:01.283 --> 00:07:03.244 in our own country or region. 00:07:03.303 --> 00:07:05.485 And so it's it's interesting to get 00:07:05.505 --> 00:07:07.307 together with this group and really see 00:07:07.346 --> 00:07:09.108 how things are moving, you know, 00:07:09.187 --> 00:07:10.809 not just locally, but worldwide. 00:07:11.569 --> 00:07:13.110 What are some of the, like, 00:07:13.149 --> 00:07:15.031 what's the vision for iFOMT? 00:07:15.071 --> 00:07:16.350 Can you share a little bit of the, 00:07:16.791 --> 00:07:18.651 maybe the mission and vision and why it 00:07:18.692 --> 00:07:20.432 matters for musculoskeletal health 00:07:20.473 --> 00:07:21.153 worldwide? 00:07:22.033 --> 00:07:22.353 Yes. 00:07:22.593 --> 00:07:25.115 So I think if you think about iFOMT's 00:07:25.216 --> 00:07:27.677 vision and we're in the process right now 00:07:27.716 --> 00:07:30.158 of rolling out a new strategic plan and 00:07:30.218 --> 00:07:32.639 we've just announced a new vision and our 00:07:32.678 --> 00:07:34.720 vision is really a world where 00:07:34.819 --> 00:07:37.180 musculoskeletal physiotherapy transforms 00:07:37.240 --> 00:07:38.862 the lives of our patients 00:07:39.524 --> 00:07:41.225 and strengthens global health. 00:07:41.886 --> 00:07:43.406 We really want to try to take on 00:07:43.565 --> 00:07:45.567 a bigger role as physiotherapists. 00:07:45.887 --> 00:07:47.586 The opportunities there, 00:07:47.906 --> 00:07:50.148 we have sort of the skill set, 00:07:50.267 --> 00:07:51.827 the educational background, 00:07:51.887 --> 00:07:54.369 the will to be able to do this. 00:07:55.028 --> 00:07:56.468 From a mission perspective, 00:07:56.509 --> 00:07:58.490 in terms of our organization, 00:07:59.930 --> 00:08:01.490 there's a call for us to take on 00:08:01.531 --> 00:08:03.130 different roles and responsibilities. 00:08:03.512 --> 00:08:06.175 And we really want to promote and advance 00:08:06.535 --> 00:08:08.757 manual and musculoskeletal physiotherapy 00:08:08.817 --> 00:08:09.418 worldwide. 00:08:09.838 --> 00:08:10.798 And how can we do that? 00:08:10.959 --> 00:08:11.139 Well, 00:08:11.178 --> 00:08:13.521 we can do that by exchanging scientific 00:08:13.560 --> 00:08:14.040 knowledge. 00:08:14.540 --> 00:08:16.302 We want to try to encourage research and 00:08:16.343 --> 00:08:18.685 innovation and connect clinicians and 00:08:18.745 --> 00:08:21.547 researchers and really try to support and 00:08:21.607 --> 00:08:24.528 foster higher educational and clinical 00:08:24.588 --> 00:08:26.911 standards and really try to represent 00:08:27.230 --> 00:08:28.750 physiotherapists around the world 00:08:28.870 --> 00:08:29.511 internationally. 00:08:29.870 --> 00:08:30.651 And how can we do that? 00:08:30.790 --> 00:08:31.651 I think we can do that through 00:08:31.670 --> 00:08:34.532 collaboration and continuing to use 00:08:34.672 --> 00:08:37.232 evidence-informed practices and answer 00:08:37.273 --> 00:08:38.913 some of the difficult discussions and 00:08:38.972 --> 00:08:40.413 questions that people are having, 00:08:40.813 --> 00:08:41.573 but at the same time, 00:08:42.073 --> 00:08:43.774 to also not be afraid to say, 00:08:44.174 --> 00:08:44.735 we don't know, 00:08:45.254 --> 00:08:46.875 and we need to continue to build on 00:08:46.914 --> 00:08:49.176 that knowledge and motivate people to 00:08:49.216 --> 00:08:50.316 continue to learn. 00:08:51.157 --> 00:08:52.976 Yeah, I think that's great. 00:08:53.017 --> 00:08:55.418 And some of my own observations are that 00:08:56.687 --> 00:08:58.969 know the collaborations that are happening 00:08:59.048 --> 00:09:01.250 across this organization with people in 00:09:01.311 --> 00:09:03.852 different regions of the world is really 00:09:04.033 --> 00:09:06.894 incredible and i i love that the the 00:09:06.955 --> 00:09:09.557 vision is is i see it playing out 00:09:09.616 --> 00:09:11.619 in real time and i i think it's 00:09:11.678 --> 00:09:14.221 fantastic um i'm gonna turn it over to 00:09:14.260 --> 00:09:16.162 megan to ask you know just a couple 00:09:16.182 --> 00:09:18.004 questions that um she's interested about 00:09:19.190 --> 00:09:21.850 So Paolo, I mean, again, IFOMT has been, 00:09:22.491 --> 00:09:23.892 I love the word evolving. 00:09:23.912 --> 00:09:25.472 I mean, you have been highlighting that, 00:09:25.572 --> 00:09:26.253 the growth, 00:09:27.413 --> 00:09:29.575 hearing the needs and responding, right? 00:09:29.634 --> 00:09:29.855 I mean, 00:09:29.875 --> 00:09:32.355 I think that's a job of any organization. 00:09:32.395 --> 00:09:34.417 And I share that understanding is 00:09:34.496 --> 00:09:35.477 obviously present of AOMT. 00:09:36.217 --> 00:09:37.337 You're learning, you're receiving, 00:09:37.378 --> 00:09:37.979 you're growing, 00:09:38.119 --> 00:09:40.220 and we're trying to constantly integrate 00:09:40.240 --> 00:09:41.720 what we're learning from an evidence 00:09:41.740 --> 00:09:43.100 standpoint into practice. 00:09:43.681 --> 00:09:44.981 And so let's dive a little bit more 00:09:45.062 --> 00:09:47.023 into maybe some standards in education, 00:09:47.043 --> 00:09:47.403 because 00:09:47.778 --> 00:09:49.759 Obviously, IFOMT has a huge role there, 00:09:50.100 --> 00:09:52.121 especially as the group that's, you know, 00:09:52.341 --> 00:09:53.682 we have these standards and these 00:09:53.702 --> 00:09:55.283 standards are used across the world, 00:09:55.825 --> 00:09:56.965 which is pretty important. 00:09:57.025 --> 00:09:59.647 And so IFOMT established rigorous 00:09:59.687 --> 00:10:01.408 standards for education and practice, 00:10:01.448 --> 00:10:03.590 especially for advanced musculoskeletal 00:10:03.610 --> 00:10:04.370 manual therapy. 00:10:04.410 --> 00:10:06.692 And so what does that process look like 00:10:06.731 --> 00:10:08.373 for a member organization? 00:10:08.413 --> 00:10:09.995 So maybe talk a little bit about that 00:10:10.014 --> 00:10:12.395 so they can understand how do we get 00:10:12.436 --> 00:10:14.057 to be an MO and why is that 00:10:14.096 --> 00:10:14.738 so important? 00:10:15.677 --> 00:10:16.538 Yeah, thanks, Megan. 00:10:16.618 --> 00:10:18.859 And that's the foundation really for our 00:10:18.938 --> 00:10:19.539 organization. 00:10:19.580 --> 00:10:21.881 And it also makes us unique from other 00:10:21.981 --> 00:10:23.663 special interest groups within World 00:10:23.743 --> 00:10:24.503 Physiotherapy. 00:10:24.604 --> 00:10:26.424 We are the only one that actually has 00:10:26.504 --> 00:10:29.486 a standard by which countries need to meet 00:10:29.506 --> 00:10:31.948 that standard in order to be a full 00:10:32.328 --> 00:10:33.490 member organization. 00:10:33.870 --> 00:10:35.110 So what might this look like? 00:10:35.130 --> 00:10:35.912 You know, 00:10:35.932 --> 00:10:37.873 this might be a country that is not 00:10:37.913 --> 00:10:39.474 part of our organization that has an 00:10:39.614 --> 00:10:43.076 interest in A, being part of this group. 