From Practicing Clinician to APTA Employee: an Interview with Anne Reicherter

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Blogger: Katie Baratta

My name is Katie Baratta and I just graduated from the Regis University School of Physical Therapy. I had the opportunity to spend two weeks at the APTA doing a student internship. I was able to talk to many different members of the APTA, attend the Federal Advocacy Forum, and learn more about what the APTA has been doing to move our profession forward. I’ve written a series of essays about my experiences here at the Association.

Interview with Anne Reicherter PT, DPT, PhD, OCS, CHES

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What do you do at the APTA?

Anne was hired by the APTA last spring (2015) and works as a Senior Practice Specialist. In this position, she oversees the PTnow website, which provides practicing therapists with tools for evidence-based practice and includes access to current research and other clinical resources. A good portion of her workweek is dedicated to improving the services offered by PTnow* and working to facilitate access and utilization by APTA members.

Practice Specialists at the APTA are all licensed PTs and also work as consultants on whichever issues are current hot topics regarding our scope of practice. For example, dry needling is currently being discussed and spinal manipulation has been a historically important issue.  As one of the few PTs on staff at the APTA, Anne and her colleagues in the Practice Department review products created by the APTA marketing team or other departments prior to publication to ensure that they are accurate from a clinical and research perspective. She says she will sometimes look at a photo and say that “a PT wouldn’t perform that intervention,” or  that they “wouldn’t stand that far from the patient.” Another current project of Anne’s is a collaboration with APTA researchers on an article for the Journal of Health Policy and Administration about obesity. One of her other areas of focus is the importance of work-life balance within the profession.

How did you come to work at the APTA?

Anne graduated with a BS in Physical Therapy at University of Pittsburgh and then worked in a mixed inpatient and outpatient setting at a hospital. She describes that this was fairly common at the time, and that–with few exceptions–PTs were given a lot of autonomy from their referring providers, and that there was not yet a fee-for-service model at the HMO for which she worked. After ten years in that setting, she wanted to progress her career and knowledge, so she attended night school to obtain her Masters of Health Education. In subsequent years she held a variety of jobs in the educational setting (working for Howard University in DC and the University of Maryland, Baltimore) as well as in other clinical settings, including orthopedics and home health. During this time, she obtained her PhD in Educational Psychology, as well as her transitional DPT. She has also performed some educational consulting for various DPT programs.

The position at the APTA for a PT Practice Specialist opened up at the same time that Anne was searching for something more. She wanted a job that fit with her interests and values: the ability to participate in  writing and publishing, advancing the profession through APTA initiatives, and expanding her own knowledge made the job an excellent fit. She says that these meaningful components–including continuing education–were built into her practice as a new clinician (for example, if there was a “lunch and learn” on a given day, the clinicians would leave a bit early that day), as well as into her work as faculty. Today, however, there is an increased emphasis on productivity and fee-for-service; thus, there is limited time and resources allocated to the pursuit of continuing education that distinguish us as professionals. Anne described the difference between professionals and technicians: professionals design a plan of care and add value to the system with professional discernment, and technicians simply deliver a procedure. To maintain the high expectations set of PTs as professionals, most PTs today must spend time beyond their paid workweek to pursue continuing education, APTA involvement, and evidence-based practice.

Where do we plan to see change in the typical PT’s work-life balance?

Anne replied that one of the biggest initiatives currently is the push to change from a billing system with a procedural focus (for example, billing for “therapeutic exercises” x15 min or “therapeutic ultrasound” x15 min) to one based on value. Current reimbursement accounts merely for the delivery of a procedure or modality for a set unit of time, but it does not account for our clinical judgement as professionals. I’ll go more into this initiative in next week’s blog post.

Any advice for new clinicians starting out in their career?

Anne’s advice to new graduates is to consider whether a job or position allows for and encourages professional development: do they fund continuing education? Do they have on-site mentoring programs you can participate in? She also advises new graduates to not allow mentoring to be limited to colleagues within your particular clinical setting but to continue to seek out a supportive network of clinicians for support as you begin to navigate your professional career.

