Name: Direct Access and the Dizzy Patient: A Tiered Approach to Differential Diagnosis and Management (Lab included)
Start: 2026-10-10T13:40:00-0600
End: 2026-10-10T16:00:00-0600

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Direct Access and the Dizzy Patient: A Tiered Approach to Differential Diagnosis and Management (Lab included)

Saturday October 10, 2026 1:40pm - 4:00pm MDT

Provides physical therapists with a practical, tiered framework for evaluating and managing the dizzy patient in direct access practice. Through key subjective questions and indicators, special tests, red flag identification, reference resources and a case study attendees will build confidence in bedside screening for emergent conditions, differential diagnosis, and knowing when and how to refer dizzy patients

Learning Objectives:

Identify subjective red flags and orange flags in patients presenting with dizziness or vertigo.
Recognize clinical indicators of emergent and urgent conditions -- including brainstem and cerebellar pathology, cervical instability, and hemodynamic compromise -- and determine appropriate referral pathways.
Apply foundational peripheral vestibular assessment skills including the Dix-Hallpike and supine roll test, and identify patients appropriate for in-clinic management versus specialist referral.
Utilize a practical referral decision framework tailored to the rural Montana primary care setting, including telemedicine neurology access, ER criteria, and in-clinic vestibular intervention options.

Speakers

Tim Gibbs, PT

Tim Gibbs, PT, OCS, Cert. MDT, CCTT, CMTPT, AVPT... Read More →

Katherine Clute-Reinig, PT, DPT

Katherine Clute-Reinig, DPT, is a physical therapist who specializes in vestibular rehabilitation and neurorehabilitation in Missoula, Montana. She holds a Certificate of Competency in Vestibular Rehabilitation (CCVR) from 360 Neuro Health and has three years of dedicated clinical... Read More →

Holly Carlsmith, PT, DPT

Physical Therapist, Element Physical Therapy

Holly Carlsmith is a Physical Therapist with specialized expertise in vestibular and balance rehabilitation. She earned her Bachelor of Science in Integrative Physiology from the University of Montana and her Doctor of Physical Therapy from the University of Pittsburgh, graduating... Read More →

Saturday October 10, 2026 1:40pm - 4:00pm MDT

Lecture+LAB

APTA Montana Primary Care Conference

Tim Gibbs, PT

Katherine Clute-Reinig, PT, DPT

Holly Carlsmith, PT, DPT

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APTA Montana Primary Care Conference

Tim Gibbs, PT

Katherine Clute-Reinig, PT, DPT

Holly Carlsmith, PT, DPT

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