Presenting At CSM 2019, Washington D.C.

It was a cold, rainy national Combined Sections Meeting (CSM) this year in Washington D.C., but that did not stop almost 17,000 people, including several from Regis University, to attend! Regis students and faculty not only learned the latest happenings from others in our field of physical therapy, but also took roles in presenting their research and/or speaking during educational sessions to inform our profession. Below are some highlights of their experiences.

 

 

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DPT students Amber Bolen and Grace-Marie Vega with Dr. Andrew Littmann

“Going to CSM as a student researcher was a wonderful experience! Discussing our narrative review with PTs, students, and other researchers who shared our passion for regenerative medicine will always stand out as a highlight of my time at Regis.” — Grace-Marie Vega

“I loved working as a team with my research partner on our narrative review (the PT’s role in stem cell research for spinal cord injury). Presenting research at CSM was something I never expected to do when I first entered PT school, but Regis faculty encouraged our class to submit for review. We decided to give it a shot and we made it! Being able to speak with people interested in our field of research was an amazing feeling. We even attended a lecture in which one of our cited authors was present. It was also humbling to see how many research posters and lectures came out of Regis and its faculty and students. I look forward to seeing more as a proud future alumni!” — Amber Bolen

 

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DPT students David Cummins and Katherine Heller with Dr. Andrew Smith and Dr. Denise O’Dell

“Attending CSM in Washington, D.C. was an amazing experience. I had the opportunity to share my team’s research, chat with leaders in the profession, and meet dozens of potential employers. The energy and passion at the conference was infectious and I left feeling reinvigorated and excited about the future of our profession.” — David Cummins

 

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DPT students Hannah Clark, Vivian He, Felix Hill, and Erin Lemberger with Dr. Karla Bell, Dr. Melissa Hoffman, and Dr. Nancy Mulligan

“I think that getting to present an educational session at CSM is a fairly rare opportunity, and our team definitely bonded through the intimidating experience of presenting to almost 300 people! In presenting our research on LGBTQ+ related cultural competency, we were also able to identify barriers and build broader awareness of LGBTQ+ issues in our profession. I feel so grateful to our lead researcher, Dr. Melissa Hoffman, for getting me involved in research and making it possible for us all to have this experience!

In addition to the educational session, many members of our research team are involved in PT Proud, an LGBTQIA+ committee in the Health Policy Administration Section of the APTA. As part of that group, we held a membership meeting and happy hour event, which provided a powerful space for LGBTQ+ people and allies in our profession to come together.” — Felix Hill

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Pam Soto, a third year DPT student, presented a platform on “The Impact of Leadership Development Curriculum Through the Eyes of the Physical Therapy Student.”

 

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Class of 2018 graduate Dr. Amanda Rixey presented on preferred method of feedback after simulation experiences for DPT students.

 

And even more!

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How to Rock a CSM Conference

Name: Grace-Marie Vega

Undergrad: Arizona State University

Hometown: Placentia, CA

Fun Fact: I take pub trivia very seriously!

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CSM, or the Combined Sections Meeting of APTA, is a 4-day national conference held annually,  attracting thousands of students, practitioners, and researchers in the physical therapy field. These are some things I learned from CSM 2018 in New Orleans that I hope will help you navigate through future conferences:

  1. There are so many possibilities! CSM had over 300 educational sessions over the course of three days, not including poster presentations, platform presentations, and networking events. It was a whirlwind of people, places, and free giveaways. To get the experience that you want, and to avoid option paralysis, take some time beforehand to prioritize what you really want to see! In preparation for your own national conference, download the APTA conferences app so you can add programming to your own schedule. The WiFi in the conference halls can be unreliable, so I suggest that you make a plan before you get there, and glance at the map too.

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  1. Do not underestimate your knowledge. On my first day of CSM, I chose programming with subject matter that I felt I knew well enough to discuss. It turns out that I did know it well, because I had already studied it in my coursework, and even read some of the referenced articles. Basically that program was review, and a reassurance that Regis DPT coursework incorporates current best evidence. But I could have learned new things and expanded my awareness of topics that may not get as much coverage in coursework. For the rest of the conference, I tried to pick topics that I was interested in, but not experienced in, and in doing so, I realized that I was not out of my depth. Challenge yourself, and trust that you probably know more than you think.

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  1. Use public transit! Although less convenient, it’s cheaper and arguably more fun than taxis, ubers, and car rentals. I purchased a transit pass that allowed me to utilize all local buses and trolleys. For 3 dollars a day, I rode around New Orleans with locals and CSM attendees alike, and I felt like I was experiencing the city in a much more intimate capacity. Shoutout to the good people of New Orleans who always seem willing to make conversation and give restaurant recommendations while waiting for trolleys.

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  1. Network! As a self-proclaimed hater of all networking-related activity, I urge you to do this! Allow me to make a blanket statement and say that physical therapists are friendly, kind, and wonderful people who love talking to students, sharing their knowledge, and saving lives. Asking questions in educational sessions, talking to vendors in the exhibit hall, and even making small talk with the PT sitting next to you are all ways to get more out of your CSM experience. It’s also a way to dip your toes into the ocean of job hunting. I left with business cards, new aspirations to become a travel therapist, and more free t-shirts than I care to admit.

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  1. Quality over quantity! Strike a balance between conference time and exploration time. You could easily spend your time doing nothing but CSM from dawn to dusk, and that’s awesome! But, you don’t have to do that. You can get there a day early or take a later flight out if it means you have time to wander and be inspired by a new city, new friends, or live music. Your memory of this time will likely not only include the conference, but the people you were with and the place you were in. In my opinion, when you finally get home, your heart should be full, and your feet should be sore.

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Direct Access: Insight into Some of the Barriers and Current Initiatives

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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.

I met with Wanda Evans PT, MHS, CKTP (Senior Payment Specialist) and Elise Latawiec MPH, PT (Senior Specialist, Practice Management) who provided me with their insider understanding on this topic as well as directed me toward further resources.

Direct access physical therapy care means that a patient does not require a referral from a physician or other provider prior to a PT evaluation and/or treatment. All graduating Physical Therapists are required to have a DPT–a clinical doctorate–and, thus, they receive extensive training in the ability to recognize “red flags” and refer patients to the appropriate provider when it becomes apparent that the patient may be at risk for something more severe than musculoskeletal involvement.  Studies demonstrate that direct access decreases the time following an injury to the start of the patient’s PT care, reduces the number of visits of therapy needed and results in lower overall costs. Thus, PTs are not only appropriate for this role, but they can end up saving time, money, and patient suffering (as well as costs for the healthcare system overall).

Legislation

There are currently various types of direct access in all 50 states. Each state has jurisdiction over its own Practice Act, which is why there is some discrepancy from one state to another (state-by-state comparison). There are 18 states with unrestricted direct access—this includes Colorado! Some states require specific certification for a PT to provide direct access care, and others allow only an initial evaluation plus a set number of follow-up visits before the PT must contact the patient’s primary care provider. States with limitations in their practice act for direct access are fighting every day for legislative changes to eliminate these barriers; the APTA is aware of this and is actively assisting in these state-level legislative efforts.

However, the legal foundation is only the first step to getting patients the direct access care that we know would be beneficial. Common barriers to direct access that PTs reported in an APTA survey last year include reimbursement concerns, limitations in marketing, fear of alienating referral sources, restrictions by the PT’s employer, and lack of knowledge of state direct access laws.

Reimbursement                                      

Historically, third-party payers (ie insurance companies) have required a referral from a physician or other designated professional. Aside from Medicare/Medicaid and other federal programs like the VA or Armed Services (which have their own regulations on Direct Access), insurance policies vary by carrier and on a state-to-state basis. As the state legislation changes, the payers have been slowly adapting, with some payers more progressive than others in regards to reimbursement for direct access services. The APTA has been engaging with payers directly to eliminate the referral requirement at events such as the Insurance Forum, in comment letters, during in-person meetings, and in their day-to-day contacts. The APTA communicates this message to large employers who create their own insurance policies for their employees, as well, and are thus able to help employers set the terms of the insurance contract for their employees independently.

How can individual APTA members get involved on the reimbursement front? Each state chapter has a Reimbursement Chair.  The Chair’s responsibilities include learning as much as possible about trends with different payers in that state (and taking note if a lot of PTs have been reaching out with similar issues or complaints regarding the same payer) and assisting those therapists within their own state. The APTA nationally works in conjunction with the state chapters on payment/insurance issues and helps to connect states together when confronted with similar challenges. Patients and their advocates can also petition their Insurance Commissioner if they are inappropriately denied care or access to medically necessary services. The Insurance Commissioner advocates for consumers; s/he does not represent the insurance carrier.

Fear of alienating referral sources

Wanda and Elise described several studies in which direct access evidenced no negative impact on the physician-patient relationship. In fact, a key component of direct access is the necessity of PTs to refer patients to the appropriate provider when a patient’s symptoms and underlying pathologies are outside of our scope of practice. Given that PTs must make referrals back to other providers, it becomes a mutually beneficial relationship amongst different healthcare practitioners.

Education

A lot of concern stems from a a lack of education on the part of employers, insurers and potential patients. PTs need to demonstrate their clinical excellence to, essentially, prove that we are worthy of this responsibility, as well as to continue to educate all stakeholders on the importance and benefit of getting PT before medication/surgery. The first step for every PT is to become educated on what your state’s practice act specifically says about direct access and understand any limitations that may be in effect.  Educating patients, employers, and other healthcare practitioners is the next step. The APTA has developed many resources detailing the benefits and safety of direct access available online (more info).

Resistance to Change or Pushing for Progress?

There are some PTs who are more comfortable in the traditional referral arrangement than with unrestricted direct access. They may not want the additional responsibility, or they may simply prefer to do what they have always done.  That is okay!  Nobody is looking to force them to become direct access providers.

However, if you are one of the PTs who cares about the transition toward direct access and autonomy as a practitioner, make sure you’re an active member of the APTA! This is essential to better educate yourself, your patients, and other healthcare providers and to develop a strong voice with your state chapter and insurance agencies.

For more information on the current APTA involvement, as well as additional resources, check out its Direct Access page.

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

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!

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.

Regis University hosts the Denver National Advocacy Dinner

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The second annual National Advocacy Dinner was hosted at Regis University this past Wednesday, April 13, 2016. These dinners are going to be held all over the country between April 13th and May 4th, and are a great way to learn the top legislative issues affecting the PT profession. Furthermore, it’s a great (and easy) way to find out more ways that YOU can make a difference in furthering the profession. In case you missed the event at Regis and were wondering what topics we covered, read on for the recap!

In terms of national legislature, the Federal update was presented by Regis’s own Ira Gorman:

  1. Medicare Access to Rehabilitation Services Act of 2015 (“Repeal of the Medicare Cap”)

This bill would eliminate the cap on therapy services for those patients with Medicare. For those of you who are unfamiliar with this idea, as PTs, we only get $1960/year for therapy services. But wait—that’s shared with Speech Language Pathology Therapists too! This would help patients with complex cases (ie. TBI, CVA, hip fractures/replacements, etc.) get more of the services they really need. Check this bill out: HR 775/ S 539

  1. Physical Therapist Workforce and Patient Access Act of 2015 (Loan Repayment)

THIS IS IMPORTANT FOR STUDENTS! In other words, this bill is all about student loan forgiveness. Currently, PTs are not a part of the National Health Service Core, and therefore cannot earn the loan forgiveness that many other health professionals can. With the passing of this bill, PTs would be granted access to the plan when they worked in rural and/or medically underserved areas. This could mean up to $30,000 in two years. As an extra benefit, it’s been shown that when health professionals work in these areas, they tend to lay down roots and stay. This helps to improve communities by keeping quality health care in the area. Check this bill out: HR 2342/ S 1426

  1. Prevent Interruptions in Physical Therapy Act (Locum Tenes)

This bill was explained as a “technical fix,” in which PTs will have an easier time working with Medicare when a staff goes on a leave of absence (ie. Maternity, travel, etc.). Currently, clinics cannot bring temp PTs in unless they are Medicare certified at the specific clinic. Overall, this is a logistical nightmare when you only need a temp for a week or two. Check this bull out: HR 556/ S 313

 Gorman emphasized these three, but also hit on three more important bills. The Safe Play Act would allow PTs medical decision-making abilities in return-to-sport for youth athletes; this bill also promotes safety in youth athletics (with provisions about concussions, heat stroke, and sudden cardiac arrests). Next, the Medicare Opt Out bill is a physician bill that PTs joined in order to work with patients who may have their own private insurance and do not always want to follow through with sole Medicare payment. The bill would allow providers to avoid billing to Medicare and, instead, just bill the patient’s private insurance. The NIH Bill would help fund more rehabilitation research and create a larger focus on rehabilitation topics. Finally, the Telehealth bill would be one step closer for PTs to have a compact license (i.e. One license would allow a PT to practice in any state). Currently PT’s have to have a license for any state their patients may reside in. For example, if your clinic was near state boarders—say, in Colorado but close to Wyoming—you would have to have a license for both Colorado and Wyoming to treat the residents of Wyoming coming to your clinic. The telehealth component plays in when treating patients in other states via an alternative form of communication. (Check out these bills: HR 829/ S436, HR 1650/ S 1849, HR 1631/ S 800, and HR 2948 respectively)

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The other top speaker at the dinner was Colorado State Senator, Irene Aguilar, MD. She presented on a state issue regarding the insurance plan Colorado Care (Amendment 69). This measure will be on the ballot in November 2016 and will improve health insurance coverage in the state by creating a single-payer system. Colorado Care would be resident owned, non-governmental healthcare for any Colorado resident. Individuals could still purchase their own private insurance similar to supplemental Medicare, but would still pay for Colorado Care. Premiums would be collected from residents and employers based on income, effectively reducing costs through the elimination of third party administrative costs. However, this means a 7% tax for employers, a 3% tax for employees, and a combine 10% tax for the self employed in order to cover the budget, which is estimated at $25 billion. (Read more at http://coloradocareyes.co/ and http://www.npr.org/sections/health-shots/2015/12/19/458688605/coloradans-will-put-single-payer-health-care-to-a-vote.)

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 Now what? Well, as an incoming student, current student, new grad, or current practitioner, it is important to start spreading awareness. The easiest way to do this is check out the APTA take action center (http://www.apta.org/TakeAction/). As a member of APTA, you get access to support any of the current issues with easy, pre-made letters to send to your Congressmen. This is helpful because research shows that Representatives want to know you’re knowledgeable about the bills you’re asking them to support. Heads up, though—they want: to have a constituent reason for your stance on the bill, the specific legislation cited, the bill number, the impact of the bill, and your full name and address.

If you’re looking for a little more action, join PT-PAC (political action committee) or donate money in their name for a more focused contribution. There’s even an app for that! Search APTA Action.

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Upcoming Advocacy Events:

June 8-11, 2016                 NEXT Conference (Nashville, TN)

Oct 27-29, 2016                 National Student Conclave (Miami, FL)

Feb 15-18, 2017                 Combine Sections Meeting (San Antonio, TX)

Spring 2017                           Federal Advocacy Forum (Washington, DC)

 Important Links:

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Keep an eye out for our student spotlight on Cindi Rauert, Regis DPT Class of 2017, who spearheaded this event as the SPT Delegate on the Student Assembly Board of Directors.

Blogger: Sarah Campbell, Class of 2017

Students take on CSM: Nolan Ripple on attending the national PT conference

Name: Nolan Ripple

Hometown: Peoria, AZ

Undergrad: University of Portland, OR

Fun Fact: Lacrosse player freshly converted to marathon enthusiast.

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Hello all!  My name is Nolan Ripple and I am a first year PT student.  About two weeks ago, the national PT conference for students and professionals—called the Combined Sections Meeting—was held in Anaheim, California.  During our three years at Regis, each one of us is expected to attend one national conference.   And—since this one was so close and we had class time off—many students chose to go, including myself.

Going into the experience as a first year student, I wasn’t expecting to receive much more than the credit of actually going and checking it off the list.  However, I can say that despite being relatively new in PT school, CSM was a positive experience both professionally and personally.  First, imagine sun, the beach, good food (In N Out included!), time off of a grueling second semester, and a bunch of classmates hanging out.  It was impossible not to have a good time…Needless to say, there was plenty of fun mixed into the week, and students enjoyed time at the beach, local restaurants and breweries, and mingling with the PT students and professionals from around the country.  It was invaluable to build that camaraderie amongst one another and within the PT community as a whole: it was refreshing to take a step back and see how other schools and clinics operate than the ones in the immediate Regis community.

 

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Anaheim, CA hike

In regards to the actual conference, I thought it was well organized and there were a plethora of talks to attend.  The lectures I attended ranged from topics of trunk stability and pelvic performance, running mechanics, concussion rehab in pediatrics, and even one concerning “burnout” in the PT profession.  It was super cool to engage in a number of topics, especially ones that are less emphasized in our own curriculum.  To put it bluntly, some speakers were better than others.  In that sense, I definitely had my favorite talks.  But, overall, being able to learn and engage in a variety of specialties was an extraordinary opportunity.

