GCS Prep Program

This self-guided GCS Prep Program is designed to give you the tools you need to pass the test, gain expertise, and elevate the profession — all while earning CEUs.

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93%

of subscribers that studied with the MedBridge Certification Prep Programs successfully passed their board specialization test!

Prepare to take the next step in your career.

Our GCS Prep Program provides all of the tools you'll need to pass the board specialization test, develop your clinical skill set, and elevate your career - all while earning CEUs. With advanced certification, you'll set yourself apart as a distinguished professional equipped to provide an advanced level of care.

We can help you get there faster.

In this program you will study advanced topics taught by the best instructors in geriatric therapy. With over 300 practice questions, this 20-week program will have you well-prepared for success on test day.

Learn from the Best

Study advanced topics taught by the top instructors in geriatric therapy.

Identify Strengths

Analyze your strengths & weaknesses with scores for practice areas.

Personalize Your Plan

Customize the program to meet your needs. Study in groups or on your own.

Advance Your Career

Prepare for the test and earn CEUs—all included in the annual subscription.

Explore GCS Prep Courses

Measuring and Improving Outcomes in Post-Acute Care

Presented by Ellen R. Strunk, PT, MS, GCS, CEEAA, CHC

Measuring and Improving Outcomes in Post-Acute Care

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This course examines the current state of rehabilitation outcomes measurement in post-acute care (PAC) settings: inpatient rehabilitation, skilled nursing facility, long term acute care and home health care. Patients cared for in these settings often transition between multiple sites of care when their health and functional status changes, and therefore are particularly vulnerable and costly to the health care system. Currently, performance measurements across PAC settings are fragmented due to the heterogeneity of patient populations, as well as the various reporting mechanisms across settings. This course provides participants with a context for understanding the complex issues that contribute to the questions raised by external agencies and policymakers who seek to understand the value of rehabilitation in post-acute care. Instructor Ellen Strunk describes the efforts currently underway to gather more information and develop meaningful outcome measures to support the value of rehabilitation services in disease management as well as future models of payment. Universal concepts of the current state of rehabilitation outcomes and utilization measurement at every level of rehabilitation delivery are discussed. Outcomes measurement, data collection and analysis of information contribute to the value equation necessary in today’s healthcare environment. This course discusses some elements of the federal Medicare benefits and payment models which are under constant change and may no longer apply. Clinicians need to take personal responsibility to stay current with regulatory change within your specific practice setting.

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Hospice and Palliative Care: A Primer

Presented by Rich Briggs, PT, MA

Hospice and Palliative Care: A Primer

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This course is part of our GCS Prep-Program. Learn more about the full prep-program here: MedBridge GCS Prep-Program.

Physical, occupational, and speech therapy are in their essence palliative, in that function and quality of life are maximized, rather than disease or disability cured. It is important to understand all aspects of the new hospice and palliative care niche to develop a successful and rewarding clinical practice. This course begins with the history and development of current methods, identification of philosophy, goals, organizational structure, and financial issues of the Medicare Hospice Benefit, the primary payer that mandates such care. The unique and essential roles of rehabilitative therapies are outlined, addressing practice patterns, team roles, equipment, and referral management. The course concludes with a review of cost neutral strategies for hospice therapy program development and optimal organizational success.

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An Overview of Critical Areas in Home Health

Presented by Diana 'Dee' Kornetti, PT, MA, HCS-D and Cindy Krafft, PT, MS, HCS-O

An Overview of Critical Areas in Home Health

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What makes therapy care planning different in a home-based model? At face value it may seem that the delivery of therapy is fundamentally the same across all settings but being in a person’s home presents unique challenges and opportunities to maximize impact of functional ability. This course will set the stage for home based care by comparing and contrasting regulatory, care coordination and documentation expectations to facility based care.