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*PTnow is a valuable resource for us, as new clinicians, to perform literature searches after graduation (as we’ll no longer have access to the school’s library search function) as well as to access clinical reviews, clinical practice guidelines, and clinical summaries prepared by respected experts within the field of physical therapy.

If you haven’t visited the website, you should definitely check it out: ptnow.org

 

Class of 2017 DPT Student Lindsay Mayors Reflects on Her Clinical Rotation

Name:  Lindsay Mayors

Hometown: Akron, Ohio

Undergrad: University of Dayton

Fun Fact: My first experience skiing was on my third birthday in Keystone, Colorado!

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Today, the Class of 2017 has reached the halfway point of their 8-week second clinical rotation. The past two semesters have been filled with management courses, case studies, exams, practicals, and research. In April, we completed all three management course series; needless to say we were ready to get out into the clinic! Students are working in a variety of settings including acute care hospitals, inpatient neurological rehab, sub-acute rehab, long-term acute care, home health, outpatient orthopedic, outpatient pediatric, and school-based therapy from Virginia all the way to Alaska. We are applying our freshly developed clinical reasoning skills and continuing to learn immensely from our clinical instructors.

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Lindsay and her first year mentor, Vickie

Many of my classmates will tell you that I am one of the “peds people.” I started the program in August 2014 with my mind set on becoming a pediatric physical therapist. I would be nearly skipping in the hallways on the way to pediatric-based labs or lectures. So, when it came time for me to start my second clinical rotation at a skilled nursing sub-acute rehabilitation facility, I did not know what to expect. It seems to be a common theme among students to not prefer to work with the geriatric population. I know that I even had my doubts. Would I know how to relate to the elderly population? Would my 5’2 stature have the body mechanics to help patients transfer in and out of chairs or their hospital beds? Would I get bored doing seemingly the same exercises with patients day after day? Will this type of rotation be helpful for me if it is not the setting in which I ultimately would like to work?

Within just two days of the clinical rotation I had my answers. I am overjoyed when I get to connect with the elderly population. I remembered and have safely applied the transferring tips from a faculty member with my similar stature (Thanks, Christina!). The exercises that I perform with patients are all but monotonous. I have had the opportunity to apply skills from all three of the management course series with patients. Sure, many of the patients have similar physical therapy diagnoses, but beyond the diagnosis each is incredibly unique.

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Liz, Lindsay and Carol at the Class of 2016’s research night in April

Each has their own personal story, their own medical history, their own family dynamic, their own goals, and their own hobbies. Not one personality resembles another. This is what makes this setting so exciting for me. Learning about what has molded a particular patient into the individual that they are now is the highlight of my day. Shaping treatment plans to match a patient’s personal goals and find the highest level of independence for them allows me to use my creativity in a new way with every patient. We walk (a lot), stand on foamy surfaces and toss balloons, and maneuver wheel chairs around obstacle courses. We talk about the joys, challenges, and hilarities of life. I have recognized that the age of a patient–whether 3 or 93 years young–is not a barrier. We are all human. We enjoy being heard, feeling validated, feeling empowered, and having our days be brightened by a smile.

So, I would like to challenge any student who has similar doubts as I did a mere month ago to take a step into the unknown. Unravel your pre-set plans and experience something on the extreme opposite spectrum from the setting in which you think you want to work. Sure–I am still interested in being a pediatric physical therapist, but at the very least, my mind has been opened to new considerations. No matter the population I ultimately end up working with, I now have a broader understanding, appreciation, and passion for the field of physical therapy because of this rotation.

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Lindsay and her classmates are currently all at clinical rotations across the country

Federal Advocacy Forum: Regis DPT Student Katie Baratta Visits The Hill

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The APTA Federal Advocacy Forum is a national conference for APTA members across the country to convene in DC.   Its purpose? To educate members of Congress on the role of physical therapy in our communities, with the specific goal of gaining their support for the various legislative initiatives* that are currently being debated in Congress.