00:10:43.927 --> 00:10:45.928 also looking at the programs within, 00:10:46.068 --> 00:10:47.210 program or programs, 00:10:47.269 --> 00:10:48.830 it could be multiple programs within that 00:10:48.950 --> 00:10:49.471 country, 00:10:49.890 --> 00:10:51.471 and looking at the curriculum that they 00:10:51.511 --> 00:10:52.052 have set, 00:10:52.552 --> 00:10:54.592 and making sure that it meets the 00:10:54.633 --> 00:10:57.173 different competencies, pillars, 00:10:57.514 --> 00:10:59.956 dimensions that are identified in the 00:11:00.416 --> 00:11:02.876 IFLMP Educational Standards document. 00:11:03.256 --> 00:11:03.376 Now, 00:11:03.397 --> 00:11:05.398 what they do is they essentially compile 00:11:05.518 --> 00:11:06.619 all of this information, 00:11:07.019 --> 00:11:10.061 and with the work and assistance of some 00:11:10.100 --> 00:11:10.321 of the 00:11:11.979 --> 00:11:13.240 advisory groups that we have, 00:11:13.259 --> 00:11:14.659 and it's the advisory group on membership 00:11:14.700 --> 00:11:15.061 development. 00:11:15.081 --> 00:11:16.620 They would work really closely with that 00:11:16.660 --> 00:11:18.682 group essentially to make sure that 00:11:18.721 --> 00:11:20.202 they've got everything that's required 00:11:20.243 --> 00:11:20.482 there. 00:11:20.743 --> 00:11:22.024 At that stage of the game, 00:11:22.604 --> 00:11:24.485 it then is submitted to IFONT, 00:11:24.884 --> 00:11:27.186 who has the standards committee and the 00:11:27.225 --> 00:11:29.767 executive committee essentially looking at 00:11:29.807 --> 00:11:30.606 that material, 00:11:31.048 --> 00:11:32.427 and the standards committee would 00:11:32.567 --> 00:11:33.369 independently, 00:11:33.408 --> 00:11:36.370 very closely and objectively compare it to 00:11:36.389 --> 00:11:38.530 the current standards document that we 00:11:38.571 --> 00:11:38.811 have. 00:11:39.245 --> 00:11:40.687 And essentially what they do is they 00:11:41.287 --> 00:11:44.207 provide some feedback on things that have 00:11:44.268 --> 00:11:46.870 met the standard versus things that that 00:11:46.929 --> 00:11:48.669 country maybe needs to work on. 00:11:49.270 --> 00:11:49.471 Now, 00:11:49.910 --> 00:11:52.991 if the application and those standards 00:11:53.072 --> 00:11:55.033 meet this fairly high level, 00:11:55.552 --> 00:11:58.674 rigorous educational standard that has 00:11:58.715 --> 00:11:59.254 been set, 00:12:00.275 --> 00:12:03.017 then what happens is the delegate assembly 00:12:03.618 --> 00:12:07.080 would vote on this country being part of 00:12:07.159 --> 00:12:09.942 the standards, being part of IFUNCT. 00:12:10.022 --> 00:12:11.322 And at that stage, 00:12:11.342 --> 00:12:12.663 they would then enter into this 00:12:12.803 --> 00:12:14.565 international monitoring process, 00:12:14.585 --> 00:12:16.586 which is one of the benefits of making 00:12:16.625 --> 00:12:18.988 sure that those countries continue to have 00:12:19.008 --> 00:12:21.610 these high educational standards threaded 00:12:21.629 --> 00:12:23.171 through their curriculum from that point 00:12:23.211 --> 00:12:23.650 forward. 00:12:24.912 --> 00:12:25.111 Yeah, 00:12:25.131 --> 00:12:27.134 there's so much to unpack in that because 00:12:27.214 --> 00:12:29.556 I remember when we got to vote on 00:12:29.976 --> 00:12:32.599 some of these countries and there's such 00:12:32.698 --> 00:12:34.500 pride in that. 00:12:35.662 --> 00:12:37.243 Watching them go from a rig to an 00:12:37.403 --> 00:12:39.144 MO and knowing that they've invested 00:12:39.264 --> 00:12:39.926 energy, time, 00:12:39.966 --> 00:12:41.807 and resources in some countries that just 00:12:41.826 --> 00:12:43.408 don't have as much time, energy, 00:12:43.448 --> 00:12:44.028 and resource. 00:12:45.190 --> 00:12:47.091 Seeing the passion of some individuals 00:12:47.152 --> 00:12:48.793 bringing that forward and carrying that 00:12:48.833 --> 00:12:49.313 along the way. 00:12:49.533 --> 00:12:50.595 I met with some of the groups and 00:12:50.615 --> 00:12:51.135 that was really, 00:12:51.176 --> 00:12:51.475 really a 00:12:51.948 --> 00:12:53.769 a unique experience to watch them, 00:12:54.070 --> 00:12:54.289 you know, 00:12:54.330 --> 00:12:55.890 be announced as an MO and the pride 00:12:55.910 --> 00:12:57.211 that you can see that that brought. 00:12:57.751 --> 00:12:57.913 So, 00:12:58.013 --> 00:12:59.653 and then you talked a little bit about, 00:12:59.693 --> 00:12:59.913 you know, 00:12:59.953 --> 00:13:01.815 the packaging where you go and you're 00:13:01.855 --> 00:13:03.336 supporting them and the groups that are 00:13:03.375 --> 00:13:04.635 doing that, you know, 00:13:04.696 --> 00:13:06.417 and I think this is where maybe you 00:13:06.437 --> 00:13:08.197 can talk about maybe the IAM monitoring 00:13:08.259 --> 00:13:10.240 process a little bit more because my 00:13:10.299 --> 00:13:10.799 question, 00:13:10.879 --> 00:13:12.600 and I think this is more from a 00:13:12.681 --> 00:13:13.301 worldwide, 00:13:13.360 --> 00:13:14.942 understand that maybe in the US we're 00:13:14.961 --> 00:13:16.923 thinking about competency-based education. 00:13:17.323 --> 00:13:19.024 You all have talked about criterion-based 00:13:19.065 --> 00:13:20.865 education, different aspects of it. 00:13:21.285 --> 00:13:23.926 But how does IFOMP ensure consistency, 00:13:23.985 --> 00:13:25.606 maybe in these clinical competencies 00:13:25.647 --> 00:13:27.866 across all these countries and cultures 00:13:28.267 --> 00:13:30.268 that might have varying resources and 00:13:30.307 --> 00:13:30.827 supports? 00:13:30.888 --> 00:13:32.148 And so maybe you can talk a little 00:13:32.168 --> 00:13:33.668 bit about that and unpack that. 00:13:33.988 --> 00:13:35.948 What I am monitoring is after they become 00:13:35.989 --> 00:13:36.129 an MO. 00:13:36.188 --> 00:13:37.749 Yeah, that's great. 00:13:38.009 --> 00:13:41.688 So so essentially and let me maybe preface 00:13:41.708 --> 00:13:43.230 it first by saying, you know, 00:13:43.269 --> 00:13:45.429 the intent is to try to review the 00:13:45.509 --> 00:13:48.730 standards document in periodic segments. 00:13:48.990 --> 00:13:50.551 And we're currently doing that right now. 00:13:51.052 --> 00:13:52.692 and we're updating the standards document 00:13:52.712 --> 00:13:53.173 to, again, 00:13:53.212 --> 00:13:54.714 try to make it more contemporary, 00:13:54.774 --> 00:13:55.835 try to update it with the evidence. 00:13:56.634 --> 00:13:58.035 Much of the content that's in there 00:13:58.076 --> 00:13:59.996 already is still very, very good, 00:14:00.277 --> 00:14:02.238 but it's really to add more to it. 00:14:02.738 --> 00:14:02.898 Now, 00:14:02.998 --> 00:14:04.999 from an international monitoring 00:14:05.078 --> 00:14:05.720 perspective, 00:14:07.380 --> 00:14:09.442 as with the development of the new 00:14:09.481 --> 00:14:10.381 standards document, 00:14:10.402 --> 00:14:13.384 the processes are also under kind of 00:14:13.464 --> 00:14:16.325 review and development and being modified. 00:14:16.784 --> 00:14:16.985 Now, 00:14:17.225 --> 00:14:19.366 if we look at how does this normally 00:14:19.386 --> 00:14:19.626 happen? 00:14:20.019 --> 00:14:20.600 A country, 00:14:20.801 --> 00:14:22.601 once they become a member of IFOM, 00:14:23.001 --> 00:14:25.403 they then undergo international monitoring 00:14:25.503 --> 00:14:27.544 approximately once every six years. 