Stretch: Relias Rehab Therapy Education

Dance for Rehabilitation? Evidence-Based and Fun!

PT/PTA, OT/OTA – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.   
Have you ever considered dance as an evidenced-based intervention? In this episode, we talk with Dennis Klima, PT, PhD, DPT, GCS, NCS, a professor of physical therapy, geriatric and neurologic clinical specialist, and Polka dance enthusiast, about dance as an effective way to meet the optimal dose of therapy to produce functional changes while providing an opportunity for the patient and the therapist to have a fun and meaningful interaction.
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(02:28) A Patient Example to Set the Scene (04:48) Impairments Dance Addresses (05:56) How to Introduce Dance into the Intervention (08:00) Case Example: Using the Tango (11:48) Monitoring Intensity (15:19) Documentation (16:30) Different Dance Genres to Consider (18:15) Benefit of Dancing with Different Medical Conditions (34:50) Do I Need to Be an Expert in Dance? (38:50) Benefits of Dance with Traumatic Brain Injury (44:35) Implementing Dance via Telehealth (48:09) Student Buy In (49:48) Dancing: An Interdisciplinary Intervention (52:02) Conclusion 
The content for this course was created by Dennis Klima, PT, PhD, DPT, GCS, NCS
The content for this course was created by Tiffany Shubert, PT, PhD. 
Here is how Relias can help you earn continuing education credits: 
Access your Relias Library offered by your employer to see course certificate information and exam;  or  Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 
Learn more about Relias at www.relias.com.   
Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 
Resources 
Royalty Free Music: All Categories: https://www.fesliyanstudios.com 

Assessment Trends in Speech-Language Pathology

SLP – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.   
Do your current formal and informal evaluation tools meet your patients’ clinical needs? Can you find useful assessment products on the market? This podcast will explore trends in assessment tools and processes for time-efficient and effective evaluations. In this episode, we talk with professor and ASHA Fellow Dr. Pamela Smith about assessment trends in speech-language pathology. 
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(02:28) Key Takeaways(03:55) Building a Hypothesis with Medical Record Review(08:52) Preparing to Evaluate(12:24) Recommended Assessments and Current Shortcomings(18:13) Using Outcome Measures and Subtests(21:19) Clinical (Informal) Assessment(28:16) Limitations of Screening Tools(34:42) Evaluation Completion and Billing(39:17) Ethical Considerations(46:35) Impact of the Clinician’s Available Time(50:19) Impact of Ongoing Assessment(56:53) Impact on Value-Based Purchasing(59:53) Patient-Centered Interpretation and Goal Setting(01:05:58) Summary  
The content for this course was created by Pamela A. Smith, Ph.D., CCC-SLP, ASHA Fellow, FNAP.  
The content for this course was created by Susan Almon-Matangos, MS/CCC-SLP. 
Here is how Relias can help you earn continuing education credits: 
Access your Relias Library offered by your employer to see course certificate information and exam;  or  Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 
Learn more about Relias at www.relias.com.   
Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 
Resources 
Lists of assessment tools: 
Free cognitive assessment tools:https://eatspeakthink.com/online-assessment-cognition/
Aphasia: https://cehs.unl.edu/aac/aphasia-assessment-materials/ 
Brain injury: https://www.tbims.org/combi/list.html
Multiple purposes: https://nicespeechlady.com/listing-of-non-nicespeechlady-com-standardized-and-or-norm-referenced-measures/  
Revised “Cookie Theft picture” (Berube et al., 2019): https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6437702/ 

Do OTs and OTAs Manage Chronic Pain?