A part of my experience during my two-week APTA internship through the Regis University DPT program included the opportunity to attend the Forum. We started out listening to several guest speakers in preparation for our visits on Capitol Hill with the senators and representatives. Brad Fitch from the Congressional Management Foundation (CMF) presented some of the results of a survey about what types of factors impact their decision-making process.  Constituents are the citizens that a member of Congress represents, and that includes both providers and their patients. So, it is important for them to know what matters to us! Ideas for getting in touch with them are listed below.

Robert Blizzard, a partner at Public Opinion Strategies, discussed the current political climate–including different scenarios for the presidential race and the outcomes’ implications. We also had the chance to listen to Senator Richard Burr from North Carolina speak. He has been a friend to PT initiatives for a long time. One of the things that has been most refreshing to me to see is that members of Congress really do care about the same issues we care about. Members on one side of the political spectrum may believe in different ways of solving those issues from their colleagues on the other side, but despite that, there is a lot of bipartisan support for the issues we care about. There were also break-out sessions that went into greater depth on key issues facing the profession from a legislative prospective.

On the third day, we embarked with fellow APTA members from Colorado to meet with staff from the offices of our senators and representatives to discuss current legislation. We thanked the members of Congress for their support on legislation they had already co-signed, and we asked for their support on further issues. The Colorado APTA members met with the offices of Colorado’s two Senators: Cory Gardner and Michael Bennet, and also the representatives from different districts. Diana DeGette is the representative from my district, but our group also had the opportunity to meet with representatives from many other CO districts, as well.

I’ll admit it–I was nervous, at first, to speak up in those meetings. It turns out, though, that the staff members are friendly and interested in what we have to say–even as students. It was reassuring to go as a group so that we could chime in and support one other. I felt more and more confident the more I did it! My advice to any PT or student interested in meeting with their elected official would be to review the facts of what you are going to say (and write down information you might not remember easily) so that you don’t have to waste time and energy trying to recall or look up information. Each meeting lasted approximately 10-15 minutes, and it’s surprising how quickly that time goes. Relax, be yourself, and know that nobody is going to bite your head off.   🙂

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What can I, as a student or clinician, do to support advocacy at the government level?

As a citizen in this country it is your right–and, arguably, your responsibility–to petition your lawmakers directly to share the personal impact that different legislation would have on you as a current (or future) provider on your patients’ day-to-day life. Start by downloading the APTA advocacy app which will let you know who your elected officials are and which legislative issues are currently relevant to your district/state. In terms of getting in touch with lawmakers, Brad Fitch shared with us some of the ways that we can connect with Congress on issues pertinent to the PT field:

  • write emails
  • make phone calls
  • attend town hall meetings
  • make an appointment to visit their local office in person with other PTs or on your own
  • follow your legislator on social media and respond to what they post

The more people to reach out, the more impact we can have.

If you are interested in getting more involved in the political and legislative process or have additional questions, feel free to reach out to me at kbaratta@regis.edu! 

*Key issues currently include:

  • Therapy Cap: Medicare Access to Rehabilitation Services Act (currently max out at $1940 for speech and PT combined) HR 775 / S 539  more info
  • PT Workforce Bill: Physical Therapist Workforce and Patient Access (includes PTs in loan forgiveness program for healthcare providers in underserved areas) HR 2342 / S 1426 more info
  • Locum Tenens: Prevent Interruptions in Physical Therapy Act (for Medicare providers to get short-term coverage for their patients when they must take a temporary leave of absence) HR 556/S 313  more info
  • Safe Play: Supporting Athletes, Families, and Educators to Protect the Lives of Athletic Youth Act / SAFE PLAY Act (include PTs in the discussion for developing standardized concussion management guidelines) HR 4829 / S 436 more info
  • Rehabilitation Research: Enhancing the Stature and Visibility of Medical Rehabilitation Research at the NICH Act (streamlines rehabilitation research, improves coordination between different organizations) HR1631 / S 800
  • PTs Travelling with Sports Teams: Sports Medicine Licensure Clarity Act (include PTs along with ATs and physicians in the existing legislation extending the state license of sports medicine providers who travel with a sports team across state lines to treat a traveling team) HR 921 / S 689
  • Self-Referral: Promoting Integrity in Medicare Act (proposes removing PT as an exception to the Stark Law, ie prevents Physicians from referring Medicare patients to entities in which they have a financial interest – eg a physician-owned PT service) HR 2914
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Blogger: Katie Baratta

