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TBI Provider Education

TBICoE offers training opportunities and resources along the care continuum of TBI management from prevention to recovery for military and civilian health care providers. These trainings and educational materials support TBICoE's provider resources, are free, and some offer continuing education credit.

TBI educators, known as regional education coordinators, are available to provide in-person or virtual training on our clinical tools. Email TBICoE's dissemination team to be connected with an REC nearest you.

Online Training on Joint Knowledge Online

Progressive Return to Activity Provider Training — DHA-US1226

TBICoE has developed and launched the Progressive Return to Activity Provider Training on DOD’s training platform, Joint Knowledge Online. The PRA JKO training is a convenient, detailed course that breaks down key concepts of the PRA clinical recommendation. This training includes periodic knowledge checks, interactive content, and a case study to test the learner’s understanding of the content. There's a one-hour continuing education credit attached through DHA’s Continuing Education Program Office. (CAC authentication required) Other training resources for the PRA are available below that don't require CAC authentication.

DHA-US1226 Progressive Return to Activity Training

Management of Headache Following Concussion — DHA-US1112

Management of Headache Following Concussion course is available on JKO, is accredited by the DHA, J-7, Continuing Education Program Office, and offers one credit hour to providers, nurses, pharmacists, and physician assistants. A certificate of attendance is available for other attendees. This training teaches participants about the most common types of post-traumatic headaches along with the assessment and management of these headaches. (CAC authentication required)

DHA-US1112 Management of Headache Following Concussion

Cognitive Rehabilitation for Service Members and Veterans Following Mild to Moderate TBI

This virtual training provides guidance on the clinical recommendation and associated web tool through a collaboration between TBICoE and the Veterans Health Administration Employee Education System, VHA Train. Continuing education units are offered for occupational therapists, speech language pathologists*, and psychologists. DOD providers must set up a VHA TRAIN account to take the training.

*Participants interested in ASHA credit may print a general certificate of participation at the end of the course and submit directly to their ASHA/CE broker for credit.

Go to the training on VHA TRAIN

Self-guided Educational Materials

TBICoE provides complementary educational materials for some of our clinical recommendations and tools on the treatment of mild TBI.

The following videos make up the PRA self-guided video training series and are designed to support primary care providers' ability to manage concussion/traumatic brain injury. Download the easy-to-use Progressive Return to Activity clinical suite on the provider resources page.

For additional provider education information, email your request to the dissemination team.

Instructor-led Virtual Training

Application of Acute Concussion Care Pathway: MACE 2 & PRA Training

This is a combined Military Acute Concussion Evaluation 2 and PRA clinical recommendation virtual training. These clinical tools align with the "DHA-PI 6490.04: Required Clinical Tools and Procedures for the Assessment and Clinical Management of mTBI in Non-Deployed Setting." Attendees may earn two CEUs through the Defense Health Agency Continuing Education Program Office.

TBICoE's Quarterly Education Series

The Quarterly Education Series is an enterprise-wide learning opportunity for MHS stakeholders. Since inception, the QES provides trainings and events that are relevant to the MHS, discussing specialty topics and current research related to traumatic brain injury.

Anomalous Health Incident Acute Assessment Training

TBICoE has developed a training for MHS providers on Anomalous Health Incident Acute Assessment. This training occurs quarterly and will introduce learners to AHI and review assessment and treatment strategies. Detailed guidance on how to complete a medical evaluation using Anomalous Health Incident Acute Assessment (DHA Form 244), will be provided. Continuing education credit is available.

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Publication
Apr 7, 2023

2022 TBICoE Publication Catalog

.PDF | 577.80 KB

TBICoE publication citations and summaries are organized by category, or overarching research topic. The purpose of this document is to (1) summarize key findings and potential clinical implications of calendar year 2022 TBICoE publications, (2) increase awareness, and (3) assist in planning of future efforts.

Publication
Mar 17, 2023

TBICoE Research Review: Chronic Traumatic Encephalopathy

.PDF | 1.87 MB

The purpose of this Research Review is to summarize current peer-reviewed scientific literature and expert assessment regarding the pathology, genetic pre-disposition, causes, clinical manifestations, and neuroimaging of chronic traumatic encephalopathy.

Video
Jul 22, 2021

PRA Training Video 8: Clinical Case Scenario

Thumbnail image of PRA training video 8, clinical case scenario.

This is an interactive clinical case scenario to test your understanding in applying the Progressive Return to Activity (PRA). We hope this will help medical providers become more familiar with the PRA process when treating service members with concussion. Each video in the PRA training series is designed to support primary care providers' ability ...

Video
Jul 22, 2021

PRA Training Video 6: The Return to Duty Screening

Thumbnail image of PRA training video 6, the return to duty screening

In this lesson, we cover how to perform the Return to Duty, or RTD screening, which now includes both vestibular/physical and neurocognitive examinations. The purpose of the RTD screening is to objectively measure whether a service member is ready for return to full duty. Each video in the Progressive Return to Activity training series is designed ...

Video
Jul 22, 2021

PRA Training Video 1: PRA Overview

Thumbnail image of PRA training video 1, PRA overview.

In the first of TBICoE's Progressive Return to Activity (PRA) video training series, you will learn about the reasons for using a progressive return to activity process and receive an overview of the 2021 PRA algorithm and its associated tools. By the end of lesson one, providers will better understand the PRA process, and explain that process to ...

Video
Jul 22, 2021

PRA Training Video 7: Symptom-Guided Management and Specialty Referral Guidance Tables

Thumbnail image of PRA training video 7, the symptom-guided management and specialty referral guidance tables.

This lesson covers how to use the Progressive Return to Activity, or PRA's Symptom-Guided Management and Specialty Referral Guidance tables. This lesson also details primary care management strategies for service members who are not progressing as expected in the PRA. Each video in the Progressive Return to Activity training series is designed to ...

Video
Jul 22, 2021

PRA Training Video 3: Understanding Relative Rest

Thumbnail image for PRA Training video 3, understanding relative rest

In this lesson we explain the differences between complete rest and relative rest in a staged concussion recovery process, and provide examples of activities that promote relative rest. The revised Progressive Return to Activity (PRA) Clinical Recommendation uses the term 'relative rest' to emphasize the importance of early introduction of physical ...

Video
Jul 22, 2021

PRA Training Video 5: The Six Stages of the PRA

Thumbnail image for PRA training video 5, the six stages of the PRA

In this lesson, we cover the key activity objectives for each of the six stages of the Progressive Return to Activity (PRA) Clinical Recommendation and provide activity examples for each stage. Each stage is designed to gradually increase the intensity and duration of a service member's physical and cognitive activity as they advance in the PRA ...

Video
Jul 22, 2021

PRA Training Video 2: Six Major Changes

Thumbnail image of PRA Training Video 2, Six Major Changes

In this lesson we review the six major changes in the TBICoE's revised 2021 Progressive Return to Activity (PRA) Clinical Recommendation that differ from the original recommendation. The changes reflect the latest TBI research, and will make it easier for providers to manage the recovery process and return service members with concussion to full ...

Video
Jul 22, 2021

PRA Training Video 4: PRA Progression Criteria

Thumbnail image for PRA Training video 4, PRA progression criteria

In this lesson, we review the criteria for advancing through the stages of the Progressive Return to Activity (PRA) Clinical Recommendation. Each video in the PRA training series is designed to support primary care providers' ability to manage concussion/traumatic brain injury (TBI).

Publication
Feb 23, 2021

Progressive Return to Activity Following Acute Concussion/Mild TBI Provider Training

.PPTX | 7.22 MB

The TBICoE revised the Progressive Return to Activity Following Acute Concussion/Mild Traumatic Brain Injury Clinical Recommendation (PRA) and this updated provider training slide deck. The trainings objectives will help providers to identify the key changes to the updated 2021 PRA; explain the rationale for using a PRA protocol for service members ...

Last Updated: December 15, 2023
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