OT, OTA – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.   
As occupational therapy professionals, you already have the skill and training to treat chronic pain. In this episode, we talk with Kimberly Breeden, MS, OTR/L, and Niccole Rowe, BA, COTA/L, co-authors of the AOTA official document “Occupational Therapy’s Role in Treating Pain” about the role and value of OTs/OTAs in managing chronic pain.
How are we doing? Click here to give us feedback 
(02:06) Key Takeaways(03:04) Changing Perspective Can Change Your Practice(07:18) Change from Biomedical to Biopsychosocial Approach(11:22) Pain’s Purpose and Factors that Impact Persistence(17:08) Addressing Pain Through an OT Lens(21:55) Developing an Occupational Profile(27:32) Pain Assessment Tools(30:12) Addressing Psychosocial Factors(33:09) Cognitive Behavioral Therapy(38:48) Additional Treatments Using Occupation(46:49) Pain Education, Relaxation, and Mindfulness(52:00) The Interdisciplinary Team: Building Your Network(54:10) Case Example(1:02:08) Conclusion   
The content for this course was created by Niccole Rowe, BA, COTA/L. 
The content for this course was created by Kimberly Breeden, MS, OTR/L.
The content for this course was created by Wendy Phillips, PT, BSPT. 
Here is how Relias can help you earn continuing education credits: 
Access your Relias Library offered by your employer to see course certificate information and exam;  or  Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 
Learn more about Relias at www.relias.com.   
Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 
Resources 
Pain Disability Index (PDI):
http://www.med.umich.edu/1info/FHP/practiceguides/pain/detpdi.pdf
Pain Management Best Practices Inter-Agency Task Force Report: https://www.hhs.gov/opioids/prevention/pain-management-options/index.html  
Pain Self Efficacy Questionnaire (PSEQ):
https://www.workcover.wa.gov.au/wp-content/uploads/sites/2/2015/07/pain_self_efficacy_questionnaire.pdf 
Pain Toolkit:
https://www.paintoolkit.org/pain-tools 
PEG Scale Assessing Pain Intensity and Interference (Pain, Enjoyment, General Activity):
http://www.med.umich.edu/1info/FHP/practiceguides/pain/PEG.Scale.12.2016.pdf 

What Is a Digitally Enabled Rehab Therapist?

PT, PTA, OT, OTA, SLP – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.   
What is a digitally enabled rehab therapist? Is this the next new fad? In this episode, we talk with digital health expert Anang Chokshi, DPT, to define digital enablement for rehabilitation therapists and discuss the value of adopting digital health as a tool in your clinical practice toolkit.
How are we doing? Click here to give us feedback 
(01:43) Importance of Being a Digitally Enabled Therapist(05:56) How Technology Changes Our Practice(08:51) Importance of Reviewing Data(14:00) Value of Digital Tools and Competencies(21:54) APTA Foundational Paper(27:26) Categories of Digital Health(32:45) Benefits of Implementing Digital Health(36:55) Benefits to Patients(42:25) Benefits to Payers(44:07) Challenges for Stakeholders(46:35) Implementation Strategies(53:28) Resources for the Clinician(55:21) Artificial Intelligence(58:08) Closing Remarks    
The content for this course was created by Anang Chokshi, PT, DPT, OCS, SCS. 
The content for this course was created by Tiffany Shubert, PT, Ph.D.
The content for this course was created by Susan Almon-Matangos, MS/CCC-SLP. 
Here is how Relias can help you earn continuing education credits: 
Access your Relias Library offered by your employer to see course certificate information and exam;  or  Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 
Learn more about Relias at www.relias.com.   
Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 
Resources 
Digital health (FDA): https://www.fda.gov/medical-devices/digital-health-center-excellence/what-digital-health
APTA foundational paper on the digitally enabled physical therapist: https://www.apta.org/your-practice/practice-models-and-settings/digital-health-technology/digitally-enabled-physical-therapist
Digital PT task force report: https://world.physio/sites/default/files/2020-06/WCPT-INPTRA-Digital-Physical-Therapy-Practice-Task-force-March2020.pdf 
The Playbook: Digital Healthcare Edition (Digital Medicine Society and Department of Veterans Affairs): https://www.dimesociety.org/wp-content/uploads/The-Playbook_-Digital-Healthcare-Edition-7_26_22v-2.pdf 
FDA guidance document on clinical evaluation using software as a medical device (SAMD): https://www.fda.gov/regulatory-information/search-fda-guidance-documents/software-medical-device-samd-clinical-evaluation 

PTs and OTs - Are Your Exercises Challenging Older Adult Patients?

