|
|
Clinical Doctorate
|
Logged in as: Guest
|
|
Users viewing this topic:
none
|
|
Login  | |
|
Clinical Doctorate - May 27, 2004 12:45:00 PM
|
|
|
Yogi
Posts: 403
Joined: April 5, 2004
From: San Antonio, Tx., USA
Status: offline
|
We discussed alot recently about how much could be learned in an entry level degree. Direct access has been an issue for a long time. There were only a few DPT programs, anda after finding out how much I didn't know as a new grad (we won't discuss how much I still don't know), I was of the opinion that direct access should be tied to a Clinical Doctorate degree. Forgetting about the problem of Grandfathering, etc., my question is this. Would the average Bs.PT back then, or the present average MPT, be ready for direct access. I felt patients would be better served with practice without referral with clinicians at a higher level training than entry level, and direct access would be an incentive for the higher level training. I still think it's a good idea, what do you all think. Skilled knowlegable practitioners could test out on some courses, in earning the degree. With direct access, we become one of the gatekeepers, way above technicians, with a lot more respnsibility in that we would be referrers, and well as referrals. Over to you all for discussion.
|
|
|
|
|
Re: Clinical Doctorate - May 29, 2004 7:08:00 AM
|
|
|
Dr.Wagner
Posts: 1242
Joined: January 24, 2003
From: Indianapolis
Status: offline
|
My personal thoughts are that any PT should receive the same privileges as any current LMT. The problems arise when more than your average LBP patient arrives at the door and more complex patients with comorbidities arrive that are of the kind that "don't like doctors, but love their homeopath", where there is no one reliable to create a true medical differential...or refer to. Direct access is one of those things that sound better on paper than they really are in life. Insurance reimbursement problems and an increase in liability (probably only baby steps at first). It only takes a single mistake or a single delay in referral. The quick referral would incline insurance reimbursement to decline the payment for the initial visit saying "they needed the doctor visit first". You know the story.
THis isn't meant to start any verbal war, of course. The primary battle is with DC's as that is who the market competition is really from.
Direct access has been on the "dream list" for the APTA for so long it really has lost its teeth...and it was first conceived prior to any clinical doctorate of PT.
PT's probably should watch their own backs as direct access is less of an issue than corporate PT or other practitioners taking PT buisness or techniques etc. Who knows what the future holds, but being realistic is important.
_____________________________
Dr. Wagner DO
Moderator of Medical Complexity Forum
|
|
|
|
|
Re: Clinical Doctorate - June 1, 2004 5:15:00 AM
|
|
|
Yogi
Posts: 403
Joined: April 5, 2004
From: San Antonio, Tx., USA
Status: offline
|
Thanks, Doc. Still waiting on your thoughts on the thread should manipulation be taught in entry level.
|
|
|
|
|
Re: Clinical Doctorate - June 3, 2004 6:53:00 AM
|
|
|
Alex Brenner PT MPT OCS
Posts: 1057
Joined: February 29, 2004
From: Kentucky
Status: offline
|
Hi Yogi. I have been reading your comments on other threads about the DPT and I think you may have a skewed image of what the DPT is. It appears from some of your posts that you believe these DPT programs are completely different schools with completely different curriculums. I do not think that they are and I think you may be disappointed to find out that many of the new DPT graduates are not that much better in the clinic as new graduates. I have worked with some DPT students and did not feel that they were any more prepared than other MPT students that we received for clinical rotations.
The following questiona comes from the APTA web site under frequently asked questions concerning the DPT. It may clear up some things for you.
What is the difference between a professional (entry-level) DPT program and a professional (entry-level) MPT program?