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The Aging Brain, Part A: Mild Cognitive Impairment and Dementia

Presented by Jennifer Bottomley, PT, MS, PhD

The Aging Brain, Part A: Mild Cognitive Impairment and Dementia

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This course, with Jennifer Bottomley, is designed to provide the clinician with an overview of the central neurological changes that occur with aging, as well as the pathological manifestations of the aging brain. The clinical features of confusion and delirium, forgetfulness, mild cognitive impairment, dementia, and Alzheimer’s disease will be discussed. Safety considerations, environmental influences, the importance of family involvement, participation in functional tasks, and the importance of a multi-disciplinary approach in treating those with dementia and Alzheimer’s will also be explored. In addition, this course will delve into the specifics of Alzheimer's disease, looking at the incidence and prevalence of the disease, and investigating the pathophysiologic processes, contributions of genetics, and risk factors for Alzheimer's

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Clinical Management of the Older Adult with Osteoporosis

Presented by Kathryn Brewer, PT, DPT, MEd, GCS, CEEAA

Clinical Management of the Older Adult with Osteoporosis

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This course is part of our GCS Prep-Program. Learn more about the full prep-program here: MedBridge GCS Prep-Program.

Fifty-four million Americans are living with, or at risk of, osteoporosis and low bone mass, resulting in two million fractures every year. This course, the first in a three-part series presented by Dr. Kathryn Brewer, focuses on the clinical management of the older adult with osteoporosis. Osteoporosis is defined as a skeletal disorder characterized by compromised bone strength leading to an increased risk of fracture. This definition emphasizes the role of bone strength as a key to understanding fracture risk; one in two women and up to one in four men over the age of 50 will have an osteoporosis related fracture in their lifetime. Physical therapists have a vital role in contributing to patient education and intervention both before and after fracture to improve posture, core and spinal extension strength, balance/coordination, and muscle strength, ultimately reducing fall risk and risk for fracture.

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Impaired Muscle Performance and Sarcopenia

Presented by Stefany Shaibi, PT, DPT, OCS, GCS

Impaired Muscle Performance and Sarcopenia

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What factors impact muscle performance with aging? This course is designed to give the learner a thorough understanding of factors that can affect muscle performance during the aging process, including sarcopenia. The causes and effects of sarcopenia will be discussed, as well as a review of the current literature regarding interventions. At the end of this course, the learner will have a better understanding of impaired muscle performance and sarcopenia with regard to treating older patients.

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The Impact of Diabetes Mellitus in Geriatric Practice: Part 1

Presented by Kenneth L. Miller, PT, DPT, GCS, CEEAA

The Impact of Diabetes Mellitus in Geriatric Practice: Part 1

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The Centers for Disease Control and Prevention (CDC) estimate that 86 million U.S. adults currently have prediabetes leading to an increased risk of developing type 2 Diabetes, Stroke and Heart Disease. Type 2 diabetes is considered a preventable disease since contributing factors can be lack of physical activity, obesity, and socioeconomic factors which are all mostly modifiable. Physical Therapists working with the geriatric population must be knowledgeable of the disease process of diabetes, be able to instruct patients about reducing risk factors, and provide exercise prescription. Physical therapists are poised to provide preventative care to patients with diabetes. This course will provide the practicing geriatric physical therapist with the tools to address health behavior change and increase physical activity for patients with risk factors for developing diabetes.

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The Impact of Aging on Functional Mobility and Gait: Introduction

Presented by Julie Ries, PT, PhD

The Impact of Aging on Functional Mobility and Gait: Introduction

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This course is part of our GCS Prep-Program. Learn more about the full prep-program here: MedBridge GCS Prep-Program.

The motor task of walking is ultimately a product of the characteristics of the individual, the environment in which one is immersed, and the task(s) performed while walking. As physical therapists we must be mindful of all components and strategically integrate appropriate challenges when targeting gait interventions. This course is designed to present the predictable set of age related changes of temporal & spatial gait characteristics and review the environmental & task demands of community ambulation. The value of collecting gait speed data, and its relationship to health, function, and mortality are emphasized.

