Move Forward 5k/10k Race 2019, Featuring a New Course!

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 Are you a runner, walker, or just love dogs (and/or beer)? The Regis University School of Physical Therapy is hosting its 17th iteration of the Move Forward 5k/10k and kids run at Regis University on September 21st, 2019. The race will take place on the Regis University Northwest Denver campus, and we are especially excited this year to unveil a new course that takes participants off campus and onto the beautiful Clear Creek trail headed west. The course for both the 5k and 10k is an out-and-back and starts and finishes in the quad on the Regis University campus. I am an avid runner but will get to experience a race from the other side of things this time as a race director. This race welcomes all ages, levels of fitness, and supports two amazing foundations: The Foundation for Physical Therapy and Canine Companions for Independence

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Our youngest companion in training, Garin

This race is especially important to the school of physical therapy because it is hosted by the students of the Doctor of Physical Therapy (DPT) program and has been an annual event for 17 years! This race means a lot to our program, and the physical therapy profession as we share our passion for promoting health, involving community, and raising money for Canine Companions for Independence and the Foundation for Physical Therapy. Canine Companions is especially meaningful to Regis, as we have annual teams of students who assist in puppy raising before they are sent to train to become a fully-fledged service dog. The Foundation for Physical Therapy helps support research in physical therapy for our future profession.

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Wether you are a running machine or are looking for a fun casual time we would love for you to join us. Early morning bagels, fruit, and coffee will be provided to give you that pickup before the race! Stick around after the race to enjoy burgers, hot dogs, and last but not least…beer! There will also be yoga, music, vendors, and Canine Companions for Independence dogs to keep you busy! Also remember to bring your kids! This is a family friendly event and the kids run will be a fun event around our beautiful quad area! 

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We are still looking for sponsors–this race is a non-profit and all proceeds go to the aforementioned foundations. If you or you know someone who would like to sponsor this race, the Regis University School of Physical Therapy and our foundations would be extremely grateful! No donation is too small, a little goes a long way! You can find more information or sign up for the race at https://runsignup.com/Race/CO/Denver/MoveForward5K10K . There is also a donation button listed on the website for donations. 

 

If you are interested in becoming a sponsor for this race, please email our sponsorship team at gdaub@regis.edu or jolden@regis.edu for more information. 

Please join us for this amazing event! Again, the race will be held at Regis University on Saturday, September 21, 2019 starting at 7:30am!

If you have any further questions, please contact me at mlombardo@regis.edu

Hope to see you there! 

~ Mark Lombardo, Class of 2020 Move Forward Representative

 

2019 APTA Federal Advocacy Forum – “Day on the Hill”

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Colorado members at the Forum representing and advocating for the #ChoosePT campaign.

Last week,  the APTA Federal Forum in Washington D.C. took place to advocate for important topics to physical therapists. The Forum brought together APTA members, speakers from the field, and stakeholders on the discussion of regulatory affairs and federal priorities that impact the physical therapy profession and its patients, as well as on learning about new information that comes with a new Congress. Attendees had the opportunity to speak with their representatives in person about issues facing their state and the profession as a whole. Among those in attendance were our very own Regis DPT students and faculty members. Second-year DPT student Hannah Clark reflects on her experience on the Hill and why it is crucial to not only advocate for our profession, but to be involved as a student, in her following essay:

“Issues Discussed at the Capital”

Hannah Clark, SPT – Regis University

To fundamentally agree with the policy positions held by the APTA is an exceptional feeling. As a DPT student who is hoping to delve headfirst into pain management and advocacy for marginalized communities in healthcare upon graduation, my decision to pursue this profession has been deeply validated by attending the Federal Advocacy Forum (FAF). Witnessing leaders within the APTA address topics related to population health, patient choice and access, value-based care and practice, and research and innovation helped me to fully recognize the crucial role the APTA has in influencing the policies that impact our ability to serve society. For these reasons, it felt important for me to join the GAC team advocating at the capital and I was deeply honored to be selected.

Due to the recent success regarding the removal of the Medicare cap, we were able to spend more time becoming educated and advocating for the field of physical therapy in a broader sense. On Monday, we spent the entire day learning about the current political climate in congress from Nation Gonzalez at CNN, the societal impact of healthcare policy from Sarah Kliff at Vox, and attended breakout sessions that detailed information regarding federal policy, payment, the ACA, Medicaid, and IDEA. One of the most emphasized topics throughout the day involved the #ChoosePT campaign. The APTA reminded those attending the FAF of the real impact physical therapists can have on the opioid epidemic through offering vulnerable populations access to non-pharmacological pain management. Clear objectives were presented that tackled this issue in addition to intra-professional issues such as student loan repayment. Several policy priorities were presented for every state to choose from when planning their congressional meetings.

The following topics were addressed by the Colorado GAC team when meeting with legislative assistants:

  • Our geriatric specialists spoke to the vital role in we play in exercise promotion and fall risk reduction in the community. Conversations were also had in the valuable perspective physical therapists can bring to park and recreational center design.
  • Our pediatric specialists asked congresspeople to consider expanding the budget for IDEA as they have witnessed the impact this program has on the lives of children.
  • Our outpatient clinicians provided examples of how they have successfully treated patients experiencing chronic pain and assisted them in weaning off opioids. These individuals also spoke to the measurable reduction in opioid use they have made in their local hospital system by implementing early access to physical therapy services.
  • Our students asked our congresspeople to cosponsor SB970 (and eventually the same bill when it is brought to the house) that would add physical therapists to the National Health Service Corps. This would allow graduates to serve rural populations, often most impacted by opioid addiction, and would offer student loan repayment as an incentive.
  • Our long-time advocates requested that physical therapists be added as community health center providers, as we are a vital element of the primary care team.

In addition to the invaluable time spent at the FAF learning about how physical therapists can impact healthcare quality and access in the U.S., one of the most important aspects of the weekend for my professional growth was getting to know the GAC members I accompanied. The people I spent time with exemplified everything I love and respect about our profession. They spoke with genuine care for their patients, integrity in leadership opportunities, intelligence in considering the complexity of pain, passion for their interventions, and commitment to social responsibility. Our conversations had a large impact on my personal development.

I returned to class following the Federal Advocacy Forum with a fresh perspective. I felt focused and calm as I approached coursework and simulation labs. Attending FAF granted me the opportunity to further shape who I aspire to be as a professional and world citizen. I am beyond grateful for this opportunity and truly believe that if any student were to have the chance to participate in this event, they would foster a deeper appreciation for the APTA and for healthcare advocacy at large.

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Hannah (pictured second from right) was all smiles with fellow members of the Forum at the 2019 APTA Federal Forum in Washington D.C. 

Presenting At CSM 2019, Washington D.C.

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

 

 

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

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

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

 

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

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

 

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

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

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

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

 

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

 

And even more!

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Farewell Marcia Smith!

Name: Marcia Smith, PT, Ph.D.

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As we sadly said farewell at the end of the summer to another beloved faculty member, Marcia Smith, who has been with us at Regis for 20 years, second-year student Meg Kates made sure to catch some of her words of wisdom before her retirement! Read the interview below for Marcia’s amazing journey as a PT, educator, and advocator.

How did your journey with physical therapy begin?

When I was 8 or 9 years old, I read a story in a Reader’s Digest publication called Karen, which was the story of a young woman growing up with cerebral palsy in the late 1930s. At the time in history, many of those individuals lived in group facilities for people with disabilities. I remember, in the story, Karen learning how to walk with the help of a physical therapist. My interest was further reinforced in 8th grade, when I saw a television show called Route 66. In the show, main character came down with an illness and had to be hospitalized, and, I remember, a physical therapist helped him get well. Lastly, the gentleman who became the head of the Rehabilitation Center in Grand Junction moved across the street from me. I had lots of opportunities to talk to him and watch him. So, I had lots of opportunities for physical therapy to be reinforced as the career I wanted to pursue.

I graduated with by Bachelor’s in physical therapy from CU, and then I moved to upstate New York, where my husband went to law school. A Bachelor’s degree was all that was really available at the time, unless a person wanted to teach, in which case he or she got a Master’s degree. I had never met a physical therapist with a Ph.D. at the time. I lived in Ithaca for 3 years, and then I moved back Colorado in 1972. There were zero positions open in the state, so I worked vacation relief at nursing homes. Colorado has been saturated a long time. Eventually I got a call from the head therapist at Denver Health, who had heard I was looking for a job and asked me if I would like to interview…I said yes! I was hired and it was the weird, the wild, and the wonderful. At Denver Health, therapists are assigned to teams, so I worked in the Amputee Brace Clinic for 6 months. Then, I did hand therapy. Then, I rotated onto the Neuro-/Neurosurgery team. After that, I told everyone they could rotate around me because I was not going to leave that team.

Starting out, did you always know that you wanted to pursue neuro-focused PT?

No, in fact, I thought I wanted to be a pediatric therapist. In New York, I worked at Tompkins County Hospital and Rehabilitation Center for 2 years. That was a wonderful opportunity. I would see a patient who had an acute stroke and I would get to follow them from acute care to rehab to outpatient. I had the opportunity to fill the spot of a physical therapist on maternity-leave at the Special Children’s Center, which was a freestanding outpatient school in Ithaca. Interestingly, the head of the Special Children’s Center had her Ph.D. in Education and her Master’s in Speech Language Pathology. And she had cerebral palsy. In fact, she was one of the people in the book “Karen.” It was a full circle moment for me. I worked with this woman in the pediatric setting for 8 months before I moved back to Denver where, like I said, there were no pediatric positions. There were hardly any positions, but it was at Denver Health where I decided neuro is what I really wanted to do.

 

Can you tell me more about your experience with Ranchos Los Amigos?

When I was at Denver Health, I felt like I needed to know so much more. I expressed these feeling to my husband and he encouraged me to apply to universities for a Master’s degree. I was admitted to a program for clinical specialization at Rancho Los Amigos, where I learned at a couple of years. The first year was mostly class work, and the second year was all clinical specialization. We rotated between specialties, and I chose traumatic brain injury, stroke, TBI children, GB, and it just goes on like that.

 

What advice would you to someone who want to get into a specific specialty of work?

When I was finishing my Master’s, I can remember a classmate saying to me, “If there are no openings, I will just go do anything.”

And I can remember saying, “I won’t. I refuse. If I can’t be a neuro therapist, I will flip burgers!

So, my advice is to find a place you want to be and stick with it. Secondly, try to pick your final clinical rotation in a setting where you know you would like to practice. Lastly, don’t disregard what you have learned based on the setting you are in. For example, I have used my musculoskeletal and cardiopulmonary skills in practice with my patients with stroke, multiple sclerosis, and Parkinson’s disease. Always be searching for opportunities to use a wide breadth of skills and never putting people into a “box.”

 

What do you think is the next step for the career of physical therapy?

I think that we will always need educators. So, if you’re interested in that route, be considering in what subject you would like to get your Ph.D.

There are other things I worry about. I worry about the cost of education, and the loans that people have to take out. I see how physical therapists are reimbursed in Colorado and nationwide, and it’s hideous. So, I see residency taking us to another level, but, ultimately, we need to be addressed as primary care providers.

Ultimately, we need to be our own advocates. That means writing up clinical studies, asking questions, and answering questions.

 

What is the first step in becoming an advocate? How did you get your start?

When I lived in New York, there were two physical therapists at Ithaca College who would regularly invite me and some others to attend district meetings, and everyone would go. Then, in 1970, New York had its first state conference: that night, everyone volunteered to participate on a committee of the APTA. When I moved back to Colorado, one of my mentors invited me to a picnic, where she asked me if I would become the secretary of the Colorado APTA Chapter.

I asked her, “Do you think I can?”

She said, “Of course you can.”

So, I became the secretary and did that for 4 years before I moved to California to pursue my Master’s, where I continued to follow through with my responsibilities until I came back.

 

What’s the next step for you? What’s in your future?

I am going to continue to do some research. I am going to continue to answer some questions about how we dose exercise for people with Parkinson’s Disease.

I will be doing some traveling. In September, my husband and I will be escorting some friends to Ireland. I am going to see Iceland next. We are going to go for Hawaii for a few weeks, and, then I thought, since we are halfway there, why not go to New Zealand? Why fly back to the mainland? Then we have friends that we will be joining on a river trip on the Rhine. I don’t know after that!

 

Thank youMarcia, for your work and dedication to both Regis and our profession! We are so grateful for all of your contributions and will miss you very dearly at Regis, and we wish you all the best in your new adventure in life! Congratulations!

Farewell Tom McPoil!

Name: Thomas McPoil, PT, PhD, FAPTA

Hometown: Sacramento California

Fun fact: I like to play golf – at one point, I became a 10 handicapper

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As we approached the end of July, the Regis Physical Therapy family prepared to say goodbye to some very important members of our family. With heavy hearts, but happy smiles, we say our farewells to Tom McPoil and Marcia Smith, as they are retiring and moving on to new adventures. Following 45 years as a physical therapist, 35 years of teaching, and teaching over 1800 students in over 35 states, Tom sat down with me, and I asked for any last words of wisdom. Here’s what he had to say:

  1. How do you advise that we keep a life/work balance?

“I think it’s really hard. I think that’s going to be the hardest thing for a student to figure out. I just look at the struggles you face: you want time for your personal life and clinical care. You may have to stay late and do charting. You get home and you want a break, but you want to keep up with the literature. You are worried about debt and you are worried about loan repayment. If you can, set up a time where you can read 1 or 2 papers a week, and then maybe try to establish a couple of people that want to discuss them with you. Eventually, you have to come to grips with the incredible amount of research out there…I mean it’s almost too much. That’s where the systematic reviews come in. As a clinician you’re not going to have the time to read 27 articles, but you can read one paper that summarized 27 papers for you.”

  1. What makes the difference between a ‘good’ PT and a ‘great’ PT?

“I think that’s a hard question to address. Part of it has to be your feelings of confidence about yourself. Have confidence in yourself, you know a lot. So much is thrown at you, and so quickly, that you feel like you don’t know anything. But when you go out to clinic and you come back and talk to a first year, you realize how much you do know. I think the other thing that makes an exceptional therapist is one that will always question or ask, “what is happening? What is going on?” There is one person on your shoulder that tells you, “hey, have confidence in yourself.” But there should also be another person on the other shoulder that says, “hey, you’re still learning.” And because of that, you tend to be much more aware of things. The longer you are in clinic, the easier it is to say, “well it’s just another total knee.” You know the old ad, “it quacks like a duck, it walks like a duck, it must be a duck”…that to me is where you start to see the difference: a good therapist will just treat the patient, but the exceptional therapist is the one that says, “but really, is it a duck?” and takes the time to really look at those things. The person who is always striving to do their best is sometimes going the extra mile.”

  1. Because we are Regis, we are going to reflect a little bit. What are you taking away from your time at Regis?

“Some great memories from interacting with some great students, that’s number one. As a faculty member and physical therapist I am very, very blessed, because of the fact that the individuals who are drawn to physical therapy (I know I’m speaking in generalities) really care about helping people. And I think that’s just engrained in them. I think that as a result, they’re very interested in learning to help other people. That makes my job as a teacher and as an instructor much, much easier. I think that’s the thing that I’m taking away from Regis, and why I was really happy to come here. I love the fact that the values go beyond just getting an education. And yeah, they are Jesuit values, men and women for other, the cura personalis, the magis, all the buzzwords. But I really do think, here, as a faculty and as Regis, we really help instill that on our students and I think that as a result, the students that graduate from the Regis Physical Therapy program are better humans. I think they’re better people who are going to serve society. The thing here is the sense of community. What I’ve enjoyed as a faculty member is that I really do feel like I’m involved with a community that is very caring. They’re concerned about others. I mean, they’re taking those Jesuit values, but applying it to the whole university community. There is a sense of mission and the need for people to really help one another. One of the saddest things I had happened in my career was when we had a student die in a car accident four years ago. I tell you the afternoon we heard and I had to announced it to the second years, the response from this university was phenomenal. We had counselors down here, within an hour I was meeting with the president and the director of missions, we had a service for the students here on campus. I realize that would never have happened at any other institution I’ve ever been at. Yes, people would’ve been upset, but it’s that sense of community. Yes, we’re a part of physical therapy, but we’re all a part of Regis. That to me is the piece that I’ve really enjoyed the most, and I think we do a really good job getting our students to embrace that before they leave.”

  1. What is your biggest accomplishment as a teacher, a physical therapist, and in your personal life?

“Oh that’s a hard question to answer. Well in personal life, hopefully, I was a good husband, a good father, okay with my son-in-laws and an okay grandparent. That’s what you hope for. Ultimately, you hope that God thinks you did okay. What you really hope for is that in the really little time I had with students, I was able to install firstly knowledge that they needed to go out and be successful, but also hopefully I’ve provided some type of a good role model for them.”

  1. What are you going to do now that you’re retiring?

“I really want to do some volunteer work…that’s what I really want to do! I found out about Ignatian Volunteer Corp, which is for 55 years plus people. I’ll start out doing 8 hours a week, so I’m excited about that. I’ll like to go to Denver Health and help with the foot and ankle clinic. I’ll like to get back to playing golf and pickle ball. And I’ve got the 5 grandkids.”

  1. Where do you hope to see the profession go in 10 years?

“In the 45 years I’ve been in this profession, we’ve made huge strides. What I hope for with the profession is that we work to get increased reimbursement…I think that’s huge. We have to do more to convince the public that we are primary care providers. I hope that the future physical therapists will have direct access, that they’ll be recognized as a primary care providers for neuromusculoskeletal disorders, and that they’ll have the ability in their clinic to use diagnostic ultrasound.”

  1. Any last advice for our class?

Keep at it! Remember you have a lot of knowledge and a lot of information. Just try to balance things, and it’s not easy. Try to balance it so you don’t feel like you’re neglecting your personal life or your work.”

 

Thank you, Tom, for your dedication to the betterment of our profession. We will miss you very dearly at Regis, and we wish you all the best in your new adventure in life! Congratulations!

 

Tom also wanted to make sure that everyone knows he will have his Regis email, listed here (open forever) and it will be the best way to contact him. He will love to hear from people! tmcpoil@regis.edu

 

Written by: Pamela Soto, Class of 2019

Regis DPT Students Present: “LGBT+ 101”

 

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Taylor Tso, Hannah Clark, Felix Hill (left to right)

Regis University first-year DPT students Felix Hill, Hannah Clark, and Taylor Tso recently held a session for their classmates entitled “LGBT+ 101 for Student Physical Therapists.” The presentation covered foundational terminology and concepts related to LGBTQIA+ communities, a brief overview of LGBT+ healthcare disparities, as well as tips for making clinical spaces more inclusive. Here are some thoughts from the presenters related to key foundational concepts, what motivated them to present on this topic, and what their plans are to expand on this work in the future:

What does LGBTQIA+ stand for?

LGBTQIA+ stands for Lesbian, Gay, Bisexual, Transgender, Queer and/or Questioning, Intersex, and Asexual.

 

What is the difference between gender and sex?

Both sex and gender exist on spectrums. A person’s sex is assigned to them at birth based on their genitalia, typically as either male or female. Intersex people are born with a unique combination of sex traits such as hormones, internal sex organs, and chromosomes. Gender involves a complex relationship between our bodies (think biology and societally determined physical masculine and/or feminine attributes), identities (think inherent internal experience), and expressions (think fashion and mannerisms). While gender is commonly thought of as a binary system (men and women, boys and girls), there are people whose identities do not fall within either of these categories exclusively, or even at all. While many people identify with the gender often attributed to the sex they were assigned at birth (cisgender), there are others who do not share this experience (transgender).

 

Does gender identity have anything to do with sexual orientation?

No! You cannot make assumptions concerning someone’s sexual orientation based on the way they express their gender or based on their gender identity. Sexual orientation simply has to do with whom someone is sexually attracted to or not. It also has nothing to do with how sexually active someone is!

 

Why did you feel it was important to present on this topics?

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 “In spite of our community’s unique healthcare needs and the stark disparities that affect LGBT+ people’s access to healthcare, typical DPT programs offer little to no education that would prepare you to treat LGBT+ patients. We wanted our cohort to be competent and confident in treating this population.” –Felix

“Felix recognized this need at Regis early on and has been working closely with our faculty to develop more inclusive and comprehensive educational materials. As an ally, I have been honored to work with Felix and other members of PT Proud (the first APTA recognized LGBT+ advocacy group) in this process of educating ourselves and others. I believe that the field of physical therapy can do a better job of caring for LGBT+ patients and I want to be a part of the solution.” –Hannah

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What do you believe was the main impact of this presentation?

 “Facilitating educational exposure to LGBT+ topics that people may or may not have had knowledge of before. This presentation sparks curiosity and lays down a baseline understanding for healthcare professionals to better their communication, and thus, quality of care for their LGBT+ patients.” –Taylor

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So you have given this presentation—now what?

 This was just the beginning! Due to negative past experiences and fear of discrimination, many LGBT+ people will go to extremes to delay care. Even if someone has access to health insurance and can afford to come see a PT, which many do not, people are likely to wait until their condition is very serious, which then contributes to poorer outcomes.

We will work to share our knowledge widely throughout the U.S., starting with a presentation at CU in August. But ultimately, workshops are not enough! As board members of PT Proud, the LGBT+ catalyst group in the HPA section of the APTA, we want to ensure that physical therapy professionals across the country receive a basic level of LGBT+ competency training, which will ultimately require changes to DPT and PTA curricula. We will also be working with PT Proud’s Equity task force to influence laws and policies to increase LGBT+ healthcare access.

Felix, Hannah, and Taylor all look forward to the prospect of future presentations.

 

How can I learn more?

Follow PT Proud on Facebook! https://www.facebook.com/PTProud/

Feel free to leave a comment on this post with any questions or thoughts as well!

How Can the APTA Help Me?

Name: Lina Kleinschmidt

Undergrad: Pacific University

Hometown: Stuttgart, Germany

Fun fact: I was born and raised in Stuttgart, Germany

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As a physical therapy student and future physical therapist, the APTA is something you will hear about over and over again. With job opportunities, continuing education classes, research updates and legislation information, the APTA has endless amounts of information at the hands of students and professionals. However, the website and all the resources may seem a little overwhelming. Therefore, here is a little introduction into the APTA and how you can use it to further your education and career.

What is the APTA?

The APTA, or the American Physical Therapy Association, is a professional organization that represents physical therapy students, physical therapists and physical therapy assistants and has over 103,000 members. It is divided into state chapters each with a governing board. We at Regis University are fortunate to have Cameron MacDonald as an assistant professor, and he is the current president of the Colorado chapter which currently has 2,700 members. It is vital for each state to have a chapter since each state has different practice guidelines and thus must have individual legislation.

There are also sections within the APTA, which include: acute care, aquatics, cardiovascular and pulmonary, education, federal, geriatrics, hand and upper extremity, home health, pediatrics, private practice and quite a few others.  These sections allow you as a student or current PT to learn more information about different specialties. For example, I am part of the neurology section and as such, I get quarterly journals that inform me on the latest research and new updates in the realm of neurology and how it affects the physical therapy industry.

Districts are even smaller groups which are broken up by geographical location and each chapter has SIGs or special interest groups. Colorado has five statewide SIGs which include: Colorado Acute/Rehab SIG, Pediatric SIG, Private Practice SIG, PTA SIG and the Student SIG.

Continuing education (CE) classes happen often and allow students or PTs/PTAs to learn more about a specific topic and have hands on practice. I attended a vestibular and concussion CE class last fall and it completely opened my eyes to a world of physical therapy I had never heard of before. The APTA has a national conference called Combined Sections Meeting, or CSM, which is an incredible opportunity to learn about the profession and what new research developments are forthcoming. CSM is also a great way to network and get to know other practitioners in the physical therapy profession. The Colorado Chapter also has an annual convention called the Fall Convention & Expo.

How can I use the APTA?

Now that you have an introduction, it is important to know what you can do NOW. Depending on where you are in your journey, this may be different for each of you. If you are currently applying to PT school, the APTA website can help guide you in preparing for your interview questions, help you understand what is in your scope of practice depending on the state and school you apply to, and impress the faculty by understanding what is happening in the PT profession.

As you start your graduate school career, the first step is to become an APTA member! Some graduate programs require it, others do not. Either way, I highly recommend you become part of the association so you can reap the full benefits of the APTA and have your voice heard. Click here for joining the APTA. Attending state and national conventions will also give you a huge head start on understanding what the real world of physical therapy is like and they are a great chance to meet students from all over the US and also network!  The easiest step is to get involved with SIGs. Each university will have student special interest groups which hold meetings and special guest lecturers which allow students to connect and communicate about a specific PT specialty.

At Regis and CU Denver, we have multiple sSIGs that our students are involved in and I am lucky enough to be involved with the APTA sSIG this year. I will be working closely with the other sSIGs as well as the PTA schools to have a year of amazing events for our students. We hope to open their eyes to all the opportunities in Colorado. These include: panels about specialties and what to do after graduation, a kickball tournament, a national advocacy dinner and so much more!

Yes, this was a lot of information. No, I do not expect anyone to remember it all. But it is important that you get involved and find what you are passionate about. So now, go to www.apta.org and become a member today!

Managing Your Posture in PT School

Name: Joshua Holland

Undergrad: Idaho State University

Hometown: Centennial, Colorado

Fun fact: Before PT school, I worked at a BBQ restaurant in Missoula, MT called Notorious P.I.G.

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Last week, I was editing my Biomechanics skills video when I noticed a curly-haired DPT student in my video with fairly poor posture. I was far from excited when I realized that student was me. I knew my posture wasn’t the greatest after years of asymmetrical shoulder position from college pole vaulting and poor lifting mechanics, but I had no idea it was THAT bad! My shoulders were protracted with my head in a significantly forward position. My initial thought was, “man, I am about to be a PT soon…how am I going to teach posture when my own posture is so poor?!”

An average day for PT students involves a heavy dose of lectures, studying, and an even heavier dose of sitting. Often a PT student may be seated in lectures for 8 hours a day. By the end of the day, professors may start to notice students performing many combinations of wiggling, shifting, and slouching, with many students standing up in the back of the class.

The field of physical therapy involves movement for rehabilitation and we often hear, “exercise is good!” However, within school, sometimes we neglect our own movement in order to remain studious. The intention of this blog post is to initiate the thought of posture and provide some quick exercises that DPT students can use throughout their day. As future clinicians, we are role models to many of our patients, so it is important that we recognize our own posture and work to preserve good body mechanics within ourselves in order to have long-lasting careers and fully help our patients.

I couldn’t sleep after seeing my poor posture! So, I set out the next day to find ways to correct and maintain posture and decided to share them with you all. In this blog post, I interviewed Dr. Alice Davis, an expert on the spine, and fellow first year DPT student, Sarah Spivey, a certified pilates instructor since 2007, to provide some tricks on improving posture!

 

Question and Answer Interview with Dr. Alice Davis

Q: Often our posture is poor in class, we tend to slump over to write down our notes, what are some cues we can use in class to correct this?

A: Make sure your feet are flat on the floor and use the back of the chair to support you. You are becoming kinesthetically aware of your body in space as PT students, so try to be aware of the weight on your ischial tuberosities as you sit. Try to make each ischial tuberosity level. The overuse of repetitive poor posture is what creates problems over time, so start to realize your body position while you sit in class.

Q: While we sit in class it feels like we roll our shoulders forward and lean forward to pay closer attention or write on our devices, what are some cues to get those shoulders back with a neutral head?

A: Because you are sitting at computers for most of the days, you tend to have some upper cervical extension and increased flexion in the lower cervical spine. Imagine there is a rope going straight through your head and down to your seat, try to make that rope as straight as possible. A quick exercise you can do in class is move your shoulders up an inch, back an inch, and down an inch, then hold this for ten seconds, and relax. Try to do 10 reps for 10 seconds of this exercise.

Q: For the anatomy nerds out there, what are some of the muscles that are affected by this forward leaning posture/slumped position?

A: The upper cervical spine is extended in this forward posture position. Suboccipitals are a major component in this and often called the headache muscles because it can result in cervicogenic headache. A cervicogenic headache is when the pain begins in the back of the neck first before it goes up to the skull. This can be posture and stress related. Other muscles that play into extensor moment of the upper-cervical spine are the splenius and semispinalis muscles.

Q: Is there any other tips and tricks we can use in the classroom and out of the classroom to help with posture?

A:  

  • Foam rollers are great! You can put the foam roller vertically along your spine with the head and sacrum supported. Using your arms, do some snow angels for pectoralis major and minor.
  • If you are feeling uncomfortable and wiggly, your body is telling you to move – get up and move around.
  • Do something during lunch time. Eating is important, but try not to study if you don’t have to. Give 30 minutes during lunch for your body and mind.
  • Breathing is important. Moving the body and getting the diaphragm to move through breathing helps those muscles that support the thorax. Watch your breathing pattern, especially when you are stressed. Try to do some slow inhales and exhales.
  • Try a simple nodding of your head, as if you’re saying yes. This lengthens the longus colli and capitis muscles that can help with postural support. You can even do this when you’re driving! Rest your occiput on the headrest and perform a little nod. Try to hold the nod for 10 seconds with 10 repetitions.

 

Here are some techniques and exercises for managing posture in graduate school (or any career environment!) brought to you by our very own DPT first year, Sarah Spivey!

 

Sit on deflated Gertie ball.

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This will allow you to sit up on your ischial tuberosities (IT) to encourage a more natural lordotic curve while also eliminating the pressure on the ITs. By sitting on a relatively unstable surface you will also increase the use of your postural stabilizers. Try to incorporate five minutes per hour of sitting.

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Another technique is to use the Gertie ball between your lumbar spine and your chair. Find your ideal posture by allowing yourself to slump in your chair. Now, move into a full anterior tilt of your pelvis until you feel pressure in your lower back. Now, ease off until you feel the pressure disappear. Scoot back toward the back of your chair and place the ball at the level of the lumbar spine. The ball will help you maintain your neutral posture during sitting.

Head nods/nose circles on Gertie ball.

Lie in supine on a firm surface. Bend your knees and place your feet at the distance of your ASIS. Allow your sacrum to feel heavy and equally distributed on the floor/mat. Take a few breaths and notice if you have excessive space between your thoracic spine and the floor. If so, on an exhale, allow your t-spine to sink toward the floor. This should limit any rib flare. Place a 1/3 – ½ inflated Gertie ball (or folded towel) under your head. You should feel pressure evenly distributed near your occipital protuberance – this will insure you are lengthening your cervical extensors (especially for those of use with a forward head!). Take a few breaths and allow your head to feel heavy on the ball. Imagine a one-inch line on the ceiling and slowly trace this line down with your nose. Return to your starting position making sure to avoid moving into extension. Repeat this 8-10 times. Now draw slow circles with your nose around your one-inch line. Keep your circles small and controlled. Perform 6-8 in each direction.

Wall sit pelvic curls.

While sitting in class, if you start to feel your low back tighten up, try this stretch! Stand against a wall with your feet about 12 inches in front of the wall and hip distance apart. Try to feel contact of your sacrum, rib cage and the back of your head on the wall. You should have a very small space between your lumbar spine and the wall. As you exhale, draw your abdominals in and curl your pubic bone up toward your nose. You should feel your lumbar spine flatter against the wall. As you inhale, slowly allow your ischial tuberosities to widen until you are back in a neutral position. Repeat 10-12 times.

 Seated neck stretch – sitting on hand.

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Feeling tension in your neck during class? Scoot forward so your back is away from the chair and sit tall on your ischial tuberosities. Imagine lengthening your cervical spine and then gently tuck your chin toward your chest. Try not to flex your cervical spine! Now allow one ear to fall toward your shoulder. You should feel a stretch on the opposite side. If you would like to increase your stretch, you can sit on the hand of the side you are stretching. For example, if you are feeling the stretch on the right side, sit on your right hand. This will bring your shoulder down and away from your ear.

 

Overall, I hope  this post helped you become more aware of how important it is that we practice good posture while in school, or with any lifestyle! Do you have favorite exercises or tips to remind you to practice posture? Feel free to share with us in a comment below!

Dry Needling…Not a Type of Craft that Your Grandmother Does

Name: Katherine Koch

Undergrad: The Ohio State University

Hometown: Cleveland, OH

Fun Fact: Last summer, I climbed six 14ers

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Dry needlingnot a type of craft that your grandmother does. This type of treatment uses thin filiform needles inserted by a physical therapist into myofascial trigger points, or a tight band of muscle that might be causing pain (1). Dry needling is based on physiological evidence supported by research that is usually part of a broader treatment plan (2). If this needling sounds familiar to you, you’re not alone. Acupuncturists use the same type of needle to adjust the flow of energy, or chi, throughout meridians in the body. Acupuncture is an ancient Chinese medicine and operates based on the belief that these thin needles can relieve tension, stress, and pain when inserted by an acupuncturist (3). While you won’t be getting an itchy sweater from this treatment, it can lead to pain relief for many people. 

However, there is still confusion and debate among physical therapists and acupuncturists concerning the rights and responsibilities of physical therapists in performing dry needling on their patients. This debate of dry needling by physical therapists was recently taken to a Denver district court when the Acupuncture Association of Colorado (AAC) challenged the Colorado State Physical Therapy Board (Board). The AAC claimed that physical therapists had not undergone enough training to perform dry needling and requested the Board reverse the rule that allows physical therapists to practice this method of treatment. The AAC argued that physical therapists only perform 46 hours of training to be certified to practice dry needling, while acupuncturists train for almost 2,000 hours. The association claimed this made dry needling by physical therapists an “unsafe practice of acupuncture” (4). However, this statement is strongly misleading due to the additional 3,400 hours of doctorate level schooling that physical therapists already have behind them before they complete those 46 hours specific to dry needling training. Physical therapists spend three years in graduate school learning how the human body works, what can go wrong with it, and how to fix it within the realm of physical therapy. Additionally, doctors of physical therapy are required to take continuing education courses throughout their careers.

Additionally, the AAC made the claim that dry needling is just a misnomer for acupuncture, while the two are fundamentally different practices. They may look similar to the untrained recipient, but physical therapists and acupuncturists perform their respective treatments with fundamental ideological differences between the two. This is not to say that one is better than the other, and patients may make the informed autonomous decision to receive either or both treatments. However, as the Denver District Court decided, there is no need to prevent members of one profession from performing treatments all together. In December 2017, the court recognized that physical therapists are acting within the Colorado Physical Therapy Practice Act when they perform dry needling.

As the Colorado Chapter of the APTA President Cameron MacDonald put so eloquently,

“this legal debate was brought forth by those who wished to restrict the practice of another profession from their own. This debate could have been about any intervention utilized by physical therapists, and not just dry needling. It is imperative to consider this legal challenge and the lawsuits brought against the Colorado PT Board through the lens of the Colorado consumer of healthcare. Consumers in Colorado are provided access to health care providers which have a defined scope of practice under which to deliver patient care. Health care professionals are expected to provide the best care they can, and to practice under a scope flexible enough to both protect the consumer and not limit the development of practice by health care providers.”

When physical therapists perform dry needling, they are practicing within their professional scope. When acupuncturists perform acupuncture, they are practicing within their professional scope. Both professions can live harmoniously alongside each other while helping patients within their respective realms.

Why does any of this matter? First, any judicial ruling or legislative rule concerning a profession as a whole likely has implications that affect many of its members. In this case, physical therapists that perform dry needling in Colorado were in danger of losing their legal right to treat patients in this way. Further, patients were in danger of losing out on a treatment that can benefit them. To be effective health care providers, it is imperative that physical therapists are informed practitioners in order to best advocate for their profession and best treat their patients. Denying to inform themselves and take positive action does a disservice to future physical therapists and patients who will benefit from the work done to advance the profession today. In order to practice as autonomous providers, physical therapists must continue to advocate for their profession and understand the issues surrounding it. It also stands to reason that since the American Physical Therapy Association participated in this case as an amicus party and presented information that no doubt helped sway the case, physical therapists should support and be members of the organization that advocates for them on this broad level.

This debate is not in Colorado alone; lawsuits in three states have gone the opposite way and the state boards have been forced to remove dry needling provisions from their practice acts.4 Since each state has their own physical therapy act, it is important that the Colorado practice act, which will be revised next year, continues to maintain its inclusive language that provides “for new developments in physical therapy practice, which includes dry needling” (Caplan and Earnest, LLC, personal communication, January 9, 2018). For the good of physical therapists, patients, and the future of physical therapy as a profession, this particular case is closed.


If you are a student physical therapist, like myself, who hopes to perform dry needling as a professional one day or if you simply would like to learn more about its practice, please refer to the references below.

  1. Dry Needling by a Physical Therapist: What You Should Know. American Physical Therapy Association. http://www.moveforwardpt.com/Resources/Detail/dry-needling-by-physical-therapist-what-you-should. Published December 25, 2017. Accessed January 28, 2018.
  2. Gattie E, Cleland JA, Snodgrass S. The Effectiveness of Trigger Point Dry Needling for Musculoskeletal Conditions by Physical Therapists: A Systematic Review and Meta-analysis. J Orthop Sports Phys Ther. 2017;:1-41.
  3. Miller J. Physio Works – Physiotherapy Brisbane. Acupuncture and Dry Needling. https://physioworks.com.au/treatments-1/acupuncture-and-dry-needling. Accessed January 28, 2018.
  4. Migoya D. Acupuncturists sue Colorado’s physical therapy board over the very definition of their craft. The Denver Post. https://www.denverpost.com/2017/04/05/acupuncturists-sue-board/. Published April 7, 2017. Accessed January 28, 2018.

Crash Course: How to Dress for PT School

The dreaded dress code! Our student handbook says:

As future health care professionals, graduate students in physical therapy are expected to dress in a manner that exemplifies professionalism during class, during on campus activities, and in clinical situations.

As scary as that sounds, it’s really not so bad. There is no need to run out and buy all new clothes! (Unless you only wear yoga pants and track suits. I mean–respect for that, but gotta keep if profesh now). There are tons of ways to make clothing you already have work.

Let’s go over some of the big things:

  • Plain t-shirts are definitely okay. Shirts with logos or writing are not (unless it is the Regis PT logo!).
  • There will be a Regis PT clothing order in the fall! The bookstore only has one thing that says “physical therapy” on it, so don’t worry about buying that–wait for the clothing order!  Items purchased from the clothing order can be worn to class.
  • Buying a lot of basics that you can mix and match is a really good idea. If you have a few pairs of good pants, a variety of colored tops, and good shoes, you can make dozens of outfits. Scarves and jewelry can always be used to accessorize and liven things up.
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Basic Ts, pants and skirts are all recommended!

  • Shoes must have backstraps! Things like Chacos or Tevas are fine, but they need to have a backstrap.
  • Invest in some quality shoes. Sneakers are allowed in the dress code, and you are going to be wearing them a lot. Find some that give you good support, but can also look okay with your class clothes.
  • The main lecture hall—you’ll come to know and love it intimately—can go from freezing to a sauna within 15 minutes. Having layers to put on or take off is always a good idea.
  • You’ll notice that the dress code mentions things like facial piercings, odd hair colors, and tattoos. While I wouldn’t recommend getting 7 facial piercings and 4 new tattoos, this isn’t something to worry about! Many members of the current student body have tattoos and facial piercings; that being said, keep this in mind when finding clothing for class.  It’s okay to have them showing in lab, but try your hardest to keep them covered for lecture.
  • Lab clothes are generally exercise clothes. If you only have one pair of running shorts/leggings, this might be the time to get a couple more. You will wear these clothes a lot!  You are expected to bring your lab and professional clothes to switch between classes, but you all will have lockers if you want to keep clothes on campus.

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    Here’s the Class of 2018 intramural soccer team modeling some great lab clothing examples!

  • For anatomy lab, most people wore scrubs or sweats. Whatever you wear, do not plan on wearing it ever again. The scent of the lab will never leave.

What it really comes down to is this: how do you want to present yourself to your classmates and professors? If khakis, sneakers, and a solid color t-shirt are your comfort zone, awesome! If it’s a skirt and blouse, great! If there’s a collar, lovely! Don’t put too much pressure on yourself to change your entire style. Wait and see what you find yourself wearing to class and what you find comfortable, and do your shopping after school has started.

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Carol, Nolan, and Courtney showing off their professional attire

Keep in mind that this is the clothing you’ll be using when on clinical rotations and at conferences—think about what will make you be the most comfortable and professional clinician possible.

Finally, my classmate, Cameron, wants you all to know that Crocs do count.

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Maroon pants aren’t required, but are strongly encouraged for photo ops like this.

If you have any questions, feel free to email me at msutton001@regis.edu!

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Blogger: Madeleine Sutton

 

Regis University hosts the Denver National Advocacy Dinner

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

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

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

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

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

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

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

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

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

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

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

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

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Upcoming Advocacy Events:

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

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

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

Spring 2017                           Federal Advocacy Forum (Washington, DC)

 Important Links:

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

Blogger: Sarah Campbell, Class of 2017