Mayo Clinic Rehab in the ICU: An Interdisciplinary Approach - General Sessions
Course Directors: Heather Clark, PhD , Patrick Cornelius, PT, DPT, CCS, Ben Dobson, PT, DPT, MBA, Andrea (Annie) Johnson, APRN, CNP , Richard Oeckler, MD, PhD, and Caitlin Polley, PT, DPT, CCS
This course is available until March 5, 2026
The Mayo Clinic Rehab in the ICU: An Interdisciplinary Approach provides novel ideas that build and reinforce the objectives from the first conference while offering knowledge and insight into rehabilitation feasibility and safety. Psychosocial elements of the patient in the intensive care unit, and necessary knowledge and skills to foster rehabilitation of both adult and pediatric patients in the intensive care unit within small and large medical institutions are also discussed.
This conference is important for multiple healthcare stakeholders as the demand for rehabilitation services embedded in the intensive care unit and the medical complexity of those patients increases. This conference hosts diverse curriculum and multidisciplinary presenters, including colleagues from psychology, speech/neurology, nursing, therapy services and physicians.
It offers both an adult and pediatric track along with shared content, including lessons learned in the recent pandemic such as PICS and rehabilitation for patients with post-COVID long haulers syndrome.
New this year are topics focused on the perspectives of care from social work, psychology, pediatric OT/PT and speech therapy disciplines. In addition to intervention strategies to foster critical thinking among rehabilitation staff to support novice practitioners in the intensive care units.
Occupational therapists, occupational therapy assistants, physical therapists, physical therapist assistants, nurses, medical professionals, physicians, and administrative stakeholders in acute care.
Upon completion of this activity, participants should be able to:
- Describe levels of sedation and symptoms of delirium
- Select strategies that promote early activity and mobility
- Recall psychosocial elements of care provided to patients and families during and following their stay in intensive care; and self-care to support well-being of professionals providing care in the ICU
- Identify educational and training elements that optimize clinical reasoning, safety, and comfort within an interdisciplinary team
Utilization of this Mayo Clinic online (enduring materials) course does not indicate nor guarantee competence or proficiency in the performance of any procedures which may be in this course.
|Course Directors||Mayo Faculty|
Heather Clark, PhD
|Emily Axelson, SLP|
Emily Schmitt, OTR/L
Mary McCoy, CCLS
Macaila Eick APRN, CNP, ACHPN
Missy Smith, ARPN, CNP
Jamie Heyliger, Pharm.D.
Shannon Piche, Pharm.D.
Andrea (Annie) Johnson, APRN, CNP
Brenda Schiltz, MD, MS, MA, FAAP
Andrea Lehnertz, APRN, CNS, MSN
Ashley Bailey, RN
Tiffany Volk, RN
Nanette Matzke, RRT, LRT
Melinda Dallavalle, RRT
Emily McTate, PhD. LP
Eli Grace, RN
Paula Hampel, CCLS
Laurie Mellon, PT, DPT
Richard Oeckler, MD
Yu Kawai, MD
Jason Rathbun, DPT
Stephanie Ritter, OTR
Devin Roloff, MBA
|Faculty Member||Relevant Financial Relationship(s)||Relevant Non-Financial Relationship(s)|
|Emily Axelson, SLP||Mayo Clinic Employee||No relevant non-financial relationships|
|Emily Schmitt, OTR/L||Mayo Clinic Employee||No relevant non-financial relationships|
|Ellen Butterfass, OTR/L||Mayo Clinic Employee||No relevant non-financial relationships|
|Emily Hosfield, MS, CCC-SLP||Mayo Clinic Employee||No relevant non-financial relationships|
|Darcie Simpson, PT, DPT, PCS||Mayo Clinic Employee||No relevant non-financial relationships|
