Conference Brochure - North Carolina Occupational
Transcription
Conference Brochure - North Carolina Occupational
NCOTA Annual Fall Conference Advancing Occupational Therapy November 4—6, 2016 Koury Convention Center, The Sheraton Greensboro Hotel at Four Seasons _______________________________________ Advocate Communicate Educate North Carolina Occupational Therapy Association PO Box 20432 Raleigh NC 27619 www.ncota.org [email protected] 919-785-9700 Connect: NCOTAssociation NC_OTA 1 2016 NCOTA Annual Fall Conference Highlights & Important Information Up to 21.75 total hours of continuing education Pre-Conference Institutes held on Friday, November 4 Keynote Address on Saturday morning & Ethics presented by NCBOT on Saturday afternoon Workshops and Short Courses available in several tracks: Pediatrics, General, Physical Disabilities, Geriatrics, Mental Health, Home Health, Assistive Technology, and Education. Join us Saturday evening for the President’s Reception— a time for networking, refreshments, and the Silent Auction, which will help raise money for the NCOTA Scholarship Fund. Special Interest Section (SIS) Sessions allow you the opportunity to meet and network with other OT practitioners in your practice area to discuss a key issue facilitated by the SIS Chairperson(s) NCOTA Annual Business Meeting and Awards Luncheon on Sunday Parking and lunch are included in your registration Educational sessions include clinical knowledge and skills, career development, and other topics related to every Special Interest Section Continuing competency: All professional development programs offered by NCOTA are pre-approved for continuing competency credit by the North Carolina Board of Occupational Therapy (NCBOT). The NCOTA Certificate of Attendance detailing sessions/hours accrued will be issued to registered attendees. Attendance will be recorded at each session. Attendees are encouraged to keep all handouts and notes. Member Discount: Members receive a substantial discount on conference registration fees. Join today to receive your discount! Registration: Online registration will be available on the NCOTA website, www.ncota.org. Onsite registration for late registrants is available, and will be at the full conference rate. Registration Policies: Check dates on registration page for early discount, regular rate, and important deadlines. Registration status will be verified with the membership database. If you register as a member and your membership status is not current, you must join or pay the difference (non-member rate) in order to attend. All registrations received by October 25th will receive a confirmation email prior to conference. If you do not receive a confirmation email by that date, contact the NCOTA office. A full refund (less a $15 administrative fee) will be given if notification of cancellation is received by October 25, 2016. After that date, no refunds are permitted, but you may substitute another person to use the registration. No faxed or mailed registrations will be accepted after October 25th. Online registration will not be available after that date. Reasonable Accommodations & Dietary Requests: When registering online, submit a detailed description of your needs, or send an email to [email protected]. Lodging: This year, you can stay at the same location as the conference. The conference hotel is Sheraton Greensboro Hotel at Four Seasons, 3121 W Gate City Blvd, Greensboro, NC 27407, which is attached to the Convention Center. For reservations, call (336) 292-9161. Be sure to inform them you are with the NCOTA Conference to qualify for the special discounted conference rate, and book as early as possible. 2 Friday, November 4, 2016 Pre-Conference Institutes Registration Desk Opens 7:30 8:00-12:00 Morning Pre-Conference Institutes (4 CE points) 1 A Distinct Value: Positioning Yourself and Your Practice for Healthcare Reform Carol Siebert, OTD, OTR/L, FAOTA In the past few years, a convergence of payment, policy, patient, and public expectations are producing an unprecedented intensity and magnitude of healthcare “reform” or change. Emerging and impending reforms present both challenges and opportunities for occupational therapy. Identifying and responding to healthcare reform demands a different set of competencies than those typically used in practice. In this institute, you will learn how to identify and understand the contextual factors that impact your practice. You will use that awareness to develop a plan that will promote personal and professional competencies to respond to and prepare for changes in healthcare in your current practice setting or to prepare for an emerging practice setting. 1 B Enhancing Pediatric Feeding Participation: Core Essentials of Assessment Dianne Fleetwood, OTR/L, SCFES and Jodi Petry, OTR/L, BCP, SCFES This is part one of a two-part pre-conference course to promote OT practice in the occupation of eating and feeding. Core essentials to achieve accurate assessment information will be presented utilizing the bio-behavioral model of feeding. The key components for the feeding evaluation will be presented to include OT evaluation factors, components of assessment utilizing the framework, distinct values effecting participation and documentation of evidence based outcomes. The assessment process is key to effective intervention to address the medical necessity component for skilled OT interventions. 