PT, PTA, OT, OTA – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.   
Older adult patients in all rehabilitation settings are chronically under-dosed when it comes to the intensity of rehabilitation therapy. In this episode, we talk with Aimee Perron, a physical therapist, patient advocate, and national presenter, about best practices in prescribing exercise to improve strength, balance, endurance, and aerobic capacity in our older adult clients.
How are we doing? Click here to give us feedback 
(01:38) Takeaways From Today’s Discussion (02:56) Key to Dosing Appropriately: The FITT-VP Principle (06:44) Underdosing and Possible Reasons (12:39) Is My Patient Ready to Start Exercising? How Do I Know? (13:16) Tests and Measures (18:51) One Repetition Maximum: Example (25:16) Matching Interventions to Meaningful Activities (29:39) Identifying Readiness to Change (31:28) Health Confidence and Chronic Conditions (37:35) Everyday Tools and Equipment Considerations (41:23) Am I Too Eager and Overdosing My Patients? How Do I Know? (43:49) Supporting Patients in the Maintenance Phase (46:57) Nutrition and Medication Considerations (49:22) Conclusion  
The content for this course was created by Aimee E. Perron, PT, DPT. 
This course was created by Wendy Phillips, PT, BSPT.
Here is how Relias can help you earn continuing education credits: 
Access your Relias Library offered by your employer to see course certificate information and exam;  or  Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 
Learn more about Relias at www.relias.com.   
Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 
Resources 
American College of Sports Medicine’s Recommendations for Exercise Participation Health Screening: https://www.acsm.org/docs/default-source/files-for-resource-library/updating_acsm_s_recommendations_for_exercise-28-(1).pdf?sfvrsn=3aa47c01_4 
American Physical Therapy Association: Choosing Wisely: https://www.choosingwisely.org/
General Physical Activities Defined by Level of Intensity: https://www.cdc.gov/nccdphp/dnpa/physical/pdf/pa_intensity_table_2_1.pdf
Prescription for Health Series (A series of common chronic conditions and their exercise prescriptions): https://www.exerciseismedicine.org/eim-in-action/health-care/resources/rx-for-health-series/ 
Self-Efficacy for Managing Chronic Disease 6-item Scale: https://selfmanagementresource.com/wp-content/uploads/English_-_self-efficacy_for_managing_chronic_disease_6-item.pdf 
Quick Health Check Up: http://www.healthconfidence.org/ 

Can’t Sleep? Try Occupational Therapy

OT, OTA – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.   
In this episode, we talk with Dr. Yvonne Monti about the significant impact sleep deprivation has on one’s health, and the critical role of occupational therapy in addressing maladaptive thoughts and behaviors that contribute to sleep dysfunction.
How are we doing? Click here to give us feedback 
(02:19) Key Takeaways from Todays Discussion(03:17) Why Good Sleep Matters(04:55) Insomnia Defined: Acute and Chronic(06:31) Diagnoses Commonly Associated with Sleep Dysfunction(11:18) Common Sleep Disorders and Clinical Presentation(16:47) Why Is Occupational Therapy the Answer?(18:24) Sleep Assessments and Sleep Diaries(26:48) What Is Sleep Efficiency?(29:55) Theories Supporting Occupation Based Intervention(32:21) Intervention for Intrusive Thoughts(40:57) Addressing Negative Sleep Behaviors(52:31) Addressing Environment and Occupational Components(57:28) A Case Example(1:07:49) Conclusion 
The content for this course was created by Yvonne Monti, OTD, OTR/L.  
The content for this course was created Wendy Phillips, PT, BSPT.
Here is how Relias can help you earn continuing education credits: 
Access your Relias Library offered by your employer to see course certificate information and exam;  or  Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 
Learn more about Relias at www.relias.com.   
Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 
Resources 
Consensus Sleep Diary: https://www.sleep.pitt.edu/wp-content/uploads/Study_Instruments_Measures/Consensus-Sleep-Diary-Morning-and-instructions.pdf 
Insomnia Severity Scale:  
https://www.ons.org/sites/default/files/InsomniaSeverityIndex_ISI.pdf 
Epworth Sleepiness Scale:
https://nasemso.org/wp-content/uploads/neuro-epworthsleepscale.pdf 
Fatigue Severity Scale:
https://www.mercy.net/content/dam/mercy/en/pdf/fatigue-severity-scale-epworth-sleepiness-scale-questionaire.pdf 
Pittsburgh Sleep Quality Index:
https://www.sleep.pitt.edu/instruments/ 