|Mary McCoy, CCLS||Mayo Clinic Employee||No relevant non-financial relationships|
|Maureen Howell, MT-BC||Mayo Clinic Employee||No relevant non-financial relationships|
|Macaila Eick APRN, CNP, ACHPN||Mayo Clinic Employee||No relevant non-financial relationships|
|Missy Smith, ARPN, CNP||Mayo Clinic Employee||No relevant non-financial relationships|
|Lydia Geiszler, MOT, OTR/L||Mayo Clinic Employee||No relevant non-financial relationships|
|Casey Schneider, MSOT, OTR/L||Mayo Clinic Employee||No relevant non-financial relationships|
|Jamie Heyliger, Pharm.D.||Mayo Clinic Employee||No relevant non-financial relationships|
|Shannon Piche, Pharm.D.||Mayo Clinic Employee||No relevant non-financial relationships|
|Andrea (Annie) Johnson, APRN, CNP||Mayo Clinic Employee||No relevant non-financial relationships|
|Brenda Schiltz, MD, MS, MA, FAAP||Mayo Clinic Employee||No relevant non-financial relationships|
|Andrea Lehnertz, APRN, CNS, MSN||Mayo Clinic Employee||No relevant non-financial relationships|
|Ashley Bailey, RN||Mayo Clinic Employee||No relevant non-financial relationships|
|Tiffany Volk, RN||Mayo Clinic Employee||No relevant non-financial relationships|
|Nanette Matzke, RRT, LRT||Mayo Clinic Employee||No relevant non-financial relationships|
|Melinda Dallavalle, RRT||Mayo Clinic Employee||No relevant non-financial relationships|
|Emily McTate, PhD. LP||Mayo Clinic Employee||No relevant non-financial relationships|
|Eli Grace, RN||Mayo Clinic Employee||No relevant non-financial relationships|
|Paula Hampel, CCLS||Mayo Clinic Employee||No relevant non-financial relationships|
|Laurie Mellon, PT, DPT||Mayo Clinic Employee||No relevant non-financial relationships|
|Richard Oeckler, MD||Mayo Clinic Employee||No relevant non-financial relationships|
|Yu Kawai, MD||Mayo Clinic Employee||No relevant non-financial relationships|
|Jason Rathbun, DPT||Mayo Clinic Employee||No relevant non-financial relationships|
|Stephanie Ritter, OTR||Mayo Clinic Employee||No relevant non-financial relationships|
|Devin Roloff, MBA||Mayo Clinic Employee||No relevant non-financial relationships|
|Jessi Strikwerda, PT, DPT||Mayo Clinic Employee||No relevant non-financial relationships|
|Jillene Chitulangoma, PT, DPT||Mayo Clinic Employee||No relevant non-financial relationships|
|Cristina Sisneros OTD, OTR/L||Mayo Clinic Employee||No relevant non-financial relationships|
|Catherine Shonley, M.A., CCC-SLP||Mayo Clinic Employee||No relevant non-financial relationships|
|Heather Clark, PhD||Mayo Clinic Employee||No relevant non-financial relationships|
|Patrick Cornelius, PT, DPT, CCS||Mayo Clinic Employee||No relevant non-financial relationships|
|Ben Dobson, PT, DPT, MBA||Mayo Clinic Employee||No relevant non-financial relationships|
|Brad King, PT, DScPT, MSEd||Mayo Clinic Employee||No relevant non-financial relationships|
|Caitlin Polley, PT, DPT, CCS||Mayo Clinic Employee||No relevant non-financial relationships|
|Emily Axelson, SLP|
Emily is a Speech Language Pathologist and acute Speech Pathology lead at Mayo Clinic. She has worked as an SLP for 13 years and has worked at Mayo Clinic for 8 years. She has a special interest in evaluation and treatment of medically complex patients including those with neurologic injury, tracheostomy, and/or ventilator dependence to address communication, cognition, and swallow. She has worked with teams on a Quality Improvement Project that improved processes for managing patients with tracheostomy and speaking valve in the respiratory care unit. She is currently working with PM&R to apply best practice guidelines for patients with disordered consciousness.