00:14:28.004 --> 00:14:29.306 And this is a pretty big deal. 00:14:29.365 --> 00:14:29.566 You know, 00:14:29.586 --> 00:14:32.006 this is a really big job for the 00:14:32.067 --> 00:14:32.567 countries. 00:14:32.648 --> 00:14:33.868 It's fairly labor intensive. 00:14:34.208 --> 00:14:34.989 There's a cost, 00:14:35.149 --> 00:14:38.191 whether it's time or cost for the process 00:14:38.530 --> 00:14:39.392 undertaking itself. 00:14:39.792 --> 00:14:41.452 So I think as an organization, 00:14:41.993 --> 00:14:44.215 we need to rely on the national 00:14:44.294 --> 00:14:46.535 accreditation bodies that programs have 00:14:46.905 --> 00:14:47.826 you know, independently, 00:14:47.866 --> 00:14:49.147 some on a yearly basis. 00:14:49.548 --> 00:14:50.788 But every six years, 00:14:51.168 --> 00:14:53.730 what will happen is an external assessor 00:14:53.889 --> 00:14:56.491 essentially reviews and provides some 00:14:56.572 --> 00:14:59.232 feedback and input with regards to what 00:14:59.273 --> 00:15:02.294 their thoughts are on changes or 00:15:02.355 --> 00:15:04.456 modifications that have been done to those 00:15:04.535 --> 00:15:07.898 programs and across all aspects of the 00:15:07.937 --> 00:15:09.318 program, not just curriculum. 00:15:10.038 --> 00:15:10.440 It could be, 00:15:10.740 --> 00:15:12.480 what did they do from the practical 00:15:13.081 --> 00:15:14.282 application sense? 00:15:14.841 --> 00:15:16.263 How do they deliver some of that 00:15:16.683 --> 00:15:19.966 content that feedback from an external 00:15:20.025 --> 00:15:22.988 assessor then comes back to the standards 00:15:23.008 --> 00:15:25.089 committee who obviously will compare it to 00:15:25.109 --> 00:15:27.149 you know where were they in the past 00:15:27.211 --> 00:15:29.871 when they were either monitored previously 00:15:30.052 --> 00:15:31.852 or if they were some a country that 00:15:31.873 --> 00:15:34.495 was relatively new they'll kind of monitor 00:15:34.654 --> 00:15:38.677 and again provide some suggestions on how 00:15:39.038 --> 00:15:41.038 and what they can maybe focus on for 00:15:41.099 --> 00:15:45.020 the next monitoring also if there are some 00:15:45.062 --> 00:15:45.721 deficiencies 00:15:46.124 --> 00:15:47.624 that would be flagged or that would be 00:15:47.705 --> 00:15:48.345 highlighted. 00:15:48.725 --> 00:15:50.825 And moving forward in the future, 00:15:51.046 --> 00:15:53.566 the hope is we've got some really seasoned 00:15:53.926 --> 00:15:55.647 countries that they've been doing this for 00:15:55.667 --> 00:15:56.346 a long time. 00:15:56.386 --> 00:15:57.067 They're really, 00:15:57.106 --> 00:15:58.548 really well established that have been 00:15:58.607 --> 00:16:00.448 monitored four or five times. 00:16:00.928 --> 00:16:02.349 So I think what we'll sort of see 00:16:02.369 --> 00:16:04.429 in the future is that some countries, 00:16:04.730 --> 00:16:06.409 it will be a little more of a 00:16:06.470 --> 00:16:07.410 streamlined approach, 00:16:07.650 --> 00:16:07.971 others 00:16:08.361 --> 00:16:10.342 might have more of a directed type of 00:16:10.383 --> 00:16:12.144 approach where it was really this 00:16:12.244 --> 00:16:14.426 particular aspect that we needed to look 00:16:14.466 --> 00:16:14.546 at. 00:16:14.605 --> 00:16:16.466 Tell us about how that might be changed 00:16:16.486 --> 00:16:18.248 versus others that might have, 00:16:18.467 --> 00:16:20.129 we've got a new program within this 00:16:20.208 --> 00:16:22.149 respective country that might be a bit 00:16:22.190 --> 00:16:25.251 more of a comprehensive type of a review. 00:16:25.772 --> 00:16:26.993 Essentially, by using that, 00:16:27.113 --> 00:16:29.274 that's how we ensure that all of these 00:16:29.313 --> 00:16:32.056 countries with external assessors, 00:16:32.416 --> 00:16:34.336 with the standards committee, 00:16:34.716 --> 00:16:36.798 with the self-reflection process of those 00:16:36.817 --> 00:16:37.639 individual countries, 00:16:38.120 --> 00:16:40.001 That allows us to ensure that clinical 00:16:40.022 --> 00:16:42.624 competency is met and those high standards 00:16:42.804 --> 00:16:44.066 are maintained throughout. 00:16:44.086 --> 00:16:45.807 Yeah. 00:16:45.947 --> 00:16:47.168 And that's, I mean, again, 00:16:47.188 --> 00:16:49.610 that's such a job for an organization to 00:16:49.650 --> 00:16:51.173 keep that high level standard. 00:16:51.613 --> 00:16:53.073 And again, when I say standard, 00:16:53.115 --> 00:16:54.816 it's that commonality across all these 00:16:54.855 --> 00:16:57.379 countries that we can have trust and know 00:16:57.418 --> 00:16:57.619 that 00:16:58.020 --> 00:16:59.361 what you're doing in your country is 00:16:59.381 --> 00:17:00.481 similar to our country. 00:17:00.523 --> 00:17:02.043 And that's what I think the beauty is 00:17:02.102 --> 00:17:04.825 and really appreciating IFOM's heavy work 00:17:04.865 --> 00:17:06.965 in that space because I know it has 00:17:07.006 --> 00:17:08.146 to evolve too, right? 00:17:08.227 --> 00:17:08.846 Like again, 00:17:08.926 --> 00:17:11.028 I appreciate kind of the pragmatic nature 00:17:11.068 --> 00:17:14.310 that I hear the responsiveness rather than 00:17:14.351 --> 00:17:15.631 this is the prescriptive approach. 00:17:15.671 --> 00:17:16.971 I might be wearing a little bit of 00:17:16.991 --> 00:17:18.673 an accreditation lens at times and I'm 00:17:18.712 --> 00:17:19.653 like, man, 00:17:19.733 --> 00:17:21.015 sometimes this just could be a little 00:17:21.134 --> 00:17:21.515 easier. 00:17:21.575 --> 00:17:22.776 And so it sounds like you guys are 00:17:23.036 --> 00:17:24.696 making some thoughtful transitions 00:17:25.096 --> 00:17:26.778 in ways to kind of be responsive to 00:17:26.817 --> 00:17:28.919 needs, which I really can appreciate. 00:17:29.378 --> 00:17:31.721 I'd love to take it another direction and 00:17:31.740 --> 00:17:33.040 maybe look a little bit more at a 00:17:33.082 --> 00:17:33.701 scholarship, 00:17:34.082 --> 00:17:35.863 but really evidence-based practice as we 00:17:35.883 --> 00:17:36.983 think about scholarship, 00:17:37.003 --> 00:17:38.344 maybe a little bit more education. 00:17:38.364 --> 00:17:39.765 And we've talked a little bit about that, 00:17:39.785 --> 00:17:41.165 so we can dive into that. 00:17:41.526 --> 00:17:43.547 But education also then means 00:17:43.606 --> 00:17:44.548 evidence-based practice, 00:17:44.567 --> 00:17:45.468 how we're training people, 00:17:45.528 --> 00:17:46.848 how we're seeing things happening in the 00:17:46.909 --> 00:17:47.269 clinic. 00:17:48.762 --> 00:17:49.563 As you've mentioned, 00:17:49.722 --> 00:17:52.203 iFOMD really emphasizes evidence-based 00:17:52.243 --> 00:17:54.384 practice and looking at that integration 00:17:54.463 --> 00:17:56.585 into your standards and how we make 00:17:56.644 --> 00:17:59.525 clinical practice across the world to meet 00:17:59.565 --> 00:18:00.105 the vision. 00:18:00.565 --> 00:18:02.586 So how do you see research shaping 00:18:03.066 --> 00:18:05.185 education and practice of musculoskeletal 00:18:05.205 --> 00:18:07.267 manual therapy in the next decade? 00:18:07.826 --> 00:18:09.166 If you maybe can give us some thoughts 00:18:09.186 --> 00:18:10.507 there. 