12:00 Lunch (included with registration) 1:00-5:00 Afternoon Pre-Conference Institutes (4 CE points) 1 C The Artistry of Fascial Work Michael Gagliano, OT/L, Reiki Master This is a hands-on experiential class presented within the framework of an oral tradition (bring pad & pen). We will explore the structural components of the fascial system, (including the deep fascia of the meningeal and cerebrospinal fluid component). How fascia intimately interacts with our other systems; how to palpate the manifestations of its rhythm, movement patterns and allow for it to enhance our own and our clients' self-healing capacity. Lastly, we will discuss how to integrate it into our own current practice patterns. This session will be geared towards beginners & intermediate practitioners of various forms of fascial work. Please bring portable treatment/massage table, yoga mats/blankets & pillows for comfort. 1 D Enhancing Pediatric Feeding Participation: Core Essentials of Feeding Case Management Dianne Fleetwood, OTR/L, SCFES and Jodi Petry, OTR/L, BCP, SCFES This is part two of a two-part pre-conference course to promote OT practice in the occupation of eating and feeding. Utilizing accurate information identified through critical thinking process and core essentials frameworks to lead essentials framework to lead therapists to intervention strategies. Using the Bio-Behavioral model of feeding difficulties and an eating continuum, the therapist can identify key components for treatment. The key components of feeding interventions will focus on specific populations: developmental delay, autism and Avoidant /Restrictive Food Intake disorder (ARFID) provided through case studies. The application of factors related to critical thinking process will be applied for each case presented. Presenters will share resources, courses to enhance further education as well as mentorship to practicing clinicians. 3 Saturday, November 5, 2016 7:30-8:00 Registration Opens 8:00-8:30 Welcome and Introductions: President Amy Mahle, MHA, COTA/L, & Continuing Ed Co-Chairs Nancy Murphy OTD, OTR/L, Katherine Stewart, MS, OTR/L, and Corinne Leatherman, MS, OTR/L 8:30-10:30 Keynote Address: Advancing the Occupational Therapy Profession Forward through Innovative Fieldwork Collaborations (2 CE points) (unopposed) Raheleh Tschoepe, MS, OT/L and Cathy Driscoll, MS, OTR/L As we prepare to embark on Occupational Therapy’s 100th anniversary, there are many things OT practitioners can do to progress our profession toward the Centennial Vision and onward to AOTA’s Vision 2025 1. AOTA’s Centennial Vision is dedicated to “preparing OTs and OTAs for the 21st century” and ”ensuring an adequate and diverse workforce for multiple roles.”2 Practitioners who serve the OT profession as fieldwork educators play a vital role in preparing OTs and OTAs as we represent and inspire the varied settings and diverse service models in occupational therapy for future practitioners. OT Practice and SIS Quarterlies are publications that communicate the pulse of our profession nationally and in the past year and a half, at least three articles have highlighted the need for fieldwork to evolve3,4,5. This address will provide novel ideas and diverse strategies for building energy and widening the lens around fieldwork education for OT practitioners who have invaluable experiences and skills to offer as a vital commitment to moving our profession forward into the next 100 years. 10:30-10:45 Break 10:45-11:30 Updates from AOTA, WFOT, & AOTA RA Rep, Tim Holmes (unopposed) (.75 CE points) 11:30-1:00 Lunch (included with registration) Exhibit Hall Open—Visit Vendors Posters (Continuing Education, up to .5 CE points) 1:00-4:30 Saturday Afternoon Workshops (3.5 CE points) 2 A Emerging Opportunities for Occupational Therapy in Home Assessments & Home Modifications Carolyn Sithong, MS, OTR/L, SCEM, CAPS This workshop is dedicated to the occupational therapy environmental modification practice area. Therapists will learn about OT’s distinct value in home modifications for the aging and disabled and what tools they need to assess environments for safety and function. Moving beyond, “Pick up your throw rug,” here practitioners will be empowered with statistical and demographic data that implies an urgent need for occupational therapy models of practice in this important area of home assessment. Therapists will understand evidence-based practices in environmental modifications and how to become valued providers of home modification services in their community and workplace. 