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DOCTOR OF MUSCULOSKELETAL PRACTICE
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DOCTOR OF MUSCULOSKELETAL PRACTICE - January 28, 2007 6:53:00 PM
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supender
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A VISION :
Doctorate in Musculoskeletal Practice (DMP): The programme is designed for Physical Therapist, Physician assistants and Nurse practioners to develop advanced skills in the field of Musculoskeletal Practice, including injection therapy, radio-diagnosis, ,manual therapy, evidence based exercise ergonomic consultation and physical modalities. The graduates of this programme would be leaders in the field of Musculoskeletal practice and would be capable of being independent practioners providing outpatient direct care contact practice to general public. The programme is designed to develop professionals who can help fill the vast gap created by huge shortage of Physicians with training in musculoskeletal practice in United States. Until a legal framework for Doctors of musculoskeletal practice is established by the way of introduction of State Practice acts ,these professionals would practice with dual health care licenses i.e either P.A. and P.T. or N.P. and P.T. The programme has been designed with closed collaboration of APTA, AAPA, AANP. The programme is custom designed for each individual so as to provide them the required education to qualify for the required license i.e Physical Therapist would work towards getting a Physician Assistant license and Physician Assistants and Nurse practice would work towards Physical Therapy license.
IS that possible.Would it make a difference
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Re: DOCTOR OF MUSCULOSKELETAL PRACTICE - January 29, 2007 4:00:00 AM
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cowboybuboy
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Sounds good. Where would they have it? And how much would it cost?
I guess those are the main questions.
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Re: DOCTOR OF MUSCULOSKELETAL PRACTICE - January 29, 2007 11:35:00 AM
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FLAOrthoPT
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From: West Palm Beach
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not sure why we cant have CEU and certifications that show proficiencies in these things without adding more initials behind our names?
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Re: DOCTOR OF MUSCULOSKELETAL PRACTICE - January 29, 2007 2:14:00 PM
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supender
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YES THERE ARE MANY QUESTIONS.I THINK THERE ARE OVER A DOZEN UNIVERSITIES WHO RUN BOTH PHYSICIAN ASSISTANT,NP AND PT PROGRAMMES AND SUCH UNIVERSITIES WOULD BE IN POSITION TO START SUCH A PROGRAMME.AS FAR AS COST IS CONCERNED ACCORDING TO A REASONABLE ESTIMATE FOR A PT IT WOULD COST 60-70% OF PA PROGRAMME TO GET ALL THE CREDITS.OF COURSE THE COURSE COST WOULD VARY FROM UNIVERSITY TO UNIVERSITY AND A PERSON TO PERSON.AS FAR AS GETTINNG THE SKILLS WITH CEU AND CERTIFICATION IS CONCERNED.It has been done in other couuntries( read U.K.)I dont think in United States, AMA AND MD lobby would ever let anyone earn the privelleges to practice Musculoskeltal pratice as independent pracice.It would take combined effort of Physical therapist,Nurse practioners and PT's to find the answer to the shortage of Physician shortage.It would definetely serve their vested interests.My question is are their enought PT's ,NP's or PA's who are willing to take this path if available.
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Re: DOCTOR OF MUSCULOSKELETAL PRACTICE - January 30, 2007 9:59:00 AM
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Shill
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From: Madison WI USA
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Sounds to me like what a physiatrist or D.O. might do, or a non surgeon sports med doc, or a family practice doc who has sports med training. I think there is a song by Barenaked Ladies called "Its all been done... before". Whoo hoo hoo...
_____________________________
Steve Hill PT
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Re: DOCTOR OF MUSCULOSKELETAL PRACTICE - January 30, 2007 1:49:00 PM
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myr11
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Shill, it would be similar to what many D.O or physiatrists do plus actually delivering the rehab, but my question is why shouldn't PT's be doing at least the outpatient rehab with a few more years of education? I want to go into either PT or physiatry. Why shouldn't there be a program for students like me who know they want to go into rehabilitative medicine such as that of a podiatrist, or dentist? The physiatrists would still coordinate the pts in rehab centers at hospitals, and would still have pain medicine, and spine. But the physical therapists would have an advanced degree where they could be completely independent, image, diagnose, do small injections, and some other things. I keep hearing how many physical therapists could make good "physicians" and how many PTA's could make fine physical therapists, well why don't both just "upgrade" themselves. I see many physical therapists turned physicians or "med students" on student doctor network who all seem like they are making fine students and physicians. This is coming from a relatively unexperienced student but still I don't see why this isn't more debated. And I don't think this would take any jobs away from physicians. If anything this would allow physiatrists to gain more respect and status as doctors, as they would assume bigger roles than what they do now. Physiatry is a somewhat undeveloped specialty from what I hear(getting big in the 80's)so they will be furthering their scope of practice as well. Of course more responsibility would go with this as well as malpractice insurance, but income would have the potential to be much higher if you are billing for these services.
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Re: DOCTOR OF MUSCULOSKELETAL PRACTICE - January 30, 2007 2:26:00 PM
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Marc Bronson
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From: Toronto
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Upender,
I think you would also get support from the scientific based DC (NMSK or non-subluxation based). I know that as a profession, there is a lack of unity between the fundamentalist DC(straight/subluaxtion quacks) and an EBM DC, and a lot of the new grads from my school would likely support the creation of a new NMSK based doctor so long as it wouldn't strictly be a "paper tiger" but would have a good scope, fairly placed in the medical professional hierarchy, and that would have fair use to important imaging and lab resources as required.