00:18:10.747 --> 00:18:11.007 Yeah, 00:18:11.027 --> 00:18:13.448 so I think everything that we do is... 00:18:14.153 --> 00:18:15.914 is centered with evidence. 00:18:16.335 --> 00:18:18.596 We have to be clinically informed by what 00:18:18.636 --> 00:18:20.898 the best available evidence is at that 00:18:20.939 --> 00:18:21.138 time. 00:18:21.778 --> 00:18:22.680 But at the same time, 00:18:23.059 --> 00:18:24.561 I think we also need to realize as 00:18:24.622 --> 00:18:26.323 clinicians, as researchers, 00:18:26.403 --> 00:18:27.263 as an organization, 00:18:27.663 --> 00:18:29.125 the limitations of the evidence, 00:18:29.184 --> 00:18:30.747 whether it's the designs, 00:18:30.866 --> 00:18:32.607 whether it's the interpretation of the 00:18:32.647 --> 00:18:34.890 information, whether it's the context. 00:18:35.210 --> 00:18:37.172 And the context could be so very different 00:18:37.551 --> 00:18:39.314 if I'm in North America, 00:18:39.433 --> 00:18:40.555 if I am in Europe, 00:18:40.654 --> 00:18:43.136 if I'm in South America, Africa, Asia, 00:18:43.527 --> 00:18:44.647 Wherever I am in the world, 00:18:44.688 --> 00:18:46.409 the context and the person in front of 00:18:46.469 --> 00:18:48.529 me is so very different. 00:18:49.150 --> 00:18:50.151 And the makeup, 00:18:50.431 --> 00:18:52.872 we just don't have a one size fits 00:18:52.991 --> 00:18:53.152 all. 00:18:53.652 --> 00:18:55.413 And I think that sometimes we try to 00:18:55.512 --> 00:18:57.914 oversimplify the evidence and we try to do 00:18:57.954 --> 00:18:58.954 that purposefully, I think, 00:18:58.994 --> 00:19:01.356 to try to get the message across to 00:19:01.876 --> 00:19:02.517 clinicians, 00:19:03.137 --> 00:19:04.498 to other health care providers, 00:19:04.597 --> 00:19:05.838 to our patients as well. 00:19:06.259 --> 00:19:07.940 But I think the evidence is really what 00:19:07.980 --> 00:19:09.300 guides everything that we do. 00:19:09.340 --> 00:19:11.182 And as an organization in developing the 00:19:11.221 --> 00:19:13.022 standards many, many years ago, 00:19:13.595 --> 00:19:15.616 they were driven by the evidence and the 00:19:15.656 --> 00:19:18.638 research that was being performed in this, 00:19:18.819 --> 00:19:20.340 not even just in this space, 00:19:20.661 --> 00:19:23.784 but in other spaces and just evolving the 00:19:23.844 --> 00:19:27.326 role of physiotherapy in all different 00:19:27.366 --> 00:19:29.669 conditions. 00:19:30.009 --> 00:19:30.450 Yeah. 00:19:30.630 --> 00:19:31.191 And, you know, 00:19:31.490 --> 00:19:33.593 when you identify like person-centered 00:19:33.633 --> 00:19:35.114 care and we're seeing the growth, 00:19:35.513 --> 00:19:35.694 you know, 00:19:35.714 --> 00:19:38.176 you think about in person-centered care, 00:19:38.217 --> 00:19:38.936 where they came from, 00:19:38.977 --> 00:19:40.699 their environment and their cultures. 00:19:41.124 --> 00:19:42.746 have such a huge impact because, I mean, 00:19:42.766 --> 00:19:44.528 it even goes to external validity of any 00:19:44.607 --> 00:19:45.248 study, right? 00:19:45.548 --> 00:19:47.490 Can you relate it back to that population 00:19:47.510 --> 00:19:48.852 in which the sample came from? 00:19:49.252 --> 00:19:50.894 And if your cultures are vastly different, 00:19:50.913 --> 00:19:52.856 it makes it really hard to generalize some 00:19:52.896 --> 00:19:53.416 of those things. 00:19:53.436 --> 00:19:54.919 So that may be part of the reason 00:19:54.979 --> 00:19:58.522 we see a variety of results in different 00:19:58.542 --> 00:19:59.222 studies, again, 00:19:59.463 --> 00:20:01.285 based on the populations in which they're 00:20:01.306 --> 00:20:01.726 sampled. 00:20:02.199 --> 00:20:03.578 which might be different countries for 00:20:03.719 --> 00:20:04.419 iFont, right? 00:20:04.459 --> 00:20:06.960 So that leads me to my next one, 00:20:06.980 --> 00:20:09.059 which is really how does iFont play a 00:20:09.140 --> 00:20:11.461 role in really promoting kind of research 00:20:11.480 --> 00:20:14.441 in this collaboration model that we need 00:20:14.461 --> 00:20:15.560 to do internationally? 00:20:16.501 --> 00:20:16.942 Well, you know, 00:20:17.281 --> 00:20:19.862 I really think that the iFont is the 00:20:19.942 --> 00:20:20.501 conduit. 00:20:20.642 --> 00:20:23.722 It's the organizer that will sort of bring 00:20:23.942 --> 00:20:26.222 the different clinicians and researchers 00:20:26.242 --> 00:20:28.324 around the world together with a common 00:20:28.364 --> 00:20:29.163 passion or interest. 00:20:29.530 --> 00:20:30.030 you know, 00:20:30.090 --> 00:20:32.553 I've developed several position statements 00:20:32.932 --> 00:20:35.534 that, you know, relate back to, you know, 00:20:35.574 --> 00:20:38.915 the cervical artery dissections or, 00:20:39.115 --> 00:20:39.296 you know, 00:20:39.355 --> 00:20:41.176 challenges with the vertebral artery and 00:20:41.196 --> 00:20:42.617 vertebral basilar system. 00:20:42.938 --> 00:20:44.798 That was maybe one of our first and 00:20:44.838 --> 00:20:46.859 sort of outputs that occurred. 00:20:47.200 --> 00:20:49.320 I think recognizing that we then need to 00:20:49.340 --> 00:20:51.342 be more that knowledge broker, 00:20:51.382 --> 00:20:52.782 that knowledge translator and 00:20:52.843 --> 00:20:54.344 disseminator, you know, 00:20:54.364 --> 00:20:56.305 developing position statements around 00:20:56.683 --> 00:20:57.023 you know, 00:20:57.044 --> 00:20:58.884 recognizing red flags or serious 00:20:58.944 --> 00:21:01.067 pathology, recognizing, you know, 00:21:01.106 --> 00:21:03.508 the use of pediatric manipulation and 00:21:03.567 --> 00:21:05.269 continuing to sort of develop these 00:21:05.349 --> 00:21:08.832 special interests that really continue to 00:21:08.912 --> 00:21:11.894 inform different aspects of manual and 00:21:11.933 --> 00:21:14.375 musculoskeletal physiotherapy is sort of 00:21:14.414 --> 00:21:17.718 the role where iFOMT sort of helps to 00:21:17.758 --> 00:21:18.377 develop that. 00:21:18.637 --> 00:21:21.559 We also are a conduit where people can 00:21:21.920 --> 00:21:23.942 have a wider group to get different 00:21:23.981 --> 00:21:26.103 perspectives as opposed to it just being 00:21:27.087 --> 00:21:27.847 I'm from Canada, 00:21:27.907 --> 00:21:29.750 just Canadian-driven perspective. 00:21:30.150 --> 00:21:31.491 By integrating IFOMP, 00:21:31.571 --> 00:21:33.272 now we're able to have this global 00:21:33.313 --> 00:21:35.315 community of either researchers and 00:21:35.355 --> 00:21:37.277 collaborators that are directly involved 00:21:37.317 --> 00:21:40.839 in the projects or having the input from 00:21:40.920 --> 00:21:42.741 different perspectives around the world. 00:21:42.781 --> 00:21:43.702 And I really think 00:21:44.124 --> 00:21:46.404 that that will continue to be a big 00:21:46.486 --> 00:21:49.106 role that iPhone plays in different topic 00:21:49.287 --> 00:21:49.667 areas. 00:21:49.928 --> 00:21:51.909 And it could be topical depending upon 00:21:52.009 --> 00:21:54.170 what's going on at that time in the 00:21:54.210 --> 00:21:54.590 world. 00:21:54.971 --> 00:21:56.531 It could be something that we build on 00:21:56.672 --> 00:21:57.972 as the research develops. 