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Direct Access
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Direct Access - May 4, 2006 12:26:00 PM
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RoyCoronado
Posts: 6
Joined: April 15, 2006
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May 4, 2006
I don't know if this topic has been addressed, but I wanted to see what the opinions are of those (particularly students, but all are welcome) who are on this forum about direct access.
It seems that there are PTs on both sides of the camp (either for/against direct access) and many students I have interacted with seem quite intimidated of the thought of autonomous practice(especially upon graduation).
I was wondering, what do you think about the move towards direct access? Any pros/cons? Do you think requiring a residency/mentorship after graduation would be beneficial? How will this effect our relations with other practitioners?
For those of you practicing in direct access states (maybe even military), what have your experiences been like? Thank you for your thoughts.
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Roy Coronado SPT, CSCS
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Re: Direct Access - May 4, 2006 1:17:00 PM
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JLS_PT_OCS
Posts: 1684
Joined: January 30, 2005
From: USA
Status: offline
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Roy-
We have had extensive discussions here about this, the search function should help you get to those in addition to whatever response you get in this thread.
Best of luck.
Direct access is easy to handle if you've half a brain. The issue is learned reliance on others in our profession, not education or competence.
J
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Jason Silvernail DPT, OCS, CSCS
"It isn't what you're able to do that requires your courage but rather what you have come to understand and are willing to express." - Barrett Dorko,PT
**I no longer post on RehabEdge**
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Re: Direct Access - May 4, 2006 4:01:00 PM
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Shill
Posts: 1096
Joined: February 13, 2003
From: Madison WI USA
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You know, I had a thought a few weeks ago on this issue:
How do the inpatient therapists across the country feel about direct access? Where do they fit in to this model? There is no denying that direct access caters to outpatients primarily, but there is a large number of PTs who work in hospitals, rehab centers, and the like. How would it work for them?
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Steve Hill PT
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Re: Direct Access - May 4, 2006 6:01:00 PM
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nari
Posts: 1568
Joined: November 14, 2003
From: Australia
Status: offline
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Shill
It would not make a big difference because PT can establish a protocol of open referral. Then we decide whom we see and whom we don't. In other areas, where PT input is minimal, access is by referral. In many respiratory areas, it saves time to review only on referral as we would not normally see many patients.
Intensive Care - open referral
Rehab centres - open referral.
Acute neuroscience - open referral.
Orthopaedics - open referral.
Respiratory wards - referral requested.
Sounds like a lot of work sifting through notes to see who is appropriate; but it's not. And a nurse can always say: I am worried about Mr So-and-so - and we can review; treat or not depending on what we find.
The ball is in our court - always. Many doctors make inappropriate referrals but often they just want an opinion and respect our decision.
Nari
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