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Re: Should PTs be called "Dr."

 
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Re: Should PTs be called "Dr." - March 21, 2006 4:45:00 AM   
dosrinc

 

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MPT student, while I agree with you, the problem is that all though the institiutions can make graduation requirements different between the two degrees, CAPTE can't. We wont see what you describe as needing to happen occur until all programs are entry level DPT programs, the APTA hopes this will happen sometime around 2020, until then we will see the disparity in degrees despite the similarity in education with some MPT programs actually being more challenging then some DPT programs dependent on the focus of the director of the program, the grading or pass vs. fail system, dissertation requirements ect.

Rick
Rick

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Post #: 261
Re: Should PTs be called "Dr." - March 21, 2006 11:53:00 AM   
FLAOrthoPT

 

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actually nova southeastern has their DPT program and t-DPT program specifically accredited by CAPTE

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Re: Should PTs be called "Dr." - March 21, 2006 12:15:00 PM   
Andrew M. Ball PT PhD

 

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Ben,

I'm not sure where you're information is comming from, but both Joe Black, PhD and Jody Gandy, PT, PhD (Former and current directors of Education at the APTA --- who oversee CAPTE), have both said in personal converstations, the APTA website, and APTA conferences, the CAPTE does not, and will not accredit t-DPT programs. Please double check your facts. To my understanding, the university of accredited by SACHS (one of the 6 regional university/college accrediting boards), the entry-level DPT program is accredited by CAPTE, and the t-DPT program is accredited by DETC.

Drew

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Post #: 263
Re: Should PTs be called "Dr." - March 21, 2006 12:58:00 PM   
SJBird55

 

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LOL Ben... use your "easy button" wisely - you do realize that it doesn't come with a warranty and it only has so many presses before it fails. After it fails, well, you either buy a new one or work a bit harder. LOL

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Post #: 264
Re: Should PTs be called "Dr." - March 21, 2006 10:41:00 PM   
Randy Dixon

 

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SJ,

So would a combination of the DPT and some sort of reviewed CE curriculum requirement be something that you would support?

I think the current CE system, for those states that require it, need some overhauling. All that is required for CE certification in most states is to fork over the money to the state PTA organization.

I wasn't actually going to post anything more, but this thread now has, 268? posts and I just wanted to insure it makes the all time longest list.

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Post #: 265
Re: Should PTs be called "Dr." - March 22, 2006 2:07:00 AM   
SJBird55

 

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I would propose 2 things... I think that advanced clinical series deal the APTA has is a good idea. But continuing education that is of a rated caliber with choices and options, but in the end certain requirements to be met. Maybe somewhat similar to the National Athletic Trainer's Association, but step it up a bit and rate the courses.

Then, I believe at the State level, instead of just paying the dues, it would probably be a good idea for therapists to take an exam to prove competency - and the exam would change as our knowledge, technology and as times change.

The CE and the exam would go hand in hand... if one doesn't meet requirements, one isn't allowed to practice. When one pays their licensing dues the other two aspects have to be right there attached or available online or something.

So... as I said, my vision would add cost and more time and effort and a lot more monitoring. It would take a lot more communication at the State level to those with a license and it would take a lot more work on the part of the APTA. I believe it would resolve the issue of competency and staying at a required practice level better than anything we have going now.

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Post #: 266
Re: Should PTs be called "Dr." - March 22, 2006 3:16:00 AM   
truthseeker

 

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In theory, I agree with your plan SJ, but the problem I would anticipate would be that you and I would treat similar things with a different approach. Some would mobilize, some would manipulate, some would use muscle energy etc . . . Therefore, the person writing the exam would need to throttle it back so that it is a very very basic test. That kind of test would not really test the competence of an experienced clinician in orthopedics, but with me for example, WOULD test my competence in pediatrics or integumentary treatment because I simply don't ever treat those things.

We have read on these boards obvious variance in our approaches to treatment. Ginger would mobilize the L spine, Tom would do closed chain exercises to the exclusion of OKC, and Jason might do all of the above.

Whoever writes the test determines which of us passes. OBVIOUSLY, they would be wrong if they disagreed with my treatment philosophy but the point is, I firmly believe that each of our patients get better faster because of our interventions, some maybe faster than others, but how do you rectify that with your plan?

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Post #: 267
Re: Should PTs be called "Dr." - March 22, 2006 7:50:00 AM   
Shill

 

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Jason,
[QUOTE]I would suggest that anyone who feels as if they are on a short horse is experiencing something that comes from within. No degree can cure that [/QUOTE]So you dont find that statement to be a bit patronizing? Interesting.....

Horseless,
Steve

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Post #: 268
Re: Should PTs be called "Dr." - March 22, 2006 8:13:00 AM   
JLS_PT_OCS

 

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Steve-
No, not at all. I'm not implying anyone here is on a short horse. I think if someone in general feels that way, then I stand by my statement.

I never said you were horseless. You did. In this internet world, you seem to be taller than the average bear to me. You seem every bit the intelligent, competent and professional therapist. But that's just my opinion.

J

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Jason Silvernail DPT, OCS, CSCS
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"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, Writer and Physical Therapist

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Post #: 269
Re: Should PTs be called "Dr." - March 22, 2006 10:59:00 AM   
SJBird55

 

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Tom, I guess I was envisioning competency more in the realm of whatever the current status of our practice. Direct acces, phamacology and radiographs seem to be the key issues currently. I wouldn't envision some long drawn out competency exam, but something that hit on the important variables in areas that affect our practice. Yes, something more general than broad and something that somehow entails the results of current literature within the last couple of years that should shape our practices. And, I would think there might be different competency exams depending on the area of practice. I would envision staying away from philosophies of treatment and focus on the current published literature that has clinical relevancy. For example, DVT, low back pain classification systems, systems review, some of the outcome measures....

I have a horse... 15 hands! LOL

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Post #: 270
Re: Should PTs be called "Dr." - March 22, 2006 1:02:00 PM   
dosrinc

 

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SJ and Tom, we have something very much like this already, Clinical Specialization, becoming an Orthopedic Clinical Specialist, recognized by the American Board of Physical Therapy Specialists allows recognition for advance study in a particular area of study thus avoiding someone like me having to study peds again just to keep my liscense, the Specialization must be renewed every 10 years.

My view on things, specialization combined with the DPT and eventually required paid residencies/fellowships for the new grad in their field of choice, much like that of the MD, is the way we need to go.

Rick

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Post #: 271
Re: Should PTs be called "Dr." - March 22, 2006 5:32:00 PM   
FLAOrthoPT

 

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Drew, what I was mistaken about was some of the detail. what I meant to say was that NSU program was SACS and CAPTE accredited but also was one of only 2 programs (Our TDPT program)
found to meet 90% or more of the APTA's guidelines for TDPT programs.

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Post #: 272
Re: Should PTs be called "Dr." - March 23, 2006 1:02:00 AM   
Andrew M. Ball PT PhD

 

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Which is the other t-DPT program?

Drew

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Post #: 273
Re: Should PTs be called "Dr." - March 23, 2006 3:22:00 AM   
Shill

 

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Jason - I AM horseless. But that is because I dont want a horse. They kind of smell funny to me, and man, dont get kicked by one of those things. My comment was no implication on your opinion as to whether or not I have a horse. I truly respect your opinions on clinical issues. I just differ with your philosophical opinions thats all.
Now, I agree with Rick on the OCS (or other specialist certs) issue. This makes more sense to me than the DPT!
I will do the OCS.

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Steve Hill PT

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Post #: 274
Re: Should PTs be called "Dr." - March 23, 2006 11:34:00 AM   
JLS_PT_OCS

 

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Different strokes for different folks, Steve.
We're cool.
J

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Homo Vegetus
"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, Writer and Physical Therapist

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Post #: 275
Re: Should PTs be called "Dr." - March 24, 2006 1:32:00 AM   
Randy Dixon

 

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I see the problem with competency exams as being a little too restrictive. What do you tell the guy, in solo private practice, hasn't had any issues with patient complaints, whose patients are doing well, that doesn't pass his competency exam at the 10 year mark. Sorry, close your clinic, find another job? Based on what will obviously be somewhat subjective criteria?

The OCS or clinical specialty is a great goal, but it is also much harder than basic competency that needs to be established. I think you can require exposure and education and maybe a very specific competency test for certain things and changing technologies, but I think you will run into problems with tests that restrict a PT's right to practice independently.

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Post #: 276
Re: Should PTs be called "Dr." - March 24, 2006 2:58:00 AM   
SJBird55

 

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Technically, Rick does have a good thought. For anyone who has board certification, that person is responsible for maintaining a portfolio for recertification. If a person has an active portfolio with continuing education and written papers or whatever, then I kind of agree with Rick - that person has proven competency and is working on maintaining competency. That person would just need to turn in their portfolio and there would be minimum requirements to be met. Maybe there could be an option to opt-out of competency testing?

But... for the therapists that aren't board certified... I think we do need something and that something shouldn't just be the educatational level achieved. Heck... for that matter, maybe for those PT's that don't have any board certification, they are required to take an abbreviated version of the licensure exam every 3 years? It's only entry level... a broad entry level exam, so that would work also. Certain continuing education courses would be recommended to help with the review/learning process to keep the seasoned PT's at the current moving target level.

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Re: Should PTs be called "Dr." - September 23, 2006 4:15:00 AM   
Dr Simon Bacaltos

 

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Wow is probably the most popular topic in this forum.

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Post #: 278
Re: Should PTs be called "Dr." - September 24, 2006 6:35:00 AM   
hmgross

 

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I'm wondering if I am going to push this thing onto page 8--oh well.
I have an MA, been out of school 10 years, just finished paying off MY student loans not that long ago, and have twins who are seniors this year. Now, lets see..4-6 years of college for 2 kids. I hope I will not be put in a position where I will be taking courses or testing my knowledge in order to continue operating my solo PT practice. I don't even have time to post here much anymore (usually just lurking on the weekend these days). I have no problem with the DPT. If my daughter chooses PT instead of medical school, then maybe she can operate my business and I can work for her!!

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Re: Should PTs be called "Dr." - February 12, 2007 3:13:00 PM   
Jon Newman

 

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Just when you thought it was safe to call yourself doctor we now get to ask people who are doctors to quit calling themselves that.

[URL=http://www.badscience.net/?p=362]Maybe it could become a trend[/URL]

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