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Track Your Strength

The GCS Prep Program is based on practice areas in alignment with the Geriatric Description of Specialty Practice (DSP). Over 300 test questions are mapped to the DSP so participants can track their strengths and weaknesses to prepare for the exam.

See your strength in over 15 categories! Begin the GCS program today.

Practice Exam

Case Excerpt:

Your patient is a 68-year-old, active postmenopausal woman with no history of fracture or other joint disease. She has positive family history for osteoporosis; her mother had a hip fracture and her older sister recently had a vertebral compression fracture. She is osteopenic, has adequate calcium and Vitamin D intake, and wishes to avoid the progression of her condition and use of medications. She walks two miles per day and takes a Zumba class twice weekly. Your exercise and physical activity recommendations will be based on this information.

Question:

Principles of bone adaptation applied to older adults with osteoporosis include:
Correct! Incorrect! Subscribe to access over 300 more questions like this one.

The correct answer is "When strain is consistently high, formation exceeds resorption; therefore mass and strength are increased."

This is the basis for site-specific strengthening exercises.

Meet Our Instructors

Diana 'Dee' Kornetti, PT, MA, HCS-D

Diana 'Dee' Kornetti, a physical therapist for 30 years, is a past administrator and co-owner of a Medicare-certified home health agency. Dee now provides training and education to home health industry providers through a consulting business, Kornetti & Krafft Health Care Solutions. She serves as chief operations officer with her business partners Cindy Krafft and Sherry Teague. Dee is nationally recognized as a speaker in the areas of home care and standardized tests and measures in the fields of physical therapy, therapy training, and staff development in the home health arena. Dee is the immediate past editor of The Quarterly Report, a publication of the American Physical Therapy Association’s (APTA) Home Health Section, as well as a member of the Home Health Section’s Practice and Education committees. She currently serves as the president of the Home Health Section of the APTA and has been an active member in good standing since 1986. Dee also currently serves as the president of the Association of Homecare Coding and Compliance, and is a member of the Association of Home Care Coders Advisory Board and Panel of Experts. Dee is a published researcher on the Berg Balance Scale, and has co-authored APTA’s Home Health Section resources related to OASIS, goal writing, and defensible documentation for the practicing therapist. Dee has contributed chapter updates to the Handbook of Home Health Care Administration 6th edition, and co-authored a book, The Post-Acute Care Guide to Maintenance Therapy. Dee received her BS in Physical Therapy from Boston University’s Sargent College of Allied Health Professions, and her MA from Rider University in Lawrenceville, NJ. Her clinical focus has been in the area of gerontology and neurological disease rehabilitation.

Kenneth L. Miller, PT, DPT, GCS, CEEAA

Dr. Kenneth Miller has been an educator, physical therapist, and consultant for the home health industry for more than 20 years and serves as a guest lecturer, adjunct teaching assistant, and adjunct professor in the DPT program at Touro College in Bay Shore, New York. He has presented at the Combined Sections Meeting of the American Physical Therapy Association (APTA), the Educational and Leadership Conference of the American Council of Academic Physical Therapy and Education Section of the APTA, and the Annual Conference of the National Association for Home Care and Hospice on a variety of topics, including objective testing, professionalism, interdisciplinary team modeling, osteoporosis, differential diagnosis of dizziness, documentation, patient engagement, student program development, and home health regulations. He serves as chair of the Practice Committee of the Home Health Section (HHS) of the APTA. As the chair, he led the development of the "Providing Physical Therapy" section in the third edition of the home handbook, the Home Health Student Program Roadmap & Toolkit, and The Home Health Section Toolbox of Standardized Tests & Measures. He is a member of the editorial boards of the GeriNotes publication and of the Journal of Novel Physiotherapy and Physical Medicine, and is a manuscript reviewer for the Journal of Geriatric Physical Therapy and the Journal of Primary Care. Dr. Miller has authored numerous articles for the Journal of Geriatric Physical Therapy, GeriNotes, and the HHS newsletter, The Quarterly Report.

Cindy Krafft, PT, MS, HCS-O

Cindy Krafft brings more than 20 years of home health expertise that ranges from direct patient care to operational and management issues. Years spent in the homes of patients confirmed that she was in the best setting to focus on functionality and the specific challenges faced by each patient. Cindy recognizes that providing care in the home environment is different from providing care in any other setting, which is evident in both her training and consultation activities. For the past 10 years, Cindy has been a nationally recognized educator in the areas of documentation, regulation, therapy utilization, and OASIS. She has served in several national projects and been an expert resource for OASIS updates. Her focus is on providing the knowledge and tools to operationalize external requirements while keeping the driver of care where it needs to be—the needs of each patient being cared for in the home setting. Cindy has been involved at the senior leadership level of the Home Health Section of the American Physical Therapy Association for more than 10 years and is the immediate past president of that organization. She has been working with APTA and CMS to clarify regulatory expectations and address proposed payment methodologies to ensure the long-term participation of therapy services in home health. She has written two books—The How-to Guide to Therapy Documentation and An Interdisciplinary Approach to Home Care—and co-authored her third, The Post-Acute Care Guide to Maintenance Therapy.

Kate Brewer, PT, MPT, MBA, GCS, RAC-CT

Kate Brewer, PT, MPT, MBA, GCS, RAC-CT is the owner and President of Greenfield Rehabilitation Agency, Inc. Mrs. Brewer has a Baccalaureate degree in Communication and a Master’s Degree in Physical Therapy from Marquette University as well has her Master’s Degree in Business Administration from Cardinal Stritch University. Mrs. Brewer is a Certified Geriatric Clinical Specialist (GCS) by the American Board of Physical Therapy Specialties. As one of only 14 Geriatric Clinical Specialists in the state of Wisconsin, this certification recognizes advanced clinical knowledge, experience and skills in the evaluation and management of the geriatric client. Mrs. Brewer has been active in the Wisconsin Physical Therapy Association. She has served on the state’s Practice Committee, Finance Committee, Board of Directors, Executive Committee and Delegation, and as the District Chairperson and State Treasurer. Mrs. Brewer is also active nationally and has served on the Finance Committee and Editorial Board for Gerinotes for the Section on Geriatrics and on the Nominating Committee, Government Affairs and Practice Committee for the Section on Health Policy and Administration. Mrs. Brewer has also enjoyed serving on the Board of Directors for the Wisconsin Chapter for the American College of Healthcare Executives. She is the author of the book “Nursing and Therapy Documentation in Long Term Care – Skills for Collaboration and Compliance" with Theresa Lang, “The How To Manual for Rehab Appeals and Denials,” “Restorative Nursing Made Easy,” “The Essential Guide to Rehab Management” and “ICD-9 Coding for Therapy Professionals.”

Ellen R. Strunk, PT, MS, GCS, CEEAA, CHC

Ellen R. Strunk, PT, MS, GCS, CEEAA, CHC, has worked in various roles and settings as both a clinician and manager/director: hospital, transitional care, Director of Rehab for a hospital home health agency, Clinical Consultant, Director of a HH staffing division, and Director of Governmental Affairs for a company providing rehab services in long-term care, home health, and outpatient settings. Presently, Ellen is the owner of Rehab Resources & Consulting, Inc., a company providing continuing education and consulting services for post-acute care settings. For the past seven years, she has specialized in helping clients understand and navigate the CMS regulations for post-acute care settings, as well as how to prepare for the transition to a value-based system. Ellen is passionate about delivering medically necessary therapy services in these settings and lectures nationally on the topics of pharmacology for rehabilitation professionals, exercise and wellness for older adults, the importance of functional outcomes, and coding/billing/documentation for therapy services. Ellen is a member of the American Physical Therapy Association, where she has served on a Payment Policy Strategy Committee advising the APTA Board of Directors on payment policy in all settings. She is a member of the APTA Section on Geriatrics, the APTA Home Health Section, and the APTA Health Policy & Administration Sections. She serves on a state level as the President of the Alabama Physical Therapy Association and as its Practice & Reimbursement Chair. She is a member of the American Health Care Association, where over the last three years she has been a part of a therapy workgroup to develop a national quality measure for rehabilitation.

