Regis DPT Students Plan the Move Forward 5K/10K

Name: Ryan Bourdo, Class of 2018

Hometown: Corvallis, Oregon

Undergrad: University of Oregon

Fun Fact: I ran a 4K snow shoe race once.

unspecified.jpg

Race day is always the best. It is the culmination of months of training—immediately followed by the chance to take a well-deserved day, week, or month off from running. The atmosphere is always amazing, too. Everyone is still a little groggy from being up way too early for the weekend, but there is still a palpable excitement; the people next to you on the starting line are instant friends because you all share a common goal: finish the race. And that feeling you get after finishing? Incredible. No matter how tough a race is for me, I am always energetic and talkative afterwards. I have been fortunate enough to run some fun races in the last few years, and I want to bring some of that same excitement to Move Forward.

The Move Forward 5K/10K Race (September 17, 2016) is arguably THE most important event of the year for Regis University’s School of Physical Therapy. I argue this because I am the co-director of the race this year, and this is my blog post. Move Forward is a special event for me. It is a chance to help my school share what we know to be the best ways to live healthy lives. I firmly believe anyone can complete a 5K with practice, motivation, and a little help if needed. More than anything, what I want for people to get out of Move Forward this year is to have a good time and learn a little about taking care of themselves.

10986941_10153636442849648_5373282422434486999_o

Some of the Class of 2018 after the 2015 Move Forward Race

The idea behind this event is to get people to think about their health, get moving, and live better. For those already signed up, make sure to get to the race early to get your grab bags! We will have bagels, bananas, and coffee for those needing an extra boost in the morning. Several of our classmates will also lead group stretching as well. And then we are off! Music will be blaring, water stations will be flowing, people will be cheering. Whether you are running or walking, we will make sure you have a good time. Make sure to stay after the race, too, because we are planning a lot of post-race greatness. Not only will we have burgers, hot dogs, and beer (not the healthiest, we know, but you deserve it) but we are planning a lot of activities, as well. Informational booths will be there to help guide you in taking care of yourself through exercise, nutrition, and general wellness. We also hope to have some yoga and/or Zumba classes after the race. And, because we want this to be a family event, we are looking for fun activities for kids, tool. Check out our website for updates as our race schedule finalizes: https://moveforward5k10k.racedirector.com.

ryanpic2

Not only will this race be a great way to learn about how to stay healthy, but all of the proceeds will go to Canine for Companions and the Foundation for Physical Therapy. Canine for Companions is especially meaningful to us at Regis because we have an annual team of students that assists in raising a dog before it starts training to become a fully-fledged service dog. The Foundation for Physical Therapy is also a great cause; it helps support research in physical therapy. If you have not signed up for the race yet and I have thoroughly convinced you of how awesome this event will be, you can register here: https://moveforward5k10k.racedirector.com/registration-1.

Again, the race will be held on September 17, 2016 and begins at 9:00am.  If you have any questions, please feel free to email me directly at rbourdo@regis.edu.

ryanpic5

Many Ryans running

Ryan Bourdo graduated The University of Oregon with B.S. Degrees in Biology and Human Physiology in 2010. Originally thinking of medical school (never mind the fact that medical school rejected him twice), he soon fell in love with physical therapy, thanks to an amazing therapist in Portland, Vince Blaney, MSPT. Vince showed him everything he originally wanted to be as a physician: using anatomy and physiology to help those with injuries. He soon worked as a physical therapist aide for two years and is currently at Regis University completing a Doctor of Physical Therapy. In his free time, Ryan likes to run, hike, and cook. You can find Ryan at www.ryanbourdo.com, or on Twitter @RyanBourdo

ryanpic3

The Physical Therapy Outcomes Registry

katie1

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.

ptoucomes

Data… I love it! As a former engineer who analyzed a lot of data in my pre-PT life, I find it fascinating to see how lots of tiny bits of information, combined together, can provide us with a more comprehensive picture.

The PT Outcomes Registry is one of APTA’s current projects to create a centralized database for outcome data. The idea is to track a set of prioritized outcome measures (currently there are nine outcomes, but this may expand) across the country. Clinicians perform the outcome assessment with the patient at the initial evaluation and again at discharge to measure the patient’s progress and then input the information into the computerized system. The PT Outcomes Registry then compiles the data from all practitioners so that practitioners can see how they measure against a benchmark of other providers.

