Midterm for Professional Socialism

1899

physiotherapy officially founded in England

Why did it come to the US 

Polio outbreaks and WW1 

1917

what were the first PTs called

division of special hospitals and physical reconstruction

Reconstruction aids

1921

american womens therapeutic association

• Mary McMillian

1922

named changed to American Physiotherapy Association

1928

curriculum of 9 months required

1940s 

reconstruction aids becoming known as PT 

1947

renamed to American Physical Therapy Association

1959

now need 12 month curriculum and pass exam

• 45 states had regulations

1960 

need bachelors degree  

1979/80

need masters degree by end of 1990

Foundation of PT developed to promote and support research

1984

APTA recognized PT diagnosis as different than medical diagnosis

2000

vision statement developed 

2010

need DPT

2014

all states have some sort of direct access

• Nebraska was the first back in 1959

Triple Aim of Healthcare 

• add on quintuple 

• improve care 

• lower costs

  • increased due to increased life expectancy and technology  

• improve health 

Add on support care team well-being and advance health equity

Vision statement 

“transforming society by optimizing movement to improve the human experience” 

guiding principles

• identity

• quality

• collaboration

• value

• innovation

• consumer-centricity

• access/equity

• advocacy

Inpatient settings

• acute care: hospital short term

  • goal= discharge as soon as medically stable

sub-acute settings

• rehab hospital: intense therapy to improve ability to care for self

• sub-acute rehab: special hospital for medical/rehab, less intense

• long-term care: nursing home, skilled nursing, extended care

• school based

Outpatient

• home health

• outpatient clinic

  • goal= return to highest level mobility, function, participation

• wellness/prevention/sports/fitness

• hospice

• industrial/occupational/workplace

• government

• research center

• education

• administration

primary care 

direct patient care services then refer to other providers if needed 

secondary care

treated by someone else and referred to PT

Tertiary care

highly specialized complex settings

levels of prevention 

• primary: treat before injury occurs 

• secondary: avoid subsequent consequences due to injury 

• tertiary: lessen impact of chronic disease 

essential elements of success

• embrace innovation

• advocate for patients

• collaborate effectively

• practice evidence based practice

• lead change

standards of practice

• what interactions and practice should resemble in the patient/therapist relationship

• essential for provision of high quality professional service of society and provide foundation of assessment

1. code of ethics

2. administration

3. client management

4. education

5. research

6. community responsibility 

Code of Ethics 

1. duty to all individuals 

2. duty to patients 

3. accountability for decisions 

4. integrity in relationships 

5. fulfilling legal and professional obligations 

6. lifelong learning 

7. organizational behavior and business

8. meeting health needs of people

Administration

• statement of purpose, mission, goals

• organizational plan

• policies and procedures

• administration

• financial management

• improving quality care

• staffing

• staff development

• physical setting

• collaboration

patient care management

• PT of record

• patient collaboration

• initial exam

• plan of care

• intervention

• re-exam

• discharge

• coordination, communication, documentation

Guide to Practice 

• online version = 4.0 

• describes clinical decision-making process

• outlines roles 

• standardizes terminology 

• reviews educational preparation 

• exam and eval process 

• explain selection process 

• outcome measures 

professionalism

• skill, knowledge, behavior

• adhering to core values

• collaboration

Professionalism in PT

• what makes someone professional

1. commitment to professional responsibility

2. sensitivity to diverse patient population

3. respect, compassion, integrity (ethical compass)

4. responsiveness to patient and social needs (adaptability)

5. accountability

core values 

• accountability 

• altruism 

• compassion/caring 

• collaboration 

• duty 

• excellence 

• integrity 

• inclusion

• social responsibility 

Generic abilities 

evaluate PT students commitment to learning, effective communication, time management, receptive to feedback

MSJ professional behaviors 

• commitment to learning

• communication skills

• effective use of time/resources

• constructive feedback

• responsibility

• professionalism

• stress management

Additional considerations

• adhere to ethical standards

• communication and responsiveness

• emotional intelligence

• self-regulation and on-going improvement

• acting in best interest of others

APTA membership

• voluntary

• life, retired, corresponding, honorary members

• graduated or enrolled in approved program

• signed off on code of ethics/conduct

Vision statement

“transforming society by optimizing movement to improve the human experience”

mission statement 

“building a community that advances the profession of PT to improve health of society” 

APTA core values

• Accountability

• Altruism

• Collaboration

• Compassion/caring

• duty

• excellence

• integrity

• inclusion

• social responsibility

APTA at national level

• Board of Directors

• House of Delegates

• Board of appointed committees

• Sections

  • voluntary special interest groups

APTA at the national level

• Board of directors (executive)

• carry out mandates/policies

• 6 officers, 9 directors, 1 public (non-PT) member

President	Kyle Covington
Vice President	Skye Donovan
Secretary	Kip Schick
Treasurer	Zoher Kapasi
Speaker of the HOD	William McGehee
Vice Speaker of the HOD	Robin L Dole

APTA at national level

• House of Delegates (legislative)

• House of Delegates (legislative)

  • policymaking body

  • ~400 members from chapters

  • amend/repeal bylaws

  • elect board of directors

  • adopt ethical principles and standards

  • hold a leadership conference

  • Dr. Hoffmeyer is a delegate

APTA at the state level 

• chapters 

• proportional number of reps to size 

• Ohio has 13 delegates 

• specific interest groups and assemblies 

• Current OPTA president: Gregory Cline 

• OPTA DEI committee: Monica Meyers 

APTA at the local level

• districts

• Ohio has 6

  • Southwest district = Cincinnati

  • Chair: Kelsey Biller Young

American Council of Academic PT (ACAPT)

• 2013

• clinical and post-prof education

where is the APTA headquarters

Alexandria, VA

staff there = ~154 people

American Board PT Specialties (ABPTS)

board certified clinical specialist

1. ortho 2. neuro 3. geriatrics

CAPTE 

accrediting agency 

• accredits programs every 10 years 

currently there are 322 PT and 390 PTA 

Foundation for PT

• PT specific scholarships

• fund evidence based practice

Associated Organizations

• World Physiotherapy

• Federation of State Boards of PT

  • write licensure exams

• American Academy of PT

  • support minority and disadvantaged PTs

• PT Political Action Committee (PT-PAC) → fundraising

benefits (pros) to the APTA

• up to date research

• advocacy group and specialization groups

• special offers/benefits (discounts)

• professional development and access to special events (conferences, classes, etc)

• free/discounted continued education

cons to joining the APTA

• national and state membership fees

• PTs not having enough time to utilize all the resources or attend the conferences offered to make those worth the cost.