2 B Neurological Evaluations in Occupational Therapy Megan Edwards, PhD, OTR/L and Sanchala Sen, MS, OTR/L, BCPR Occupational therapy practitioners play a pivotal role in enhancing the functional abilities and quality of life of individuals impacted by neurological deficits. It is necessary for the practitioners to have a strong background in assessment and intervention techniques with such clientele. In this workshop, assessment of visual, sensory, and cognitive skills in clients with neurological deficits will be reviewed and discussed. This will include looking at Mary Warren’s Visual Hierarchy, defining basic visual perceptual skills, defining components of cognition, cognitive assessments/screens like the Short-Blessed, the MOCA, and the SLUMS, and proper techniques for sensory evaluation. In addition to practice labs, videos and case studies will be utilized to reinforce information. While the focus will be on assessment, intervention strategies will also be discussed . 4 Saturday, November 5, 2016, continued 1:00-4:30 Saturday Afternoon Workshops, continued 2 C Driving & Community Mobility Bootcamp: Successful Outcomes for Individuals with Autism Spectrum Disorder Jennifer Radloff, OTD, OTR/L, CDRS, Anne Dickerson, PhD, OTR/L, SCDCM, FAOTA and ECU Students: Kimberly Reid, L. Katie Reynolds, Lindsay Stinson, Lea Taylor, Ashley Thigpen, and Erin Whitman This session will describe our dynamic and unique Driving and Community Mobility “Bootcamp” for persons with high functioning autism first initiated last year and improved this summer. Although presented last year in terms of the actual camp activities, this year we will provide the audience not only with what we learned in terms of evaluation and intervention methods, but this session will have an emphasis on measuring outcomes. Specific evaluation tools and measurement will be described with the implications for the intervention activities that address executive functioning and other skills needed for driving and managing community mobility. New and adapted interventions will be described including using public transportation and interactions with police. Discussion with audience will include how to generalize the activities to various practice settings and populations to enable practitioners to address driving and community mobility with their consumers across the life span. Use of the outcomes measures as evidence for success will be discussed. 2 D Building a Dementia-Capable Community: An OT and Social Work Collaboration Jenny Womack, MA, MS, OTR/L, CAPS, CDCP, FAOTA, Ryan Lavalley, MOT, OTR/L, CDCP, Marie Dagger, MS, OTR/L, CDCP, Mary Fraser, DSW, Kim Lamon-Loperfido, MSW, MPH, CDCP, Stephanie Miller, MSW, CDCP, Pam Tillet, MSW, CIRS-A, CDCP, Carol Wise, MSW, LCSWA, CDCP This workshop will present the experience of occupational therapists and social workers collaborating on a grantfunded, community-based project to enhance awareness of dementia, create and expand services for caregivers of people with dementia, and build a dementia capable community through the outreach of a county Department on Aging. Participants in the workshop will develop awareness of the international dementia-capable and dementiafriendly movements, and explore how their own work in various occupational therapy practice settings might encompass some of the foundational principles. In addition, participants will be asked to explore the different roles of healthcare and community entities in providing support for people with dementia, and will be encouraged to better understand inter-professional roles in dementia care. 2 E Preparing for Fieldwork Education Shelley Sehorn, OTR/L & Kristel Maes, PT, DPT, CCCE The purpose of fieldwork education is to propel each generation of occupational therapy practitioners from the role of student to that of a practitioner. The breadth and depth of the expanded roles and responsibilities often leave the new clinician questioning his/her professional identity (Stutz-Tanenbaum & Hooper, 2009). Stutz-Tanenbaum and Hopper found assimilation of identity as a fieldwork educator can have a positive impact on performance with clinical teaching (2009). However, practitioners become educators during the first year of practice leaving minimal time for the integration of identity and competency development (Stutz-Tanenbaum & Hooper, 2009). This presentation will explore various methods to prepare for a successful fieldwork affiliation. 4:30-4:45 Break 4:45-5:45 NCBOT Ethics Presentation (unopposed) (1 Ethics point) Ethics in Occupational Therapy Practice - The North Carolina Board of Occupational Therapy will review ethical practices for occupational therapy practitioners within the state of North Carolina. This session will include a review of the new AOTA Code of Ethics, NC Practice Act and Rules related to ethics, and small group case-based discussions on ethical practices and ethical decision-making. 