|Emily Schmitt, OTR/L|
Emily Bodensteiner Schmitt has worked at Mayo Clinic Rochester as an occupational therapist since September 2016, and her career to date has been dedicated to ICU rehab. She currently serves at the ICU clinical lead OT, and she is a Mayo Clinic Gold Quality fellow. She is actively involved in research, projects, committees, and presentations related to the ICU embedded therapy model, delirium management, and Post-Intensive Care Syndrome. Emily completed her Master of Occupational Therapy degree at the University of Minnesota Rochester in 2016 and her Occupational Therapy Doctorate at University of St. Augustine for Health Sciences in 2022.
|Mary McCoy, CCLS|
Mary McCoy, CCLS - Mary McCoy, CCLS, MA is the child life specialist supporting children and families in the pediatric intensive care unit at Mayo Clinic - Rochester. She completed a bachelor’s degree at the University of Minnesota- Rochester in Health Sciences in 2013. In 2017, she began working as a Certified Child Life Specialist at Mayo Clinic. Mary completed her Master’s in Applied Child and Adolescent Development with an emphasis on Child Life and a minor in Integrative Therapies from the University of Minnesota in 2021. She has experience as a CCLS supporting families throughout inpatient and outpatient settings. Most recently she has supported families on General Pediatrics, inpatient physical rehab, and currently the PICU. Mary is passionate about providing family-centered care that emphasizes family-child attachment and play based therapeutic opportunities.
|Macaila Eick APRN, CNP, ACHPN|
Macaila Eick APRN, CNP, ACHPN - Macaila graduated with her Bachelor of Science degree in Nursing from Midland Lutheran College in Fremont, NE and then worked for seven years as a Med/Surg and ICU nurse in Des Moines, IA. Macaila completed her Master of Science degree as a Family Nurse Practitioner from Drake University in Des Moines and then moved to Rochester to start her NP career at Mayo Clinic. She spent 15 years with Cardiovascular Surgery, both inpatient and outpatient care, prior to transferring to her current role with Palliative Care. Macaila has obtained her advanced nurse certificate in hospice and palliative care and is dual certified as a family nurse practitioner. She is a member of their education committee, assists with 2nd and 3rd Mayo Medical School Palliative Care education and enjoys teaching others about Palliative Care. In 2019, she was honored to receive Mayo's Karis award.
|Missy Smith, ARPN, CNP|
Missy Smith, ARPN, CNP - Melissa (Missy) received her BSN from the University of Iowa and completed her Pediatric Nurse Practitioner master’s program at St. Catherine University in St. Paul, Minnesota. She has been at Mayo Clinic for over 20 years, with 4 years in Pediatric Palliative care. She also has a background in nursing administration, pediatric primary care, emergency medicine, and pediatric intensive care. Missy’s clinical interests are symptom management and interdisciplinary collaboration with local and regional hospices to support end end-of-life care. Her research interests are advanced symptom management, Integrative medicine, and pediatric to adult transition of patients with medical complexities.
|Jamie Heyliger, Pharm.D..|
Jamie Heyliger, Pharm.D. - Jamie graduated Massachusetts College of Pharmacy in 2013 and did a PGY-1 General Practice Residency at Baystate Medical Center in Springfield, MA. Subsequently, she went to the University of Kentucky Children's Hospital to do a PGY-2 Pediatric Residency and graduated in 2015. From there, she began her career as a Pediatric clinical pharmacist at the Mayo Clinic in Rochester, MN. In 2016, she joined the PICU Operations Committee as the pharmacy liaison and participated in the PICU Liberation initiative, creating a sedation protocol for the ABCDEF bundle. Practice interests include pediatric critical care, sedation, and medication safety.
|Shannon Piche, Pharm.D.|
Shannon Piche, Pharm.D. - Dr. Shannon Piche received her Doctor of Pharmacy degree from the University of Iowa College of Pharmacy and completed her general practice and critical care residency training at Mayo Clinic in Rochester, Minnesota. She holds board certification in Pharmacotherapy from the Board of Pharmaceutical Specialties. She is currently working as a Critical Care Clinical Pharmacist in the Immunocompromised ICU and Post-ICU Recovery Clinic at Mayo Clinic in Rochester, Minnesota. Dr. Piche’s clinical interests include pulmonary complications of bone marrow transplant, transitions of care following critical illness and management of post intensive care syndrome.