00:21:58.313 --> 00:22:00.815 This also drives some of our speakers at 00:22:00.855 --> 00:22:02.776 different conferences that we have or 00:22:02.816 --> 00:22:04.636 courses and workshops that people have. 00:22:04.656 --> 00:22:04.916 And again, 00:22:05.396 --> 00:22:07.999 it's iPhone's ability to be able to 00:22:08.058 --> 00:22:09.440 connect some of those people, I think. 00:22:10.502 --> 00:22:11.002 It's wonderful. 00:22:11.223 --> 00:22:12.023 Hey, thanks so much. 00:22:12.064 --> 00:22:12.924 Cause I know this is like, 00:22:13.325 --> 00:22:14.405 this would be a passion topic. 00:22:14.425 --> 00:22:15.946 We could just have one podcast just on 00:22:16.007 --> 00:22:16.586 this alone. 00:22:16.626 --> 00:22:16.928 Right. 00:22:16.968 --> 00:22:18.449 So thanks for going to give an issue 00:22:18.469 --> 00:22:19.730 of vision there. 00:22:19.769 --> 00:22:20.029 Yeah. 00:22:20.049 --> 00:22:21.431 And I think I, you know, 00:22:21.451 --> 00:22:25.634 I think it's really important to hear 00:22:25.673 --> 00:22:27.515 about some of these collaborations that 00:22:27.555 --> 00:22:30.277 have occurred really as a result of IFONT 00:22:30.397 --> 00:22:33.140 organizing researchers and clinicians from 00:22:33.200 --> 00:22:34.560 different parts of the world to come up 00:22:34.580 --> 00:22:35.681 with some of these standards, 00:22:35.701 --> 00:22:36.182 because again, 00:22:36.761 --> 00:22:38.884 I think it's important that IFOMT is the 00:22:38.943 --> 00:22:41.905 body that kind of initiates some of these 00:22:41.945 --> 00:22:42.766 collaboratives. 00:22:42.826 --> 00:22:44.928 And you spoke about, you know, 00:22:44.968 --> 00:22:47.328 some of the VBI work and then the 00:22:47.348 --> 00:22:48.930 Pediatric Manipulation Task Force. 00:22:49.330 --> 00:22:52.353 And a lot of those products, you know, 00:22:52.492 --> 00:22:54.814 are the currency of this organization. 00:22:54.854 --> 00:22:56.035 And I think it's fantastic. 00:22:56.055 --> 00:22:58.175 And they're used and I think and adopted 00:22:58.237 --> 00:23:00.357 broadly because you're able to bring in 00:23:00.758 --> 00:23:02.259 people from different parts of the world. 00:23:02.479 --> 00:23:03.900 I think that's really important work. 00:23:04.280 --> 00:23:06.122 But I know with that also comes, 00:23:06.642 --> 00:23:06.942 you know, 00:23:07.082 --> 00:23:09.603 challenges in terms of collaborating 00:23:09.762 --> 00:23:10.443 globally. 00:23:10.564 --> 00:23:12.345 And what do you think some of those 00:23:12.404 --> 00:23:14.685 challenges but also opportunities are? 00:23:14.726 --> 00:23:16.425 Because this is really the organization 00:23:16.446 --> 00:23:18.626 that's trying to unite manual therapy 00:23:18.667 --> 00:23:20.468 standards and work globally. 00:23:20.528 --> 00:23:20.989 So again, 00:23:21.028 --> 00:23:22.368 what are some of the challenges that you 00:23:22.429 --> 00:23:23.529 see, Paulo, 00:23:23.549 --> 00:23:24.950 and what are some of the opportunities? 00:23:25.931 --> 00:23:27.852 I think the biggest challenge is even at 00:23:28.352 --> 00:23:29.632 a professional level, 00:23:29.692 --> 00:23:31.873 meaning that the role and abilities of 00:23:31.952 --> 00:23:32.933 physiotherapists 00:23:33.586 --> 00:23:35.328 are different depending upon different 00:23:35.368 --> 00:23:37.330 parts of the world and the education that 00:23:37.371 --> 00:23:39.492 they have to get to that stage. 00:23:39.532 --> 00:23:41.255 Some countries are still at a bachelor's 00:23:41.295 --> 00:23:43.636 level, other are at a postgraduate level, 00:23:43.696 --> 00:23:45.578 whether it's a master's or a doctoral 00:23:45.618 --> 00:23:45.838 level. 00:23:46.279 --> 00:23:47.221 So that creates a 00:23:47.673 --> 00:23:50.816 quite a broad spectrum of entry-level 00:23:50.855 --> 00:23:52.336 physiotherapy that they have. 00:23:52.637 --> 00:23:53.999 Now, post-professionally as well, 00:23:54.019 --> 00:23:56.641 there's quite a variety of community-based 00:23:56.740 --> 00:23:59.102 versus university-based educational 00:23:59.142 --> 00:24:00.482 programs post-professionally. 00:24:01.003 --> 00:24:01.144 Now, 00:24:01.304 --> 00:24:02.904 we know that the curriculum within those 00:24:02.964 --> 00:24:05.047 programs meets the standards, 00:24:05.267 --> 00:24:07.028 so they should be at that consistent 00:24:07.087 --> 00:24:07.388 level. 00:24:07.808 --> 00:24:09.950 But the different responsibilities and 00:24:10.009 --> 00:24:12.031 educational levels also align with 00:24:12.152 --> 00:24:13.452 national standards 00:24:13.924 --> 00:24:16.047 alliances with your regulatory bodies. 00:24:16.448 --> 00:24:18.269 So because you know what you can do 00:24:18.369 --> 00:24:19.411 in one part of the world, 00:24:19.451 --> 00:24:20.531 you may not be able to do in 00:24:20.571 --> 00:24:21.452 another part of the world. 00:24:21.909 --> 00:24:23.329 kind of creates some challenges, 00:24:23.410 --> 00:24:25.871 especially when you're trying to either 00:24:25.931 --> 00:24:28.111 develop research that's trying to elevate, 00:24:28.191 --> 00:24:29.951 continually elevate what we do. 00:24:30.511 --> 00:24:31.333 Well, in some countries, 00:24:31.913 --> 00:24:32.752 they're not there yet. 00:24:33.012 --> 00:24:34.433 They may not be there for five or 00:24:34.493 --> 00:24:34.973 ten years. 00:24:35.314 --> 00:24:37.214 So that creates both a challenge but also 00:24:37.335 --> 00:24:39.496 an opportunity within those through 00:24:39.615 --> 00:24:40.355 advocacy, 00:24:40.715 --> 00:24:42.876 through demonstrating what they are able 00:24:42.896 --> 00:24:45.137 to do in some countries and the success 00:24:45.557 --> 00:24:47.439 as well as the cost benefits that come 00:24:47.919 --> 00:24:48.259 with that. 00:24:48.612 --> 00:24:48.811 You know, 00:24:48.852 --> 00:24:50.573 some of the other challenges are obviously 00:24:50.692 --> 00:24:51.153 fiscal, 00:24:51.554 --> 00:24:53.454 meaning that there are some individuals 00:24:53.474 --> 00:24:56.616 that have infrastructure or funding that 00:24:56.717 --> 00:24:57.317 is available. 00:24:57.417 --> 00:24:58.057 And of course, 00:24:58.238 --> 00:24:59.538 we all know that with research, 00:25:00.279 --> 00:25:01.019 if you have some funds, 00:25:01.039 --> 00:25:03.342 it sometimes makes it a little bit easier. 00:25:03.402 --> 00:25:05.502 So those are definitely some of the 00:25:05.563 --> 00:25:06.983 challenges, but as well, 00:25:07.003 --> 00:25:07.845 the opportunities. 00:25:07.884 --> 00:25:08.766 And I think with that, 00:25:09.586 --> 00:25:10.826 it builds other opportunities, 00:25:10.946 --> 00:25:13.709 other opportunities to educate and upskill 00:25:14.628 --> 00:25:16.230 some of the programs and physios around 00:25:16.250 --> 00:25:16.530 the world, 00:25:16.711 --> 00:25:16.790 or 00:25:17.373 --> 00:25:18.893 some of the countries that are not even 00:25:19.053 --> 00:25:22.453 part of world physiotherapy yet wow what 00:25:22.493 --> 00:25:25.634 an opportunity we have as physiotherapists 00:25:25.674 --> 00:25:28.015 and wouldn't you want us to be the 00:25:28.075 --> 00:25:30.796 people that are teaching them about manual 00:25:30.836 --> 00:25:32.816 and musculoskeletal physiotherapy as 00:25:32.875 --> 00:25:35.376 opposed to trying to do this independently 00:25:35.416 --> 00:25:37.636 because they're not going to get there 00:25:37.656 --> 00:25:39.637 it's going to be really challenging for 00:25:39.657 --> 00:25:40.897 them at the best of times 00:25:41.501 --> 00:25:41.821 Yeah, 00:25:42.021 --> 00:25:44.623 and I think what's my observation is that 00:25:45.242 --> 00:25:47.243 countries can't elevate their standards of 00:25:47.304 --> 00:25:50.443 practice without having access to people 00:25:50.483 --> 00:25:51.345 to help them get there. 