Orthopaedic Physiotherapy Grand Rounds 20

Overview

History of Grand Rounds

“In the late 19th century, the Johns Hopkins Medical School introduced bedside teaching as a new approach to clinical education. Residents learned as faculty passed from patient to patient, explaining their methods of diagnosis and treatment.

These rounds were moved from the bedside to an auditorium and the traditional approach to grand rounds was created.

Traditional rounds were a ‘well-organized, decorous, stately, and punctual exercise.’”

(Can We Make Grand Rounds “Grand” Again? by Sandal, Iannuzzi and Knohl, 2013)

Orthopaedic Physiotherapy Grand Rounds

In a similar fashion, the Adjunct Education Committee of the National Orthopaedic Division has introduced the Orthopaedic Physiotherapy Grand Rounds.

Orthopaedic Physiotherapy Grand Rounds 20 was presented online on February 25, 2025; this is the recording from that presentation.

Case

This month’s case involves a 19-year-old female university student with left antero-lateral ankle pain of no known origin for the past 6 months.  Although some improvement has occurred with physiotherapy, she is still unable to fully weight bear which restricts her participation in day-to-day functions. 

Case Presenter

R Michael McMurray, M.Sc. (Rehabilitation), BMR(PT), B.P.E., Diploma in Sports Physiotherapy, Registered IFSPT Specialist, FCAMPT, SFR Instructor

Mike has been practicing physiotherapy for 32 years focusing on Sports and Orthopaedics. He is a Senior Instructor at the College of Rehabilitation Sciences, University of Manitoba, teaching anatomy and orthopaedics. He has traveled internationally for 25 years working with national athletes at various sporting events including Pan Am and Olympic games. He is a lifelong learner having completed his Diploma in Sports Physiotherapy in 2000 and FCAMPT in 2023.

Panelists

Bahram Jam, DScPT, MScPT, BScPT, FCAMPT

Bahram Jam graduated from the University of Toronto (1992) then he completed a Clinical Masters and a Doctorate in Physical Therapy at the University of Queensland, Australia (1999) and at Andrews University, USA (2008). 

He is an FCAMPT and the founder and director of Advanced Physical Therapy Education Institute (APTEI) and has been a chief instructor for over one-thousand postgraduate orthopaedic courses across Canada and internationally. He has presented at several national and international conferences. He currently practices in Toronto.

François Landry, PT, BScPT, FCAMPT, Examiner NOD

François Landry graduated from Université de Montréal in 1982 and began his career in Calgary, Alberta, where he began training in orthopaedic manual therapy. After going through his intermediate examination in 1991, he obtained his diploma in advanced manual and manipulative physiotherapy in 1994. He has been and continues teaching advanced musculoskeletal physiotherapy for the last 36 years. He also officiates as an examiner of the Orthopaedic Division since 2001 and was named CAMPT honorary life member in 2015 and was the recipient of the Golden Hands Award in 2023.

Melanie MacKinnon, PhD(student), MCISc Manip, MScPT, HBScKIN, FCAMPT, CAFCI, CIDN

Melanie is a practicing Physiotherapist, FCAMPT and an alumnus of the University of Toronto MScPT program (2004) and the Western MClSc Program (2009). With a passion for education, she teaches across the spectrum from pre-licensure in the Physical Therapy department at the University of Toronto to post-licensure with the Orthopedic Divisions’ AIM program, Integrated Dry Needling (IDN) and as a mentor for Western’s Advanced Health Care Practice Graduate Program (AHCP). Melanie is currently pursuing a PhD in Health Professional Education Research at the University of Toronto with an interest in how to create assessments that bridge the technical with social and humanistic elements of practice to help prepare health professionals for the realities of clinical practice.