PTORInfographic.jpg

Timeline

The program is still in its pilot phase with 216 enrolled users (currently all practicing PTs, no PTAs) at 25 organizations. The most recent development is to include residents and fellows to compare their outcomes both during their residency/fellowship and again afterward to see how their outcomes change with time and experience. Later this year, APTA will collect feedback via user survey of pilot users regarding usability, pros/cons, glitches, and so forth. The team at APTA will then incorporate this feedback into the PT Outcomes Registry system.

The Registry will officially launch at the beginning of 2017, at which time any clinical site will be able to join. Clinicians will pay to enroll in the program, which will give them access to the aggregated data to see how their practice stacks up against national benchmarks. The service will not be limited to APTA members. Karen Chesbrough, the outcomes registry director, states that by the end of 2017 the APTA would love to have 1000 users, with the long-term goal of involving as many clinicians/sites as possible to get as accurate a picture of current practice as possible.

Which types of data are included?

The current outcomes include global measures, such as AM-PAC™ (Activity Measure for Post-Acute Care™), PROMIS (Patient Reported Outcomes Measurement Information System), and OPTIMAL (Outpatient Physical Therapy Improvement in Movement Assessment Log). There are also regional/body-specific outcome measures such as NDI and Oswestry. Other data includes clinician profiles, patient demographics, and pain ratings; practitioners have the ability to enter data at treatment visits along with at initial evaluations, reassessment, and discharge. The types of outcomes included are vetted through an independent group of clinicians and academics (including one Canadian!) called the Scientific Advisory Panel.

The Scientific Advisory Panel is working in conjunction with the SIGs (Special Interest Groups) to develop prioritized objective data that the clinician would also collect as part of the PT Outcomes Registry based on the patient’s diagnosis. These modules may be specific to cervical pain or to infant torticollis, for example, and would include relevant ROM or other objective data.

blogpic3

How does PT Outcomes Registry collect the data?

During the pilot program, enrollees are entering the data manually. Enrolled clinicians—or their clinic’s administrative support personnel—will log in to the system and select different tabs and boxes to enter the data, much like they do for electronic documentation of patient records.

However, manual data collection is time-consuming, so the current push within the project’s development is to build software “bridges” with all of the various EMR (electronic medical records) systems. These bridges would allow a computer program to connect the PT Outcomes Registry with each EMR system to pull the relevant pieces of data into the database. Each type of information (eg KOOS at initial eval, patient age, etc) will have an associated tag in the registry database, and each EMR will tag the same variable in their database so that the computer program will be able to match the data from the patient records to the PT Outcomes Registry. One EMR has already signed on to the project, and APTA is working to get more to participate. This will streamline the process significantly and will likely increase participation as less time and energy will be required for individual clinicians to enter the data by hand.

blogpic2

What does this mean for clinicians?

Being a part of the PT Outcomes Registry would allow clinicians to see how their practice stacks up against others throughout the country. If a particular clinic performed very favorably within the Registry, it would be able to advertise this fact to patients and to different entities that may want to contract with the clinic. Participation in the PT Outcomes Registry would also enable a clinic to pinpoint how to improve poor performance in a particular area that they may not have previously recognized without the aggregate data.

The PT Outcomes Registry will provide objective information to support the assertion that PT restores function. We can then use this information to demonstrate our value to different organizations, whether that is with a hospital, an insurance organization, or to the general public.

The outcomes registry director also sees this information as eventually being linked to reimbursement. Linking outcomes to reimbursement would continue the trend to move away from fee-for-service and toward a value-based payment structure. A value-based payment structure rewards effective clinical practice, rather than performing treatment units with the highest reimbursement rates. This would be a win-win for evidence-based practitioners, as well as for their patients.

Eventually, with enough data, there is potential for the information to be used for research as well; the Outcomes Registry represents the exciting future of our profession!

PT Outcomes Registry Site | More info from the APTA

 

A Non-Native’s Guide to Colorado’s Summer Playground

Name: Evan Piche, Class of 2018

Hometown: Northampton, MA

Undergrad: Colorado State University

Fun Fact: I once thought I met Danny DeVito in an airport men’s room.

evanheadshot

Congratulations! If you’re reading this, there is a fair chance that you are either (a) my mother, or (b) a member of the incoming Class of 2019. Welcome, and since both parties will be visiting Colorado this summer, I’d like to help get you acquainted with some of the best trails Colorado has to offer. Denver is not, strictly speaking, a mountain town in the same sense as Telluride, Steamboat Springs, and Crested Butte are. We’re kind of out on the plains, straddling two worlds—but that doesn’t mean you’ll be short on options for running, hiking, or biking. We Denverites are fortunate enough to enjoy a wealth of those opportunities for after-school outdoor recreation, and when you have a long weekend and are up for a few hours in the car, the options for adventure are limitless.

With that, I’d like to offer my favorite hiking/trail running and mountain biking destinations in the Denver-metro area and beyond. From backcountry escapes to a quick after-class workout, you’re sure to find something to do this summer. (And, while I was not specifically asked to include this, I would be remiss in my duties if I did not use this opportunity to act as your ambassador to the world of Denver’s breakfast burritos.)

Hiking/Trail Running

School day: when you only have an hour or two after class, these are the places to check out! (15- 20 minutes away)

  • Matthews/Winters – Red Rocks Loop
    • A rolling, rocky 5-7 mile loop with fantastic views of the foothills west of Denver and the world-famous and aptly named Red Rocks Amphitheater.Mathew_Winters

trailrunproject.com/…/matthewswinters-red-rocks-loop

  • Falcon
    • Hands down the best climb in the Denver area, this trail winds its way up four steep technical miles to the summit of Mount Falcon. From here, either retrace your steps to the parking lot nearly 2,000 feet below or continue on to explore a vast trail network.Mt_Falcon.jpg

trailrunproject.com/…/mount-falcon-east-loop

  • Green Mountain, Lakewood
    • A mostly gentle 5-8 mile single track loop featuring the Front Range’s best sunrise and sunset views.Green_Mtn

trailrunproject.com/…/green-mountain-trail

Weekend: about a 90-minute drive from Denver

  • Sky Pond, Rocky Mountain National Park
    • A classic RMNP hike; after meandering around the base of Long’s Peak, the trail turns vertical and ends with a fun scramble to Sky Pond amid boulder fields and some of the Park’s most impressive glaciers.Sky_Pond_RMNP

trailrunproject.com/…ail/7002175/sky-pond

Long Weekend: 3-5 hours from Denver

  • West Maroon Pass, Aspen to Crested Butte
    • This is considered a rite of passage among Colorado hikers and trail runners. While the towns of Crested Butte and Aspen are separated by one hundred miles of highway, this challenging, backcountry trail connects them so that “only” 10 miles sit between them. Pack a bathing suit (or not) for a dip in Conundrum Hot Springs if you plan to do this trip properly.

cascadedesigns.com/…/hiking-west-maroon-pass-from-aspen-to-crested-butte

Mountain Biking

School day:

  • Lair O’ the Bear 
    • Swoopy, flowing lines, grinding climbs, open meadows, and a breathtaking view of Mount Evans—all less than 30 minutes from Denver. After riding, grab a burger or brew in one of Morrison’s quaint eateries.Lair_of_the_bear

mtbproject.com/trail/703097

  • White Ranch 
    • This is a gem of a park and located only a few miles north of Golden; it offers trails that rival anything in Boulder (after all, you can see the iconic Flatirons from the parking lot) with a fraction of the traffic.White_Ranch

mtbproject.com/trail/632917

  • Apex Mountain Park, Enchanted Forest Trail 
    • Apex is one of Denver’s most well-utilized mountain bike trail networks, and with good reason. The Enchanted Forest descent is not to be missed. Be sure to check the link provided for alternate direction riding restrictions on odd/even days before you go. Bonus: these trails are a blast to ride in the snow after the fat bikers, skiers, and snowshoers do all the dirty work of packing down the snow.Apex_EnchantedF_Forest

mtbproject.com/trail/616137

Weekend:

  • Blue Sky to Indian Summer
    • Regardless of whether you mountain bike or hike (or climb, or paddle, or just enjoy beer), a trip to Fort Collins is always enjoyable. Fort Fun is home to one of the Front Range’s finest fast, flowing mountain bike trails. While options abound for long climbs up to the summit of Horsetooth Mountain Park, the Blue Sky Trail sticks to the lowlands, traversing a spectacular cliff line with scenery reminiscent of your favorite Western movie. Also, New Belgium brewery is not to be missed.

mtbproject.com/…/blue-sky-to-indian-summer

Long Weekend:

  • 401 Trail, Crested Butte, CO
    • Come spring and early summer, the wildflowers on this ultra-classic trail grow to be chest-high. Imagine ripping down 14 miles of high country singletrack, with views of snowcapped mountains disappearing and reappearing as you dive into and out of fields of wildflowers so high and dense as to obscure your line of sight. Be sure to grab tacos at Teocalli Tamale once back in town.401_Trail_CB

mtbproject.com/trail/338027

  • Slickrock Trail, Moab Utah
    • Quite possibly the most famous mountain bike trail in the world—and for good reason. Slickrock offers an other-worldly experience: an ocean of red sandstone surrounds you, with views of the Colorado River far below in the canyon. In the distance, the snowcapped La Sal Mountains dwarf the landscape and offer a stunning contrast to the red, pink, and orange hues of the desert. For après ride fun, check out the Moab Brewery, located right in the center of town—it’s an oasis of alcohol and burgers in an otherwise remarkably dry state.Slickrock

mtbproject.com/trail/158941

Burritos

The breakfast burrito was invented in the kitchen of Tia Sophia’s in Santa Fe, New Mexico in 1975. Since that historic day, it has been possible to eat a burrito for all 3 (or more) meals of the day, a feat now commonly referred to as a “hat trick.” Like most of Denver, the breakfast burrito is not native to Colorado, but found in our city a welcoming home. I am unsure of whether or not Colorado has an “official” state food, but I would nominate the breakfast burrito for that honor.

With the help of acclaimed writer and Denver resident Brendan Leonard, I have assembled the definitive guide to Denver’s Best Breakfast Burritos:

  • Grand Prize: El Taco de Mexico on Santa Fe
  • First Runner Up: Bocaza on 17th Ave.
  • Second Runner Up: Steve’s Snappin’ Dogs
  • Honorable Mention: Illegal Pete’s
  • People’s Choice: Campfire Burritos (food truck)

    author

    Evan is an avid biker, trail runner and climber.  We hope you enjoyed his pictures and guide to an adventurous CO summer!

 

Physical Therapy Classification and Payment System: a Discussion with Lindsay Still

 

katie1

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 Lindsay Still, Senior Payment Specialist

lindsaystill

I talked with Lindsay Still, a Senior Payment Specialist, and she explained the current state of the PTCPS.  Read a summary of our interview below!

Overview

The Physical Therapy Classification and Payment System (PTCPS) is an ongoing initiative that was developed as an alternative to the current, fee-for-service codes—ones that easily fail to capture the true value of what PTs do—and instead particularly account for the complexity and skill of clinical expertise required for patients with more involved presentations. It also incorporates the use of standardized outcome measures. PTCPS would include a single CPT (Current Procedural Technology) code for the entire treatment session versus the assortment of 15-minute unit codes that we’re used to today.

The system has gone through multiple iterations in the past several years, and was developed by the APTA in collaboration with a specialty work group within the AMA (American Medical Association) involving members from the professional organizations of OTs, massage therapists, athletic trainers, speech-language pathologists, chiropractors, psychologists, optometrists, podiatrists, physiatrists, neurologists, orthopedic surgeons, osteopathic physicians, and representatives of CMS (Centers for Medicare & Medicaid Services).

Structure of the new coding system

Under the new system, there would be three new evaluation codes that puts a patient into an initial category of lower, moderate, or higher complexity. Certain documentation criteria (e.g. under patient history, presentation, or plan of care) would determine which of the three eval codes you would select. For example, the number of comorbidities for a given patient would play a role in the eval code selection. There would also be a single code for any re-eval visit.

As currently structured, the proposed PTCPS would also incorporate five treatment codes, based on the overall complexity of the patient’s presentation and treatments. These codes, much like our current CPT code for evals (97001 Physical Therapy Evaluation), would not have a set time frame or number of units associated with it. However, treatment billed under the lowest complexity code would likely be much shorter than a treatment session under the highest complexity code, and the reimbursements would reflect this fact.

Implementation

In 2014, pilot testing of the new system was performed with PTs using the new system to code/bill for hypothetical patients, as well as using the new system to code the treatments of actual patients previously coded with the existing system. This testing occurred in various care settings. Overall, the clinicians were very consistent in their ability to categorize patients with the new initial eval codes. However, for the intervention codes, the pilot clinicians were only able to consistently categorize those patients with the least complex and most complex presentations. There was significant disagreement between PTs in regards to cases that fell within the different “moderate” treatment categories.

The definitions and valuation of the proposed eval codes were reviewed and approved by the RUC (Relative Value Scale Update Committee) and will now require CMS approval. Lindsay is hopeful that CMS will accept the new eval codes, as they will be budget-neutral. In August of 2016, CMS will release the 2017 Medicare Physician Fee Schedule Final Rule; this should include the new PT evaluation and reevaluation codes. The new codes will go live on January 1, 2017. PTs will have three brand-new CPT codes to replace the current 97001 Physical Therapy Evaluation. The APTA will provide training and support to clinicians during the time leading up to the release of the new eval codes.

Impediments to the impending treatment code change

The new treatment codes will require further review and refinement, given their inconsistency of use during the pilot testing. This will likely be an interactive process, and not without controversy from the perspective of payers (insurance companies). In the meantime, the RUC has requested a “backup plan” to address ten CPT codes commonly used by PTs which have been identified as “potentially misvalued codes,” most of which PTs probably use frequently:

  • 97032 attended electrical stimulation
  • 97035 ultrasound
  • 97110 therapeutic exercise
  • 97112 neuromuscular reeducation
  • 97113 aquatic therapy with therapeutic exercise
  • 97116 gait training
  • 97140 manual therapy
  • 97530 therapeutic activities
  • 97535 self care home management training
  • G0283 unattended electrical stimulation (non-wound)

These codes are flagged  because they represent a high reimbursement rate and have not been assessed since 1994.

As a result, the APTA is currently redirecting efforts to provide replacements to those 10 codes rather than waiting for the codes to be reevaluated for us. The new treatment codes the APTA envisions to replace them with would be procedure-based: you would still bill in 15-minute increments. However, they would be streamlined; there would be fewer codes, and the codes would reflect the types of treatment PTs currently perform in practice (as opposed to focusing on what treatments PTs may have historically performed).

Future of the proposed treatment codes

The more general patient- and value-based treatment codes initially envisioned by the APTA are still in the works, but Lindsay foresees a longer process before fruition: it will require all parties to agree on a coding system that accurately and cost-effectively describes the type of treatments that PTs perform for patients. This includes the third-party payers who generally prefer the current setup of treatment codes based on billable units. The current coding system is easy to monitor for abuse or overuse of treatments.

I asked Lindsay if she saw outcome measures as one way of giving insurance companies some power to track the value of treatments under the proposed system. While they wouldn’t be able to screen specific procedures in the same way that they are able to under the current system, they would be able to, for example, monitor whether the progress of a “low complexity” patient was lagging behind what would be expected given that patient’s presentation.

She agreed that this could work in theory, but felt that we still have a long way to go in terms of standardization of outcome data across the spectrum of patient presentation. This is one of the reasons the PT Outcomes Registry will be so important! These two issues truly are intertwined in the future of value-based billing for PT services.

For more information, visit: http://www.apta.org/PTCPS and check out the Timeline for payment reform.

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

katie1

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

blogkatie.png

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.

ptnow

*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

 

Balancing a Relationship with PT School

Being married is the best. I get to do life with my best friend every day, and it was a definite perk that I didn’t have to find a roommate when coming to PT school. For those of you who are starting PT school this fall and are married or in a relationship, here are a few things to think about.

  1. If you’ve gotten this far and are still in a relationship, then your significant other is incredibly supportive of you. Don’t forget to thank him or her! He or she will be your biggest advocate and cheerleader over then next three years. Let them know how much you appreciate their sacrifices so that you can pursue your dream.
  1. Yes, school is tough, and you need to study. A LOT. But make sure that you don’t neglect your relationship. When I interviewed at Regis, my interviewer said to me, “We don’t want to break up marriages.” Your relationship will last far longer than your time in PT school. Do your best in school, but intentionally set time aside to spend with your significant other. They get lonely sitting on the couch quietly watching someone study all the time, so plan on doing fun things and going on dates. There’s a lot to do here in Colorado. Go explore!  Some of our dates have included:
    1. Road trip to Mt. Rushmore (it’s only 5.5 hours away!)IMG_51362. Horseback riding and snow hiking in Estes Park–it’s the entry town to Rocky Mountain National Park (1 hour away)IMG_5263.JPG3.  Hiking in Golden (15 minutes away)IMG_5862 4.  Musical at the Buell (10-15 minutes away)IMG_5634.JPG
  1. Remember that everyone’s relationship is different, and you have to find a balance that works for you. Some of my classmates have significant others who work 8-5 jobs and can have dinner together each night. They usually study during the week and take a day off on the weekends to play. My husband is an ER nurse and works 11:00 a.m. to 11:00 p.m., so there are many days that I leave before he wakes up and to bed before he gets home. He works many weekends, so I do lots of homework during the weekend and then take a day off of studying during the week when he has off.  That’s okay. Do what works for you. There is no one correct recipe for success in this program.
  1. Lastly, be patient with your significant other. He or she really likes to be with you, and it will be an adjustment for both of you adapt to PT school. Don’t get discouraged. You will make it!

Overall, is having a relationship hard during PT school? Absolutely. It’s one more thing to think about and invest in with an already filled schedule. However, you will never see your significant other’s support and kindness more than over the next three years. So buckle up and enjoy the ride!

unspecified.jpg

Blogger: Katie Ragle

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!

DSC_1042

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.

12370856_10205552268791979_7028308322349562792_o

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.

13123266_10209885432677887_3823926723548026761_o

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.

12711240_10205955050701275_6528005848532667299_o

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.
12063874_10207614460345179_4182374608482622855_n

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.

    13063148_10154234464738028_642248286273198217_o

    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.

12047100_10206776361280437_358163539107634848_n

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.

12971049_10209700229727054_2928229077457743899_o

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!

madeleineblogger

Blogger: Madeleine Sutton

 

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!!

unspecified.jpg

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.

IMG_2157.jpg

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!
IMG_4251.jpg

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!

katie1

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

katie2.png

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.

katie3

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!

katie4

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

What is a Regis DPT service learning project?

Every semester, Regis DPT students participate in a service learning project that gives us the opportunity to work out in the community. Our first semester project didn’t happen due to some pesky snow; this semester, though, we had many options to get involved with different disabled populations. Others in my class spent time at weekend retreat camps for children with motor and mental disabilities, skiing with those with mobility impairments, and bowling with people with Down syndrome. As a former ballet dancer, I was attracted to the dance program that was listed in our options.

774906_10100580633752172_4386557755447908964_o

Some students spent some days up at Keystone and helped people with disabilities ski!

Spoke N’ Motion is a fully integrated dance company. When I say fully integrated, I really mean it! During my time with the company, I have met many members who have vision, hearing, and mobility impairments along with other members who have autism, Down syndrome, or lesser detectable disabilities. I remember walking into the rehearsal the first day—I had absolutely no idea how it was going to work. How do you get a group with such different levels to dance together? Honestly, I expected the rehearsal to be messy and difficult.

It was the opposite of that. An individual with visual impairments stood to the side and watched a few times before joining. Those in wheelchairs used their arms to mimic the leg movements. The younger kids kept up with the adults. I was amazed and so honored that I was getting to experience a little slice of it. The company performs regularly! I entered with a narrow mind about what I would be experiencing, but they opened me up to so many new ideas.

My project only required a handful of hours, yet I have found myself going back every week. I’m no longer a person who is dancing with Spoke N’ Motion as a project for school;  I’m a member of the company. I have fun dancing with everyone there. They have a performance coming up next month, and I’m even dancing in the show.

SNM pic.jpeg

Our company practicing! Pic: Carl Payne

The atmosphere of the company is of overwhelming joy. One member posts in the private Facebook group every Friday before rehearsals about how excited she is to see everyone the next day. For many there, this company is a place where their varying abilities are highlighted as a good thing. We push the boundaries of what I thought was ‘okay.’ Who would have thought it was okay to stand on the back of a wheelchair to do spins?

Service learning is an amazing opportunity to get out of our ‘school brains.’ We get to work with real people and see how concepts from class can be applied. Being open to new and uncomfortable situations is an important part of our education. I, for one, am glad I go to a university that encourages service learning!

And, if you happen to be around Denver next month: come see us dance! Performances are May 14 and 15th. Look here for tickets: http://www.spokenmotiondance.org/performances.html

unspecified

Blogger: Madeleine Sutton

Time and Life Management in a DPT program: Meet Amy Medlock

 

Name: Amy Medlock, Class of 2017

Hometown: Grand Rapids, MI

Undergrad: University of Notre Dame

Fun Fact: My right thumb is 1 cm shorter than the left

amyblog1

Finals week.  What a great time to be writing this post on time & life management.  PT school is demanding and can often feel overwhelming, but it does not have to take over your entire life. In addition to the responsibilities of school I am married, have two kids (Emma & Lyla), and I have to commute over one hour each day.  I have a secret though: since the end of my 2nd semester, I have not studied after 5pm or on weekends and my GPA is doing as well as ever. Shhh…Don’t tell our faculty!

amyblog2

My family – Matt, Emma (7) and Lyla (4)

It is definitely not easy getting through a DPT program with extra responsibilities, but with the right discipline and support it is entirely possible. Since starting PT school there are a few tricks and tactics I have learned that may seem simple but have made it possible for me to keep my nights and weekends free for my family.

  1. Give yourself set hours – I arrive at school every day at 7am whether we start class at 8am or 1pm, and I leave everyday between 4:00p and 5:00p even if we get done with class earlier.
  2. Pay attention in class – This may seem obvious, but some people don’t do it.  If you look at people’s computers during lecture you’ll see people checking Facebook, playing Bubble Spinner or reading the news. To avoid becoming distracted by the ever present lure of Facebook or browsing the news, I sit in the front row to help keep my attention focused on taking notes. Class is valuable time that significantly reduces the amount of additional studying.
  3. Schedule everything – I start every week by scheduling out every day from when I am going to exercise, complete upcoming assignments, to when I can meet up with friends.  This keeps me accountable to my goals and keeps me from feeling like I have things hanging over my head or that I am forgetting something.
amyblog3

A typical week in my life (minus my kids’ and husband’s events)

  1. Study when you study – Again, this might seem obvious, but it is really easy to get distracted by conversations, Facebook, Snapchat, etc. while studying. I have become very selective in the locations I will study and the people I will study with in order to maximize my study time.  I have also found people who are willing to drive down to the ‘burbs where I live on days when the demands of being a mom require that I stay closer to home (Thanks, Tane Owens!).
  2. Exercise & get outside – This helps me so much with feeling healthy, maintaining my energy and focusing while studying.  We are PTs, I don’t need to give all the reasons why this is a must! Being productive and efficient with my studies enables me to still live an active lifestyle.

    amyblog4

    Some of my activities outside of PT school

 

  1. Leave school at school – I understand that it is difficult for those that live with classmates but I avoid doing school work at home. I do my best to be present to my husband and kids whenever I am at home.  I am not saying that I am perfect at this, but I really do try.
  2. Stay involved – I have found ways to stay involved and active in both our academic program as well as our profession as a whole. Adding extra responsibilities and events further forces me to organize my time and priorities. I do not have time to procrastinate; therefore, I do not.
  3. Develop a support network – I feel so blessed to have a supportive and understanding husband who stays home with our kids when they are sick, makes dinner when I get stuck in traffic, and pushes me to be the best wife, mom and student that I can possibly be.  I also have amazing mom-friends who have my back when childcare falls through or when I need a glass of wine and movie night.

I have had to develop these strategies and practices out of necessity due to my responsibilities and commitments outside of PT school. But, we all have responsibilities and commitments outside of the classroom. I hope some of these pointers can help you to stay focused and stress-free(ish!) as you go through this vigorous program.

 

amyblog5

Service and advocacy with my classmates and colleagues

 

Regis University hosts the Denver National Advocacy Dinner

IMG_3845

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)

FullSizeRender

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.)

IMG_9674

 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.

IMG_3941

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:

IMG_3936

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

2nd Year Regis DPT students preparing to head off to clinical: Meet Adam Engelsgjerd

Name: Adam Engelsgjerd, Class of 2017

Hometown: Scottsdale, AZ

Undergrad: University of Arizona

Fun Fact: I am unabashedly 0/2 in the Palmaris Longus department

Engelsgjerd-Headshot.jpg

After these final two weeks of the semester, Adam will be heading to Orland, CA for his summer clinical.

The goal of PT Exam Lab in our first year was to begin teaching our hands how to feel and assess what our brains knew to be there. For example: we studied the knee from texts, dissection, and lectures and then used our hands to palpate a classmate’s knee with our new, more clinical, perspective. The concept of our hands being “dumb”—or unable to differentiate what was beneath them—soon became all too familiar. Did we feel how there was a slight swelling of tissue on the medial aspect of the knee’s joint line that was the MCL? Sure we did.  Maybe. I mean, it has to be there, right? Let’s look back at our textbook again.

As the first year of the DPT program faded into our first clinical experience, we had the opportunity to translate our education into a real-world setting. Interacting with patients suffering with a myriad of different pathologies, varying levels of cognitive function, and real pains and concerns presented a new challenge: how to conduct PT evaluations. No longer volunteers or PT Techs hoping to one day be admitted to a program, we were now Student Physical Therapists and patients were looking to us for answers. We needed not only to know how the body worked, what normal and abnormal felt like with our hands, but also how to relate relevant information to a patient who may have little understanding of their body except that it hurts when they move.

 

10264120_10153246661562738_3407730186231525530_o

As my class draws near the end of our last full semester of classroom education, we are preparing for 30 weeks of clinical rotation—seasoned with a few more classes, a comprehensive examination, and the NPTE. Most of us can now all too clearly hear Dr. Tom McPoil’s words echoing back to us: a key challenge of being a good PT is not memorizing a list for a test or performing a skilled act for a practical, but being able to recall the massive amount of information we learn when you need it.

The goal ahead of us is the same it has always been: being able to put together the foundational information about how the body should work, overlay possible pathologies, identify red and yellow flags, conduct a concise but thorough evaluation, and accurately prescribe interventions. Yet, for many of us, it is now that the full scope and weight of that task is being felt.

And so, off we go around the country for the next two months where we anticipate being challenged, exhilarated, and scared all over again. We will once again surface from the classroom to rediscover why it is we’re here at Regis: to help those around us move better and for ourselves to get one step closer to becoming movement experts.

Injury, surgery and rehab during PT school: Meet James Liaw

Name: James Liaw, Class of 2018

Hometown: San Jose, CA

Undergrad: University of California, Davis

Fun Fact: Climbing! More Climbing, snowboarding…let’s go climb.

 

unspecified.jpg

Getting injured is always going to be hard to deal with, but you never realize how much it will affect you until you’re experiencing it firsthand. The summer after my senior year of high school, I hurt my left wrist; I did not find out until this semester—six years later!—that I had broken the scaphoid and it had never healed. Deciding to get it fixed in my second semester of PT school was tough, but necessary: as we will be learning many hands-on tests and measures this summer to use for our first fall clinical, I figured now was the best time for the surgery. Since I’ve always been interested in hands, I did a lot of my own research. A vascularized bone graft over my scaphoid would normally be the best option, but, because my fracture was practically ancient, my surgeon and I decided that the best option was to get a four-corner fusion.

After waking up from surgery, though, I learned that there was a complication. The goal had been to fuse the carpels and have my lunate articulate with the radius instead of the scaphoid; when my surgeon began, though, she found that there had already been damage to the surface. She decided that it was best for me to get a proximal row carpetomy (PRC) to preserve as much ROM as she could. So, essentially, the surgeon took out the scaphoid, lunate and triquetrum in order to have my wrist articulate at the capitate.

It was only after undergoing my PRC that I realized how much I utilized both my hands for everyday activity—and, particularly, that I could no longer climb. Losing my main source of both stress relief and fun hit me hard. I tried to find other things to fill the time and to burn off the excess energy that I had from sitting in class all day, but, to be honest, nothing really worked. Not climbing made me restless and unmotivated to study. My life had been built around climbing and school, so losing half of that was devastating. Everyone was extremely supportive and assured me that I would get back to climbing in no time, but this “short” stint of five weeks of immobilization felt like forever—and, almost just as paralyzing as the cast was the constant worry that I would lose the climbing ability I had worked so hard to attain.

12970476_10154101568658594_818605983_o

James created his own customized walker to practice in the Class of 2018’s transfer and mobility lab

That time in the cast gave me more insight into what my future patients will be feeling:  I felt helpless as I sat in lecture, hand over my head to reduce swelling, and thinking about my four years of climbing work slipping out from my fingers. This is the kind of thought that we will have to deal with. Patients will come in with an injury and with goals and fears of never reaching them, and I can see more clearly now that it’s going to be my job, as a clinician, to assist with both physical rehabilitation and help motivate them to push past their fears.

Dealing with an injury can be large distraction from school. Luckily (or unluckily), I have other classmates that are going through a similar process with their injuries, and we have formed a support group to talk about our experiences. All the professors have been very supportive, and I’ve also learned a lot about wrist and hand injuries in the last month through obsessive research (it’s reinforcing Regis’ emphasis on evidence-based practice!). I will be starting physical therapy soon and I’m looking forward to getting back on track—and, hopefully, more energized than I have been in the last month. Even though I have a long way to go, I can’t help but be excited about healing up and enjoying the beautiful Colorado climbing!