00:25:51.384 --> 00:25:53.884 And so we did host on this podcast 00:25:54.025 --> 00:25:57.306 a couple of months ago an individual from 00:25:57.586 --> 00:26:00.126 Kenya and then also from Uganda. 00:26:00.146 --> 00:26:01.926 And it was really interesting to hear 00:26:01.967 --> 00:26:03.067 about some of the challenges. 00:26:03.107 --> 00:26:05.028 But what I was pleased to hear is 00:26:05.067 --> 00:26:06.648 how they're leveraging people within the 00:26:06.749 --> 00:26:07.509 organization 00:26:08.108 --> 00:26:10.270 to help start moving the needle in some 00:26:10.310 --> 00:26:11.412 of these countries, you know, 00:26:11.471 --> 00:26:13.753 to kind of elevate standards of practice 00:26:13.794 --> 00:26:15.556 and get them closer, you know, 00:26:15.576 --> 00:26:17.257 both clinically and from an educational 00:26:17.297 --> 00:26:17.857 standpoint. 00:26:18.317 --> 00:26:21.861 So how does iFOMT currently operate with 00:26:22.561 --> 00:26:24.443 international organizations and other 00:26:24.523 --> 00:26:25.384 international groups? 00:26:25.424 --> 00:26:26.925 And then how do you think organizations 00:26:26.945 --> 00:26:28.027 like our organization, 00:26:28.166 --> 00:26:30.648 AOMT and iFOMT can really continue to work 00:26:30.689 --> 00:26:32.290 together to advance the profession? 00:26:33.527 --> 00:26:33.707 Well, 00:26:33.767 --> 00:26:35.188 I think one of the big things is 00:26:35.307 --> 00:26:37.890 many of our working groups, task forces, 00:26:37.950 --> 00:26:41.392 committees are made up of international 00:26:41.573 --> 00:26:42.113 individuals. 00:26:42.153 --> 00:26:44.434 We really try to be cognizant of trying 00:26:44.474 --> 00:26:46.375 to include, you know, English, 00:26:46.476 --> 00:26:49.837 non-English, male, female, Western, 00:26:50.018 --> 00:26:51.019 Eastern, Northern, 00:26:51.138 --> 00:26:53.340 Southern individuals within the committee. 00:26:53.381 --> 00:26:54.801 So that allows, you know, 00:26:54.882 --> 00:26:56.482 individuals that maybe would never have 00:26:56.502 --> 00:26:58.423 had an opportunity to be part of some 00:26:58.463 --> 00:27:00.105 of these discussions and initiatives. 00:27:00.586 --> 00:27:02.166 They now have that capability. 00:27:02.688 --> 00:27:04.167 The other thing is we also try to 00:27:04.228 --> 00:27:07.489 have sort of an idea of what's occurring 00:27:07.589 --> 00:27:08.990 regionally in the different areas. 00:27:09.190 --> 00:27:10.170 And this kind of goes back to our 00:27:10.230 --> 00:27:10.670 delegates. 00:27:10.730 --> 00:27:12.131 Our delegates that represent those 00:27:12.171 --> 00:27:14.332 countries will bring different concerns, 00:27:14.432 --> 00:27:16.991 challenges, opportunities forward to us. 00:27:17.573 --> 00:27:18.913 It doesn't mean that we have the answers, 00:27:18.972 --> 00:27:20.773 but we can sometimes disseminate them or 00:27:20.814 --> 00:27:22.993 connect them to other individuals in other 00:27:23.013 --> 00:27:25.335 countries that may have had similar 00:27:25.375 --> 00:27:26.714 challenges or experiences, 00:27:26.775 --> 00:27:28.375 and they can explain how they've handled 00:27:28.395 --> 00:27:28.435 it. 00:27:28.751 --> 00:27:30.231 With our fifty one year history, 00:27:30.531 --> 00:27:32.712 we've probably seen it at some point in 00:27:32.772 --> 00:27:33.012 time. 00:27:33.313 --> 00:27:35.252 And as such, we also have, you know, 00:27:35.413 --> 00:27:38.554 files or notes that sometimes point to 00:27:38.614 --> 00:27:39.253 similar things. 00:27:39.294 --> 00:27:40.394 So we try to utilize that. 00:27:40.834 --> 00:27:42.295 The other thing is by working with other 00:27:42.375 --> 00:27:44.454 special interest groups that we have some 00:27:44.474 --> 00:27:46.674 collaborations that we've done in the past 00:27:46.736 --> 00:27:48.155 and we'll be doing more of in the 00:27:48.215 --> 00:27:48.615 future. 00:27:49.016 --> 00:27:50.115 And they're approaching us, 00:27:50.215 --> 00:27:52.497 whether it's in, you know, sports, 00:27:52.817 --> 00:27:53.676 oncology, 00:27:54.833 --> 00:27:56.894 looking at the older age group and 00:27:56.953 --> 00:27:58.153 fractures, again, 00:27:58.193 --> 00:28:00.434 developing those position statements from 00:28:00.494 --> 00:28:01.434 different perspectives, 00:28:01.795 --> 00:28:05.176 but also having these different groups or 00:28:05.217 --> 00:28:06.416 different parts of the world where we 00:28:06.457 --> 00:28:09.137 might have sort of regionally dedicated 00:28:09.178 --> 00:28:11.679 events in countries that maybe they 00:28:11.919 --> 00:28:13.700 wouldn't normally be able to attend an 00:28:13.819 --> 00:28:16.621 IFOMP conference in some big location 00:28:16.701 --> 00:28:17.760 because of the costs or 00:28:18.182 --> 00:28:20.584 prohibitive nature of travel and things 00:28:20.644 --> 00:28:20.983 like that. 00:28:21.003 --> 00:28:22.605 We've got an IFOMP Africa event, 00:28:22.644 --> 00:28:24.165 speaking of some of the African countries, 00:28:24.605 --> 00:28:25.807 in April of twenty twenty six. 00:28:26.027 --> 00:28:27.626 And our hope is to continue to try 00:28:27.646 --> 00:28:31.808 to do that and utilize the valuable input 00:28:31.949 --> 00:28:33.170 from AOMPT, 00:28:33.309 --> 00:28:35.730 from all of the different organizations 00:28:35.750 --> 00:28:37.311 that really have done this for a long 00:28:37.352 --> 00:28:39.292 time and continue to evolve. 00:28:39.333 --> 00:28:40.973 But they're evolving at a different pace 00:28:41.013 --> 00:28:43.815 than maybe some of our newer member 00:28:43.894 --> 00:28:44.915 organizations. 00:28:45.036 --> 00:28:45.796 Yeah, yeah. 00:28:46.229 --> 00:28:49.095 And then how do you think our organization 00:28:49.214 --> 00:28:51.920 AOMT and IFOMT can come together and work 00:28:51.960 --> 00:28:54.144 together even to kind of leverage what's 00:28:54.164 --> 00:28:55.067 happening globally? 00:28:55.915 --> 00:28:57.415 Well, I think the big thing is, 00:28:57.915 --> 00:28:58.257 you know, 00:28:58.277 --> 00:28:59.797 physiotherapists continuing to get 00:28:59.836 --> 00:29:00.376 involved, 00:29:00.517 --> 00:29:02.116 put their names forward for different, 00:29:02.336 --> 00:29:04.377 whether it's national or whether it's 00:29:04.498 --> 00:29:05.758 international committees. 00:29:05.817 --> 00:29:06.897 And, you know, 00:29:07.199 --> 00:29:09.179 we have lots of individuals that are quite 00:29:09.219 --> 00:29:11.419 interested in, you know, getting involved, 00:29:11.500 --> 00:29:12.900 but we also have some that are nervous, 00:29:13.079 --> 00:29:13.880 that are new to this, 00:29:14.220 --> 00:29:15.579 some that don't want to be involved, 00:29:15.619 --> 00:29:17.961 and that's okay because of capacity or 00:29:18.040 --> 00:29:18.520 other issues. 