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Fall and My Last Message

Pfalzer, Lucinda (Cindy) PT, PhD, FACSM, FAPTA

doi: 10.1097/01.REO.0000000000000185

Editor of Oncology Rehabilitation, and Emeriti Professor, Physical Therapy Department, University of Michigan-Flint, Flint, MI

Correspondence: Lucinda (Cindy) Pfalzer, PT, PhD, FACSM, FAPTA, Physical Therapy Department, University of Michigan-Flint, 2157 WSW Bldg, Flint, MI 48502 (

The author declares no conflicts of interest.

Fall makes me think about endings and beginnings. There are many articles to highlight in this issue, as well as highlight the Academy and oncologic physical therapy (PT) activities. I'll begin with this issue's Executive Summary of the second American College of Sports Medicine's (ACSM's) Cancer Roundtable. The Academy and APTA participated in this multidisciplinary, international roundtable. The roundtable produced 3 articles related to cancer, physical activity, and exercise guidelines that mark significant progress in evidence for practice. The executive summary is published along with a podcast on the journal home page; while 2 of the articles are published in Medicine & Science in Sports & Exercise (ACSM's official journal), the third article is published in the American Cancer Society journal, CA: A Cancer Journal for Clinicians. This is a must read for oncologic physical therapists.

The rest of this issue is focused on pediatric oncology PT including in the online issue the Research Round-Up related to technology-based interventions, Clinical Conversation related to evaluations prior to bone marrow transplant, and the Case Report, titled “Functional Comparison of a Pediatric Patient With Osteosarcoma and Limb-Sparing Distal Femoral Endoprosthesis to an Identical Twin,” and finally, in the print issue, 2 research reports with one report, titled “ReActivate—A Goal-Orientated Rehabilitation Program for Adolescent and Young Adult Cancer Survivors,” and a cross-sectional descriptive study, titled “Multidimensional Outcome Measurement of Children and Youth With Neuropathy Following Treatment of Leukemia.”

The journal continues to break new ground with the option for members to have a digital subscription to the journal. You must e-mail Suzie Callan, the Academy's executive director, to request the digital (online) subscription option for the journal. Please do not contact the editor or publisher.

More beginnings or endings depending on your perspective; as the Oncology Academy, the first cohort of ABPTS board certified oncologic clinical specialists were notified “they passed.” Thank you to those pioneering physical therapists who applied to take the first examination. If you are a new oncologic clinical specialist, consider volunteering with ABPTS and the Oncology Specialty Council as a member of the Specialization Academy of Content Experts (SACE) to author items for the examination. Thank you to all the new clinical specialists already serving as members of SACE.

Clinical specialization is a reality with the second examination offered in late February and early March of 2020. Good luck and study! To that end, the journal under the leadership of senior editor, Mary Fisher, and in partnership with the APTA Learning Center continues “ONCOReads,” an Academy professional development and continuing education opportunity to earn CEUs while reading a journal article and taking and passing a posttest examination through the APTA Learning Center, and the ACSM Cancer Roundtable Executive Summary is one of these “ONCOReads,” with 2 CEUs learning opportunities. The journal continues to provide free access to 29 EDGE systematic reviews of about 300 outcome measures used in oncologic PT practice published in the journal that provide new and better evidence for practice. Please check out the collections tab to easily locate the EDGE systematic reviews—it may save you some valuable time searching for outcome measures and evidence for practice. For those of you studying for the second specialization examination, you will find the collections tab an easy way to pull up a topic for review. Several new Oncology PT Residency programs are underway in candidacy (2), in accredition (2), or in development. You can find this information in the Directory of Residency Program at: If you are a new oncologic clinical specialist, consider becoming a faculty member or mentor or develop a residency program.

Our fourth reader survey to better meet the mission of the journal and academy will be sent out in late fall in November. Please take the time to complete the reader survey. Know that your responses to the reader survey inform the direction of the journal and future plans, and do not hesitate to contact me with any additional feedback you have for the journal at cpfalzer@umich. For example, “ONCOReads” was developed on the basis of member feedback we received on the survey. The Editorial Board and I look forward to your feedback. Having said that, I am frequently reminded that the arc of history is long and we are in this journey together to improve oncologic PT practice. With all our progress, for clinicians, the challenges to streamline documentation, implement reimbursement requirements, meet continuing competence requirements, increase referrals, etc, may slow implementation of models of care that are more effective and efficient such as prospective surveillance and prehabilitation. We need all of the contributions of our “new” clinical specialists, physical therapists, and physical therapist assistants to help cancer survivors “Choose PT.”

As it is fall, the relatively new balance and falls Special Interest group (ONC BF SIG) is busy with fall prevention. The SIG Web page URL is, and the SIG is listed on the members' page as well ( The Listserv is available for members to subscribe via the Listserv page ( and the e-mail address utilized for the Listserv is If you practice with older cancer survivors, consider volunteering and get involved with the SIG.

Winter is approaching and this means the January special issue on PT in hospice and palliative care and CSM are around the corner. From the Academy in this issue is your opportunity for some excellent continuing education—the announcement of the preconference courses offered at CSM in 2020. Please review the slate of candidates for Oncology Academy offices in this issue and VOTE. At CSM, it is always great to see so many old and new friends at the Academy programming, “Celebration of Life” reception, and section booth. The reception will have a little something new this year; the celebration of the first 68 ABPTS board certified oncologic clinical specialists. Swing by the celebration and congratulate these new clinical specialists. Take some time in your busy CSM schedule to visit the Academy booth at CSM and get up-to-date information from the Academy and see our journal or visit Wolters Kluwer in the exhibit hall and see our journal at its booth. Interested in submitting a manuscript to the journal? Pick up the information on the call for papers postcard or go to the instructions for authors at If you do research or practice in balance and falls in cancer survivors, pick up the call for papers for the January 2021 special issue with Guest Editor Min Huang, PT, PhD, neurologic clinical specialist.

Do not forget to check for epubs ahead-of-print on the journal home page or the collections on the home page to speed up you literature searches. Look for the Abstracts of 2020 CSM Research Presentations (Platforms/Posters) as an epub ahead-of-print around December and consider attending the research platforms at CSM or visit the research posters and speak with the author. Please consider submitting your research and case reports to the journal to continue to move our science and evidence for practice forward. Finally, the fall issue as the last issue of the year is where I get the opportunity to give thanks for the hard work and the dedication of the authors, reviewers, and associate editors, and our publisher. This journal would not exist without your efforts. Thinking of CSM tells me the holidays are around the corner and this is my last issue as editor. Signing off I wish you a wonderful holiday season. I know I leave our journal in good hands. Please welcome your new Editor-in-Chief, Mary Fisher, PT, PhD, board-certified orthopedic clinical specialist and certified lymphedema therapist, from the University of Dayton, Dayton, Ohio. You may e-mail her at:

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