5:45-7:30 President’s Reception & Student Scholarship Auction Join us for the President’s Reception and Student Scholarship Auction. Meet Board members and your SIS Chairs, relax and unwind with friends and colleagues. Enjoy a variety of hors d’oeuvres and refreshments. Funds from the auction contribute to NCOTA sponsored scholarships. The auction will end at 7:00 pm. 5 Sunday, November 6, 2016 Registration Desk Opens 8:00 8:30-9:30 Special Interest Section (SIS) Sessions (1 CE point) A Administration & Management Alexandra Herskowitz Mentoring: Why & How? B Technology Molly Shannon AT & OT: Past, Present, & Future C Pediatrics Beth Hathaway It's All in the Family! D Home & Community Jennifer Carter-Smith Home Health in 2016 and Beyond E Mental Health Caity Bunch & Valerie Fox OT and Mental Health Advocacy F Education & Research Megan Edwards & Alisha Baker Developing a Fieldwork Consortium in North Carolina G Gerontology David Benthall & Catherine Balentine Advocacy for OT in the Geriatric Population and the Importance of the Team Approach H Physical Disabilities Heidi VanKeulen & Michael Gagliano Striking the Balance between Productivity Requirements and Ethics 9:30—9:45 Break 9:45- 11:45 Morning Short Courses (2 CE points) 3 A Transitioning to Alternative Written Output Using Technology in the School Setting Sherry Stancliff, OTR/L, SCSS and Connie Brake, MS, OTR/L Many therapists struggle with when to move away from writing toward technology, how to implement that change, what that change will look like, and what options are available for alternative written expression. In this session therapists will get an overview of handwriting skill development, handwriting expectations in the common core curriculum, and the impact of handwriting difficulties on academic performance. Keyboarding standards, prerequisite skills, and place in the common core will also be reviewed. In addition therapists will learn factors to consider in transition planning, current research in this area as well as review of one possible data collection tool to assist with this process. The session will offer an overview of some available technology for alternative written output. These will include word processing, use of Google extensions, voice-to-text options, and iPad apps. Ways to incorporate technology into the special education process will also be discussed. 3 B Community Practice and Role Emerging Fieldwork Anna H. Walls, MS, OTR/L, Allison D. Calhoun, MS, OTR/L and Laurel Cargill Radley, MS, OTR/L The objective of role-emerging fieldwork is to promote awareness and create a demand for occupational therapy services (Mulholland & Derdall, 2005). As we strive to meet the AOTA Vision 2025 we must also “meet client and system needs as new service delivery models evolve” (AOTA, 2016). In an effort to meet these goals, a roleemerging fieldwork community-based practice survey was developed and sent to occupational therapy and occupational therapy assistant programs in North Carolina. The survey was also shared with clinical settings to begin identifying practice in community based settings across the state. The results of this survey will be shared. Additionally, three panelists will share examples of successful role-emerging fieldworks in their academic programs and will offer strategies for creating these types of experiences. 6 Sunday, November 6, 2016, continued 9:45- 11:45 Morning Short Courses, continued 3 C Medical Spanish Made Easy George Lucas González Speaking Medical Spanish helps participants to offer quality Latino healthcare to the fastest growing, largest U.S. minority population who are an underrepresented healthcare workforce and who receive the worst healthcare due to language and cultural barriers. Participants can be more effective by learning & practicing functional Medical Spanish. Using language short-cuts facilitates faster language learning. Function based Medical Spanish is easier than learning the entire language. 3 D Flow & Occupation: Has it Left Occupational Therapy? Yolanda Ortiz, OTA Mihaly Csikszentmihalyi is the architect of the notion of "flow" -- the creative moment when a person is completely involved in activities such as art, play and work, with a heightened focus and immersion. The profession of Occupational Therapy was founded around the principle that occupational engagement should reflect the whole person with a degree of challenge that correlates with the level of abilities of the person to fully engage the individual. Our holistic profession now functions in a medical model where there is more emphasis on productivity and finances and less on the whole person. Is our profession losing it’s flow? The intention of this presentation is to bring together the OT community and stimulate reflection and discussion on the concept of flow and how we can facilitate that experience within ourselves and for our patients. 3 E Driving and Community Mobility: The Generalist Occupational Therapy Practitioner Role Anne Dickerson, PhD, OTR/L, SCDCM, FAOTA This presentation will be based on a newly developed curriculum developed in collaboration of the American Occupational Therapy Association and Association of Driver Rehabilitation Specialists, funded by the National Highway Traffic Safety Administration. The session will describe the general practitioner’s role in meeting the IADL of driving and community mobility as well as meeting ACOTE’s educational standards. Embedded within the practice framework, resources will be shared that describe the collaborative roles of specialists and generalists, how to integrate driving into therapy interventions and discharge planning, risk factors for unsafe driving, the ethical obligation of practitioners, specific diagnostic concerns, and introduction to new resources developed in 2015-16. 