Finding Your Work-Life Balance in PT School

 

Name: Katherine Koch, Class of 2019
Hometown: Cleveland, Ohio
Undergrad: Ohio State University
Fun Fact: I’ve run two marathons!

                 Profile Pic.jpg               Physical therapy school is tough; that’s true no matter where you go. You’ll be challenged more than you were before and in ways you never were before—academically, intellectually, emotionally, existentially…the list goes on and gets even more dramatic. However, when you go to PT school at Regis and you’re living in Colorado, life gets simultaneously better and tougher. The upside is that you have a seemingly endless outdoor playground to frolic around on, and the downside is that you can’t spend all of your time doing that.

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Some of the Class of 2019 conquering a weekend hike

I grew up in Cleveland—the land of Lebron, the Rock ‘n’ Roll Hall of Fame, and the river that caught fire. Even though Cleveland rocks, Denver stole my heart pretty much as soon as the plane touched down. And, my first winter living in Colorado has proven again and again that this is where I want to be! Living near mountains provides the perfect pasture for snow bunnies to hop around with skis, snowboards, snowshoes, or just in hiking boots.  It seems as if the sun is always out (a welcome change from the dreary Midwest), and the motivation to go outside and get active is hard to ignore—especially with the free outdoor rentals at Regis!  If mountains aren’t your thing, Denver is a vibrant metropolis filled with fantastic local restaurants, breweries, museums, parks, and more. As biomechanics professor Dr. Erika Nelson-Wong likes to say, “it’s a beautiful day in Colorado,” and Erika is almost never wrong.

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Katherine and her classmates climb a 14er–Mt. Bierstadt!

So: the mountains are great, Denver is  a super cool city, and…what anatomy exam?? Like I said, PT school at Regis will challenge you in a myriad of ways, one of the foremost being time management. As much as I love exploring the city and the outdoors, there are days when I feel like I barely see that enduring sunlight. Classes are long and the work can be arduous. That’s why I’m pretty sure the phrase “work hard, play hard” was invented by a former Regis graduate. We work incredibly hard to become the best clinicians we can be, but we also know that work-life balance is precious and  we must strive to maintain it. On our first day of orientation, foot/ankle master Dr. Tom McPoil urged us to take one day out of the week to not prioritize school, but instead to prioritize everything else. I personally take every Saturday to not even think about school; I go hiking or for a long run or have a movie marathon or explore downtown or literally anything else—but I forget about school for a day. Then, the rest of the week, I have the energy and motivation to focus on school.

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A Halloween study break

While Saturday is a saving grace, weekdays aren’t totally lost to school and studying. No matter how interesting the class is or how captivating the professor is (which they all are!), sometimes it’s tough to sit in class all day and then go home and study. There are many evenings where a group of classmates will check out a new brewery, get some air at the trampoline gym, play pick-up sports, or explore the restaurants on nearby Tennyson Street. Most Denver museums have free admission days once a month; I love checking them out!  Regardless of what your hobbies are, it’s easy to find something you will love.

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Celebrating Josh’s (front and center) birthday at Sky Zone last week with the classmates!

I think Regis is wonderfully unique in that we are encouraged to embody the concept of “cura personalis.” You’ll be intimately familiar with this phrase by the end of your first semester, as we are often reminded that one small part of the body is tightly intertwined with the rest of the body, the mind, and the spirit. We learn to be physical therapists who practice this care for the entire person with our patients and with ourselves. I know that I will not be the best physical therapist I can be if I don’t reward my hard work with some well-deserved time off. Most of my classmates, including myself, were fortunate enough to have multiple options of schools to choose from, and I’m sure I could have gone to any school I was accepted to and worked hard to succeed. However, I came to Regis—and to Colorado—because I knew I would learn how to become an outstanding physical therapist while also becoming the best possible version of myself. And after countless hikes, one 14er climbed, falling on my face 6 times while skiing, 2 excursions to local breweries, 1 snowshoeing experience, 1 trip to the Denver Botanic Gardens, and meeting some of the best friends I could ask for, I’ll say with 100% confidence that I made the right choice.

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Ugly Holiday Sweater party after finishing first semester

What is the Regis DPT Interview Like?

Name: Monika Teter, Class of 2019
Hometown: Los Alamos, NM
Undergrad: Colorado State University
Fun Fact: I had a 5th wisdom tooth that had to be removed in 5th grade!

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            We all remember sitting down for hours at a time: filling out PT school applications, finally hitting the daunting submit button, and then that overwhelming joy we felt when we got our first interview invitation. I can’t believe my interview experience was already a year ago! The entire application process is a rollercoaster of emotions, but my experience with Regis’ interview put my nerves at ease and stood out from the rest of the schools I applied to. From the moment I stepped onto campus that snowy Monday afternoon, I felt a sense of belonging that I hadn’t felt at any other school. The interview process exposed unique facets of Regis’ program including the sense of community, the school’s dedication to the PT field, supportive faculty and students, unique involvement opportunities, and the program’s adaptability to unpredictable situations.

            My interview at Regis was one of the most memorable of my interviews—not only because of the people I met and conversations I had, but because of the blizzard that ensued that day. Though Regis provided the option to do a phone interview if we thought it was too dangerous to travel, I decided to attend the interview anyway since I was in Colorado at the time. I braved the drive from Fort Collins to Denver in my suit and red plaid snow boots armed with four-wheel drive and going over potential interview questions in my head. I was unbelievably nervous! The storm inevitably resulted in the early closure of campus and a shortened interview day. This could have caused mass chaos, but I was impressed by the adaptability of the Regis PT community to expedite the interview process without jeopardizing our time and experience. The organizers made sure every applicant had a fair chance regardless of the barrier Mother Nature concocted. They were able to calmly adapt to an unpredictable situation, which is a valuable skill in this field. Additionally, the current Regis PT students offered up their homes for interviewees to stay until they were able to safely get home. This kindness expressed by current students and the flexibility of the program spoke volumes to me, and I knew this was a program I wanted to be a part of.

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Enjoying the CO sunshine on days off!

            Weather aside, the interview process was a wonderful representation of the program. I was able to get a sense that this was a PT family and everyone was here to support each other. The students spoke nothing but good things regarding the faculty, and I understood why when I met several of them. Each and every one of the faculty radiated dedication to the field as they talked about their passions and areas of research during the faculty-interviewee mixer. We talked about the Peru trip Heidi was preparing to take students to as part of their global immersions trip. We chatted with Marcia and learned about her breadth of research in leadership, clinical development, and management of neurological disorders. I talked with Larisa in my interview regarding my love for volunteering and how the service learning here at Regis would fill that particular passion in my life. Talking to the faculty here at Regis was surprisingly easy in the stressful environment interviews can create. They were attentive and were interested in getting to know me as a person deeper than just my academic accomplishments.

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My mentor, grand-mentor and me at the welcome BBQ

          Regis also wanted to give us a peak at what our daily lives would look like as a PT student by taking us into the anatomy lab and having us sit in on a class. I remember walking into the anatomy lab where students talked about their experiences with cadavers as they pointed out structures on the brains. We also had the opportunity to participate in a postural assessment and wheelchair transfer lab in PT Exam. I remember looking at the students in awe thinking that I would hopefully one day be doing the exact same lab. These two unique experiences set Regis apart, and I was sold!

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Some of us first years enjoying our day off

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9thHealth Fair for Service Learning

         I went home that day bubbling with excitement. I had found my ideal program that matched my values, and I was hopeful they saw something in me that would complement their program. The day I got my acceptance letter, I was elated to call Regis my home. I have become part of a class full of brilliant minds and kind souls. These incredible people push me to be better, to stay that extra hour after class, to help maintain my sanity by going on a hike, and keep me motivated during hectic weeks. I have made some incredible friendships and have had some amazing experiences so far.

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Friendsgiving with the PT Fam!

         There are several wonderful programs out there, but something resonated with me the day I left the interview at Regis. It is truly an amazing community composed of unique perspectives nestled in the most supportive environment. I am happy to call Regis my home and my PT family.

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The Professional Ceremony inducts us into the Regis DPT program at the beginning of the semester.

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Our anatomy lab group–celebrating the end of the semester at the Nutcracker!

Interview FAQ for the Incoming Class of 2020

Now that we’re nearing the end of January, interview weekend is almost upon us! I can’t wait to meet this year’s prospective students, and I know everyone else in our Regis DPT community is excited as well.

For everyone about to interview, I know the next few days can be stressful to say the least.  If anyone is having trouble ignoring that nagging fear of bombing the interview and never being accepted anywhere, I was in the exact same boat last year! I know the nerves are hard to shake, but looking back, that was an unrealistic fear and there was really no reason to worry. I got the sense that everyone at Regis wanted me to feel welcome and comfortable, and I hope everyone this year feels the same way. My interview at Regis ended up being fun and exciting—and it put some of my worries at ease.

I’ve gotten some questions from prospective students, so Carol, Lindsay (the Class of 2018 and 2017 admissions representatives) and I compiled these answers to some of the most repeated inquiries.  I hope this helps you assuage any concerns you may have!

Q: Should I bring anything to the interview (pen, portfolio, resume, notepad, etc.)?

A: No need to bring anything. You will receive a folder and pen, information about Regis, and a water bottle.  Of course, you’re welcome to bring your own paper and pen, but there’s no need.  Some people like having a notepad to jot down questions for the faculty or interesting things they learned throughout the day, but it is completely your own preference.

Q: Are there any questions that stumped you or caught you off guard? What types of interview questions should I expect?

A: Though I don’t remember specific questions, I do remember the feeling I got from the interviews. It seemed like a fluid conversation. In other words, I did not feel like I was being drilled with questions at all.  I really mean it when I say to be yourself as much as you can be. Regis is unique in the fact that they really look for people’s character during the interview, rather than solely admitting people for grades and GRE scores. When the faculty asks you questions, they are not seeking a right or wrong answer. They are seeking to learn who YOU are and how you communicate.

Q: What should I expect from the group interview format?

A: The group interview will consist of 2 faculty members and 3 candidates. It is set up to be a fluid, facilitated discussion.

Q: What will the whole day be like?

A: Everyone will go through five different “stations,” so to speak. You will have your interview, a campus tour, a chance to ask current students your questions, a skills lab observation in one of our classes, and an anatomy lab presentation. The whole interview day will conclude with lunch. You’ll also stick with the same student-led tour group between each part of your day, so you’ll have plenty of time to get to know the student ambassadors and ask them questions.

Q: How can I prepare for the interview?

A: Some advice is to look at the Regis website and see where the values of Regis fit into your life and how you can express that during interviews.  It is also a good idea to do a little bit of reading about our faculty on the website to learn about the work or research they do so that you can ask them any additional questions.  If you do feel stumped at any point, don’t be afraid to take a minute to gather your thoughts because they appreciate that a lot more than a made-up answer. It also helped me to look up some common PT school/traditional interview questions and brainstorm answers. If you can have some solid examples on your experiences, you’ll be able to adapt to wherever the conversation goes. Finally, make sure you research the topics you’ve been given ahead of time so you can prepare and get your thoughts together.

Q: Is there a chance to meet current students?

A: YES! You will have multiple opportunities to interact with various students throughout your day. Also, from 4:30-6:30pm on both interview days, we will have a meet-and-greet off campus for candidates to meet with current students. I hope to see you all there! That being said, this is by no means mandatory and your attendance will not affect your admission to the program.

Q: What should I wear?

A: I would err on the side of business formal. Most men typically wear matching pants and jacket, a button-up collared shirt, and a tie, while most women wear slacks or a dress skirt, a blazer, and a blouse. Cropped dress pants would work too, and if dresses are your thing, go for it. It is really important that you feel comfortable in whatever you end up wearing! That being said, when it comes to shoes, heels are great, but as long as you’re really comfortable in them. Flats are perfectly fine—in fact fact, if you opt to wear heels, I would bring a pair of flats along with you so you can change into them while you go on your campus tour. Also make sure to bring a jacket in case it’s cold (you never know with CO weather!)—there will be a coat rack available to everyone to store your belongings while you are inside.

Best of luck, interviewees! Feel free to reach out if you have anymore questions. Looking forward to meeting you!

Kelsie, Carol and Lindsay

 Colorado is awesome! We can’t wait for you all to experience it.

 All photos were taken from past blog posts and are pictures from current students’ experiences.

What is the First Year of DPT School Like?

Name: Meg Kates, Class of 2019
Hometown: Herscher, IL
Undergrad: University of Illinois at Urbana-Champaign
Fun Fact: I was the Spanish Student of the Year at my high school. ¡Me encanta Colorado!
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“I can’t believe you’re actually leaving.”

“I know, but it’s okay. I’ll be home soon.”

I hugged my best friend goodbye underneath a star-dotted sky. They shine brighter in Herscher, Illinois, which is a farming community in the middle of the state where the lights of Chicago are but a faint, pink spot in the northern distance: in fewer words, home. That was the day I packed up everything I owned and moved to Denver to embark on my grand physical therapy school adventure. I look back at that time and consider the expectations I had for Regis University and how they have been exceeded many times over.

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Meg and her classmates at the beginning of their semester

To begin, I knew starting PT school was going to change my life, but I didn’t realize the extent to which it was going to change my mind and how I perceived the world. When Regis students begin the first semester, classes last about eight hours. I think it’s safe to say that none of us were accustomed to such a heavy intellectual load—both in breadth and in depth. At first, I was worried that I wouldn’t be able to keep up with sheer amount of material (i.e. the origin, insertion, action, and innervation of every muscle in the human body). However, Regis students will tell you that a day comes when our passions combine with our teachers’ lessons, and, by the magic of neuroplasticity (to be discussed more second semester), our brains have been primed to absorb information like those ridiculous towels you see on the infomercials. I feel like I learn eighty new things every day, and, even wilder, I have the intellectual capacity to accommodate it all. Regis creates the most competent professionals by challenging its students to elevate their caliber of thinking.

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Participating in the Professional Ceremony at Regis initiates all students into the DPT program.

Even though Regis’ DPT program can be dense, professors are there to ensure that we persevere through the lows, and they celebrate with us during the highs. Never have I been surrounded by such a reputable group of physical therapists and scientists. I would believe that Dr. Cliff Barnes, the anatomist, created the human body himself if I didn’t know any better. I want Dr. Mark Reinking to talk to me about the shoulder forever. I will never fangirl as hard as Tom McPoil makes me fangirl when he explains the biomechanics of the ankle. Beyond their intellect, Regis DPT faculty have made me feel immensely supported in my first semester. Professors are just as eager as students to discuss individual goals, explain difficult concepts, and offer resources to aid in understanding. It has been emphasized to us time and time again that Regis selects students that they believe will succeed in becoming accomplished, holistic practitioners. Their faith in us inspires me to be an excellent—yet humble—student and future physical therapist.

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Meg and some of the Class of 2019 take a study break in the mountains

Yet, the most earth-shattering surprise about PT school is the relationships that I’ve formed with my classmates. I expected to make friends when I moved to Denver; I didn’t expect to be inspired by every interaction I have with one of my peers.  They’re the people with whom I climb both literal and figurative mountains. They challenge me to be a teacher when they cannot find answers, and they shed light when I’m confused. I spend every day with the same eighty-one people and I know they watch over both my academic and spiritual wellbeing, as I do for them.

When I think about going back to Illinois, I cannot wait to show my friends all I’ve learned. When I look to the future, I cannot wait to show the world the physical therapists and human beings my classmates and I will become.

 

Wrapping Up the Fall Semester

Michael Young, second year Regis DPT student, writes in about his shifting perspective on the world of PT and reflections on this past year.  Michael serves as the Vice President for the Class of 2018 and hosts phenomenal game nights.

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Name: Michael Young, Class of 2018
Hometown: Madison, WI
Undergrad: University of Wisconsin, Madison
Fun Fact: When people tell me to put my money where my mouth is, I tell them I already have. I’ve had 16 teeth pulled(some baby, some permanent), braces 3 times, and reconstructive jaw surgery!

As a first year Regis DPT student, life was an anxious blur of due dates, exams, group meetings, and basically doing my best to hold on to the wild ride that we call PT school. As a second year student, I’m sorry to report that PT school is still a blur of due dates, exams, and group meetings. However, I no longer have to hold on quite as tight. I discovered over the last year that I am capable of learning at a graduate level. That knowledge alone takes an incredible amount of stress off my shoulders. However, now that I know I can make it through the struggles of the short-term, I’ve gotten to worrying about my long-term future. The stakes feel higher, and now I’m more concerned with who I will be when this graduate program spits me out into the real world.

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Michael takes a break from school and explores CO

That “real world” of physical therapy is starting to make more sense to me every day. It’s not that I have eureka moments with every lecture or lab; it’s actually the opposite. The amount of information in every lecture is overwhelming, the concepts are more difficult, and the clinical reasoning is not as straight forward. However, this year, I’m not worried about all those things. I understand that I am going to be overwhelmed by information in my classes and what is asked of me, but you know what? I’m going to pass my exams, I’m not going to fail out of school, and I’m going to be a certified PT in a year and a half. The light, however dim, is at the end of the tunnel.

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Michael and Alison got married over the winter break last year!

As a second year student, I don’t worry about school anymore. Instead, I worry about grown-up things. Where will my wife and I live after I graduate? What sort of setting will I practice in, and will it be the right fit for me? If I stay and practice in Denver, will high prices in the housing market and relatively low PT salaries allow me to buy a house while simultaneously paying off student loans? These are the questions that I get to worry about this year. True, I don’t have anatomy exams or human physiology practicals to worry about, but just writing about my newly found grown-up questions makes me anxious.

What else do I know as a 2nd year DPT student? I know that I am about to earn a doctoral degree, which according to the 2012 US census puts me in a category I’ll share with fewer than 2% of all Americans. I also know that there aren’t many better ways to isolate yourself from the general population than by being a student for 25 years of your life. I know that the community members I meet through my upcoming clinical experiences and patients I will treat as a future physical therapist will profoundly change the way I see my community, myself, and my nation. I cannot wait to surround myself with the people I have trained my whole life to treat, yet have met only briefly.

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Michael has had adventures both in school and out of school in the past year.

So here I am: a second year DPT student just realizing that the real world is coming, and I finally get to be a part of it. I am more excited than ever to get back into the clinic to meet a slice of this nation that I have been isolated from over these last years in academia. As I continue to study as a student and learn as a clinician, I hope to grow as a person. And, if the rest of my time at Regis is anything like what I have already experienced, I am confident that I will have success as a physical therapist and success in life.

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Meet our Service Dog Training DPT Team!

Name: Tiffany Cardenas, Class of 2018
Hometown: Aurora, CO
Undergrad: Colorado College

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At my interview in January of 2015, my nervousness was mitigated by an adorable puppy named JJ who would influence my decision to choose Regis’ DPT program. As physical therapists, we serve people in incredible ways. Coming to Regis gave me the opportunity to serve people in an additional way: by raising a service dog to help future individuals become more independent in their lives. The puppy raiser team is made up of 8 students in each class, with first years joining the team late in their first year under the guidance of Associate Professor Wendy Anemaet, PT, DPT, Ph.D.

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Class of 2017 Puppy Raiser Team

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Class of 2018 Puppy Raiser Team

Meet Takia, a Labrador-Golden puppy who is currently 1 year and 4 months old. She is a Canine for Independence (CCI) assistance puppy-in-training. CCI is a non-profit organization that provides highly trained assistance dogs to people with disabilities to enhance their lives. Volunteer puppy raisers—such as our team here at Regis—help to train the puppies before they go off to be paired with their person and learn more advanced commands when they are about 1.5 years old. She is NOT a therapy dog who provides emotional support; she is training to become a skilled assistance dog who can one day help her person open doors, get items, and even press elevator buttons.

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Time flies: Takia and me in November 2016 and back in October 2015 when she was 2 months old—before I was on the team that trains her!

Takia is the third puppy to be raised by a team of students from the Regis University School of Physical Therapy. Just like her physical therapy student trainers, Takia has her own classes to attend. It is at these classes where we show off what she knows, teach her new commands, and learn tips for training a CCI puppy. One of the most important parts about her classes is letting others work with her (and us work with their puppies). Takia spends almost every hour of every day with us and she picks up on what we expect of her. At class, we can see if she understands the command–and not just our gestures–by working with new people.

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So many puppies; who’s who? (Takia is 2nd from the left)

What kind of commands does Takia know? A whole bunch! Puppy raisers are provided with a handbook that lists all of the commands and around what age the puppy should learn them and be proficient in them. Many of these commands will become part of more complex tasks that she will learn once we send her off for more training. Takia gets lots of positive reinforcement with treats when she is learning commands. As she gets older and has mastered some of the more basic commands, she gets fewer treats and simply “good girl” as a reward. When giving commands, it is important to stay tall and use a commanding voice without inflections.

In the first few months she was taught commands such as “sit,” “down,” and “here.” As she has gotten older, she has been learning more advanced commands that have very specific details to them. “Heel” tells Takia to sit on her handler’s left side facing forward. This does not mean slightly at a diagonal or facing her handler— the command means facing forward left of her handler. “Side” is a similar command, but on the right side of her handler.

Some of our favorite commands to get Takia’s love include “lap” and “visit.” With “lap,” she should place her front legs with elbows relaxed across your lap. “Visit” tells Takia to rest her head on your lap. When given a command, she should be able to maintain the positions until given a new command or given the commands “off” (of something) or “release” (from a position).

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Takia (right) staying focused on her “heel” in puppy class with Karlee, Class of 2018

So what should you do if you see an assistance dog? I would say you should smile at them; they are such cuties! But, remember that they are also on duty—even the ones in training. If you really want to interact with the dog, talk to the person holding the leash. They can then tell you if it is okay or not to visit the dog. If you see Takia with her vest on around campus or in your class, know that it is okay to pet her as long as she is sitting or lying down. As tempting as it is to pet her when she comes walking by, we ask you kindly to please refrain; if you really want some puppy love, say “sit” or talk to one of the puppy raisers.

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To learn more about Takia’s life as a CCI puppy and what she does in her free time, you can follow her on Instagram (@takiaregisdpt) or talk to one of the Class of 2018 puppy raisers: Tara Businski, Sophia Fuller, Kayla Jurrens, Chris Lew, Karlee Nordstrom, Zach Taillie, Ryan Tollis, or myself.

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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Move Forward 5K/10K Recap

Move Forward 2016 (September 17, 2016) was a huge success! We had 261 runners signed up for the event and raised over $7,000 for Canine for Companions and The Foundation for Physical Therapy. A sincere thank you to all of our volunteers, runners, and sponsors for making this event amazing.  If you have any questions, suggestions, or would like to be involved in next year’s race please email us at moveforward5k.10k@gmail.com.

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Our beautiful sign made by Lauren Hill and Jenna Carlson!

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Fastest Faculty Awards go to Andy and Amy.

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Our service dog Takia, making sure we don’t forget who we are raising money for…

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A few racers/volunteers enjoying some yoga after the race.

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Post-Run Fun!

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Our Couch to 5K team did amazing this year! Next year, maybe a 5K to 10K team?

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No one asked Matt (Class of 2017) to dress up, but that is just how great this man is…

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Class of 2017’s Move Forward Team; great job, everyone! The Class of 2018 has some big shoes to fill…

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We can’t wait for the start of next year’s race!

 

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Ryan Bourdo, co-director of Move Forward, 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.

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6 Weeks into PT School: Meet Kelsie Jordan

Name: Kelsie Jordan, Class of 2019
Hometown: Portland, OR
Undergrad: Oregon State University
Fun Fact: I spent the summer of 2014 studying in Salamanca, Spain.

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If I had to describe the first few weeks of PT school in one word, it would probably be “overwhelming.” I don’t even mean that in a negative way— so many of the experiences I’ve had so far have been amazing—but I would definitely not say it’s been easy. My classmates and I have been overwhelmed with both the excitement and nervousness to finally start this next part of our lives: in the past month, we’ve been introduced to a new school, new people, new homes, new habits, and—of course—with the amount of information we’ve received since the first day of classes.  More than anything else, though, I’ve been overwhelmed by all the new opportunities at my disposal and all the great people I get to spend the next three years with.

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Free concerts and NFL kick off!

You’d think that having a class of 81 people would make getting to know everyone difficult, but it’s been quite the opposite at Regis. It turns out that when you spend roughly 40+ hours per week with the same people who are in the exact same boat, you get to know a lot about each other in a very short amount of time. Of course, I obviously don’t know absolutely everyone well at this point, but it’s still easy to forget that we all met less than two months ago. Before deciding on Regis, I was a little apprehensive about having such a large class compared to other DPT programs; now that I’m here, I wouldn’t want it any other way.

The biggest piece of advice I’ve heard time and time again from the second and third year students is to take time for myself and have fun outside of school. I’ve definitely taken that advice to heart!   Perhaps that means I should be spending more of my free time studying, but hey, at least I’m having fun, right? I’ve managed to leave plenty of time for hiking, camping, sporting events, concerts, Netflix, and IM sports—and I’ve been having a blast! Being a successful student is all about maintaining balance between work and play, so those mental health breaks are important to me for keeping my brain from being overloaded.

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Hiking Horsetooth Mountain in Fort Collins

So exploring Colorado has been the easy part of transitioning to Regis—I mean, what’s not to love? Starting school again, on the other hand…I only took one year off between graduation and PT school, but it still took some transition time to remember how to take notes and study. Fortunately for me, a lot of the material so far has been familiar information from undergrad, though it’s definitely more intense. One of the aspects of the Regis DPT program that I really appreciate is the collaborative atmosphere.  Anyone—students and faculty alike—with a little more expertise in a certain area has been doing their best to share that information by providing extra resources, study sessions, etc. It also helps that we’ve all been embraced right into the Regis DPT community by the second and third years, and I definitely get the sense that the faculty genuinely care about our success in school and in our future careers.

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We’re official! Our new PT supplies after the Professional Ceremony

We’re now six weeks into PT school and sometimes I still have these moments where I can’t believe I’m actually here. It’s crazy to think back to this time last year when I still hadn’t even submitted my first PTCAS application, and now here I am: a student physical therapist. Overall, it feels like I’ve adjusted well to my new home in Denver as well as the grad student life—despite the overwhelming moments. Now that we’re through our first round of exams, it’s probably a safe bet that our “honeymoon phase” has come to a close and we have an increasingly busy schedule looming ahead. I’m still developing responsible study habits and I have a lot to learn about how to be a successful student, but I look forward to the upcoming opportunities for service, leadership, and classmate bonding that the rest of the semester will bring!

Reflections on the First Year of PT School

Name: Rachel Maass, Class of 2018
Hometown: Fort Collins, Colorado
Undergrad: Colorado State University
Fun Fact: I get the hiccups a lot.
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This first year of physical therapy school has been one of the longest, craziest, and hardest years of my life for sure. Looking back on the year, I am so proud of my classmates and myself for what we have accomplished! A year ago, I was leaving the city I love and the last real job I’d have before becoming a PT. I moved in with three other girls from the program and was unsure of what to expect at Regis. With the start of school, I remember long days in Claver Hall room 315 and our professional ceremony where we said our oath. I remember making those first cuts in Anatomy lab and being the only girl in a group of boys, besides our cadaver who we named Pam.

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Getting our PT kits at the professional ceremony

I must say that physical therapy school was not quite as I had imagined it would be, but I have grown and learned so much in this first year, and I would not change that for anything. It definitely took some time to get out of the competitive mindset I had in undergrad, but I quickly found that the competitive atmosphere does not exist at Regis. Our class of 2018 has become a family. This year was challenging, but I have learned so much from my experiences and classmates. I feel like I am turning into a young professional, and I have started to figure out what I want to do as a PT. Through CSM (the APTA national conference) presentations as well as meetings I went to outside of what is expected, I have found an interest in helping young athletes and special populations, including women with female athlete triad disorder and individuals with eating disorders.

It can be really difficult to explain this process of PT school to people outside of the program, but I truly cherish the changes and challenges between the first and last days of the first year. I can definitely say that it is all worth it! As I get ready to head out to my first clinical experience, I feel confident in the skills I have learned and in my ability to present myself in a professional, competent way. Even as I count down the days, I look forward to finishing the next two years at Regis and working to become the best PT I can be with my support system and classmates by my side.

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Anatomy study session—PT school reality

I have many pieces of advice, so do not be afraid to ask me or your mentors as some of you go into this first year! Some of my biggest pieces of advice are these:

  • Know why you are here and why you want to be a physical therapist. Write it down. In this first year, you may question why you are putting yourself through all of it, and it can be a good reminder when things get tough.
  • Be flexible. Have an open mind. Classes and expectations change, so be ready for it.
  • Try to always keep the big picture in mind (how you study and how you behave, for example). Focus on what really matters. Take advantage of the learning opportunities provided (ISL, review sessions, etc.). Keep up on the basics.

Try everything. Get involved in leadership roles. Go to meetings. Join a committee for the Move Forward Race. Go to diversity lunches, etc. Make your time here count, and have fun!

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What is it like to be in the military and PT school?

Name: Zach Taillie, Class of 2018

Hometown: Phoenix, NY

Undergrad: SUNY Cortland

Fun Fact: I’ve been in the Air Force for 6 years.
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You may not believe this, but NASCAR Technical Institute is a bit of a dead-end school.  You read that right—there is a school completely dedicated to folks who want to learn about race car maintenance and occasionally take them for a spin.  It is a one-year program outside Charlotte, NC, and was what I thought I wanted to do.  While the program set me up for an awesome career as a tire technician at Sears Auto while living out of my parents’ basement, I decided I wanted more out . I found myself over at the Air National Guard office, and in December of 2009, I enlisted.

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Once I was done with my training and learned that I could get school payed for while serving in the military, I was stoked to get started. Little did I know that when it comes to school and military duty, school usually doesn’t win. The biggest mission we undertake in the Air National Guard is state-level disaster response.  My first emergency response was to a winter storm, and to my surprise, I was told by my supervisor that school takes a backseat to duty.  I remember feeling frustrated at the situation, but once I showed up I realized how much of a positive impact we could have.  The feeling of helping out and giving back to those who needed it far outweighed any disappointment at missing classes or balancing class all day with working at night.  Luckily, I was blessed with great professors who would email me notes and allow me to reschedule tests if necessary.  This understanding and flexibility allowed me to respond whenever the call went out, and it allowed me to still excel in school.

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The military hasn’t been all rough, though.  During one of my winter breaks, I was sent to Germany for training.  I spent Christmas in Kaiserslauten, New Years in Berlin, and my birthday in Amsterdam.  Even when I wasn’t out exploring Europe, I was able to have fun at work coordinating air drops (think Humvees and supplies hopping out of planes) with the 86th Airlift Wing.  I’ve had the opportunity to deploy to the Middle East and serve with coalition troops from all over the world and make some lifelong friends.  Oh, and having part of school paid for is another perk!

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Although I originally thought I wanted to make a career of the military as an officer once I graduated from college, I stumbled upon physical therapy during my junior year and fell in love.  Due to a shoulder injury, I was able to experience what it was like to go from injured back to working out and wanted to give that gift to others.  Fast-forward a couple of years, and here I am: at Regis fulfilling me dream!  Currently, I serve with the 153rd Airlift Wing up in Cheyenne, Wyoming.  I go up once a month and spend at least half of my breaks working.  Luckily, my drill schedule and our finals week seem to always coincide…so I get the opportunity to test how long I can stay awake and study.  Two semesters down, and I’m still here!!  While I listen to my classmates plan super rad trips for our summer break, I’m looking forward to two weeks of work connected by a drill weekend.  All things considered, though, I would do all the same given another chance.  I work with some great people and get to do things for my job that most people only see in movies: riding on C-130s, running through live shoot houses, firing some pretty awesome weapons, and watching live gun runs from planes overhead.  The military/civilian balance can be a challenge at times, but it’s one that’s well worth it!

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If you have any questions about balancing school with the military, please feel free to contact me at ztaillie@regis.edu.

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.

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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.

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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.

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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.

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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

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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