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Course: Innovations in Rehabilitation for the Infant with Chronic Critical Illness

The 2019 course has ended. Stay tuned for the next year.

This multidisciplinary continuing education opportunity will focus on therapy interventions for the infant who has experienced chronic critical illness in the context of a prolonged intensive care hospital stay. The course will benefit physical therapists, occupational therapists and speech-language pathologists  who work with critically ill infants. Learn about the pediatric rehabilitation program at Johns Hopkins.

Course Objectives:

  • Appraise the evidence and best practices supporting the rehab of the infant with chronic critical illness
  • Identify roles of multidisciplinary team members in infants with long term ICU stays
  • Discuss strategies for the multidisciplinary team to impact neurodevelopment and function
  • Identify strategies and equipment to facilitate positioning for optimal engagement and play
  • Provide family centered care strategies to engage caregivers
  • Discuss the impact of the environment on the family unit


View disclosures.

8:00 - 8:15 AMWelcome, Objectives and Schedule for the DayJulie Quinn, PT, MSEd
Tiffany Gooding PT, MPT
8:15 - 8:30 AMCase Presentation/Interview with a Family with an Infant with CCIKerry Vela, P.T., D.P.T., C.I.M.I.
Emily Rogers, P.T., D.P.T.
8:30 - 9:45 AMOptimizing Development and Mobility in the Infant with Chronic Critical Illness Kerry Vela, P.T., D.P.T., C.I.M.I.
Emily Rogers, P.T., D.P.T.
9:45 - 10:00 AMBreak 
10:00 - 10:45 AMTherapeutic Strategies to Improve Respiratory SupportAna Maria Jara, P.T., D.P.T.
10:45 AM - 12:00 PMSupporting Feeding for Infants with Chronic Critical IllnessYun Kim, M.S., O.T.R./L., C.P.S.T., C.L.C.
Julie Blanshan Brett, M.A., C.C.C./S.L.P.
Cynthia Bozarth, MS, C.C.C./S.L.P.
12:00 - 1:00 PMLunch 
1:00 - 1:30 PMVision Drives MotorYun Kim, M.S., O.T.R./L., C.P.S.T., C.L.C
1:30 - 2:30 PMEquipment Strategies to Promote Success Across the ContinuumTiffany N. Gooding, P.T., M.P.T.
Angela Royer, M.S., O.T.R./L.
2:30 - 2:45 PMBreak 
2:45 - 3:15 PMEmotional Experience of the Infant during HospitalizationLacy Chavis, Psy.D.
3:15 - 4:00 PMEmpowering Families to be Part of the Care Team Holly Loosen, P.T.
Lacy Chavis, Psy.D.
4:00 - 5:00 PMExpert Panel with SpeakersAll speakers

Speakers and Bios

Lacy Chavis, Psy.D.

Lacy Chavis

Pediatric Psychologist

Lacy Chavis is the clinical director of psychosocial services for the Maternal, Fetal & Neonatal Institute at Johns Hopkins All Children’s Hospital. She specializes in infant neurodevelopment, perinatal mental health and trauma. Dr. Chavis participates on many national committees to advance the practice of infant and maternal mental health.

Julie Blanshan Brett, M.A., C.C.C./S.L.P.

Julie Brett

NIDCAP Professional, Certified Lactation Consultant

Julie Brett is a pediatric speech-language pathologist at Johns Hopkins All Children’s Hospital. She has 20 years of pediatric experience. She specializes in infant feeding in the neonatal intensive care unit and cardiovascular intensive care unit, and works with cleft lip and palate infants, as well as trauma patients.

Cynthia Bozarth, M.S., C.C.C./S.L.P.

Cindy Bozarth

Cynthia Bozarth is a pediatric speech-language pathologist specializing in dysphagia in medically fragile infants. During her 16 years at Johns Hopkins All Children’s Hospital, her areas of interest grew to include infants born with cardiac defects and premature infants. She serves as a member of the Feeding Enhancement Program, co-leader of Infant-Driven Feeding in the neonatal intensive care unit and advocate/educator in the neonatal intensive care unit.

Tiffany N. Gooding, P.T., M.P.T.

