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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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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Regis DPT gear sale: order before October 30th!

It’s that time of the year: the fall clothing order is here! The Class of 2018 will take orders until October 30th, so now is the time to get your Regis DPT swag.

http://regisdpt.wixsite.com/clothingorder/shop

We have water bottles, wine glasses, hats, shirts and sweaters that will all be emblazoned with the Regis DPT logo upon ordering.  Whether you’re preparing for the winter season or looking for gift ideas, we recommend you check out the list and order before October 30th!

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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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Upcoming Event: ADVENTURE FEST!

If you love mini golf, go karts, food and craft beer, you do not want to miss the awesome event coming up this Saturday, October 8th! The Regis DPT class of 2018 is hosting Adventure Fest to raise money for our Regis graduation celebration.  It’s also an opportunity to celebrate fall, have fun with family and friends, and get to know the Class of 2019.

When: Saturday, October 8, 2016 from 10am-2pm!

Why: All proceeds from this event will go towards our end of the year bash!

Price: You can purchase one ticket for $18 or 2 tickets for $30.

Children (ages 4-15): $8; those under the age of 4 are FREE!

Tickets: sold Monday-Friday the week of Oct. 3-7th from 12-1pm in the Claver Café as well as in front of the Main Café!

You can buy your tickets with cash, check, or remotely by VENMO (@RegisDPT2018).

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This is an event for all ages and there is something to do for everyone. Each ticket includes free food, $2 craft beers, and a park bracelet that provides you unlimited access to mini golf, go karting, and rope courses! Furthermore, Regis DPT mentors and mentees can enter into a mini-golf competition together and the team with the best score wins a prize. Come out and have a great time while supporting the Regis DPT class of 2018!

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Blogger: Emily Symon, Class of 2018

 

 

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!

A Guide to Passing the Comp Exam

The comprehensive exam is a two-part test that encompasses all class material through the first two years of PT school. It is the last major hurdle in the quest to obtain the beloved PT diploma. It’s very similar to fighting the giant hand at the end of single player Super Smash Bros. If you have a solid game plan, you’ll be fine. If you don’t, prepare to get smacked into oblivion. Fortunately, we are given a lovely break in between summer and fall that lasts about a month, which is more than enough time to prepare. But you do need to attack that time wisely. I’ve run through ways people have planned out this break for our class and have come up with a few recommended strategies for managing all that time.

The most important aspect for the majority of individuals is a consistent schedule throughout the week. Total hours massed for studying seems to vary a bit, but a safe estimate of time is 5-6 hours per day, 5 days per week. The total time is dependent on how efficiently you feel you study. If you study well, do less, not so well, take a couple extra hours where you need them.

What you study is the important part of the “study” aspect of your schedule. Not every course is weighted the same. The staff has been kind by giving us the breakdown of content for each half of the test. I’m not going to go into detail, but basically Musculoskeletal Management, Neurological Management, and Management Applications of Physiology are your most important classes (by a lot). Divide the total study into where you need the most help, and base importance partly on these percentages (in other words don’t spend an entire day on PT exam). Inside of those hours, try to avoid studying one class per day unless you really can devote the concentration. I suggest 2-3 different courses on an average study day. One caveat from a professor, if you miss a day on your schedule, DO NOT GO BACK. Move on with your schedule. You will most likely not miss any questions from that day if you are diligent with the rest of your time.

So you have the study hours scheduled. Now comes the break schedule. As you learned in Movement Science class, you need breaks, and you need exercise. Most of you won’t have as hard of a time with this as I have recently (running makes me cry more than sweat). Try to take a break when you complete 3-4 hours of studying (and honestly, make it exercise and food). Then go back for a few more hours of studying.

Now you need to decide where to study, which can be anywhere. I’ve studied at the park, home, school, coffee shops, and airplanes. It doesn’t matter where you are as long as you stick to the schedule. One suggestion I will make is try to avoid studying alone. Yes, some of you will disagree with me on this, but most will say that it’s nice to have someone around when you could use a better explanation than YouTube is providing for a concept you get snagged on (or if the video on YouTube is funny and you need affirmation that you have a sense of humor).

With all that said, you need to enjoy your break. Do things that you really want to do. Go to Uganda. Go to that music festival. See how many beer gardens you can attend. Take a day to try to sleep until 4:00 p.m. This is the part of the break where you keep a little bit of your sanity. Not to mention, you don’t have a lot of time after this period. You have made it this far just fine; don’t expect them to throw something at you that you can’t handle. It’s not worth destroying yourself studying without having any fun on the weekends.

Ultimately, most students find that it’s pretty relaxed studying (outside of the occasional panic attack). This is what we’ve worked so hard up until this point for, and we all know SO MUCH. Schedule well. Study efficiently. Play hard. This is just the next check mark to complete before we can call ourselves doctor on graduation day (and then go by our first names for the rest of our career).

Blogger: Tommy Hughes

Hometown: Bartlesville, OK

Undergrad: University of Arkansas

Fun Fact: I’m Seth Rogan’s cousin

Teaching Fitness Classes While in School

Name: Morgan Pearson, Class of 2017

Hometown: Gillette, WY

Undergrad: University of Wyoming

Fun Fact: I teach a fitness class called POUND…no, I’m not joking. Let me tell you more…

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What the heck is POUND?

You may have read a blog post a couple of months ago that highlighted my teaching a fitness class to some of my fellow classmates called “POUND.” It’s a super fun cardio/strengthening workout that I absolutely love teaching! If you want to find out more about the class, visit the website. But the real reason I’m writing is to explain how I balance PT school and working as a fitness instructor teaching POUND.

I became a certified POUND Pro in January of this year (as a second year PT student) because I felt that I had found my studying groove in PT school and could handle teaching a class a couple times a week. I mean I have to workout anyway, so why not make some money while doing it?

I wanted to practice teaching the choreography before I applied for a job to teach the class, so I reached out to my lovely classmates on our class Facebook page and asked if any of them would like to take a free class from me. My classmates are extremely supportive, and a couple of them kindly agreed to try out the class. They ended up liking the class so much that I have continued to teach free classes for them almost every week (yes that’s girls AND boys in my class!).

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I decided I had practiced enough and would try my luck at finding a very part time job. I figured I could devote 2-3 hours/week to teaching a class since, like I said earlier, I have to work out anyways! I found a job that I could teach 2 hours/week, plus my free hour class I teach at Regis for my classmates. Sure, it’s hard being in PT school without a job, let alone with a job, but 3 hours a week is COMPLETELY doable. I have a couple of super moms and dads in my class, and let me tell you, my silly 3 hour/week job commitment is nothing compared to the time they devote to being rock star parents!

Pound at Athleta

Now I am not in any way suggesting that PT students should have a part time job during school….what I am suggesting is to take a couple of hours per week to fulfill what you are passionate about! I’m just lucky that I make a little extra cash while doing so J. PT school is a time commitment, and you truly have to devote many hours to class, studying, and group work, but it’s all about balance. Finding time to do the things you love is absolutely necessary. Whether it’s POUNDing, golfing, skiing, hiking, running, binge watching Netflix or Bravo TV, taking time for yourself is crucial to succeed in PT school!

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If you have any further questions about balancing your time in PT school, feel free to contact me any time at mpearson@regis.edu.

 

Flat Stanley Goes to Clinical

Name: Nicole Darragh, Class of 2017

Hometown: Columbus, OH

Undergrad: Regis University

Fun Fact: I think kale is totally overrated.

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The Class of 2017 recently returned from their second clinical rotations with a plethora of new knowledge and stories to share.  Some students even had a visitor along the way: Flat Stanley.  Flat Stanley is a small paper figurine that keeps students connected outside of the classroom.  Students take a photo of Flat Stanley completing an activity, learning a new technique, or going to a cool new location, and share those photos with their classmates through social media.  This helped us learn a little bit about each rotation, and keep in touch with our classmates.

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Pictured: Sarah Campbell ’17 with Flat Stanley on her first day of clinical (PC: Sarah Campbell)

Flat Stanley traveled to a wide variety of locations across the country including California, Wyoming, Kentucky, and even Alaska!  Along the way, Flat Stanley learned new documentation systems, new techniques in the clinics, and went on a lot of hikes.  Really, what Flat Stanley is trying to tell you is that while you’re on your clinical rotation, don’t forget to take the time to explore your new surroundings!

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Flat Stanley reviews Functional Electrical Stimulation (FES) while at clinic in Chico, CA (PC: Adam Engelsgjerd)

 

Clinical rotations work in a variety of ways.  The first is the lottery option; students choose ten clinical sites from a large list compiled by the clinical education faculty, and rank them in order from 1-10.  Once the lottery is generated, students are placed at a site.  The second is the first come, first serve option; students can choose a site before the lottery begins that they are particularly interested in, and request to be placed at that site before it is taken.  The third is the set-up option: students are allowed to contact a clinical site that is not affiliated with Regis and set up a clinical rotation with them if they are interested.  When rotations get closer, you’ll learn more specifics about how they work, requirements, etc.

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Flat Stanley’s meet up at Devil’s Tower outside of Gillette, WY (PC: Amanda Morrow)

 

Throughout the clinical process, it is important to know that you might not always end up in Denver, and you’ll have to try something new!  Wherever you do end up, make sure to enjoy your free time.  Clinical can sometimes be very overwhelming, and it is crucial to take time for yourself, whether that be exploring your new surroundings, trying a local restaurant, or binging on Netflix.  And if the thought of being gone for six, eight, or twelve weeks scares you a little, all of us will tell you that the time flies by so quickly.  There isn’t much time to be bored!

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Flat Stanley goes sandboarding in the Great Sand Dunes National Park in southern Colorado (PC: Lauren Hill)

 

If you have any further questions about clinical rotations–or other places Flat Stanley and/or students traveled–please feel free to contact me at darra608@regis.edu!  Also, I would recommend reading the post below called “Class of 2017 DPT Student Lindsay Mayors Reflects on Her Clinical Rotation.” (https://regisdpt.org/2016/05/27/class-of-2017-dpt-student-lindsay-mayors-reflects-on-her-clinical-rotation/)

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Flat Stanley helps out with some end-of-the-day documentation (PC: Amy Medlock)

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Flat Stanley enjoying a nice Moscow Mule after a long week at clinical (PC: Amy Medlock)

 

 

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Flat Stanley joins Lauren Hill and Jenna Carlson to run the Bolder Boulder race (PC: Lauren Hill)

Cover PC: David Cummins, Class of 2019

 

The Physical Therapy Outcomes Registry

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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.

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

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

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Timeline

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

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

Which types of data are included?

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

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

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How does PT Outcomes Registry collect the data?

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

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

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What does this mean for clinicians?

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

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

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

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

PT Outcomes Registry Site | More info from the APTA

 

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

Name: Evan Piche, Class of 2018

Hometown: Northampton, MA

Undergrad: Colorado State University

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

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

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

Hiking/Trail Running

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

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

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

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

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

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

trailrunproject.com/…/green-mountain-trail

Weekend: about a 90-minute drive from Denver

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

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

Long Weekend: 3-5 hours from Denver

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

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

Mountain Biking

School day:

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

mtbproject.com/trail/703097

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

mtbproject.com/trail/632917

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

mtbproject.com/trail/616137

Weekend:

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

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

Long Weekend:

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

mtbproject.com/trail/338027

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

mtbproject.com/trail/158941

Burritos

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

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

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

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

 

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

 

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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.