#DPTSTUDENT CHAT TOPIC FOR WEDNESDAY, JUNE 19, 2013: PTS AS PRIMARY CARE PROVIDERS

One of the main points of the APTA’s Vision 2020 (which is now being revamped!) is autonomous practice which means having Physical Therapists be seen by the general public as the ‘practitioners of choice’. With the title of doctor, we are able to refer out to other healthcare providers as well as refer out for diagnostic tests. However, is that enough to be considered a primary care provider? What are some of the obstacles in our way to get to that point?

How great would it be if we could get to the point where once a year (or even more!) a patient comes in just for a check up regarding any muscle or movement deficiencies!  Or better yet, we never had to discharge a patient, but instead could tell them we would like to see them in a few weeks.

You can read more about the APTA’s definition of autonomous practice here.

Talk to you Wednesday at 9pm EST!

 

 

#DPTSTUDENTCHAT TOPIC FOR WEDNESDAY, JUNE 12, 2013: PSYCHOSOCIAL ASPECTS OF PT

For the most part, we can’t choose our patients and we are obligated to provide the best care to those of all races, sexual orientations, economic class, education level and much more. We have to realize that individuals may have different beliefs or values than ourselves. We must come to terms that we may have stigmas or prejudice of certain populations or individuals and be able to recognize them and put them aside to provide care. Patients may present with depression due to chronic pain and we need to treat the whole person which includes addressing the depression.

Do you have a class that talks about how to handle some of these issues? Do you think this is an important aspect of PT to be discussed and recognized?

I hope we can learn from each other during this chat and push the envelope (respectfully, of course!) a little bit. Talk to you on Wednesday evening at 9pm EST!

#DPTSTUDENT CHAT TOPIC FOR WEDNESDAY, JUNE 5, 2013: SERVING THE UNDERSERVED

This is a topic that I feel passionate about yet struggle with. Let me explain.

I grew up in inner city Philadelphia in what I would call a middle class family. My parents provided a wonderful home for my sister and I to grow up in. We had health care, plenty of food, a good education, and very loving and supporting parents. It wasn’t until I was in college that I realized my family struggled financially at times while I was growing up. When I talked to my mom about why she never took me to a PT after the few times I broke or sprained my ankle she said two things that struck a cord with me. First thing she said was that our general practitioner said it wasn’t necessary. The second thing she said was that our insurance didn’t cover it and they could not afford the $100 charge per visit. I then talked to her about the value of PT and asked her if it would have changed her mind. She said sometimes no matter how you explain it, or how valuable it may be, other necessities like food and gas for the car to get us to school come first. I can’t argue that.

On the flip side, having a business degree and seeing how my family struggled, I aim to provide more for my own family in the future and I know that if I were to provide pro bono care for everyone, I wouldn’t make as good of a living as if I provided PT care to those who could financially afford it.

In the APTA code of ethics it states that “APTA members provide pro bono physical therapy services and/or support organizations that meet the health needs of people who are economically disadvantaged, uninsured, or underinsured” You can read more about APTA pro bono care here.

How do we as ethical practitioners balance making our own living (to pay back our loans!) and serving those that are not as fortunate as ourselves? Let’s talk about it on Wednesday June 5 at 9pm EST!

CHAT UPDATE

Click here for chat analytics and transcript

#DPTSTUDENT CHAT TOPIC FOR WEDNESDAY, MAY 29, 2013: FORCED UNEMPLOYMENT AFTER GRADUATION

After three years of really hard work, you finally graduate and hope to start working right away, right? Wrong. For most new DPT grads, you have to wait until the boards are offered at the end of July after graduating in the middle of May. Two months of off time may sound nice…until you look at the daunting number on your student loans statement. Mary wrote a great post about this subject and you can read more about it here.

Is there anything we can do about it or is it one of those situations we just have to deal with? Do you think we should be offered a temporary license while we wait? What are the pros and cons of that?

Let’s talk about it this Wednesday at 9pm EST.

CHAT UPDATE

Click here for analytics and transcript

#DPTSTUDENT CHAT TOPIC FOR WEDNESDAY, MAY 22, 2013: MARKETING THE PT PROFESSION TO THE GENERAL PUBLIC

I have to admit that, although I have had to contact insurance companies after a bicycle accidents, before my knee injury, I didn’t really know what a PT was or what they did. Growing up, my mom took me to our family doctor with all of my ankle sprains, pulled muscles and the like. He wrapped them, gave me some meds and sent me on my way. I didn’t know any different and neither did my parents. To them, they were getting me the best treatment they knew of. After my knee accident I got help from accident attorney and then decided to change careers I remember telling my parents my plan. My dad scratched his head and said “You want to be a what? What do they do?”

In this chat, let’s discuss how we can raise awareness and educate the general public about PT and its benefits. How can we encourage people from all walks of life, including working-class families like my parents, to seek professional help from physical therapists? Should the profession invest in general TV or radio ads, or should individual PTs take a more active role in promoting their services in their communities? Perhaps, it would be helpful to consider professional furniture 3d animation services to create engaging marketing materials that showcase the benefits of PT to potential clients. We need to work together as a profession to promote the importance of PT and its potential to improve the lives of those who seek it.

A New #DPTstudent Chat Format

To get everyone more involved in the chat and really build the community of students in the chat (let’s face it, we are stronger when we act together) I would love for you to Tweet or DM me questions (@LaurenrSPT) to ask during the chat regarding the topic for everyone to answer and discuss. All of our minds think differently and you may have a question to ask the group that I would have never thought of! This will make sure we have tons of talking points and a dynamic conversation.

Talk to you Wednesday evening at 9pm EST!

CHAT UPDATE

Click here for analytics and transcript.

Forced Unemployment for New Grads

It’s May. That time of year where schools across the country are graduating thousands of new physical therapists that are excited, motivated, and eager to enter the profession they’ve worked hard towards. This transition from student to professional is as significant in their journey as understanding the distinction between grantor vs grantee deed is in real estate. In essence, these new graduates, akin to grantors, are poised to pass on the torch of their knowledge-base to clinics and patients, similar to how a grantor transfers property rights to a grantee.

Unfortunately, this isn’t what many new graduates of doctor of physical therapy programs actually experience! Thanks to recent changes in the administration of the national licensing exam, many graduates have to wait over 2 months to begin working. This delay is similar to a grantee waiting for a deed transfer to be complete — the period of anticipation and inaction can be frustrating.

That’s 2 months out of the 6-month grace period before student loans must start being paid off, similar to the way a grantee might have to wait before taking full ownership and advantage of their new property. That’s 2 months of not utilizing their hard-earned skills, mirroring the potential limbo a property might be in during a complex title transfer where the grantor’s relinquishment and the grantee’s assumption of the deed aren’t fully resolved.

In the past, The Federation of State Boards of Physical Therapy (FSBPT) offered continuous-testing, meaning you could take the National Physical Therapy Exam (NPTE) any day you wanted. In other words, you could technically have your license and begin working within a week of graduation. This flexibility in the exam date reduced the need for states to provide a temporary license to those waiting for an exam date. In fact, from 2008 to 2012 the number of jurisdictions that offer a temporary license decreased from 34 to 26. The temporary license is a license based on the assumption that you have just completed a CAPTE approved program and therefore know enough entry-level information to practice safely under the supervision of a licensed physical therapist. Temporary licenses are provided for a specified length of time (usually 90 days), and/or completion or failure of the National Physical Therapy Exam (NPTE).  Some states elected kept the temp license for those who wanted to work, but delay taking the exam.

Unfortunately, due to a myriad of unfortunate events and compromised exam security, the FSBPT had to switch from continuous to fixed-date testing to preserve the integrity of the exam. This means that instead of taking the exam whenever you wanted, the exam availability was reduced to 4 dates throughout the year: January 29, April 30, July 23-24*, and October 30 (an extra date was added in July due to increased demand). The downfall of this reduced availability is that many, many programs graduate in May, making it difficult, if not impossible to take the April exam. For these May graduates, the only option is to wait over 2 months until the late July test date. This results in high demand for that date and all the scheduling problems associated with high demand at the Prometric testing sites as well as 2 months of forced unemployment for those residing in states without the availability of a temporary license.  A DPT graduate living in Texas can quickly get a temporary license and begin work, but a student in Colorado, for example, has no option but to wait to take the exam and find work doing something other than the degree they just paid thousands of dollars for!

It may seem like 2 months is a short time to wait to work, but the complicating factor lies in the timing of this period of forced unemployment. Students have just come off almost an entire year completing clinical rotations. This is a time where they’re paying tuition to their university, holding down 40+ hour work weeks in a clinic (and generating revenue for the clinic), yet receive no income beyond loan disbursements. Further, they’ve also had to fork over $400+ to apply to take the national license exam. These are students who have been full time students for more than 7 years! The well certainly is quite dry at this point. To add more complicating factors, those without jobs lose eligibility for health insurance from their universities, adding to the burden of unwarranted job loss. This is not a pretty 2 month wait.

This hardship could be reduced by more jurisdictions offering a temporary license for new graduates, or offering more dates to take the NPTE sooner after graduation to allow those without the option for a temporary license to seek employment sooner. In such situations, it is advised to hire employment attorneys to help you out.These options would allow students to get engaged; giving back to their new profession and start climbing out of the student-loan hole they’re in without losing precious time. There’s no more eager professional than the one who just graduated. We need to find a way to let them work!

What Clinic Owners are Looking for When Hiring New DPT Grads

I interviewed four different clinic owners from around the country and asked them what qualities they are searching for in new hires, especially of the newly graduated variety. The clinics are different from one another and the owners have different visions for their clinic, yet their responses to my questions were very similar in what qualities they look for in a newly graduated DPT student. And guess what? None of them said you need a 4.0 GPA. Below are the 4 themes I noticed while chatting with each clinic owner.

A HUGE ‘Thank you’ to Jerry Durham of San Franciso Sport and Spine PT, Ann Wendel of Prana PT in Alexandria, VA, Judy Burlingame of Burlingame Physiotherapy in Greenwood Village, CO, and Stephen and Shannon Albanese of Access Physical Therapy with locations in New York and Pennsylvania.

4. Know the mission and vision of the clinic you are interviewing with

It is important that you understand the vision and mission of the clinic you are interviewing with. Ann Wendel and Shannon Albanese stressed the importance of the new graduate being a good fit for the clinic. This means that you share the same passions, understand and agree with the vision of the clinic and can be a part of that team. It is our responsibility as students to recognize a clinic or position that would be a good fit for us. Judy Burlingame made the point that new grads should look for clinics or positions in which they can continue to grow, learn and be mentored. If a clinic does not have a formal mentor program in place- ask! If a clinic is not wiling to give you the time to help you continue to grow, perhaps it is not the correct fit for you.

3. Be yourself and build your personal brand

Building your personal brand does not necessarily mean marketing yourself on social media if that’s not your thing (although it really can’t hurt! In fact- the clinic owners who are on social media love to see student involvement!). Jerry Durham is passionate about having a personal brand and he wants to see students that have one as well. So you may be scratching your head saying “huh?”. A personal brand is who you are- what makes you tick, what draws people to you, your past experiences, what drives you. Write it down. Knowing your personal brand and what you stand for will also help you with knowing if a clinic or position is a good fit for you. Still confused on what a personal brand is? Google Sasha Strauss and watch a few of his videos. Here is one to get you started. The guys really knows his stuff about branding!

2. Be confident, yet humble- you have something to offer!

Many times new grads may feel that may not have enough to offer a clinic. Not true! We are the future of the profession and many clinics want to take a chance on us. However, be humble- we still have a lot to learn. All four clinicians mentioned they look for life long learners. Just because you have those fancy three letters after your name does not mean you know it all. Shannon Albanese of Access Physical Therapy said that she wants to hear short term and long term goals of new grads. She wants to work with new grads and help shape them into strong PTs. Go into those interviews with your head held high, your personal brand ready to roll (see number 3!), know your short and long term goals and understand that you still have a ton to learn!

1. Get Involved outside of the classroom! Seriously.

I don’t think getting involved outside of the classroom can be stressed enough! Clinic owners want to know you are a well rounded individual who is capable of multi tasking. Find a leadership position or extra curricular that speaks to you and go for it. You don’t need to be president of something to have an impact. Perhaps you are more of a “silent leader” type and that is fine, just find something that works for you and that you can bring  your passion to.

Understand what is happening in the PT world outside of the walls of your classroom. Read articles that aren’t required for class. I may be biased, but Twitter is an amazing place for this- there are so many wonderful therapists to look up to and they often post articles or start conversations and welcome student input. (Insert shameless plug for the Wednesday night #DPTstudent chat at 9pm EST here).

It is never too early to get involved. In fact, Jerry Durham said he wants a student that was involved from the beginning- even before PT school such as your experiences that lead you to pursue PT! Getting involved also allows you to build your own personal network of like-minded individuals that you can learn from as you grow as a student and as a therapist.

I hope this helped the DPT students out there see what clinic owners are looking for when hiring new grads. Be yourself, show your passion, and for goodness sakes, get involved in whatever way works for you outside of the classroom!

 

 

#DPTSTUDENT TOPIC FOR WEDNESDAY, MAY 8, 2013: VIEWING PT SCHOOL AS A BUSINESS AND WHAT THAT MEANS FOR US AS STUDENTS

On more than one occasion I have heard a peer say “We pay so much for this tuition we should at least have (insert noun here)”. It was said again the other day and it really got my business brain thinking. We as students are technically the consumer and the school and faculty provide the service which we pay for. Looking at it as a business, what kind of say do you think we as students (the consumer/customer) have regarding what the school does with our tuition dollars? Any at all? Should we be able to have more of a say?

In the service industry the customer is always right. I’m not so sure that is the case when looking at higher education as a business due to having to uphold academic standards. There are many directions this chat could take and I look forward to seeing where it goes on Wednesday night, May 8th, at 9pm EST!

CHAT UPDATE

Click here for chat analytics and transcript

#DPTSTUDENT CHAT TOPIC FOR WEDNESDAY, MAY 1, 2013: LONG TERM VS SHORT TERM CLINICAL ROTATIONS

Some schools are switching to longer clinical rotations that could perhaps turn into a paying job after graduation. Other schools are sticking to the short and sweet, but still long enough to get great experience model. I see the pros and cons for both students as well as clinic owners. What are your thoughts? Let’s talk about it Wednesday, May 1st at 9pm ET!

Good luck to those taking finals! Remember to sleep and still get in a little bit of physical activity!

CHAT UPDATE

Click here for Transcript and Analytics

#DPTSTUDENT CHAT TOPIC FOR WEDNESDAY, APRIL 24, 2013: ADVOCACY FOR OUR BELOVED PROFESSION

The #DPTstudent chat started in late November and we have discussed many, many different topics and the majority of them have one thing in common: it all comes down to advocacy for our profession. Getting our name out there, having the public understand what we do and how helpful Physical Therapists can be. Having the pubic understand our knowledge and our education and the value of PT.

This Wednesday we will be talking about what we can do as students to help our profession. We are the future of Physical Therapy and it is our responsibility to take charge and help the profession grow and succeed.

The timing of this advocacy chat could not have come at a better time! The APTA Student Assembly has set up a Flash Action Stragetgy  (FAS) to show support for the Physical Therapist Workforce and Patient Act of 2013. Think about it as a flash mob but instead of cool dance moves, we send letters to our legislators to show support for the profession in hopes that congress realizes that not only are we necessary in the medical field, but we are a very driven and passionate group of people! Feel free to dance once you submit your letter. Here is the link to the Facebook Event for FAS.

Talk to you Wednesday at 9pm EST (after you submit your letter)! Brain storm ideas of other ways we can come together as students and make a difference.

 CHAT UPDATE

Click here for analytics and transcript.