3 F Establishing Occupational Therapy in Early Intervention for Psychosis Valerie Fox, PhD, MS, OTR/L, CPRP Given occupational therapy’s focus on holistic, occupation-based treatment, the profession could serve a valuable role in early intervention for psychosis. In addition to assisting with life skills during the transition from adolescence to adulthood, early occupational therapy intervention could promote increased social participation, continuation of life roles, and positive identity development for individuals following a first episode of psychosis. Engagement in occupations and return to social participation has the potential to reduce the chronicity of mental illness, delay enrollment in disability benefits, and allow individuals with mental illness to feel and be valuable members of society. This presentation will review a recent research exemplifying the importance of addressing occupational engagement in early intervention practice, as well as discuss next steps for the occupational therapy profession. 3 G Exploring Fine Motor Skills and Handwriting Using Fundanoodle Michelle Yoder, OTR/L and Amy Bumgarner, MS, OTR/L This workshop is designed to help occupational therapists understand and identify the key performance components related to handwriting readiness and implement activities to promote and improve handwriting readiness in preschool and school aged children. We will explore the underlying sensorimotor components and the impact that these have on handwriting. Participants will learn methods to identify challenges related to handwriting and through interactive labs, learn treatment techniques to help the following areas: fine motor coordination, strength, bilateral coordination, visual motor integration, visual perception, ocular motor skills and sensory integration. Upon course completion, therapists will understand and be able to implement Fundanoondle techniques into skilled intervention. 7 Sunday, November 6, 2016, continued 9:45- 11:45 Morning Short Courses, continued 3 H Qi, Meridian Theory & Qi Gong Michael Gagliano OT/L & Shifu Fan Ping Tao (Patrick Fannes) This is an introductory session into Traditional Chinese Medicine. We will explore the origins & nature of Qi, commonly called life force. We will learn the theory of how Qi circulates throughout the body, the meridian system (location & function), as well as, several important acupressure/acupuncture points for general well-being & health. Lastly we will look at a system of cultivating our Qi known as Qi Gong. This teaching is based upon an oral tradition and at times will be experiential in nature. 11:45-1:00 Awards Luncheon and Annual Business Meeting Amy Mahle, MHA, COTA/L & Marcie Gardner, MS, OTR/L Hear important updates regarding NCOTA and advocacy updates from our Lobbyist Ashley Perkinson (pictured right). Recognize the exceptional work and celebrate with your colleagues! Included with your registration. 1:00—1:15 Break 1:15—2:15 Special Presentation from AOTA (unopposed) (1 CE point) New Occupational Therapy Evaluation Codes and the Code Change Process Mary Jo McGuire MS, OTR/L, OTPP, FAOTA, Clinical Assistant Professor, School of Behavioral and Health Sciences, Walsh University Attendees will learn the details of the new occupational therapy evaluation codes that are effective January 1, 2017 and how to appropriately select the level of complexity to reflect the scope of evaluation performed, using clinical examples as a guide. We will review the status of AOTA’s CPT Physical Medicine and Rehabilitation (PM&R) code change proposal, learn the underlying rationale for proposed changes, and discuss the current status of the proposal through the American Medical Association (AMA) process to add/change codes in the CPT Manual. 2:30 —4:30 Afternoon Short Courses (2 CE points) 4 A Role Emerging Fieldwork Experiences: Innovative Learning and Distinct Contributions Allison Calhoun, MS, OTR/L, Paula Graham, OTS, Annie Albers, OTS, Jeremy Coco, OTS If you are a fieldwork coordinator, a practitioner, a student, or currently are or are aspiring to be a fieldwork educator, this session will offer you the opportunity to learn how to establish and support a role emerging Level II occupational therapy fieldwork. Presenters will share four examples of role emerging fieldworks and projects that students in the MSOT program at WSSU completed during the summer of 2016 at an adult day center, a hospital hospitality house, a PACE facility, and a Rescue Mission facility. Logistics of how to develop partnerships with potential sites, form learning objectives, and structure opportunities to demonstrate the OT process will be discussed. Students will share the value of their experience, necessary traits for success, and the positive outcomes that occurred. 4 B Job Interviewing Success (Student Focused Session) Amy Mahle, MHA, COTA/L, Beth Hathaway, OTD, OTR/L, Brad Myers, MA, OTR/L, & Michelle Yoder, OTR/L Students and new grads, are you nervous, anxious, or curious about job interviews? This session will identify skills for successful job interviewing for a position in occupational therapy. Learn from a panel of occupational therapy hiring managers the traits they are seeking, and determine how to best represent your skills and experience. Attendees will also develop a personal plan to prepare for job interviews. 