|Andrea (Annie) Johnson, APRN, CNP|
Andrea (Annie) Johnson, APRN, CNP - Annie Johnson joined the staff of Mayo Clinic, Rochester in 2003 and is currently a nurse practitioner in Critical Care. Ms. Johnson developed and is the Medical Director of the Mayo Clinic ICU Recovery Program at Mayo Clinic in Rochester, MN. This multidisciplinary program consists of a face-to-face peer support group, an online support group, as well as an outpatient ICU recovery clinic. In addition to her clinical activities, Ms. Johnson is an executive and founding member of the Critical and Acute Illness Recovery Organization (CAIRO). She previously served as the co-chair of SCCMs THRIVE peer support collaborative and brings that experience to her current role as the co-chair of the CAIRO peer support collaborative. In her off time, Annie enjoys time with her family and exploring a new passion as an amateur watercolorist. She is also anxiously counting down the days until the start of her PhD program later this summer.
|Brenda Schiltz, MD, MS, MA, FAAP|
Brenda Schiltz, MD, MS, MA, FAAP - Dr. Brenda Schiltz is a pediatric intensivist at Mayo Clinic. She joined the staff in 2011 after previously working at the Children’s Hospital of Wisconsin, where she also completed residency and fellowship training. She has a strong interest in post-ICU care of children and families who suffer serious illness. In addition to her work in the ICU, she is also board certified in hospice and palliative medicine.
|Andrea Lehnertz, APRN, CNS, MSN|
Andrea Lehnertz, APRN, CNS, MSN - Andrea has worked at Mayo Clinic for 22 years with 17 of those years in critical care. During this time, Andrea has been a charge nurse, preceptor, member of the Rapid Response and Code Blue teams, served on unit and institutional committees and participated in numerous quality initiatives. Andrea’s passion is nursing practice. She enjoys working alongside her phenomenal colleagues, caring for critically ill patients while improving patient outcomes.
|Ashley Bailey, RN|
Ashley Bailey, RN - Ashley received her BSN from the University of Wisconsin Madison. She has 14 years of nursing experience with 10 of those as a nurse on the Mayo Clinic Medical/Surgical/Transplant ICU. Ashley is a preceptor, charge and rapid response nurse on her unit. She has been involved with her units Coordinating Council and also chaired the Intensive Care Specialty Nursing Practice Committee.
|Tiffany Volk, RN|
Tiffany Volk, RN - Tiffany has been a Pediatric ICU nurse for 9yrs, 6yrs at Mayo Clinic. She is a unit Charge nurse, RRT/Code RN, preceptor for both PICU and Peds Hem/Onc. Tiffany has special interests in quality improvement and Early Mobility especially in the Pediatric population.
|Nanette Matzke, RRT, LRT|
Nanette Matzke, RRT, LRT - Nanette has been a respiratory therapist for 23 years , 19 of those years in peds/ neonatal and also for Mayo One transport speciality teams. She is also part of the peds ICU liberation committee, developmental committee for the NICU.
|Melinda Dallavalle, RRT|
Melinda Dallavalle, RRT - Melinda has been at Mayo Clinic for 7 years. She graduated from Respiratory school in Maine and moved to Rochester after graduation. At Mayo clinic, Melinda spends a lot of time in the Respiratory Care Unit at Mayo Clinic weaning patients from mechanical ventilation. She is passionate about tracheostomy cares and education to the patient and their families in regard to the trach.
|Emily McTate, PhD. LP|
Emily McTate, PhD. LP - Dr. McTate received her PhD from Saint Louis University and completed her post-doctoral fellowship at the Mayo Clinic . She is currently an Assistant Professor in the Division of Child and Adolescent Psychiatry and Psychology, Department of Psychiatry & Psychology at the Mayo Clinic. She also holds a joint appointment in the Department of Pediatrics and serves as the Director of Psychosocial Services for Pediatric Hematology/Oncology. Clinically, she provides psychological evaluations and interventions for patients and families being treated within various pediatric medical specialities both inpatient and outpatient. To-date her research has focused on patient self-management and communications (shared decision-making) with providers specifically for patients who have Sickle Cell Disease. She is also active in DEI efforts across the institution and was accepted as a health equity scholar for the American Psychosocial Oncology Society’s class of 2022 scholars.