Although there are only 58 accredited professional (entry-level) DPT programs, the length of the majority of these programs has been extended beyond the traditional two-year masters program. Based on a recent informal survey, accredited and transitioning DPT programs have augmented the breadth and depth of content in a typical two- or three-year professional (entry-level) MPT program. The specific augmented content areas include, among others, differential diagnosis, pharmacology, radiology/imaging, health care management, prevention/wellness/health promotion, histology, and pathology. In addition, the final or culminating clinical education experience is typically extended beyond the average of 15 weeks; some are 1 year in length.
My University recently changed over to a DPT program this year. I have seen the recent curriculum and compared it to mine and found that it is not very different. I don't expect these new DPT graduates to be much further ahead than I was when I graduated with a MPT. Many of the DPT programs have expanded the clinical time and if a DPT student ends up at a bad site or with a bad CI then the extended time would be probably not add to their clinical mastery or expertise. I think the new DPT graduates will need just as much mentoring as the previous MPT students and that we will not see too much of a difference in their clinical skills. Just my thoughts. Does anyone else feel this way? Thanks.
Army
_____________________________
Alex Brenner, PT, MPT, OCS
|
|
|
|
|
Re: Clinical Doctorate - June 3, 2004 7:08:00 AM
|
|
|
steve
Posts: 470
Joined: May 14, 2003
From: Canada
Status: offline
|
Armypt,
In Canada, physios have enjoyed direct access for over a decade - no problems to date and I just have a simple BSc PT. It should be noted, however, that our system is significantly different than the American system.
Steve
|
|
|
|
|
Re: Clinical Doctorate - June 4, 2004 5:20:00 AM
|
|
|
Yogi
Posts: 403
Joined: April 5, 2004
From: San Antonio, Tx., USA
Status: offline
|
Army, thanks. And that is just what I've been wondering, and if that is the case, what the hell is the point, other than to make it more expensive and price people out of the field. Maybe the DPT should be differientiated to an academic (PhD PT) and a clinical (DPT) degree.
|
|
|
|
|
Re: Clinical Doctorate - June 4, 2004 5:37:00 AM
|
|
|
Yogi
Posts: 403
Joined: April 5, 2004
From: San Antonio, Tx., USA
Status: offline
|
Addendum. And I've always thought the Bs. PT was fine for entry level. I would like to know what has really driven the push toward the increased entry level requirements. The PTA would actually probably have been (may still be) sufficient entry level for 90 percent of the work settings, 90 percent of the time at least. My PTA school taught the basics alot better than my PT school. I know there's alot of variation, but that was my experience, and these are just my thoughts. Any way, I believe the DPT should not be necessary for entry-level. I didn't think the MPT should be, either. But that's a dead horse. I would be an attorney now if the MPT had been required in the early 80's. I won't put a value judgement on whether maybe that would have been better for me, but I don't want to see PT pricing good dedicated young people out of the field.
|
|
|
|
|
Re: Clinical Doctorate - June 4, 2004 5:53:00 AM
|
|
|
Yogi
Posts: 403
Joined: April 5, 2004
From: San Antonio, Tx., USA
Status: offline
|
Doc. You are right about direct access, and the reliable referrals. A good Dr. is one of our best tools. I always thought PT's had no business with direct access, because then we would be like the chiros, one in every little town and on every corner. We do alot more than treat spines. But private practice is (was) very alluring ($) to some, and direct access, rightly or wrongly, adds to the allure ($). Am I about on track? That is why, when the big push was on, I thought direct access should be earned by obtaining a clinical DPT. I knew that idea wasn't going anywhere then, no one seems to think it's a good idea now. That's ok, I just wanted to put it out there.
|
|
|
|
 New Messages |
 No New Messages |
 Hot Topic w/ New Messages |
 Hot Topic w/o New Messages |
 Locked w/ New Messages |
 Locked w/o New Messages |
|
 Post New Thread
 Reply to Message
Post New Poll
Submit Vote
Delete My Own Post
Delete My Own Thread
Rate Posts |
|
0.078
|
Printable Version
All Forums >> [RehabEdge Forum] >> Open Forum >> Clinical Doctorate 