8 Sunday, November 6, 2016, continued 4 C Impact of the Alert Program on Kindergarten School Function Leslie LaBelle, OTR/L The Alert Program was established with the goal of teaching students the skills needed for self-regulation. This presentation examines the impact of a classroom approach to the Alert Program on school function for identified at risk students in the Kindergarten classroom. Results suggest the program produces end outcomes in meaningful areas of school function, particularly for at risk students. However, while the classroom approach was successful for the majority of students, some students may likely benefit more from an individualized approach. Designed to be implemented by teachers under the guidance of occupational therapists in the general classroom, the program would allow school based occupational therapists to then focus on identifying and supporting the students that need a more specialized and targeted approach to intervention. 4 D Promoting Leisure Skills for Adolescents with ASD Meg Proctor, MS, OTR/L and Sarah Shapiro, OTS Participants will learn how to develop and implement group sessions focusing on leisure skills for adolescents with Autism Spectrum Disorder (ASD). Course will target the development of leisure skills for people with ASD, how to complete a leisure assessment, implementing supports for individuals, running a leisure group, and collecting outcome data. Specific examples will be provided from a recent leisure group at the Asheville TEACCH Center. 4 E Using the Interactive Metronome in Improving Cognition in Older Adults Leonard G Trujillo, PhD, OTR/L, FAOTA Cognition is not just a language acquisition skill. Occupational Therapists must continue to provide innovative effective interventions to our aging population. Healthy aging adults are concerned with maintaining and improving their cognitive process skills. These two studies look at using the Interactive Metronome (IM) as an effective modality in improving executive functions and attention span in older adults (65 an older). A series of protocols using the IM were developed and implemented with a study group based in an assisted living center. The results indicate a strong significance in improvement in attention span and motor coordination skills. Antidotal comments from those clients participating identify improved IADL skills in their everyday functions. 4 F Substance Use and Abuse by Occupational Therapists and OT Students Randy P. McCombie, PhD, OTR/L This presentation focuses on a summation and review of several studies conducted by the presenter targeting alcohol, prescription medication, and recreational drug use by OTs and OT students. Results for OTs suggest high level of alcohol use, though low rate of abuse, drinking primarily for social reasons, and marginally for work related stress. Alcohol use by OT students suggests levels mirroring the general college student population, and nearly one -third reporting engaging in risky/unprofessional behaviors, like drinking and driving, or coming to class with a hangover. Additional results examine use of various psychotropic medications by potentially one-fifth of OT students diagnosed with anxiety, depression, and/or cognitive processing disorders. Discussion focuses on substance use and abuse by OTs and OT students in healthcare and academic environments. 4 G Using Games in Occupational Therapy Intervention Heidi Van Keulen, OTR/L, CBIS Board games and card games can be used a number of different ways in the course of OT intervention. This session will explore ways to incorporate games into treatment sessions to address attention, problem solving, sequencing, memory, visual skills, dual task practice, fine motor skills, and balance. Attendees will have the opportunity to explore some board and card games during the session. 9 NCOTA was founded in 1957. For 59 years, this volunteer-run and supported association has been the primary statewide voice for the practice of occupational therapy in NC. The association organized and led the successful effort to obtain licensure in 1984. The list of licensed occupational therapy practitioners in NC has grown from a few hundred to over 5,500. In recent years our efforts have expanded from enhancing competent practice and facilitating community to actively protecting the profession. Our lobbyist, Ashley Perkinson, has been working with the Board of Directors during challenging times for healthcare, employment, and reimbursement. There is strength in numbers. For just pennies per day, your membership in NCOTA supports efforts to advocate, educate, and communicate the distinct value of occupational therapy. If you are not a member, we hope you will join to add your support. A primary benefit of membership is the feeling and knowledge that you are making a positive contribution toward the advocacy of our profession and the future vision of the association. It is easy and secure to join online. Go to www.ncota.org. Sign up or renew your existing membership today. Special thanks to our Continuing Education Co-Chairs Nancy Murphy, OTD, OTR/L; Katherine Stewart, MS, OTR/L, & Corinne Leatherman, MS, OTR/L 10 11