_____________________________
BSc (Hon), DC, Dipl. Med. Ac. CSCS
Integrative Manual Medicine
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Re: DOCTOR OF MUSCULOSKELETAL PRACTICE - January 30, 2007 5:07:00 PM
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ONstudentPT555
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>>>But the physical therapists would have an advanced degree where they could be completely independent, image, diagnose, do small injections, and some other things. >>>
myr11,
This is what is going to be happening in Canada in the near future .. with an extra year of training PTs will have an Advance Status and be able to order ultrasounds, MRIs and other imagining test also be able to do cortisone injections, prescribe certain meds.. This is already happening in the UK for PTs .. perhaps it will happen in the US aswell..
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Re: DOCTOR OF MUSCULOSKELETAL PRACTICE - January 31, 2007 6:42:00 AM
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supender
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Doctor of Musculoskeletal practice would be advanced degree in Physical therapy which would give them skills and rights for all that.It would have partnership of other professionals.DC's can be incorporated provided they finish all the required credits.
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Re: DOCTOR OF MUSCULOSKELETAL PRACTICE - January 31, 2007 3:45:00 PM
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supender
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Do u share, the vision with me.I recommend e mail the links to leaders in musculoskeletal field and see what they feel about it.May be we can build some thing more productive than APTA 2020 vision.
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Re: DOCTOR OF MUSCULOSKELETAL PRACTICE - February 1, 2007 12:13:00 PM
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ONstudentPT555
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What is Osteomyology?
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Re: DOCTOR OF MUSCULOSKELETAL PRACTICE - February 2, 2007 10:12:00 AM
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supender
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Osteomyology, breaks down to Osteo (bone) myo (muscle) ology (study of) so, taken literally, it is the study (and specialisation) of bones and muscles.I had my education in India,the name of my 2 year fulltime post professional programme in Orthopaedic Physical Therapy programme was Master of Physiotherapy with majors in Osteomyology
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Re: DOCTOR OF MUSCULOSKELETAL PRACTICE - February 2, 2007 1:15:00 PM
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InOrbit
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I am not very clear about this vision .When you talk about a shortage of physicians specialising in musculoskeletal disorders etc , you do realise that a physiatrist for one, has to specialise AFTER their basic MD degree. That takes years of time, money , effort and dedication.Are you saying that the 10 years of pure studies that these guys are doing can be subsituted just like that? To be honest with you doing an extra degree(how long will the course you mentioned take by the way) that allows me to inject someone doesnt exactly make me feel empowered.PTs are already getting their specialisation degrees in manual therapy and what have you.They are being recognised for being say a NCS or a PCS or an OCS etc.What you are describing kinda makes me feel all over the place.Combining so many different professions is like wearing many hats; makes me wonder how that will affect potential for liability risks. What do you think ?
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Re: DOCTOR OF MUSCULOSKELETAL PRACTICE - February 3, 2007 2:38:00 AM
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supender
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For a regular joe who lives in a regular small town the cycle of medical interventions for musculoskeletal problems goes like thisOver the counter pain medication, Medical Doctor (Read GP), Prescription Pain medication,or Referal Physical Therapist or referral Orthopaedic Surgeon or referaal bak to Physical Therapy or referral Physiatrist bac referral Physical therapist again back referral Physiatrist or Orthopaedic Surgeon (consideration of conservative medical management( read Injection therapy)and referal back Physical therapy, refral back Orthopaedic surgeon for surgical options.I am talking about a case which is not only amenable to the present Physical therapy model.I would have been able to explain what I mean to say if I used flow charts.The whole point is to increase the scope of Physical therapy to provide more efficent and cost effective care in this era of health care delivery reforms.The model has been used in other countries and is being introduced in canada too.A Physiatrist would still be a source of Consultation as it is meant to.Secondly as an OCS or DPT scope of practice remains the same.Liability risk would increase so would compensation for work.
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Re: DOCTOR OF MUSCULOSKELETAL PRACTICE - February 3, 2007 4:21:00 AM
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ONstudentPT555
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Do you mean the Avance status movement in Canada. This is happening but as far as I know this upgrade is only available to PTs.
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Re: DOCTOR OF MUSCULOSKELETAL PRACTICE - February 3, 2007 6:51:00 AM
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supender
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Joined: January 27, 2007
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Yes I do.
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Re: DOCTOR OF MUSCULOSKELETAL PRACTICE - February 3, 2007 9:06:00 AM
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nari
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From: Australia
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It's also happening in Australia, but is only in the blueprint stage.
We don't have physiatrists, so that eliminates one factor in the flow chart; we have direct access, so the folk involved are the GP (first or second in the referral system), PT and if necessary, the orthopaedic specialist or some other specialist. Keeps things simple...more or less.
It would take a huge leap for nurses here; their training in musculoskeletal matters or neurology is minimal.
Nari
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Re: DOCTOR OF MUSCULOSKELETAL PRACTICE - February 5, 2007 12:34:00 PM
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supender
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Yes they would almost have to complete 60% to 70% of PT curriculum.Do u think it is feasible.Any management guy out there in this forum wana do a SWOT analysis.
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