Jennifer Bottomley, PT, MS, PhD

Jennifer M. Bottomley, PT, MS, PhD, embodies the characteristics of leadership, having worked on committees and task forces and behind the scenes to advance the goals and vision of the profession of physical therapy for 40 years. Bottomley is an independent geriatric rehabilitation program consultant, advisor, and educator. Previously, she held clinical roles at Sunspectrum of Concord’s Outpatient Division of Sundance Rehabilitation, Hillhaven Corporation, and Cushing Hospital. She has been a faculty member at Harvard Medical School’s Division on Aging and MGH Institute of Health Professions, and has been associated with University Hospital of Boston and Henry Ford Hospital. She holds a PhD in Health Sciences from Union Institute of Cincinnati, PhD in Gerontology from the University of Massachusetts, MS from MGH Institute of Health Professions, and BS from the University of Wisconsin. Bottomley's colleagues report that she employs the qualities of listening, awareness, persuasion, and foresight when advocating for APTA to develop the governance department; she played a vital role in the conceptualization of the department itself. In addition, she had the foresight to advocate for APTA to recognize the importance of the profession in Medicare law and regulations. Because of her efforts, APTA made lobbying from the geriatric perspective a priority. Bottomley participates in Lobby Day at the State House, has served as a key contact for the Massachusetts Chapter, and is a key contact for APTA’s Department of Government Affairs as well. As a clinician, she has long recognized the importance and value of providing pro bono services and is active in elder homeless initiatives, including incorporating student physical therapists into the provision of pro bono services, a first for the state of Massachusetts. A member of APTA since 1971, Bottomley has been involved with the Wisconsin, Michigan, and Massachusetts chapters, and has been active in the Section on Geriatrics since 1986, including as president and vice president. Within her community, she volunteers with free screening for the elderly in low-income housing projects. She has been honored with numerous awards, including the Mary MacDonald Distinguished Service Award, the Section on Geratrics’ Service Award, APTA's Recognition & Appreciation Award, the Maley Lectureship, and the Rich Kessler Memorial Award from the Massachusetts Chapter.

Jennifer Ryan, PT, DPT, MS, CCS

Jennifer Marie Ryan, PT, DPT, MS, CCS, graduated from the Physical Therapy program at the University of Illinois in 1990 and went on to complete both a Master of Science in Physical Therapy and a Transitional Doctor of Physical Therapy degree at Rosalind Franklin University of Medicine and Science. In July 2006, she was awarded board certification as a Cardiovascular and Pulmonary Clinical Specialist by the American Board of Physical Therapy Specialties. In 2012 she was awarded the Mary Sinnott Award for Excellence in Acute Care and she was awarded the Acute Care Section Lecture for 2014. Throughout her physical therapy career, she has specialized in physical therapy care for critically ill patients. In her current position at the University of Chicago Medical Center she mentors staff and students about management of acutely ill patients along with her patient care. Her teaching in the area of cardiovascular and pulmonary physical therapy includes several continuing education seminars, and as a contract faculty member in the Department of Physical Therapy and Human Movement Sciences, Northwestern University, Feinberg School of Medicine. She serves as: a delegate from the Illinois Chapter of the American Physical Therapy Association, the Education Chair for the Cardiovascular and Pulmonary Section of APTA, and as a member of the Subject Matters Expert Task Force of the Acute Care Section of APTA. She founded Rehab Education Formula, an online resource for therapist-focused education.

What's Included in the Program

Advanced Courses

Choose from over 50 online, video-based courses taught by the experts

Practice Questions

Study with over 300 practice questions and recommended journal articles

Group Study

Prepare on your own or with others sitting for the exam

Structured Program

Improve your expertise with this 20-week program designed specifically for the GCS exam

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