00:29:18.941 --> 00:29:19.901 And I think when we look at, 00:29:20.020 --> 00:29:22.402 you know, AOMT and IFOMS partnership, 00:29:22.961 --> 00:29:25.564 Over the many, many, many decades, 00:29:25.604 --> 00:29:28.326 it's been a real strong and important 00:29:28.385 --> 00:29:28.965 partnership. 00:29:29.386 --> 00:29:31.407 I think it's very important for us to 00:29:32.028 --> 00:29:34.470 always sort of be quite honest and 00:29:34.509 --> 00:29:34.910 upfront. 00:29:34.990 --> 00:29:36.151 We don't always, you know, 00:29:36.191 --> 00:29:37.951 not just the organization and all 00:29:37.992 --> 00:29:39.634 countries come at it from a different 00:29:39.673 --> 00:29:40.273 perspective. 00:29:40.713 --> 00:29:41.775 And as has been the case, 00:29:41.815 --> 00:29:43.375 even with AOMT and IFOMT, 00:29:43.736 --> 00:29:44.817 you're going to look at it from a 00:29:44.977 --> 00:29:45.958 unique perspective. 00:29:46.613 --> 00:29:47.772 And I thought we'll try to look at 00:29:47.792 --> 00:29:48.833 it from a global perspective, 00:29:49.054 --> 00:29:50.094 but I think that's the beauty. 00:29:50.614 --> 00:29:52.453 I think that's the perspective we need to 00:29:52.493 --> 00:29:54.275 bring because it is very important for, 00:29:54.595 --> 00:29:54.755 you know, 00:29:54.795 --> 00:29:57.134 me as a physiotherapist in Canada might be 00:29:57.174 --> 00:29:58.635 very different than the perspective that's 00:29:58.675 --> 00:30:00.195 happening somewhere else globally. 00:30:00.256 --> 00:30:02.496 And we have to understand that, 00:30:03.155 --> 00:30:06.477 try to find that common sort of language 00:30:06.636 --> 00:30:08.718 interest initiative, but at the same time, 00:30:09.137 --> 00:30:10.778 recognize the differences and that's 00:30:10.998 --> 00:30:11.998 totally okay as well. 00:30:12.458 --> 00:30:12.758 Yeah. 00:30:13.058 --> 00:30:13.318 Yeah. 00:30:13.358 --> 00:30:14.459 I think that's really important. 00:30:14.479 --> 00:30:15.118 And, and, 00:30:15.612 --> 00:30:15.852 You know, 00:30:15.892 --> 00:30:17.732 jumping off from those statements, 00:30:17.833 --> 00:30:19.833 what do you see as some of the 00:30:19.873 --> 00:30:21.894 priorities then over the next couple of 00:30:21.953 --> 00:30:22.294 years? 00:30:22.374 --> 00:30:22.574 I mean, 00:30:22.594 --> 00:30:24.994 we've really gotten to see a number of, 00:30:25.494 --> 00:30:26.015 as you mentioned, 00:30:26.055 --> 00:30:27.796 task forces take shape that have some 00:30:27.816 --> 00:30:29.135 international representation, 00:30:29.155 --> 00:30:30.476 which are really moving some of the work 00:30:30.496 --> 00:30:30.875 forward. 00:30:31.297 --> 00:30:32.936 But what else is what else is coming 00:30:32.957 --> 00:30:34.096 down the pipeline, Paulo, 00:30:34.116 --> 00:30:35.157 in the next couple of years? 00:30:35.678 --> 00:30:37.097 Well, I think, you know, the big thing, 00:30:37.117 --> 00:30:38.679 if we think about our strategic plan, 00:30:39.459 --> 00:30:39.959 excellence, 00:30:40.038 --> 00:30:41.680 continuing to promote excellence, 00:30:41.720 --> 00:30:43.059 continuing to use 00:30:43.578 --> 00:30:45.440 you know, the standards that we have, 00:30:45.460 --> 00:30:46.942 you know, modernizing, 00:30:47.561 --> 00:30:49.182 making them evidence informed with the 00:30:49.222 --> 00:30:50.384 contemporary literature, 00:30:51.184 --> 00:30:51.904 but at the same time, 00:30:51.984 --> 00:30:52.986 balancing that with 00:30:53.384 --> 00:30:54.846 equity and inclusivity. 00:30:54.965 --> 00:30:56.385 And what I mean by that is just 00:30:56.465 --> 00:30:58.507 making sure that we don't continue to 00:30:58.547 --> 00:31:00.227 evolve at such a pace that we forget 00:31:00.267 --> 00:31:02.807 about countries and programs that are a 00:31:02.907 --> 00:31:04.669 different level and giving them the 00:31:04.709 --> 00:31:07.609 opportunity to be part of this and try 00:31:07.630 --> 00:31:09.950 to come up with an idea to make 00:31:09.990 --> 00:31:11.911 it not prohibitive for whatever that might 00:31:11.931 --> 00:31:13.632 be, whether it is costs, 00:31:13.692 --> 00:31:15.291 whether it is a location. 00:31:16.011 --> 00:31:16.792 I think we can do it. 00:31:16.833 --> 00:31:18.393 We've definitely learned ways of doing 00:31:18.432 --> 00:31:18.633 things. 00:31:18.932 --> 00:31:21.054 Empowerment, giving the clinicians 00:31:21.584 --> 00:31:23.925 giving the the teachers the researchers 00:31:23.965 --> 00:31:25.826 the ability to do this and to do 00:31:25.866 --> 00:31:28.348 this in this larger community and 00:31:28.388 --> 00:31:31.030 collaborating at a global level but also 00:31:31.111 --> 00:31:34.953 doing it professionally compassionately in 00:31:34.973 --> 00:31:37.855 a culturally sensitive manner and always 00:31:37.895 --> 00:31:40.298 above all maintaining integrity and 00:31:40.417 --> 00:31:43.779 representing our profession as a 00:31:43.839 --> 00:31:44.740 physiotherapist 00:31:45.153 --> 00:31:46.736 in the most positive sense, 00:31:47.036 --> 00:31:48.917 and maybe leaving some of the agendas at 00:31:48.958 --> 00:31:49.498 the door. 00:31:49.858 --> 00:31:50.900 And again, 00:31:51.000 --> 00:31:52.721 really maintaining that professional 00:31:52.741 --> 00:31:53.162 integrity. 00:31:53.201 --> 00:31:54.844 I think those are some of the things 00:31:54.864 --> 00:31:55.625 that I hope to see. 00:31:55.904 --> 00:31:56.986 And continued growth, 00:31:57.145 --> 00:31:59.167 growth in all aspects, research, 00:31:59.648 --> 00:32:02.431 growth in the representation around the 00:32:02.451 --> 00:32:02.771 world, 00:32:03.271 --> 00:32:06.275 and just in our role as an organization 00:32:06.375 --> 00:32:07.256 at a global level. 00:32:07.355 --> 00:32:09.097 And we're already seeing it. 00:32:09.513 --> 00:32:11.075 and being asked for more and more 00:32:11.115 --> 00:32:11.634 involvement. 00:32:11.674 --> 00:32:12.335 And it's a really, 00:32:12.394 --> 00:32:14.155 really exciting time and a real 00:32:14.276 --> 00:32:14.955 opportunity, 00:32:14.996 --> 00:32:16.516 but it's gonna come with challenges as 00:32:16.556 --> 00:32:16.757 well. 00:32:17.156 --> 00:32:17.497 Sure, 00:32:17.576 --> 00:32:20.178 and I really like and appreciate how you 00:32:20.238 --> 00:32:22.258 really boiled this all down to the 00:32:22.298 --> 00:32:22.798 patient. 00:32:23.159 --> 00:32:23.358 You know, 00:32:23.378 --> 00:32:24.919 there's a lot that happens at the level 00:32:24.939 --> 00:32:25.900 of an organization, 00:32:25.960 --> 00:32:27.839 but what you just said is really critical, 00:32:27.880 --> 00:32:29.141 which is, you know, 00:32:29.201 --> 00:32:30.980 it's about all of us coming together to 00:32:31.020 --> 00:32:32.241 try to really optimize 00:32:32.741 --> 00:32:35.263 outcomes in terms of the human that's in 00:32:35.304 --> 00:32:37.424 front of us that we're treating and 00:32:37.464 --> 00:32:37.944 managing. 00:32:37.984 --> 00:32:39.246 And it really does come back to the 00:32:39.286 --> 00:32:39.705 patient. 00:32:39.746 --> 00:32:41.247 And so I like that you kind of 00:32:41.487 --> 00:32:42.728 grounded us back in that. 00:32:43.469 --> 00:32:45.950 Speaking of the patient and the clinical 00:32:46.170 --> 00:32:48.352 interface that we have with patients, 00:32:48.971 --> 00:32:51.032 what's one piece of advice that you might 00:32:51.212 --> 00:32:53.174 give to clinicians that are striving for 00:32:53.275 --> 00:32:55.655 excellence in manual therapy? 00:32:56.215 --> 00:32:56.336 Well, 00:32:56.376 --> 00:32:58.077 I think the big thing is you're going 00:32:58.097 --> 00:32:58.837 to keep learning. 00:32:59.157 --> 00:33:00.259 I think the 00:33:00.623 --> 00:33:02.702 what I'm sort of seeing sometimes in the 00:33:02.762 --> 00:33:05.683 new learners or new physiotherapists, 00:33:05.763 --> 00:33:07.203 and it's not just physiotherapy driven. 00:33:07.644 --> 00:33:08.984 I think we're in an age now where 00:33:09.025 --> 00:33:10.724 we can kind of look up things very 00:33:10.765 --> 00:33:11.884 quickly on our devices, 00:33:12.305 --> 00:33:13.945 but it's a world that is evolving at 00:33:14.006 --> 00:33:15.546 such a quick pace that you need to 00:33:15.605 --> 00:33:17.185 continue to keep learning, 00:33:17.665 --> 00:33:19.267 keep an open mind. 00:33:19.487 --> 00:33:22.767 There is so many things that we can 00:33:22.846 --> 00:33:25.827 kind of take advantage of and try to 00:33:25.887 --> 00:33:27.887 continue to learn from the research, 00:33:27.928 --> 00:33:29.068 continue to learn from the different 00:33:29.108 --> 00:33:30.348 program and opportunities. 00:33:30.761 --> 00:33:33.825 that we have and try not to just 00:33:33.865 --> 00:33:34.125 get, 00:33:35.506 --> 00:33:37.749 don't let some of the paradigms that are 00:33:37.788 --> 00:33:40.351 shifting sometimes only in one direction, 00:33:40.810 --> 00:33:43.834 modify the variety of things that you can 00:33:43.993 --> 00:33:45.715 offer to those individuals and use them 00:33:46.257 --> 00:33:48.038 within the context of your setting, 00:33:48.077 --> 00:33:49.740 wherever you are geographically with the 00:33:49.799 --> 00:33:50.780 person that's in front of you. 00:33:51.229 --> 00:33:52.990 Yeah, thank you for that. 00:33:54.109 --> 00:33:54.650 That's great. 00:33:54.869 --> 00:33:57.611 It's a great kind of close to this 00:33:57.651 --> 00:33:58.290 conversation. 00:33:58.351 --> 00:33:58.631 Megan, 00:33:58.651 --> 00:33:59.971 what would you like to add as we 00:34:00.010 --> 00:34:01.531 kind of wrap up our conversation with 00:34:01.592 --> 00:34:02.432 Paolo Sanzo? 00:34:03.112 --> 00:34:04.913 Yeah, Paolo, so first of all, 00:34:04.952 --> 00:34:06.813 thank you so much for all you do 00:34:07.012 --> 00:34:07.733 and, you know, 00:34:07.773 --> 00:34:10.514 just the leadership that you have given 00:34:10.634 --> 00:34:11.715 for so many years. 00:34:11.775 --> 00:34:12.994 And I think, you know, 00:34:13.434 --> 00:34:15.036 you leave this kind of a conversation, 00:34:15.076 --> 00:34:16.356 hopefully our listeners will too, 00:34:16.835 --> 00:34:18.418 by feeling inspired by it, right? 00:34:18.538 --> 00:34:20.541 There's a lot of questions around what's 00:34:20.601 --> 00:34:22.744 the role of nanotherapy and what does 00:34:22.864 --> 00:34:23.784 excellence look like? 00:34:23.844 --> 00:34:25.947 And how do we advance our professions? 00:34:26.007 --> 00:34:27.690 And what does collaboration look like? 00:34:27.750 --> 00:34:29.251 And why is AOMT a part of iFOMT? 00:34:29.271 --> 00:34:30.313 And like all the questions. 00:34:30.353 --> 00:34:32.516 And I hope that this conversation actually 00:34:32.576 --> 00:34:32.956 helps 00:34:33.836 --> 00:34:36.278 We see ourselves as leaders in the 00:34:36.318 --> 00:34:37.800 profession and the opportunity to 00:34:37.840 --> 00:34:40.101 collaborate with other really incredible 00:34:40.141 --> 00:34:42.983 leaders to advance this as practice is 00:34:43.103 --> 00:34:46.545 such a unique way for us to really 00:34:46.585 --> 00:34:48.646 show our organizational alignment that 00:34:48.686 --> 00:34:50.086 helps you meet your vision, 00:34:50.126 --> 00:34:51.567 helps us meet our vision. 00:34:52.088 --> 00:34:53.248 And again, collaboration, 00:34:53.327 --> 00:34:54.409 I love that word. 00:34:55.409 --> 00:34:57.010 I think this is just the start of 00:34:57.030 --> 00:34:58.050 a lot of excitement. 00:34:58.498 --> 00:34:58.878 However, 00:34:58.938 --> 00:35:01.201 I will always say growth is hard and 00:35:01.420 --> 00:35:03.041 everything worthwhile is uphill. 00:35:03.141 --> 00:35:04.601 And I know you have experienced that. 00:35:04.641 --> 00:35:06.322 We've been experiencing this for years. 00:35:06.824 --> 00:35:08.465 We're just grateful for your leadership as 00:35:08.485 --> 00:35:12.987 you're doing that work. 00:35:13.027 --> 00:35:14.128 Thank you both for the opportunity. 00:35:14.869 --> 00:35:15.130 Yeah, 00:35:15.150 --> 00:35:16.211 and I was just going to say for 00:35:16.612 --> 00:35:18.173 listeners who are clinicians or 00:35:18.213 --> 00:35:19.514 researchers or educators, 00:35:19.614 --> 00:35:22.858 I think if you haven't poked around or 00:35:22.898 --> 00:35:24.260 looked at the iFOMT website, 00:35:24.300 --> 00:35:25.862 there's so many incredible resources. 00:35:25.922 --> 00:35:28.505 And I think to Megan's point and Paolo's 00:35:28.545 --> 00:35:28.824 point, 00:35:29.106 --> 00:35:30.447 we're only going to get better and 00:35:30.487 --> 00:35:32.550 stronger if we have more context 00:35:33.030 --> 00:35:35.010 about what's going on internationally and 00:35:35.050 --> 00:35:37.032 not just in our own countries, 00:35:37.072 --> 00:35:37.871 in our own regions. 00:35:37.952 --> 00:35:39.713 And so looking at the website, 00:35:40.213 --> 00:35:41.494 looking at some of the resources, 00:35:41.733 --> 00:35:43.315 I think it's a it's a great way 00:35:43.335 --> 00:35:45.715 to continue to grow, you know, 00:35:45.755 --> 00:35:49.836 as a professional in in all capacities. 00:35:49.856 --> 00:35:51.438 Well, thank you for you know, 00:35:51.478 --> 00:35:53.378 we've got two brilliant minds here on 00:35:53.498 --> 00:35:54.018 screen here, 00:35:54.059 --> 00:35:55.000 and thank you for all of the work 00:35:55.019 --> 00:35:55.980 that you guys have done in your 00:35:56.000 --> 00:35:56.519 leadership, 00:35:56.579 --> 00:35:58.601 in your research and teaching and all 00:35:58.740 --> 00:35:59.202 aspects. 00:35:59.322 --> 00:36:00.061 And again, 00:36:00.423 --> 00:36:02.585 I look forward to working again with you 00:36:02.606 --> 00:36:04.827 guys more in the future and just all 00:36:04.867 --> 00:36:06.789 of the physiotherapists around the world 00:36:06.849 --> 00:36:09.190 and those collaborations and friendships 00:36:09.289 --> 00:36:09.951 and the networking. 00:36:09.990 --> 00:36:11.472 That is probably the best part of 00:36:11.512 --> 00:36:12.632 everything that we do as well. 00:36:13.152 --> 00:36:13.474 Agreed. 00:36:14.034 --> 00:36:14.353 Agreed. 00:36:14.974 --> 00:36:17.657 Thank you, Paolo, for being with us today. 00:36:17.697 --> 00:36:18.016 Thank you.