My name is Katie Baratta and I just graduated from Regis University School of Physical Therapy. I had the opportunity to spend two weeks at the APTA doing a student internship. I was able to talk to many different members of the APTA, attend the Federal Advocacy Forum, and learn more about what the APTA has been doing to move our profession forward. Check in next Tuesday for more!

Crash Course: How to Dress for PT School

The dreaded dress code! Our student handbook says:

As future health care professionals, graduate students in physical therapy are expected to dress in a manner that exemplifies professionalism during class, during on campus activities, and in clinical situations.

As scary as that sounds, it’s really not so bad. There is no need to run out and buy all new clothes! (Unless you only wear yoga pants and track suits. I mean–respect for that, but gotta keep if profesh now). There are tons of ways to make clothing you already have work.

Let’s go over some of the big things:

  • Plain t-shirts are definitely okay. Shirts with logos or writing are not (unless it is the Regis PT logo!).
  • There will be a Regis PT clothing order in the fall! The bookstore only has one thing that says “physical therapy” on it, so don’t worry about buying that–wait for the clothing order!  Items purchased from the clothing order can be worn to class.
  • Buying a lot of basics that you can mix and match is a really good idea. If you have a few pairs of good pants, a variety of colored tops, and good shoes, you can make dozens of outfits. Scarves and jewelry can always be used to accessorize and liven things up.
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Basic Ts, pants and skirts are all recommended!

  • Shoes must have backstraps! Things like Chacos or Tevas are fine, but they need to have a backstrap.
  • Invest in some quality shoes. Sneakers are allowed in the dress code, and you are going to be wearing them a lot. Find some that give you good support, but can also look okay with your class clothes.
  • The main lecture hall—you’ll come to know and love it intimately—can go from freezing to a sauna within 15 minutes. Having layers to put on or take off is always a good idea.
  • You’ll notice that the dress code mentions things like facial piercings, odd hair colors, and tattoos. While I wouldn’t recommend getting 7 facial piercings and 4 new tattoos, this isn’t something to worry about! Many members of the current student body have tattoos and facial piercings; that being said, keep this in mind when finding clothing for class.  It’s okay to have them showing in lab, but try your hardest to keep them covered for lecture.
  • Lab clothes are generally exercise clothes. If you only have one pair of running shorts/leggings, this might be the time to get a couple more. You will wear these clothes a lot!  You are expected to bring your lab and professional clothes to switch between classes, but you all will have lockers if you want to keep clothes on campus.

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    Here’s the Class of 2018 intramural soccer team modeling some great lab clothing examples!

  • For anatomy lab, most people wore scrubs or sweats. Whatever you wear, do not plan on wearing it ever again. The scent of the lab will never leave.

What it really comes down to is this: how do you want to present yourself to your classmates and professors? If khakis, sneakers, and a solid color t-shirt are your comfort zone, awesome! If it’s a skirt and blouse, great! If there’s a collar, lovely! Don’t put too much pressure on yourself to change your entire style. Wait and see what you find yourself wearing to class and what you find comfortable, and do your shopping after school has started.

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Carol, Nolan, and Courtney showing off their professional attire

Keep in mind that this is the clothing you’ll be using when on clinical rotations and at conferences—think about what will make you be the most comfortable and professional clinician possible.

Finally, my classmate, Cameron, wants you all to know that Crocs do count.