Pelvic Health – Opportunities for PTs and OTs

PT, PTA, OT, OTA – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.   
In this episode, we explore opportunities for rehabilitation therapists to apply a population health lens to addressing pelvic health with patients, communities, and globally with Dr. Laura Keyser and Dr. Jessica McKinney. 
How are we doing? Click here to give us feedback 
(02:54) Takeaways From Today’s Discussion (04:21) Health and Pelvic Health Defined (08:26) Population Health (10:40) Women’s Health to Pelvic Health: Why the Language Shift?(14:08) Jessica’s Journey Towards a Pelvic Health Specialty (18:51) Laura’s Journey Towards a Pelvic Health Specialty (22:25) What Can I Do as a Generalist? (28:50) Building Capacity (36:04) Digital Rehab Specific to Pelvic Health (44:32) Specialists and Generalists Working Together (51:12) Next Step Recommendations (54:27) Sex: An Activity of Daily Living (57:21) Hopes and Vision for the Future (1:02:05) Conclusion
The content for this course was created by Laura Keyser, DPT, MPH.
The content for this course was created by Jessica L. McKinney, PT, DScPT, MS.
The content for this course was created by Tiffany Shubert, PT, PhD 
Here is how Relias can help you earn continuing education credits: 
Access your Relias Library offered by your employer to see course certificate information and exam;  or  Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 
Learn more about Relias at www.relias.com.   
Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 
Resources 
Implementing Physical Rehabilitation Services into Comprehensive Fistula and Maternity Care: A Training Guide for Health Workers: https://www.themamas.world/training-guide
World Health Organization Rehabilitation Competency Framework: https://www.who.int/teams/noncommunicable-diseases/sensory-functions-disability-and-rehabilitation/rehabilitation-competency-framework 

My Patient Uses Cannabis for Chronic Pain: Best Practices for Rehabilitation Therapists

PT, PTA, OT, OTA, SLP – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.   
As more states legalize medicinal marijuana, rehabilitation therapists are seeing cannabis as a viable alternative for managing chronic pain. How will cannabis impact patients’ clinical presentation and plan of care? How do they know what type to use, and how much? In this episode, Ellen Anderson, PT, PhD, and Lori Zucker, PT, DPT, MA, discuss clinical cases where a patient participating in rehabilitation therapy used cannabis to therapeutically manage chronic pain.
How are we doing? Click here to give us feedback
(03:44) Key Takeaways from Today’s Discussion(05:24) Pharmacokinetics of Cannabis(09:23) The Endocannabinoid System(15:11) Dosing Guidelines Overview(26:35) Case Example: Chronic Low Back Pain(35:16) Balancing Education and Recommendations(37:14) Case Example: Multiple Sclerosis Neuropathic Pain(43:50) Case Example: Neuropathy Secondary to Chemotherapy(51:47) Considerations and Red Flags: Using Clinical Judgment(57:44) Conclusion
The content for this course was created by Ellen Anderson, PT, PhD.
The content for this course was created by Lori Zucker, PT, DPT, MA.
The content for this course was created by Tiffany Shubert, PT, PhD.
Here is how Relias can help you earn continuing education credits: 
Access your Relias Library offered by your employer to see course certificate information and exam;  or  Access the continuing education library for clinicians at Relias Academy [link to be updated to the correct Relias Academy URL by CPM at Finishing.] Review the course certificate information, and if eligible, you can purchase the course to access the exam and receive your certificate. 
Learn more about Relias at www.relias.com.   
Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 
Resources 
Consensus Recommendations on Dosing and Administration: https://jcannabisresearch.biomedcentral.com/articles/10.1186/s42238-021-00073-1
PTcannabisinfo.com: https://www.ptcannabisinfo.com/ 
State Medical Cannabis Laws: https://www.ncsl.org/research/health/state-medical-marijuana-laws.aspx 
The National Academies of Sciences, Engineering, and Medicine: The Health Effects of Cannabis ad Cannabinoids: https://www.nationalacademies.org/ocga/briefings-to-congress/the-health-effects-of-cannabis-and-cannabinoids-the-current-state-of-evidence-and-recommendations-for-research 

Does Physical Therapy Help With Sleep?