|Eli Grace, RN|
Eli Grace, RN - Eli is a psychiatric registered nurse working primarily on Generose 2 East, Acute Psych. Eli completed a bachelor’s degree in psychology from St. John’s University (MN) in 2015. While working on this degree, Eli had the opportunity to intern at The Passage, a homeless shelter in London, U.K. in 2014. He began working as a psychiatric tech on the inpatient adult mental health unit at St. Cloud Hospital shortly after graduation. In this role, Eli ran groups and provided psychiatric education to patients. While working in St. Cloud, Eli completed a bachelor degree in nursing from the College of Saint Scholastic (MN) in 2019. He began working in his current role in Generose in February 2020. Eli also works as a Clinical Liaison RN, which is a new program that began in January 2021. In this role, Eli provides psychiatric education and coping skills for patients with a psychiatric consult on the medical units at Mayo Rochester. This position has given Eli the opportunity to explore mental health care for many different types of people, as opposed to working solely with patients with acute psychiatric disorders. Eli has a passion for increasing mental health awareness and its impact on holistic care of patients.
|Paula Hampel, CCLS|
Paula Hampel, CCLS - Paula Hampel, CCLS is the child life specialist supporting children of adult patients at Mayo Clinic - Rochester. After completing her bachelor’s degree at the University of Missouri in Human Development and Family Studies, with an emphasis in Child Life in 2011, she began working as a Certified Child Life Specialist at the University of Missouri. In this role is where she first experienced supporting children in the adult ICU environments through consults services in various adult ICUs throughout the University. In 2015, she became a child life specialist at Mayo Clinic having experience in the Emergency Department, General Pediatrics, and Pediatric Cardiovascular ICU. She transitioned to solely supporting children of adult patients across both campuses of Mayo Clinic - Rochester in June of 2021. Paula is passionate about supporting children in these environments knowing the direct impact a parent or caregiver’s healthcare experiences can have on a child.
|Laurie Mellon, PT, DPT|
Laurie Mellon, PT, DPT - Laurie earned her Doctorate in Physical Therapy from the University of North Florida in 2013. She has been practicing at Mayo Clinic in Jacksonville since 2016, where she holds Instructor level through Mayo Clinic Alix School of Medicine and Science and serves as Team Lead on the Critical Care Rehab Team. Laurie is recognized by the APTA as a Credentialed Clinical Instructor and has hosted several students in the ICU setting. Her practice interests include Clinical Education, Neuro and Acute Stroke, Transplant Rehabilitation, and Cardiopulmonary Physical Therapy in the critical care setting.
|Richard Oeckler, MD|
Richard Oeckler, MD - Dr. Richard Oeckler is Director of the Medical Intensive Care Unit, Assistant Professor of Medicine and Physiology, and Consultant in the Division of Pulmonary & Critical Care Medicine at the Mayo Clinic in Rochester, Minnesota. Dr. Oeckler’s clinical practice entails critical care medicine. He was a Parker B. Francis fellow in Pulmonary Research, and continues to conduct clinical and translational research in advanced mechanical ventilation including the prevention and treatment of acute lung injury, the acute respiratory distress syndrome (ARDS), refractory hypoxemia, and ventilator weaning.
|Yu Kawai, MD|
Yu Kawai, MD - Dr. Yu Kawai is an assistant professor at the Mayo Clinic and the Quality Director and an intensivist in the PICU. He completed his residency/fellowship training at the University of Michigan. Nationally, he is a member of the SCCM ICU Liberation Committee. Locally, He is the site-PI for the SCCM Pediatric ICU Liberation Collaborative, is on the Pediatric Delirium Team and the Early Mobility Team, and led the efforts in developing a pediatric delirium bundle and the early mobility program in the PICU.
|Jason Rathbun, DPT|
Jason Rathbun, DPT - Jason was born and raised in the Rochester, MN area. He attended the University of Minnesota where he completed his bachelor’s degree in Exercise Physiology. Jason completed his Doctorate in Physical Therapy at Southwest Baptist University in Bolivar, MO. He has been a physical therapist at Mayo Clinic for 7 years. The past 5 years he has worked in the Work Rehabilitation Center. Jason is a clinical instructor for student physical therapists. He is a certified WorkWell provider. Jason assisted in the research, development, and implementation of the COVID-19 Activity Rehabilitation Program and has been treating post-COVID syndrome patients since the summer of 2020.
|Stephanie Ritter, OTR|
Stephanie Ritter, OTR/ - Stephanie attended the University of Wisconsin-La Crosse and received her Bachelors in Occupational Therapy in December of 2000. She has been at Mayo Clinic since 2001. She has worked in the areas of general acute care, dysphagia, Pain Rehabilitation Center, acute brain and outpatient cognitive rehab in the brain clinic. She has been working in the outpatient brain clinic since 2003. She has presented on the topic of cognitive rehabilitation at several local, state and international conferences. Since the beginning of the pandemic, she has worked with many patients who are experiencing long term affects from COVID including cognitive difficulties.
|Devin Roloff, MBA|
Devin Roloff, MBA - Devin Roloff is a Principal Health Systems Engineer in Strategy Consulting Services in Phoenix, Arizona. He partners with clients to bring an objective consultative perspective to projects by aligning operations with the needs of the patient and organizational priorities. Devin served in a strategic partnership with the Critical Care Independent Multidisciplinary Program (IMP), working on projects that increased the value of care provided by improving quality and reducing cost through efficiency and standardization of the Critical Care practice. A few highlights are Embedded Early Mobility and Activity in a Mixed Medical/Surgical ICU, Critical Care IMP Master Plan, Automated External Defibrillator Data Extraction, and Physiologic Surveillance Monitoring in General Care. He served as a member of the Critical Care Clinical Practice Committee, Medical Emergency Response Subcommittee, and Critical Care Quality Subcommittee.
|Heather Clark, Ph.D.||Dr. Clark is the Chair of Speech Pathology in the Department of Neurology and Associate Professor in the College of Medicine at the Mayo Clinic in Rochester, Minnesota. She is board-certified by the Academy of Neurologic Communication Disorders and Sciences and is a Fellow of the American Speech-Language-Hearing Association. Her clinical responsibilities include differential diagnosis of communication and swallowing disorders in adults and children. She serves as co-investigator in several projects examining the nature of speech, language, and swallowing impairment in degenerative neurologic disease. Dr. Clark has served as a topic chair for the ASHA convention, program chair of the Conference on Motor Speech, and chair of the fall conference of the North Carolina Speech Language Hearing Association.|
In support of improving patient care, Mayo Clinic College of Medicine and Science is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.
Mayo Clinic College of Medicine and Science designates this enduring material for a maximum of 9.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Mayo Clinic College of Medicine and Science designates this enduring material for a maximum of 9.00 ANCC contact hours. Nurses should claim only the credit commensurate with the extent of their participation in the activity.
Mayo Clinic - Rochester Campus is an approved provider of continuing education by the American Occupational Therapy Association #5660. The assignment of AOTA CEUs does not imply endorsement of specific course content, products or clinical procedures by AOTA. At the conclusion of this conference, participants will be awarded a certificate for up to 9.00 contact hours or 0.90 AOTA CEUs.
Sponsored by the Program in Physical Therapy, College of Medicine, Mayo Clinic. This course meets the criteria for up to 9.00 category I Continuing Education Units per Minnesota Physical Therapy Rules 5601.2400, 5601.2500.
For disclosure information regarding Mayo Clinic School of Continuous Professional Development accreditation review committee member(s) and staff, please go here to review disclosures.
- 9.00 AMA PRA Category 1 Credit™
- 9.00 ANCC
- 0.90 ASHA
- 9.00 Attendance
- 9.00 AOTA
- 9.00 PT
Commercial Support Acknowledgement Summary
This activity is supported in part by educational grants from the following companies in accordance with ACCME Standards: