The course will discuss the role, responsibility, ethics administration issues and accountability of the physical therapists. The course will also cover the changes in the profession and its responsibilities to the profession, the public and to the health care team.
Discuss cultural competencies, education techniques, ethics, law & administration in Physical therapy practices
What does professional mean?
Preliminary definitions of profession and professional
Sociological perspective
Structural approach
Processual approach
Characteristics of professions cited in the literature
Power approach
Dimensions of occupation & profession
Autonomy, self-regulation of ethical standards, and accountability
Privileges of autonomous practice in 2020
Self-regulation of ethical standards
Accountability of professionals
Individual professionalism—professionalism without professions?
The history of a profession
Professional recognition.
A vision for the future
The doctorate in physical therapy
Perspective of the profession
Perspective of the practitioner
Direct access issue
Selected curriculum requirements from evaluative criteria for physical therapist
Plan of care
Social responsibility
Career development
Physical therapy practice patterns
Components of a practice pattern
Important factors that affect health.
evaluation and diagnosis
Diagnosis as clinical decision making
Prognosis
Discharge planning and discontinuance of care
Discontinuance of care
Outcomes
Clinical decision making
Referral relationships
Interpersonal relationships
Ethical and legal issues
Informed consent
Managed care and fidelity.
Physical therapy consultation
Building a consulting business
The consulting process
The skills of a good consultant
Trust in the consultant/client relationship
Ethical and legal issues in consultation
Components of a consulting agreement.
History of critical inquiry
Evidence-based medicine
Outcomes research
Whose responsibility is research?
Roles of the staff physical therapist in critical inquiry
Collaboration in clinical research
Ethical and legal issues in critical inquiry.
History of physical therapy education
Contemporary educational roles of the physical therapist
Teaching opportunities in continuing education
Academic teaching opportunities
Theories of teaching and learning in professional education
Ethical and legal issues in physical therapy education.
History of physical therapy administration
Contemporary physical therapy administration
Patient/client management
First-line management
Midlevel managers and chief executive officers
Leadership
Ethical and legal issues.
Lifelong process of skill enhancement
The professional development continuum: from competence to expertise
Activities that promote professional development
Evaluation of competence and professional development
Professional development planning
Possible evaluators of professional achievement
Career advancement
Organizational impact on professional development.
The future in three realms, individual, institutional& societal.
Professionalism and the physical therapist.
Practical related to the course work
Introduction to Consultation in Physical Therapy:
The Way the Consultation is Carried out:
Patient-Related Consultation:
Client-Related Consultation:
Consultation Activities of Physical Therapist:
Responding to a request for a second opinion:
Advising a referring practitioner about the indications for intervention:
Advising employers about the requirements of the Patients/Clients with Disabilities:
Instructing employers about pre-placement in accordance with provisions of the Patients/Clients with Disabilities:
Educating other health practitioners (eg, in injury prevention):
Performing environmental assessments to minimize the risk of falls:
Conducting a program to determine the suitability of employees for specific job assignments:
Examining school environments and recommending changes to improve accessibility for students with disabilities:
Developing programs that evaluate the effectiveness of an intervention plan in reducing work-related injuries:
Working with employees, labor unions, and government agencies to develop injury reduction and safety programs:
Participating at the local, state, and federal levels in policymaking for physical therapy services:
Providing expert legal opinion:
Introduction to Screening in Physical Therapy
The Way the Screening is Carried Out
The Basis of Screening
Problem-focused, systematic collection and analysis of data to
Identify individuals at risk in order to provide primary Prevention:
Identify those in need of physical therapy intervention or other rehabilitative services
Ascertain the presence of positive findings that require attention by another health care practitioner in order to provide secondary or tertiary prevention
Candidates for Screening
Screening Activities of Physical Therapist
Identifying children who may need an examination for idiopathic scoliosis
Identifying risk factors in the workplace
Pre-performance testing of individuals active in sports
Identifying an individual's lifestyle factors (eg, exercise, stress, weight) that may lead to increased risk for serious health problems
Identifying elderly individuals in a community center or nursing home who are at high risk for slipping, tripping, or falling
Introduction to Delegation in Physical Therapy:
Delegation Pertinent Responsibilities of Physical Therapist:
Interpretation of record of patient referred by health care provider:
Initial evaluation and problem identification of patient:
Development of plan of care and goals of treatment:
Determination of appropriate portion of treatment program to be delegated to a physical therapist’s assistant:
Delegation of treatment to be administered by physical therapist’s assistant:
Instruction to the physical therapist’s assistant regarding:
The specific program of treatment of a patient:
Any precaution to be taken to protect a patient:
Any special problem of a patient:
Any procedure which should not be administered to a patient:
The proper methods for documenting the treatment that is administered to the patient:
Any other information required to treat a patient:
Treatment review in a timely manner:
Documentation of goal of treatment:
Revision of plan of care when indicated:
Revision of Documentation done by PTA during periodic reviews of the patient and make note of those reviews in the evaluation or reassessment of the patient:
Case management and dissemination of any written and oral reports:
Performance of final evaluation upon the discharge:
When and When Not to Delegate:
National Perspectives:
International Perspectives:
To Whom and to Whom Not to Delegate:
National Perspectives:
International Perspectives:
Supervision of Treatment Program Delegated to a Physical Therapist’s Assistant by Physical Therapist:
General Consideration of Cultural Competence in Physical Therapy
Cultural Competence
Key Concepts
Culture
Principles and Assumptions
Power and Privilege
Exploring Differences
Equitable Access
Racism & Oppression
Elements of Cultural Competence
National Diverse Communities
International Diverse Communities
Providing Health Care in a Multicultural Society
Patient and Client Encounter Questions
LIAASE: A General Cultural Competence Tool
Health Professional Self-Assessment Tool
Steps to Cultural Study and Cultural Competence
Therapist’s vs Patient’s Culture
Physical Therapist’s Culture
Understanding Patient’s Culture
Addressing Conflict
LIAASE (Learn, Inquire, Avoid Polarization, Avoid Arguing and Defending, Show Empathy ): A General Cultural Competence Tool
Health Professional Self-Assessment Tool
Introduction to Screening in Physical Therapy
The Way the Screening is Carried Out
The Basis of Screening
Problem-focused, systematic collection and analysis of data to
Identify individuals at risk in order to provide primary Prevention:
Identify those in need of physical therapy intervention or other rehabilitative services
Ascertain the presence of positive findings that require attention by another health care practitioner in order to provide secondary or tertiary prevention
Candidates for Screening
Screening Activities of Physical Therapist
Identifying children who may need an examination for idiopathic scoliosis
Identifying risk factors in the workplace
Pre-performance testing of individuals active in sports
Identifying an individual's lifestyle factors (eg, exercise, stress, weight) that may lead to increased risk for serious health problems
Identifying elderly individuals in a community center or nursing home who are at high risk for slipping, tripping, or falling
Introduction to Delegation in Physical Therapy:
Delegation Pertinent Responsibilities of Physical Therapist:
Interpretation of record of patient referred by health care provider:
Initial evaluation and problem identification of patient:
Development of plan of care and goals of treatment:
Determination of appropriate portion of treatment program to be delegated to a physical therapist’s assistant:
Delegation of treatment to be administered by physical therapist’s assistant:
Instruction to the physical therapist’s assistant regarding:
The specific program of treatment of a patient:
Any precaution to be taken to protect a patient:
Any special problem of a patient:
Any procedure which should not be administered to a patient:
The proper methods for documenting the treatment that is administered to the patient:
Any other information required to treat a patient:
Treatment review in a timely manner:
Documentation of goal of treatment:
Revision of plan of care when indicated:
Revision of Documentation done by PTA during periodic reviews of the patient and make note of those reviews in the evaluation or reassessment of the patient:
Case management and dissemination of any written and oral reports:
Performance of final evaluation upon the discharge:
When and When Not to Delegate:
National Perspectives:
International Perspectives:
To Whom and to Whom Not to Delegate:
National Perspectives:
International Perspectives:
Supervision of Treatment Program Delegated to a Physical Therapist’s Assistant by Physical Therapist:
General Consideration of Cultural Competence in Physical Therapy
Cultural Competence
Key Concepts
Culture
Principles and Assumptions
Power and Privilege
Exploring Differences
Equitable Access
Racism & Oppression
Elements of Cultural Competence
National Diverse Communities
International Diverse Communities
Providing Health Care in a Multicultural Society
Patient and Client Encounter Questions
LIAASE: A General Cultural Competence Tool
Health Professional Self-Assessment Tool
Steps to Cultural Study and Cultural Competence
Therapist’s vs Patient’s Culture
Physical Therapist’s Culture
Understanding Patient’s Culture
Addressing Conflict
LIAASE (Learn, Inquire, Avoid Polarization, Avoid Arguing and Defending, Show Empathy ): A General Cultural Competence Tool
Health Professional Self-Assessment Tool
Need for developing standards of competence
Assumptions behind the standards
Why have standards not been developed for the physical therapist assistant
Continuing competence
How were these standards developed
How are the standards presented
To whom do these standards apply
Domain 1-Professional Practice
Professional Accountability
Professional Behavior
Professional Development
Domain 2-Patient/Client Management
Examination, Evaluation And Diagnosis
Plan Of Care
Implementation
Education
Discharge
Cultural Heritage
Communication in Cultural Context
Family Roles and Organization Within Culture
Cultural Workforce Issues
High Risk Health Behaviors, Biocultural Ecology, and Nutrition in Light of Culture:
Spirituality and Cultural Death Rituals
Cultural Healthcare Practices and Roles of Healthcare Practitioners
Selected Ethnic Cultures
Cultural Considerations for
Pakistani Cultures:
American / Black Cultures
Chinese Culture
Latino/Hispanic Client
American Indian Cultures
Middle Eastern Cultures
Jewish Clients
Culture of Various Physical Therapy Populations
Disability across Cultures
Veteran and Military Culture and Physical Therapy
The Challenge and Culture of Poverty and Homelessness
Physical Therapy Cultural Encounters in Pediatrics
Physical Therapy Cultural Encounters in Geriatrics
Professional Development, Competence, and Expertise
Lifelong process of skill enhancement
The professional development continuum: from competence to expertise
Activities that promote professional development
Evaluation of competence and professional development:
Professional development planning
Possible evaluators of professional achievement
Career advancement
Organizational impact on professional development
Future Challenges in Physical Therapy
Physical therapy’s moral mission
The future in three realms, individual, institutional& societal
Professionalism and the physical therapist
National Laws, Regulations, and Policies for Physical Therapy:
International Laws, Regulations, and Policies for Physical Therapy:
Arab Countries’ Laws, Regulations, and Policies for Physical Therapy (e.g., UAE and KSA etc):
European Laws, Regulations, and Policies for Physical Therapy:
Australian&NewZealanderLaws, Regulations, and Policies for Physical Therapy:
American Laws, Regulations, and Policies for Physical Therapy:
Statutes and Regulations:
Statutes:
Regulations
Creating Statutes and regulation:
The Court System:
Criminal versus Civil Law
Criminal Law:
Civil Law:
Policies:
The American Physical Therapy Association:
Payer Reimbursement Policies:
Employer Policies:
An Overview of Laws, Regulations, and Policies of different States for Physical Therapy:
The roles of World Confederation for Physical Therapy (WCPT)
Teaching Responsibilities:
Components of the Teaching Process:
Analysis of the learner / assessment:
Analysis of data, formulation of objectives of instruction:
Analysis of instruction / planning:
Implantation:
Evaluation:
Documentation:
Learning Theories:
Behaviorist:
Cognitive:
Humanist:
Adult learning:
Behavioral Objectives from the Educational Domains:
Cognitive:
Affective:
Psychomotor:
Curriculum Design for Physical Therapy Educational Programs:
From Curricular Goals to Instruction: Preparing to Teach:
Teaching and Learning in Academic Settings:
Physical Therapy Education in the Digital Age: Leveraging: Technologies to Promote Learning:
Assessing and Improving the Teaching and Learning Process in Academic Settings:
Authentic Assessment: Simulation-Based Education:
Strategies for Planning and Implementing Inter-professional Education
Preparation for Teaching in Clinical Settings:
Techniques for Teaching in Clinical Settings:
Qualities of a Good Clinical Teacher:
Facilitating the Teaching and Learning of Clinical Reasoning:
Patient Education and Health Literacy:
Applied Behavioral Theory and Adherence: Models for
Practice:
Teaching and Learning Psychomotor Skills: