The Best Loss I’ve Ever Had

Blogger Katie Ragle, Class of 2018, writes about her experience at the National Student Conclave held in Miami, Florida over the October 27-29th weekend.  

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Let me tell you about my trip to Miami.

It all started with an email from a fellow Regis student that read, “Hey Katie! I just tagged you in a Twitter post about the Student Assembly Board of Directors. Take a look at the application :). Deadline 7/1.” This began my journey into a passion for the APTA. But first, a history lesson:

If you are a PT or PTA student and an APTA member, then you are in the Student Assembly. There are around 29,000 of us, and we’re all led by a board of 10 people—the Student Assembly Board of Directors (SABoD). This board is comprised of positions such as president, vice president, and other director positions that help to make the student APTA experience a great one.

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That aforementioned email referred to the Director of Communications position on the SABoD. This person creates content to engage the Student Assembly through emails, social media, and videos. You may not realize it, but you receive emails from the Director of Communications on a regular basis.

As a broadcasting major with a minor in editing and publishing, this position was right up my alley. After I was encouraged to apply, I decided that I wanted this position to get more involved in the APTA and to use my talents to further the profession of physical therapy by engaging students from across the county.

After an application and a Skype interview, I was chosen to run alongside three other candidates for the Director of Communications. The election occurs every year at the National Student Conclave (NSC), which is the annual national APTA meeting that is just for students. Two weeks ago, I packed my suitcase and headed to Miami for the final election.

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The Regis representation at NSC.  I’m so glad they were there!

I arrived in Miami with nearly 1,000 PT and PTA students from around the country who gathered to learn how to be better practitioners and how to advocate for our profession. I was immediately blown away by the amount of enthusiasm and support for our field. Everyone eagerly engaged in meaningful conversations about their program and what they’re doing for the field of PT. Rather than simply clustering together with individuals from their schools, people branched out and met students from around the country. The excitement was palpable!

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These are the incredible candidates I got to interact with all weekend.

Little did I know that I would receive a ribbon that read “Candidate” all weekend so that people could ask me about my slated position. I had the opportunity to meet so many amazing people in my field! These people inspired me to not only be the best PT that I can be, but also to advocate for our profession and to represent it well. The speakers empowered us with knowledge in entertaining ways and generated passion for the field.

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This is one of my new friends, Alicia from MA

But more than passively attending, I got to actively participate in the conference. I participated in focus groups on how to make communication within the APTA better. I introduced a few speakers before their talks, and I met with the leaders of the Student Assembly to discuss the future of the organization. I also got to meet the president of the APTA, Dr. Sharon Dunn. She held an open Q&A for students to ask her any questions they had. She is both incredibly intelligent and personable. The APTA is fortunate to have her!

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APTA President, Dr. Sharon Dunn, gave all of us candidates a pep talk.

Did I win the election? No. Am I upset? Absolutely not. I wouldn’t trade my experience at NSC for anything. I made connections that will last a lifetime. This conference opened doors that I otherwise would have never been able to encounter. I still receive emails and messages from other students and professionals asking to keep in touch and encouraging future connection at upcoming APTA events. Best of all, NSC lit a fire within me for my future profession and for the organization that represents us so well.

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This is the amazing group of individuals with whom I ran for Director of Communications.  The one standing next to me (second from the left) was elected to the position.  His name is Cruz, and he will do great things for the Student Assembly!

In a future post, I will share some of the tips I learned at NSC about how to get plugged into the APTA;  for now, think about attending NSC 2017. It’s in Portland, Oregon, so how can you turn it down? You won’t regret it. We are the future of PT. Let’s be the best that we can be!

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Then and now: Meet Alumna Erin McGuinn Kinsey

Erin graduated from the Regis DPT program in 2010 and is now a pediatric physical therapist for Aurora Public Schools; she also serves as a Clinical Instructor for current students. 
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Name: Erin McGuinn Kinsey, Class of 2010
Hometown: Denver (but grew up in Georgia, Alabama and Florida)
Undergrad: University of Florida (Go Gators!)

Fun Fact: I am a huge Florida Gators fan and have been to 3 National Championship games, including football and basketball (all of which they won)!

More than six years ago, I completed my PT school capstone with the theme of “balance,” which led me to my graduation from Regis University with my Doctor of Physical Therapy degree in 2010. Every day during these past six years, I’ve held onto that philosophy of balance in both my personal and professional life. Life has definitely been a journey since then, and I am thankful for my profession, colleagues, friends, and family who have been a constant support. I always make time for my family, staying active, and traveling while dedicating myself to the children and families I serve as a physical therapist.

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My dad and me on graduation day! My parents were a huge support during my time at Regis.

As a Regis physical therapy student, I considered several areas of practice with an interest in pediatrics or orthopedics. It was when I ventured off to Ethiopia for the intercultural immersion experience that my decision was made to pursue a career in pediatrics. I have always enjoyed coaching children in gymnastics and being a nanny, but this was a new responsibility. My eyes were opened to the importance of access to timely and appropriate healthcare—especially early intervention for children. There were so many preventable and correctable impairments that would have changed the lives of these children if they had been addressed earlier in life. My passion for working with children was intensified, and I knew there was good work to be done in my future.

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Our time at Project Mercy in Ethiopia

After graduation, I decided I wanted to pursue pediatric physical therapy in Denver. I completed the Leadership and Education in Neurodevelopmental Disabilities (LEND) Fellowship through JFK Partners and the University of Colorado (which is now the University of Colorado Pediatric Physical Therapy Residency Program). This opportunity gave me a variety of academic and clinical experiences, including supportive mentorship that was invaluable as a new physical therapist. I highly recommend further education after graduating, especially if you have determined an area of specialization! It is amazing how many continuing education opportunities are available now for physical therapists.  The experiences can enhance your education early on and increase your confidence in your clinical skills and decision making.

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My wedding day with my Regis girls by my side

I currently work as a pediatric physical therapist in Aurora Public Schools. My perception of the role of the physical therapist has really expanded in this setting. Access to the educational curriculum covers a broad spectrum and all aspects of a student’s school day. We are responsible for the physical access to the school environment in any scenario; this includes  getting on/off the bus, participating with peers on the playground, moving through the lunch line, evacuation plans, equipment management, gross motor skill development, and much more. I truly value providing services in the natural environment for the child.  There is something to be said for practicing the skill in the environment it is expected to be performed while directly supporting the student’s participation in his/her school life.  After spending most of my early career with the birth to three-year-old population in the home setting, the school setting has provided new challenges and learning opportunities across the school-aged lifespan. I remember in my interview with Aurora Public Schools one of my colleagues mentioned, “you will never be bored.” Now in my second year in APS, I have quickly learned this is true!

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My wonderful PT team at APS!

The beauty of being a physical therapist is that there are so many different opportunities within the profession, and you can always change your mind. People need our help whether they are young or old, active or sedentary. Get out there, find what you love, and create your balance.

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My family on vacation to Carmel Valley and Pebble Beach, CA

“Life is like riding a bicycle. To keep your balance you must keep moving.” – Albert Einstein

Meet the Class of 2019 President: David Cummins

Name: David Cummins, Class of 2019
Hometown: Cortez, CO
Undergrad: Fort Lewis College

Fun Fact: I’ve moved 17 times since graduating high school

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When I received a letter from Regis University notifying me that I’d been accepted into their DPT program, I panicked. I had been working hard to get into PT school, but the reality of the impending changes caught me off guard. As a non-traditional student who had been out of school for more than 10 years, I was nervous about leaving the career I had worked so hard to build. The thought of surrounding myself with young, smart, successful, and ambitious classmates only added to my anxiety.

By the end of the first week of classes, I realized I had found my new family. Classmates surprised me by being genuinely interested in my academic success. They shared study guides, strategies for achievement, and—most importantly—support. There is now a palpable (Ha! Get it?) mentality that we’re all going to get through this program together;  that has made my anxiety melt away.

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David and his classmates climbing a 14er with some time off from school (PC: Elizabeth Johnson)

I was honored when someone nominated me for class president and elated when I was elected because the role will give me a chance to foster the supportive environment that got me through my first few weeks. The position comes with a lot of extra stress, but I’ll be working with an incredible group of elected officers who share the same vision of creating a healthy and supportive environment that is conducive to academic growth and overall success.

The 14 elected officers come from a wide variety of different backgrounds. Some have extensive experience working with physical therapists, some have worked in completely unrelated fields, and some are coming straight from undergraduate programs. Together, we represent a holistic cross-section of knowledge and viewpoints. We will utilize our combined skills and knowledge to build upon the foundation that previous classes have established and add our own projects and ideas to make this experience our own.

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The new officers for the Class of 2019

We’ve already been through a lot in the 11 short weeks we’ve known each other. The support and encouragement I’ve experienced has been overwhelming. Over the next 2.5 years, I hope to cultivate a supportive cohort based on the values we all share: we will be a community that promotes shared academic success and continues to motivate us to be the best, most compassionate physical therapists we can be.

President: David Cummins

Vice President: Katarina Mendoza

APTA Rep: Grace-Marie Vega

Fundraising Rep: Kassidy Stecklein and Celisa Hahn

DPT Rep: Nina Carson

Media Rep: Courtney Backward

Diversity Rep: Stephanie Adams

Ministry Rep: Sarah Collins

Service Rep: Amber Bolen

Move Forward Rep: Sarah Pancoast

Clin Ed Rep: Josh Hubert

Admissions Rep: Kelsie Jordan

Secretary: LeeAnne Little

Treasurer: Jennifer Tram

 

 

Pelvic Health Physical Therapy: First Clinical Experience Reflection

Name: Maggie Nguyen, Class of 2018
Hometown: San Jose, CA
Undergrad: UC Santa Barbara

Fun Fact: I got 33 stitches across my forehead in high school.

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What is pelvic physical therapy?

I never would have guessed that my first clinical rotation would land me in rural Montrose, Colorado with a Clinical Instructor who specializes in pelvic health. I walked in on the first day absolutely terrified and with no idea what pelvic PT entailed. It turns out that pelvic physical therapy encompasses a wide range of diagnoses ranging from pre/post-surgery (hysterectomy, prostatectomy, C-section, etc.), pregnancy, sexual trauma, interstitial cystitis, urinary and fecal incontinence, rectal/uterine prolapse, and—essentially—anyone who is experiencing pelvic pain. We treat both women and men; we practiced manual therapy externally and internally using our hands and various tools.

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The pelvic floor

Your pelvic floor has two main purposes: it is a network of muscles that stabilize your entire pelvis and hips—so it affects your back and down to your knees—and it also relaxes and contracts at the appropriate times; this allows you to jump, run, and laugh without urinating or having a bowel movement when you don’t want to. If your pelvis is out of alignment or the muscles of the pelvic floor are not firing correctly, it throws off your entire body and is extremely painful. Just like you can get knots in the muscles of your neck and back, you can also get knots within your pelvic floor.

It was a world of PT that I didn’t even know existed. My CI was a Regis graduate and her treatment revolves mainly around manual therapy—specifically, trigger point release and soft tissue massage. She also uses biofeedback: by putting electrodes around the rectum, patients are given a visual of how strong or weak their pelvic floor muscle contractions are. The first four weeks of my rotation were spent mostly observing my CI. Every once in a while, she’d let me palpate external muscles that felt abnormal. By the fifth week, I had a foundation strong enough to be able to assess and treat some patients entirely on my own!

Did I feel prepared?

Yes and no. Who remembers the origin, insertion or innervation of the bulbocavernosus? I sure didn’t; a lot of our pelvic floor knowledge came from the first semester of PT school, and it took a little bit of time to refresh on the details. On the other hand, I had a tool belt filled with knowledge that I could draw from: I used the lower quarter scan we learned in our PT Exam class, manual muscle testing, motivational interviewing and, most importantly, palpation. Palpation allowed me to do an external assessment of posture and pelvic alignment despite not having a thorough background of pelvic health.

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Biggest Takeaway?

My first clinical rotation gave me my “breakthrough moment.” We all start school questioning whether or not we deserve to be here, whether or not we’re as smart as our peers, and whether or not we’re going to be good practitioners. For the past year, I wasn’t sure of any of those things until my fourth week of this first clinical. I had an overwhelming feeling of gratitude from my patients and a feeling of capability that reignited my passion for PT and reminded me of why I started the whole journey in the first place.

And, if you ever find yourself exploring the Western Slope, make sure to check out Telluride, Ouray, Black Canyon National Park, and the breathtaking Blue Lakes!

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

 

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Blogger: Katie Baratta

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

Interview with Lindsay Still, Senior Payment Specialist

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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

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Blogger: Katie Baratta

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

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

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What do you do at the APTA?

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

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

How did you come to work at the APTA?

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

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

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

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

Any advice for new clinicians starting out in their career?

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

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

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

 

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.