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With so much time off, I also got to see a lot of family.  I stayed with my grandparents and visited my aunt, uncle, and two cousins out there. The majority of students crammed into hotel rooms together, but as part of the Regis PT family, that is no weirder than a normal palpation lab.  Overall, this was an excellent opportunity to step back from the daily work of school, learn from professionals, and spend quality time with friends and peers.  A- experience (if it hadn’t rained the first day…then A+).

How to train for Boston and survive PT school: Meet Lauren Hill

Name: Lauren Hill, Class of 2017

Hometown: Flat Rock, MI

Undergrad: Saginaw Valley State University

Fun fact: Never wears matching socks…ever.

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They’ll tell you PT school is a marathon…not a sprint.

I apparently took that a bit too literally.

I’ve run two marathons and two half-marathons since starting PT school; that’s over 2500 miles of training and racing.

Let me back up a bit:

I’m Lauren. Born and raised in Michigan. I went to Saginaw Valley State University for undergrad and double majored in Exercise Science and Psychology. That, for me, was where running really started. I walked on to our cross country/track teams back in 2008 and was—for lack of a better adjective—terrible. I’m not sure why they let me stick around…maybe for entertainment…or to make everyone else feel faster?  Well, after some frank talks with myself and a few good friends, things started to come together. I went from the track equivalent of the “12th man” to placing in the conference, nationally, and eventually becoming a two-time All-American. When I graduated, I felt lost: the last five years had been dedicated to my teammates, mileage and chasing All-American accolades.

So there I stood: two bachelor degrees in hand, PT school applications underway and no longer a delineated reason to run.  I realized I needed a new challenge.

New Goal: Run the Boston Marathon 

Why not? 

I qualified and planned to run Boston in 2015…which happened to be the week before finals of my second semester at Regis.

 Training for the Boston Marathon (or any marathon for that matter) is not a particularly easy task.  Now, add to that 40+ hours of class per week, 10 hours commuting, a significant other, 2-4 hours studying per day (and way more on weekends) and trying to get an adequate amount of sleep… As you can imagine, life got got incredibly busy very quickly. 

A typical day looked a lot like this:

6:15 Wake up, Breakfast

7-8 Commute to Regis

8-12 Lectures

12-1 Lunch break—Run 3-6 miles

1-4 Labs

4-5 Commute

5-??? Run #2–Anywhere from 3-10 more miles depending on the day, Dinner, Study ‘til bedtime

11 Bed

You learn a lot about BALANCE when training for a marathon. You also learn to say “no” to a lot of extracurricular activities:

“ Do you want to grab a beer after class?”

No, I can’t, I have to run.

Do you want to go to the mountains this weekend?”

No, I can’t, I have a long run.

“ Do you want to want to hang out tonight?”

No, I can’t, I have to get up early tomorrow and run. 

My goal for Boston was sub-2:50—an arbitrary time that I let consume me for those 16 weeks (and beyond, if we are being honest). On the outside, I had fun with training, but inside I put an overwhelming amount of pressure on myself to reach that mark.

I failed.

 3:01.

Regardless of the weather conditions, (34 degrees, head wind, pouring rain and Hypothermia by the end)….I was pissed.

I had failed.

But, after months of reflecting (and even while writing this), I have begun to see the race and the months of training as a chapter in life with a lot of little lessons learned (some the hard way).

I do my best thinking when I run, and over time have created what I call My Truths—These are things I realized about myself, running, PT school and life. Take them for what you will. This list will inevitably change, as I do, but it’s a framework that works for me today.  These 13 truths won’t change your life, but I hope you may relate or take something from at least one of them.

Lauren’s 13 Truths

  1. If it doesn’t make you happy, re-evaluate your decisions.
  2. Just because it makes everyone else happy doesn’t mean it’s for you.
  3. Places/destinations are always there…family is not.
  4. What’s monitored is managed.
  5. Be realistic with your goals. Rome wasn’t built in a day.
  6. Morning workouts make for a more productive day.
  7. Fix problems at their root; don’t just put a Band-Aid on it.
  8. Hope is an excuse for doing nothing” – Coach Ed
  9. No matter how much you plan, there are some things you can’t control.
  10. Who you were has shaped you, but to be who you will become you must accept change.
  11. Don’t go or plan to do anything when hungry.
  12. If it’s supposed to be fun but feels like a job, you need a break.
  13. …..coffee first.

I do plan on running Boston in 2017. It seems only appropriate to finish at Regis the same way it began, only this time, I hope to bring a clearer perspective on running, life and happiness. 

Happy Strides!

– Lauren

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