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Maroon pants aren’t required, but are strongly encouraged for photo ops like this.

If you have any questions, feel free to email me at msutton001@regis.edu!

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Blogger: Madeleine Sutton

 

APTA Tuesday: Interview with a Lobbyist

Learn more about the APTA and lobbying! Katie interviewed Michael Hurlbut, a lobbyist for the APTA.

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Michael Hurlbut, Senior Congressional Affairs Specialist

Michael’s Background

Michael Hurlbut worked for several years on Capital Hill before he came to us at the American Physical Therapy Association in 2009 as a full-time Congressional Affairs Specialist. He previously worked as a staff assistant/systems administrator for Representative Jerrold Nadler (New York’s 10th district which comprises NYC); he then worked for Representative Robert Ernest  Andrews (for New Jersey’s 1st district, including Camden, NJ) and as a legislative assistant and for Representative Louise Slaughter (New York’s 25th district). Michael has a background in sports medicine and was interested in healthcare and policy. So, when the job opened at the APTA, he felt it was a good fit for his interests and strengths.

Michael was kind enough to explain to me some of the logistics of what goes on in Washington and what it looks like on the ground. I appreciated this perspective; as a PT, this whole world is pretty foreign to me!

Some Definitions

Each congressman or congresswoman has a chief of staff and multiple staff members who listen to issues presented by either individual constituents or lobbyists that represent groups of citizens.  For example, the APTA would count as a group of constituents with similar interests. The staff team then updates their member of Congress on important issues and perspectives.

What does a lobbyist do?

The APTA currently employs three lobbyists, each of whom focuses on different issues within the field of physical therapy. Michael’s areas of specialty include post-acute care, self-referral, workers comp, and Veterans Affairs/armed services. He monitors everything relating to those issues–including bills that are being proposed, progress on relevant ongoing legislative actions, and upcoming meetings which will be held on issues pertaining to his areas of specialty (for example, the congressional committee on Veterans Affairs). In his day-to-day work, he performs research to better understand the issues, he finds data surrounding each of them, he attends hearings and talks to constituents, and he matches up each issue with the correct APTA staff member.

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Once he has all of his information, he prepares the APTA’s position on the topic. This could include creating a few talking points to be included in a conversation, or it could include a formal “Statement for the Record:” this is considered the formal stance of the APTA and must be approved by the APTA’s Executive Vice President for Public Affairs. He will set up meetings with members of the committee or other members of Congress to discuss the relevant issues.

Change in Legislation and Policy

Legislation can start in these committees and proceed out into the House or the Senate for a general vote if approved; legislation can also be proposed by the House or Senate Majority leader. Legislation with broad/bipartisan support in a committee may have a higher chance of being approved by Congress in general, but sometimes this is not the case.

Whether the bill starts in a committee or is proposed by the Majority Leader, Michael emphasizes that it is important to identify members of Congress who will be sympathetic to the issues that the APTA cares about. He notes that getting any bill through Congress is a slow process and it may take several congressional cycles to see any change. It is important to provide data, a convincing argument, and show a “grassroots” initiative–which, for us as PTs, would include individual practitioners and patients contacting our representatives and senators.  Change is typically incremental; as PTs, we can relate to that!  We are accustomed to slow, additive changes with a lot of our patients: even as patients make limited progress (or even have setbacks), we have to keep the bigger picture in mind and continue to work towards change.

Michael also points out that it is essential to recognize when it may be better to work directly with an agency (such as CMS for some of the Medicare/Medicaid issues).

How can we support legislative changes impacting our profession and our patients?

In addition to direct involvement with lawmakers (check in next week to read more about that!), we can support changes in legislation through continued APTA support with both membership dues and with donations to the PT-PAC (Physical Therapy Political Action Committee).katiepic3

PT-PAC pays for one of the Congressional Affairs Specialists (Michael or one of the other lobbyists) to attend the fundraising events for the re-election of members of Congress who have supported our initiatives in the past. Attending events is one of the most important ways to forge stronger contacts with members of Congress and their staff,  and it also increases interaction with other lobbyists who may support similar issues. APTA does not allocate PAC funds to individual candidates in hopes that they will support relevant issues. APTA member dues pay Michael’s and the other Congressional Affairs Specialists’ salaries, but the dues are not used for the PAC. So, when you pay your dues online to APTA, there’s a separate line item that asks you if you would like to donate to the PT-PAC.

The PT-PAC is among the top 10 political action committees of national health care organizations. If every APTA member donated $20, it would be the #1 healthcare PAC–that’s even bigger than the orthopedic surgeons’ organization!

If you are interested in further information or would like to donate to PT-PAC, click here.

Blogger: Katie Baratta

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My name is Katie Baratta, and I just graduated from Regis University’s School of Physical Therapy. I had the opportunity to spend two weeks at the APTA doing a student internship. I was able to talk to many different members of the APTA, attend the Federal Advocacy Forum, and learn so much about what the APTA has been doing to move our profession forward. I’ve written a series of posts about my experiences here at the Association.

Check in next Tuesday to learn more!

Commuting to Class: Meet Leigh Dugan

Name: Leigh Dugan

Hometown: Boston, Massachusetts

Undergrad: University of Massachusetts Amherst

Fun Fact: My husband is in the military and we have moved 4 times in 2 years!!

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Hi, Class of 2019! Congratulations on your acceptance to the Regis DPT program; you will not regret your decision to come here. So, now that you have made the choice to make Denver, CO your home, the next step is deciding where to live. Most of you will live close by, so getting to school will not be a problem. However, there may be a few of you that do not have the luxury to live that close for whatever reason. This was the situation that I found myself in a year ago when I decided to go to Regis in the fall. My family could not relocate to Denver and I made the decision to commute from Colorado Springs each day—a 140-mile roundtrip journey on each side of an 8-5pm class day.

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Leigh, Taylor and Amanada enjoying some time off of school

I decided to write this blog post because I wish that I had been able to talk to someone to tell me that yes, it is possible and yes, it will be tough. If this is something you are trying to figure out before beginning PT school in August, here are a few tips that I would love to share with you to hopefully make your decision easier:

  1. The commute IS indeed possible and was actually quite relaxing after a long school day.
  2. Take the time during your drive to decompress. Sometimes, I would sit in absolute silence and take the time to relax and reflect on the day. It is a good excuse to truly do nothing.
  3. Be prepared to not have much of a life. When you drive for 3 hours each day, most of your free time is devoted to studying. I wish I could say that there wasn’t much work outside of school in the first year, but that is not the case. Be prepared to spend a few hours after class each day doing school work or studying.
  4. To add to the above comment, you have to really make an effort to balance fun times and studying in your free time. This is so important for anyone in PT school to ensure that you keep your sanity!
  5. Group projects can be tough to coordinate, but all of my classmates took into consideration my commute and it worked out fine.
  6. Find a good podcast that is “mindless.” After a long day of learning, you will want something that is entertaining but isn’t taxing on your mind.
  7. Waze, the traffic app, will be your best friend.
  8. You will figure out the best times to leave your house in order to dodge traffic. I really learned to take advantage of the extra time I had at school before and after class to get work done so I wouldn’t have to do it at home.
  9. It is tough to miss out on all of the fun activities after class. A lot of times, my classmates would go out to concerts or for drinks on weekends and it would be hard to miss these moments. Make an effort to still engage with your class! I never regretted spending the night on a couch so I could join in on the fun :).
  10. Do not be afraid to ask for help from your classmates. You will find that everyone in your class is on the same team and they truly want to help. I would not have survived without them!
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Brunch after second semester finals

Feel free to email me if you have any specific questions on commuting or any questions at all about Regis! Congratulations again on your acceptance to Regis!