Tiffany Gooding

Board-Certified Pediatric Clinical Specialist

Tiffany Gooding is a physical therapy regional manager at Johns Hopkins All Children’s Hospital. She has 14 years of pediatric physical therapy experience with specializations in serial casting, torticollis and pediatric durable medical equipment in the outpatient setting.

Ana Maria Jara, P.T., D.P.T.

Ana Maria Jara

NIDCAP Professional, Certified Pediatric Massage Therapist, Certified Kinesio Tape Therapist, Certified Manual Therapist

Ana Maria Jara has worked as a pediatric physical therapist for the past 28 years, with the last 15 in a level IV neonatal intensive care unit and cardiovascular intensive care unit at Johns Hopkins All Children’s Hospital. Jara received her bachelor’s degree in physical therapy from the Catholic University of Chile in 1989 and obtained her doctoral degree in physical therapy at the University of Texas Medical Branch. She has dedicated her career to clinical care, advancing developmental care practice and education for all multidisciplinary team members at Johns Hopkins All Children’s Hospital.

Yun Kim M.S., O.T.R./L., C.P.S.T., C.L.C.

Yun Kim

Yun Kim is an occupational therapist at Johns Hopkins Children’s Center. Kim began her career at Johns Hopkins in adult neurology as a certified occupational therapy assistant in 2008. In 2012, Kim graduated from Misericordia University’s occupational therapy program. She transferred to pediatrics in 2012 and began focusing on neonatal and pediatric intensive care with emphasis on visual development and feeding. She is the lead occupational therapist in the nurturing environmental support team (NEST). As a lactation counselor, one of her passions is to promote breastfeeding for fragile infants.

Holly Loosen, P.T.

Holly Loosen

Holly Loosen earned her bachelor of science in physical therapy degree from the University of North Carolina in 1994 and is currently practicing at Johns Hopkins Children’s Center. Her interests include cystic fibrosis, pediatric cardiopulmonary disease, trauma and burn care, as well as treating medically complex patients in the neonatal intensive care unit and the pediatric intensive care unit. She has presented at local and international conferences on various topics related to cystic fibrosis and early mobility in the intensive care unit. Loosen is a champion for patient- and family-centered care and actively serves as a staff representative on the Pediatric Family Advisory Council at Johns Hopkins Children’s Center.

Emily Rogers, P.T., D.P.T.

Emily Rogers

Emily Rogers attended Virginia Tech for her undergraduate degree in biology and The George Washington University for her doctorate in physical therapy. She has spent her career as a physical therapist at The Johns Hopkins Hospital, specializing in pediatrics for the past eight years. She specializes in infant care in the NICU and PICU as well as the pediatric oncology population.

Angela Royer, M.S., O.T.R./L.

Angela Royer

Interactive Metronome Certified, Integrated Listening Systems & Child Passenger Safety Technician

Angela Royer graduated from the University of New Hampshire in 2011 with her master’s degree in occupational therapy. She began her career as an occupational therapist in early intervention, where she worked in patients’ homes for two years. Royer has devoted the last five years to working with durable medical equipment and assistive technology.

Kerry Vela, P.T., D.P.T., C.I.M.I.

Kerry Vela

Board-Certified Pediatric Clinical Specialist

Kerry Vela graduated from West Virginia University in 2007 with her master’s degree in physical therapy. The same year, she began working at The Johns Hopkins Hospital treating adult patients undergoing orthopaedic surgery and kidney/liver transplants. Pursuing her passion for working with children, Vela transitioned to Johns Hopkins Children’s Center in 2008. She continued her education at Drexel University, earning her post-professional doctorate of physical therapy degree with a focus in pediatrics in 2011. In 2014, Vela became a board-certified pediatric clinical specialist with a special interest in critically ill infants in the neonatal and pediatric intensive care units. She is the lead physical therapist in the nurturing environmental support team (NEST) and is involved in institutional review board studies focusing on infant positioning in the intensive care units.


The Johns Hopkins Hospital
Schaffer Auditorium
Bloomberg Children’s Center – Main Level
1800 Orleans Street 
Baltimore, MD 21287

Continuing Education Credits

The course has been approved by the Maryland Board of Physical Therapy Examiners for 0.7 CEUs (7 contact hours.) 

This activity is approved for a maximum of 0.7 AOTA CEUs.

This program is offered for 0.75 ASHA CEUs (Various level; Professional area).

ASHA CEU disclaimer

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