PT, PTA – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.   
Have you ever considered that your patient’s quality of sleep may be impacting their outcomes? In this episode, we talk with published author, educator, and founder of Healthcore Lifestyle Medicine, Dr. Wendy Price, about the importance of good sleep on health and performance, and how physical therapy professionals can address sleep dysfunction with their patients.
How are we doing? Click here to give us feedback
(02:11)  Takeaways From Today’s Discussion(02:39) Sleep Health: What It Means and It’s Importance(06:00) Physical Therapy’s Role(07:45) Insomnia(11:14) The Importance of Having a Regular Sleep Schedule(15:34) Sleep Science(18:28) Are Naps Beneficial?(20:26) Screening for Sleep Disturbances(21:22) Strategies to Address Insomnia(32:13) Sleep Apnea(36:00) Restless Leg Syndrome(41:24) Key Takeaways for the Clinician(44:50) Practical Implementation Strategies for Patients(50:25) Conclusion
The content of this course was created by Wendy Farnen Price, PT, DPT, MS, WCS, DipACLM, NBC-HWC.
The content for this course was created by Wendy Phillips, PT, BSPT.
Here is how Relias can help you earn continuing education credits: 
Access your Relias Library offered by your employer to see course certificate information and exam;  or  Access the continuing education library for clinicians at Relias Academy [link to be updated to the correct Relias Academy URL by CPM at Finishing.] Review the course certificate information, and if eligible, you can purchase the course to access the exam and receive your certificate. 
Learn more about Relias at www.relias.com.   
Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 
Resources 
The Role of the PT and the APTA in Sleep Health: https://www.apta.org/siteassets/pdfs/policies/role-pt-and-apta-sleep-health.pdf 
Consensus Sleep Diary: https://consensussleepdiary.com/ 
Standardized Assessments: 
STOP-Bang Questionnaire: http://www.stopbang.ca/osa/screening.php 
The Children’s Sleep Habits Questionnaire: https://njaap.org/wp-content/uploads/2016/04/Childrens-Sleep-Habits-Questionnaire.pdf 
The Epworth Sleepiness Scale: https://www.sleepcountshcp.com/epworth-sleepiness-scale 
The Insomnia Severity Scale: https://www.ons.org/sites/default/files/InsomniaSeverityIndex_ISI.pdf 
The Pittsburgh Sleep Quality Index: https://www.med.upenn.edu/cbti/assets/user-content/documents/Pittsburgh%20Sleep%20Quality%20Index%20(PSQI).pdf

Incontinence - Updates in Physical Therapy Practice

PT, PTA – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.   
Do you think of incontinence treatment as part of a specialty practice? Do you avoid asking about or addressing incontinence? In this episode, pelvic health experts Laura Keyser, DPT, MPH and Jessica L. McKinney, PT, DScPT, MS shed light on how generalist therapists can screen and initiate treatment for incontinence and then refer to a pelvic health specialist when necessary.
How are we doing? Click here to give us feedback 
(01:49) Key Takeaways From Today’s Discussion (02:45) What Are Pelvic Floor Disorders?(04:53) Three Primary Subtypes of UI (08:40) Risk Factors for UI (11:19) Screening (16:39) Stepwise Approach to Care (21:49) Pelvic Floor Muscle Exercise: What Not to Do (23:32) The Therapist’s Role: Practical Application (34:29) Clinical Examples (40:03) Teaching Pelvic Floor Muscle Exercises (48:38) The Role of Digital Health (51:20) Does Evidence Support Using Vaginal Weights? (53:26) Does Advanced Age Matter? Addressing Self-Ageism (55:05) Research Regarding Intravaginal Estrogen (57:00) Conclusion 
The content for this course was created by Laura Keyser, DPT, MPH.
The content for this course was created by Jessica L. McKinney, PT, DScPT, MS.
The content for this course was created by Wendy Phillips, PT, BSPT.
Here is how Relias can help you earn continuing education credits: 
Access your Relias Library offered by your employer to see course certificate information and exam;  or  Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate. 
Learn more about Relias at www.relias.com.   
Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others. 
Resources 
See additional Relias courses on incontinence assessment and treatment.
3IQ – Incontinence Questionnaire: https://www.racgp.org.au/getattachment/1bd242ff-e656-4fa3-8b36-b51f7cc57706/Appendix-13A.pdf.aspx
Female UI Evidence-Based Treatment Pathway: An Infographic for Shared Decision Making: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8972010/
Implementing Physical Rehabilitation Services into Comprehensive Fistula and Maternity Care: A Training Guide for Health Workers: https://www.themamas.world/training-guide
Well Woman Care: https://womenshealthalliance.com/well-woman-care-exam/