Blogger: Leigh Dugan, ldugan@regis.edu

APTA Tuesday: Meet Katie Baratta

Meet Katie Baratta, new Regis DPT graduate! Katie participated in an American Physical Therapy Association internship in Washington, D.C. during her final year at Regis.  Check in every Tuesday this summer to hear about her experience and to learn more about the legislation and politics behind all things physical therapy.

Name: Katherine “Katie” Baratta

Undergrad: Rensselaer Polytechnic Institute

Hometown: Boston/Belmont, MA

Fun Fact: I worked for 5 years as a transportation engineering consultant and am the second of six kids!

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Where did you do your last two clinicals?

CE III at St Joseph’s hospital in Denver, acute care, ICU, cardiac care, and CF floors.

CE IV at Denver VA primarily outpatient ortho with emphasis on manual therapy

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How did you get interested in advocacy and how has Regis furthered your interests?

I applied for the APTA internship for two reasons: one relating to learning to better serve patients I will serve as a Doctor of Physical Therapy, and the second pertaining to learning more about the role of Physical Therapy as a profession in the state in which I will practice.

In regards to my future patients, I foresee myself working a significant percentage of my caseload with patients who have considerable needs, vulnerabilities, and/or economic disadvantages—that is what motivates me to put 100% effort into what I’m doing. I know I’ll do everything within my power to provide the best care I possibly can for these patients. However, I also know that there are greater systemic forces at play which can limit any effort I make as an individual practitioner. In order to address these larger issues, I have a duty to advocate as a healthcare professional. Prior to the APTA internship, I didn’t possess a solid understanding of the ways the APTA, as an organization, interfaces with the government and how the political process can be a tool for large-scale change in the healthcare arena. This internship allowed me to observe and participate in this process. It gave me a more nuanced understanding of politics: I now both understand politics in terms of government and politics in terms of group and power dynamics and how these social factors relate to getting things accomplished. So now, as a new graduate, I can bring this understanding back to my individual patients as I push for large-scale changes in the realm of availability of care, funding, and specific physical therapy services.

The second reason I was interested in this internship had to do with the role of the APTA in Massachusetts. According to the APTA state rankings, my home state (and where I eventually see myself practicing) ranked last in APTA involvement in 2014. This is an area of opportunity for the profession. Massachusetts (and Boston) is a leader in many aspects of healthcare. I saw the APTA internship as preparation for increasing the presence of the APTA and the profession of physical therapy in Massachusetts.

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Where are you heading with your career?

My path thus far in life has been winding and full of surprises, and I am sure my future will be as well!

I tremendously enjoyed my work during CE IV at the VA. I found a group of people I connected well with—both the patient population and the rehab team, overall. It was my first true manual/outpatient rotation. By the end of it, I really felt I was starting to get the hang of how to integrate manual skills with tailored exercise prescription for a patient’s short- and long-term function.

I find the role of the nervous system in pain—particularly persistent pain—to be fascinating, and I think that it’s an area that we as DPTs can serve, push the envelope, and dig deeper into understanding.  I see the solution to be very intertwined with integrating exercise, mental and emotional health, and our toolbox of manual skills.

Beyond the practice setting, I envision myself tying in some of the skills I developed in my prior career. I have an extensive background in data analysis, grant writing, and drafting reports on alternatives analysis; essentially, I have experience in demonstrating the “value” of something to decision-makers (including those who provide funding).

One of PT’s biggest issues is lack of PR. Nobody understands or sees our value. Word of mouth is clearly some of the greatest PR, particularly when attracting new patients to an outpatient clinic. But, when there are larger factors at play beyond an individual patient’s choice—when it comes down to hospital policy or insurance policy—we need to speak in the language that those controlling funding allocation understand: numbers (particularly numbers with dollar signs in front of them!).

So, I see utilizing the skills I’ve developed in my past career into my current practice and will be able to demonstrate the value of physical therapy for both patient outcomes and overall costs. There’s a tremendous need for widespread change to healthcare and to PT access and I am excited to be a part of that change!

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Tune in next week to read Katie’s take on direct access barriers and initiatives to direct access.